PHWR Public Health Weekly Report

Vol.17 No.42, October 28, 2024 Article TypeOriginal ArticlesPolicy NotesQuickStatsSurveillance Reports

• Original Articles 2024-10-28

  0 202 23

  Factors Associated with Functional Deterioration in Stroke Patients 3 Years after Onset: A KOSCO Study

  Dae Hyun Kim, Deog Young Kim, Jongmin Lee, Min Kyun Sohn, Min-Keun Song, Yong-Il Shin, Yang-Soo Lee, Min Cheol Joo, So Young Lee, Jeonghoon Ahn, Gyung-Jae Oh, Young Hoon Lee, Junhee Han, Ho Seok Lee, Doona Cho, Young-Taek Kim, Yun-Hee Kim, Won Hyuk Chang

  Public Health Weekly Report 2024; 17(42): 1767-1785 https://doi.org/10.56786/PHWR.2024.17.42.1

  

  

  Abstract

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  This study aimed to identify the factors predicting functional decline 4 years after stroke based on patient characteristics 3 years after stroke. We analyzed data from the Korean Stroke Cohort for Functioning and Rehabilitation study. Functional decline was defined as an increase in the modified Rankin scale (mRS) 4 years after stroke compared to that at 3 years after stroke. Participants were divided into two groups based on their mRS 3 years after stroke: independent (mRS 0–1) and dependent (mRS 2–4) activities of daily living groups. Of the 4,023 participants, 3,028 were in the independent group and 995 in the dependent group. Functional decline was observed in 12.9% and 12.1% of the independent and dependent groups, respectively, 4 years after stroke. In the independent group, age, degree of comorbidity, and mobility function 3 years after stroke were identified as predictors of functional decline. In the dependent group, age and cognitive function 3 years after stroke were predictive factors. These findings can contribute to the development of tailored rehabilitation strategies to prevent functional decline in patients with chronic stroke.

• Surveillance Reports 2024-10-31

  1 619 58

  Recent Trends in the Circulation of Viruses Causing Acute Gastroenteritis in the Republic of Korea, 2019–2023

  Minji Lee, Yunhee Jo, Sun-Whan Park, Myung-Guk Han*

  Public Health Weekly Report 2024; 17(42): 1786-1801 https://doi.org/10.56786/PHWR.2024.17.42.2

  

  

  Abstract

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  Viral acute gastroenteritis is an infectious disease caused by various viruses, including norovirus, and is predominantly transmitted through contaminated water or food. This condition, one of several waterborne and foodborne infectious diseases, is characterized by symptoms such as vomiting, diarrhea, and abdominal pain. Over a 5-year period (2019–2023), we analyzed the detection rates and genotypes of 5 viruses (norovirus, group A rotavirus, enteric adenovirus, astrovirus, and sapovirus) in stool samples (54,451 cases) from patients who presented with or were hospitalized for diarrhea. Out of the samples collected, viruses were detected in 6,415 cases (11.8%), with an average detection rate of 11.7% over the 5 years. Notably, the highest detection rates were found in children under 5 years of age (68.1%), with norovirus being the most frequently detected virus (69.2%). Detection rates varied seasonally, peaking in winter and diminishing in summer. The predominant genotypes identified included norovirus GII.4, group A rotavirus G8P[8], enteric adenovirus F41, astrovirus type 1a, and sapovirus GI.

• Policy Notes 2024-10-31

  0 85 15

  Addition of Three Viruses to the High-risk Pathogens of the Infectious Disease Prevention and Management Act

  Ji Yeong Lee, Kyung-Hwan Oh, Jeonghwa Shin, Tae Jong Son*

  Public Health Weekly Report 2024; 17(42): 1802-1811 https://doi.org/10.56786/PHWR.2024.17.42.3

  Abstract

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  According to the Infectious Disease Control and Prevention Act, the Korea Centers for Disease Control and Prevention Agency (KDCA) had designated 36 pathogens as high-risk pathogens (HRPs) because of their potential to pose a serious threat to public health and their possible use in bioterrorism. The KDCA is responsible for the national biosafety management of these pathogens. In July 2023, Chapare virus and Lujo virus, both hemorrhagic fever viruses classified under Risk Group 4, along with poliovirus, which is targeted for eradication according to the World Health Organization Global Action Plan Ⅲ, were added to the list of HRPs. This revision has increased the total number of HRPs under national biosafety management to 39. The KDCA will continue to monitor and update the HRPs that require biosafety management in response to the changing environment, which includes emerging and re-emerging pathogens, as well as those requiring international cooperation for biosafety management.

• QuickStats 2024-10-31

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  Trends in the Prevalence Gap of Doctor’s Diagnosis of Diabetes Between Cities or Provinces, During 2014–2023

  Public Health Weekly Report 2024; 17(42): 1812-1813 https://doi.org/10.56786/PHWR.2024.17.42.4

  

  

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