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Chapter 12b



                       TBE in South Korea





                                        Song Joon Young


          History and Current Situation

          Although  no  human  case  of  tick-borne   examined ticks] × 100) was particularly high in
          encephalitis  (TBE)  has  been  documented  in   Yangpyeong  (5.9–20.0%),  Dongducheon  (1.3–
                             5
          South  Korea  to  date,   surveillance  studies   6.7%),   Pyeongchang   (0.8–1.3%),   and
          have  been  conducted  to  evaluate  the    Jeongseon  (0.4–8.3%)  with  variation  by  tick
          prevalence  of  tick-borne  encephalitis  virus   species. As usual, 1–30 ticks were included in
                           1-5
          (TBEV)  in  wild  ticks.   Four  studies  collected   each pool. Phylogenetic analysis revealed that
          ticks by dragging or flagging in grassland and   the  TBEV  in  South  Korea  belonged  to  the
          forest,  while  1  study  tested  wild  mammals   Western  subtype,  contrary  to  neighboring
          (boars  and  rodents)  by  removing  ticks  from   countries   including   Japan,   China,   and
          them.  In  the  wild  of  South  Korea,     northeastern  Russia,  where  the  Far-Eastern
          Haemaphysalis  spp.  were  the  predominant   subtype was only isolated (Table 1).
          species  found  by  tick  dragging,  while  Ixodes
          nipponensis  became  predominant  when      In  the  second  study  by  the  same  research
          harvested from small mammals. 6             team,  TBEV  was  also  isolated  from  wild
                                                      rodents  (Apodemus  agrarius)  captured  in
                                                                                2
          According to the results, TBEV was detected in   Hapcheon,  Gyeongsangnam-do.   These  TBEV
          numerous regions (Figure 1):                isolates  (KrM216,  KrM219)  caused  symptoms
           - Gyeonggi-do (Yangpyeong and              of  encephalitis in suckling mice and were able
            Dongducheon),                             to  grow  from  brain  preparations  in  cell
           - Gangwon-do (Pyeongchang, Jeongseon,      culture.  In  2007,  the  third  TBEV  surveillance
            Sokcho, and Chuncheon),                   was  conducted  in  the  southern  provinces  of
           - Jeonllabuk-do (Gunsan and Gurye),        South  Korea,  including  Jeju  Special  Self-
           - Gyeongsangbuk-do (Hapcheon, Dongu,       Governing  Province  (Jeju  Island),  Jeollanam-
            Andong, and Uiseong),                     do, Gyeongsangbuk-do, and Gyeongsangnam-
                                                        3
           - Gyeongsangnam-do (Yangsan), and          do.   Among  the  6,788  ticks  collected,  4,077
           - Jeju-do (Jeju). 1-5                      were pooled (649 pools) by collection site. In

                                                      Jeju Island, the minimum field detection rate
          The first study was conducted in 12 regions of   was  0.17%  in  H.  longicornis  and  0.14%  in  H.
          5 provinces of South Korea in 2005–2006. 1   flava.  In  accordance  with  the  previous  study,
                                                      the  Jeju  strains  were  identified  as  Western
          TBEV  was  detected  from  Haemaphysalis    subtype TBEV by phylogenetic analysis.
          longicornis  (minimum  field  detection  rate,
          0.2%),  Haemaphysalis  flava  (0.8%),  Haema-  Later  during  2011–2012,  the  fourth  larger-
          physalis  japonica  (0.9%),  and  I.  nipponensis   scale surveillance study was carried out in 25
                                                                                         4
          (1.6%), as depicted in Table 1.             localities  of  10  provinces  of  South  Korea.   A
                                                      total  of  13,053  ticks  were  collected  with  H.
          The minimum field detection rate ([number of   longicornis  as  the  most  abundant  species
          detection  positive  pools/  total  number  of   (90.8%,  11,856/13,053),  followed  by  H.  flava



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