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제목 |
한국 나이동진료반의 활동 |
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저자 |
최시룡 |
소속 |
가톨릭 중앙의료원 만성병연구소 |
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년도 |
1967 |
권 |
4 |
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호 |
1 |
번호 |
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시작페이지 |
5 |
끝페이지 |
8 |
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첨부 |
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요약 |
In 1956, the Korean Government established a well-trained leprosy mobile clinic, the
first of its kind, in conjunction with the American-Korean foundation and Office of the
Economic Coordinator, and a pioneer project was initiated in Kyongsang Pukdo which
has one of the high leprosy prevalence in Korea. The principal activities of the clinic
was not only of case-finding and treatment, but also of treatment of the inmates of
leprosaria and colonies, and epidemiological survey of leprosy was carried out in the
province.
At the same time, the Catholic Laprosy Service and the Leprosy Mission have
independently organized leprosy mobile clinics.
In 1958, the Government encouraged by the effect of the mobile clinic in finding many
undiscovered patients and has organized another mobile clinic in Kyongsang Namdo
which is one of the neighbouring provinces of Kyongsang Pukdo.
The staff of each mobile clinic consisted of 8 members and the case-finding methods
were as follows :
Staff :
Senior medical officer 1
Junior medical officer 1
Nurses 2
Laboratory technician 1
Social worker 1
Administrator 1
Driver mechanic 1
Case-finding methods :
1) Mass examination of school children and public markets or gathering places.
2) Community survey for the highest endemic area.
3) Examination of suspicious cases and contacts based on information.
4) Utilization of out-patient clinics.
During 19 months, as the results of mobile clinic activities in Kyongsang Pukdo, the
clinic found 1,645 home-patients, which was 10 times larger than the officially registered
number of cases at that time, and 2,452 cases of inmates were treated by the clinic; in
Kyongsang Namdo, during 41 months, the clinic found 1,440 home-patients and 2,933
cases of inmates were treated regulararly.
In 1963, the Government selected Wolsung-gun and Ulchu-gun as sample survey
areas for leprosy with the assistance of WHO and UNICEF. The leprosy mobile clinic
effectively performed an epidemiological survey and found that the prevalence rate was
2.4 per 1,000 population in the area and recognized that the most effective method for
case-finding ol leprosy is home-visiting, utilization of information and clinics for
out-patients.
On the other hand, CIDR, working in Cholla Pukdo, acquired good results through the
effort of negative leprosy patients working as para-medical workers who carried out the
case-finding activities.
At present, there are presumptively about 60,000 of home-patients in Korea and only
about 15,000 of them are registered with the Health Department and the rest of them
(3/4 of the total home-patients) are still undiscovered.
From 1966, 9 Government mobile clinics which are maintained with financial
assistance provided jointly by the UNICEF, the German Leprosy Relief Association, the
Order of Malta. And 11 mobile clinics sponsored by voluntary organizations are
co-working in the southern provinces such as Kyongsang Nam-Pukdo, Cholla
Nam-Pukdo and Chungchong Nam-Pukdo, all of which are known to be high prevalence
areas in Korea. Each clinic covers the allocated areas with one well-trained
para-medical worker in each Gun and systemically operates for case-finding, treatment,
and health education for enlightenment on leprosy.
Mobile clinics seem to be the best means of taking care of leprosy patients, including
early case-finding, examination of their contacts for early treatment, tracing of
suspicious cases and prevention of the spread of the disease. These seems to be the
most economical way and more effective method of leprosy control in Korea. |
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내용 |
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