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Article
April 12, 1958

TUBERCULOSIS IN KOREA—A CONTROL PROJECT

Author Affiliations

Seoul, Korea

Professor, Department of Medicine, Severance Union Medical College, and Director, Korea Church World Service Tuberculosis Control Project, 1953-1957.

JAMA. 1958;166(15):1851-1855. doi:10.1001/jama.1958.02990150047010

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Abstract

A program sponsored by Church World Service was developed to aid the Korean people in efforts to control tuberculosis. It included plans for chest clinics, free diagnostic and therapeutic x-rays, sanatorium beds, education of professional personnel and the public, and visits of especially trained nurses to patients' homes. The disease was found to be far advanced in 34 % of the first 1,000 patients on their first visit to the clinic. The record of the first 1,000 home visits showed that there were 650 families that had only one room. Of the 163 families occupying a single room each, 23 consisted of from 6 to 10 persons. The treatment usually prescribed was the daily oral administration of isoniazid (3 to 5 mg. per kilogram of body weight) and p-aminosalicylic acid (10 to 12 Gm.). In addition substantial help with food and housing was necessary. It was estimated that 5% of the patients became worse during treatment, but in 59% of an unselected series of 162 patients cultures of sputum no longer yielded tubercle bacilli after six months of treatment (67% after one year). This pilot project showed that the treatment of tuberculosis by the foregoing methods, especially if accompanied by relief measures, is successful with the majority of sufferers from this disease.

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