- Interpretation of the Basic and Effective Reproduction Number
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Jun-Sik Lim, Sung-Il Cho, Sukhyun Ryu, Son-Il Pak
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J Prev Med Public Health. 2020;53(6):405-408. Published online October 20, 2020
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DOI: https://doi.org/10.3961/jpmph.20.288
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- In epidemiology, the basic reproduction number (R0) is a term that describes the expected number of infections generated by 1 case in a susceptible population. At the beginning of the coronavirus disease 2019 (COVID-19) pandemic, R0 was frequently referenced by the public health community and the wider public. However, this metric is often misused or misinterpreted. Moreover, the complexity of the process of estimating R0 has caused difficulties for a substantial number of researchers. In this article, in order to increase the accessibility of this concept, we address several misconceptions related to the threshold characteristics of R0 and the effective reproduction number (Rt). Moreover, the appropriate interpretation of the metrics is discussed. R0 should be considered as a population-averaged value that pools the contact structure according to a stochastic transmission process. Furthermore, it is necessary to understand the unavoidable time lag for Rt due to the incubation period of the disease.
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Zimei Yang, Jia Rui, Li Qi, Wenjing Ye, Yan Niu, Kaiwei Luo, Bin Deng, Shi Zhang, Shanshan Yu, Chan Liu, Peihua Li, Rui Wang, Hongjie Wei, Hesong Zhang, Lijin Huang, Simiao Zuo, Lexin Zhang, Shurui Zhang, Shiting Yang, Yichao Guo, Qinglong Zhao, Shenggen Frontiers in Public Health.2022;[Epub] CrossRef - Transmission dynamics and control of two epidemic waves of SARS-CoV-2 in South Korea
Sukhyun Ryu, Sheikh Taslim Ali, Eunbi Noh, Dasom Kim, Eric H. Y. Lau, Benjamin J. Cowling BMC Infectious Diseases.2021;[Epub] CrossRef - Basic reproduction number of African swine fever in wild boars (Sus scrofa) and its spatiotemporal heterogeneity in South Korea
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- The Delay in Confirming COVID-19 Cases Linked to a Religious Group in Korea
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Hyung-Ju Kim, Hyun-Seong Hwang, Yong-Hyuk Choi, Hye-Yeon Song, Ji-Seong Park, Chae-Young Yun, Sukhyun Ryu
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J Prev Med Public Health. 2020;53(3):164-167. Published online April 8, 2020
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DOI: https://doi.org/10.3961/jpmph.20.088
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- Objectives
As of March 3, 2020, the Shincheonji religious group accounted for the majority of Korean cases of coronavirus disease 2019 (COVID-19). Nonetheless, the most likely cause of the broad spread of COVID-19 among members of the Shincheonji religious group remains largely unknown.
Methods We obtained data of laboratory-confirmed cases related to the Shincheonji religious group from press releases by Korean public health authorities and news reports. We measured the period from the date of illness onset to the date of COVID-19 confirmation.
Results We analysed data from 59 cases (median age, 30 years). The estimated median period between the date of symptom onset and the date of COVID-19 confirmation was 4 days (95% confidence interval, 1-12).
Conclusions There was a delay in COVID-19 confirmation from the date of illness onset among the cases linked to the Shincheonji religious group. This delay likely contributed to the occurrence of many cases of COVID-19 in the group.
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- One Health Perspectives on Emerging Public Health Threats
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Sukhyun Ryu, Bryan Inho Kim, Jun-Sik Lim, Cheng Siang Tan, Byung Chul Chun
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J Prev Med Public Health. 2017;50(6):411-414. Published online November 2, 2017
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DOI: https://doi.org/10.3961/jpmph.17.097
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- Antimicrobial resistance and emerging infectious diseases, including avian influenza, Ebola virus disease, and Zika virus disease have significantly affected humankind in recent years. In the premodern era, no distinction was made between animal and human medicine. However, as medical science developed, the gap between human and animal science grew deeper. Cooperation among human, animal, and environmental sciences to combat emerging public health threats has become an important issue under the One Health Initiative. Herein, we presented the history of One Health, reviewed current public health threats, and suggested opportunities for the field of public health through better understanding of the One Health paradigm.
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- Community-acquired Legionnaires’ Disease in a Newly Constructed Apartment Building
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Sukhyun Ryu, Kyungho Yang, Byung Chul Chun
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J Prev Med Public Health. 2017;50(4):274-277. Published online June 28, 2017
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DOI: https://doi.org/10.3961/jpmph.17.066
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Legionnaires’ disease (LD) is a severe type of pneumonia caused by inhalation of aerosols contaminated with Legionella. On September 22, 2016, a single case of LD was reported from a newly built apartment building in Gyeonggi province. This article describes an epidemiologic investigation of LD and identification of the possible source of infection. Methods: To identify the source of LD, we interviewed the patient’s husband using a questionnaire based on the Legionella management guidelines from the Korea Centers for Disease Control and Prevention. Water samples from the site were collected and analyzed. An epidemiological investigation of the residents and visitors in the apartment building was conducted for 14 days before the index patient’s symptoms first appeared to 14 days after the implementation of environmental control measures. Results: Legionella pneumophila serogroup 1 was isolated from the heated-water samples from the patient’s residence and the basement of the apartment complex. Thirty-two suspected cases were reported from the apartment building during the surveillance period, yet all were confirmed negative based on urinary antigen tests. Conclusions: The likely source of infection was the building’s potable water, particularly heated water. Further study of effective monitoring systems in heated potable water should be considered.
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