Prevalence of asthma and atopy in children living in rural areas of Cheju island for an interval of three years / 천식및알레르기

BACKGROUND: The prevalence of asthma has been increasing due to changes in lifestyles. OBJECTIVE: The aim of this study was to evaluate the prevalence of asthma and atopy for an interval of three years in children living in rural areas of Cheju island. METHODS: A total of 1,055 and 755 subjects aged 7-15 years in South Cheju County were enrolled for an interval of three years, respectively. They responded to the modified ISAAC questionnaire, and underwent allergy skin prick test with locally common aeroallergens and methacholine bronchial provocation test. Children who had asthma symptom as reported on the questionnaire and bronchial hyperresponsiveness to methacholine were diagnosed as current asthma. Atopy was defined as the positive skin responses to one or more aeroallergens. RESULTS: The prevalence of current asthma had increased from 4.4% to 7.0% during the three years, especially among children aged 13 to 15 years (3.9% vs. 7.6%), although the asthma prevalence was similar between the two intervals among children aged 7 to 12 years (5.2% vs. 6.8%). The atopy rate had significantly increased from 37.7% to 45.9% during the three years. As for common sensitizing aeroallergens, sensitization rate to citrus red mite had significantly increased among both the young and the old age groups. The sensitization rates to house dust mites, such as D. pteronyssinus and D. farinae, had increased among the old age groups, but not among the young age groups, although the sensitization rates to cockroach and Japanese cedar pollen were similar among both the young and old age groups at the two intervals. CONCLUSION: The prevalence of current asthma and atopy had increased among children living in rural areas of Cheju island during the three year interval. The sensitization to house dust mite and citrus red mite had increased during the three years, and may play an important role in the increased prevalence of current asthma.

Genetic Polymorphism of the Serum Proteins of Horses in Jeju

The study was carried out to investigate the genetic polymorphism of the serum proteins of horses in Cheju. They were assigned to three groups; 45 Cheju native horses(CNH), 60 Cheju racing horses(CRH) and 60 Thoroughbreds(TB). We analyzed the phenotypes and gene frequencies of serum proteins which were albumin (Alb), vitamin-D binding protein(GC), esterase (ES), A1B glycoprotein(A1B) and transferrin(TF) loci using horizontal polyacrylamide gel electrophoresis (HPAGE).All of the loci, except A1B in TB, showed polymorphisms and different allelic and phenotypic frequencies in all three groups. ESS and TFF1 were not observed in CNH. Allelic frequencies of AlbB, ESI, TFD and TFF1 were high in TB. All of the loci, except ES locus in CRH, appeared to be in a state of Hardy-Weinberg equilibrium from goodness-of-fit test in all three groups Heterozygosity estimates at Alb, ES and TF loci were high, but GC and A1B loci were low in all three groups. Average heterozygosities in CNH, CRH and TB were 0.3535, 0.3555 and 0.2726, respectively. Results showed differences in the frequencies of alleles and phenotypes of several serum protein loci between CNH and CRH, suggested that CRH might be crossed with other breeds of horses in some degree.

Prevalence of atopic rhinitis and causative allergens in children living in rural areas of Cheju island / 천식및알레르기

BACKGROUND: Atopic diseases have been increasing according to changes in life style and indoor environments. Atopic rhinitis is a prevalent atopic disease in children, but the prevalence has been reported differently according to geographic areas. OBJECTIVE: This study was conducted to elucidate the prevalence of childhood atopic rhinitis and to identify the distribution of causative allergens in total children living in rural areas of Cheju island. METHOD: A total of 7,145 subjects aged 7-15 years in South Cheju County was recruited in this study. They responded to an ISAAC questionnaire and underwent allergy skin prick test with common aeroallergens. Chronic rhinitis was positive in this respect if subjects experienced two or more rhinitis symptoms such as sneezing, runny nose, itchy nose and nasal blockage, which were not related to the common cold. Atopy was regarded as positive when the wheal caused by one or more of the common allergens was the same or larger than that caused by histamine. RESULTS: The prevalence of chronic rhinitis was 10.5%. The prevalence of chronic rhinitis was the same between girls and boys, but higher as the ages of the subjects were older (7-9 years: 7.7%; 10-12: 10.6%; 13-15: 12.3%, p< 0.001). The atopy rate was 59.7%, meaning that the prevalence of atopic rhinitis was 6.2% and non-atopic rhinitis 4.2%. The common sensitizing allergens in decreasing order were Dermatophagoides pteronyssinus (40.4%), D. farinae (36.3%), citrus red mite (16.4%), cockroach (14.4%), outdoor Fungi (9.8%), Hop Japanese (5.6%) and Japanese cedar (4.5%) pollens. CONCLUSION: The prevalence of atopic rhinitis was 6.2% and the causative allergens such as citrus red mite and Japanese cedar pollen were different from the Korean mainland area.

A Survey of the Prevalence of Rubella Antibodies in Teachers of Child Bearing Age on Cheju Island / 예방의학회지

BACKGROUND: Congenital rubella syndrome (CRS) can be controlled by vaccination. Because rubella is typically a childhood disease, occurring predominantly in the 5 to 14 year age group, female school teachers may be a high-risk population for CRS. CONCLUSIONS: To determine the prevalence rate of rubella antibodies in school teachers of child bearing age. METHODS: The study population consisted of primary, middle and high school teachers of child bearing age. The subjects were aged 35 years and younger, and consented to immunoglobulin (Ig) level testing using the ELISA method. RESULTS: The positive rate of IgG was 77.9% in the study subjects (n=314). Sixty-three teachers (21.4%) were susceptible to rubella infection. Thirty-seven teachers (11.8%) had a history of rubella vaccination. Among the female teachers with no vaccination history, the proportion of negative IgM and IgG was 21.7%, and the proportion of positive IgM was 2.9%. Seventy-nine percent of the study subjects did not know that they should not become pregnant for three months after receiving the rubella vaccine. CONCLUSION: School teachers of child bearing age should be considered a high risk group for CRS, and should be vaccinated if they are found to be seronegative.

Seroprevalence and Risk Factors of Toxoplasma gondii Infection in High School Students in Cheju Province / 예방의학회지

OBJECTIVES: To assess the seroprevalence and risk factors of toxoplasmosis in high school students in Cheju Province, Korea. METHODS: A total of 4,570 high school students from 18 schools in Cheju Province were investigated for Toxoplasma gondii antibodies(IgG) by enzyme linked immunosorbent assay (ELISA). Risk factors for toxoplasmosis, such as place of residence, type of house, contact with cats and other pets, and rare meat consumption, were examined by questionnaire. RESULTS: The overall antibody positive rate was 5.5% and ranged from 2.6 to 11.5% by school. There was no significant difference between males and females. Statistical analyses of the questionnaire data indicated that the risk factors for seropositivity were: (1) birth place (Cheju/others), (2) place of residence (rural/urban), (3) dietary habits (vegetarian/non vegetarian), (4) eating rare meat, (5) exposure to pets and (6) hepatitis B. CONCLUSION: We confirmed that the prevalence of the anti-Toxoplasma gondii antibody in a population of high school students in Cheju Province was to the previously reported prevalence.

Isolation of the Orchid Mycorrhizal Fungi from the Korean Native Orchids in Cheju

The eleven isolates were isolated from the roots of Cymbidium goeriingii inhabited in the island of Cheju and from Cypripeium calceolus inhabited in the mountains around ChungPuk. The isolates were inoculated to the plantlets of commercial orchids and evaluated to be symbiotic with the orchids. Also, their genomic DNA was extracted from the cultures on the agars and reacted with the primers selected, understanding their biological relations with the pathogenic fungi. Out of eleven isolates, three were observed to stimulate the growth of the orchid plantlets and to be biologically related to the orchid symbiotic fungi, as based on the analyses of PCR-RAPD. Otherwise, the others were observed to decline the growth of orchid plantlet, compared with those of control, and to be grouped with the pathogenic. As based on the results of this work, the roots of C. goeriingii were found to be frequently infected with the pathogenic fungus rather than with symbiotic fungus in natural systems. Further, the infection of the commercial orchid with the pathogens was believed to be abundant without any inoculation of symbiotic fungus under the conditions of greenhouse.

Allergic Rhinitis to Japanese Cedar in Cheju Island / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: Abundance of Japanese cedars (JC) in Cheju Island has caused some of the island's residents to suffer from severe allergic symptom in the spring time. This study was carried out to verify the presence of JC allergic rhinitis (AR) in the island. Materials and Method: We performed a history survey, skin testing and nasal provocation test to JC and other common allergens for 170 residents who have symptom of AR. We also performed the same tests in 18 Japanese who had history of AR to JC and have lived in Korea more than 3 years. And as a control, skin tests were performed for 581 patients who live in Seoul. RESULTS: Positive reactions to JC were seen in 22.4% of the resident group. The prevalence rate was remarkable in the state capital of Cheju. These reactions were associated with conjunctivitis, dermatitis, asthma and food allergy. All the 18 Japanese patients were sensitive to JC. However, the allergic symptoms disappeared within 1 year after the move to Korea. And there were no patients sensitive to JC in the control subjects. Conclusions: We confirmed the presence of AR of JC in Cheju island. The distribution is comparatively coincided with JC and/or air pollution and this result indicate that environmental factors can be involved in the manifestation of the disease.

Prevalence of allergic rhinitis and its causative allergens in people in rural area of Cheju IsIand / 천식및알레르기

OBJECTIVE: Cross-sectional survey was performed to evaluate prevalence of allergic rhinitis and its causative allergens in people in rural area of Cheju Isl~and. Subject and METHOD: A total of 1,236 people with 1,055 children and 181 adults in rural area of Cheju Island were enrolled in this study. In children, 544 were males and 511 were females, and their mean age was 12.3(ranging from 7 to 16) years. In adults, 78 were males and 103 were females, and their mean age was 50.1 (ratging from 18 to 87) years. Evaluations included a questionnaire survey, and skin prick test with extracts of Japanese cedar (Cryptomera japonica, J cedar) pollen and citrus red mite (Panonychus citri, CRM) as well as eleven common inhalant allergens. RESULTS: Prevalence of chronic nasal symptoms was 40.6% (429/1,055) in children, and 45.8 % (83/181) in adults. Prevalence of allergic rhinitis based on positive nasal symptoms on the questionnaire and positive skin response to one or more of the 13 inhalant allergens were 15.4 % (159/1.035) in children, and 19.3% (35/181) in adults. Of 1,035 children, skin-test response was positive in 37.6%, and common sensitizing allergens in order of decreasing frequency were Dermatophagoides pteronpssinus (DP) (26.6%), D. farinae (DF)(22.6%), CRM(14.2%), cockroach(11.3%) and J cedar(9.7%). Of 181 adults, skin-test response was positive in 25.9%, and t,he most common sensitizing allergen was CRM(16.5%), followed by cockroach(11.0%), DP(9. 9%), DF(9.4%), and J cedar(6.6%). Of 159 children with allergic rhinitis, the common sensitizing allergens in order of deereasing frequency were DP(79.2%), DF(67.3%), CRM(35.8%), J cedar(32.7%), and cockroach(27.0%). Of 35 adults with allergic rhinitis, the most common sensitizing allergen was CRM(68.6%), followed by DP(40%), DF(34.3%), cockroach(34.3%), and J cedar(28.9%). CONCLUSION: Allergic rhinitis is a very common disease with a prevalence of 15.4% in children and 19.3% in adults in rural area of Cheju island, and common sensitizing allergens include house dust mite, citrus red mite, cockroach, and Japanese cedar pollen.