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Water, Food, Sanitation, and Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus, Anthropology, Seoul National University Member, National Academy of Sciences, Republic of Korea

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Page 1: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Water, Food, Sanitation, and Health of the Jeju Islanders

Sang-Bok HAN

Professor Emeritus, Anthropology, Seoul National University

Member, National Academy of Sciences, Republic of Korea

Page 2: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Introduction

Page 3: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Previous studies on Jeju Island

• Academic expedition (1959)

• Water supply and sanitation (1984-85)

• Community development (1989)

I. Introduction

Page 4: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Purpose of Study

• General purpose:

– identify the nexus

• Specific purposes:

– examine water supply and use, pig raising, raw pork eating, sanitation, communicable diseases

I. Introduction

Page 5: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Research methods

• general basic method

– anthropological fieldwork

• specific methods

– participant observation,

– intensive interview,

– nexus approach,

– following-up approach

I. Introduction

Page 6: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

General Characteristics of Jeju Island and People

Page 7: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Natural environment

• Location: 140 Km south of the Korean mainland

• Area: 1,849 km2, largest island in Korea

• Volcanic landforms

• Highest rainfall (1975mm) in Korea,

• Rare surface water, no perennial streams,

• Abundant groundwater and springs

II. General Characteristics of Jeju Island and People

Page 8: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Socio-economic characteristics

• Population: over 600 thousand

• Tourists: over 10 million/year

• Economic activities:

– service work

– cash corp farming

– Fishing

– Pasturing

– construction, transportation, manufacturing, etc.

II. General Characteristics of Jeju Island and People

Page 9: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Traditional ways of life

• distinct from the mainland of Korea

– important role of women in bread winning

– nuclear family ideology

– Unique beliefs and rituals

II. General Characteristics of Jeju Island and People

Page 10: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Traditional Water, Sanitation, and Health

Page 11: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Water supply and use

• diverse water supply systems for different purposes of water use including:

– Driking & cooking,

– Washing & bathing

– Farming & stock raising, etc.

III. Traditional Water, Sanitation, and Health

Page 12: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Water management and sanitation

• disposal of used water, toilet, sewage, and sanitary conditions

III. Traditional Water, Sanitation, and Health

Page 13: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Water and health

• water-borne diseases including:

– Malaria

– Filariasis

– Elephantiasis

III. Traditional Water, Sanitation, and Health

Page 14: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Traditional Food, Sanitation, and Health

Page 15: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Traditional Piggery, Toilet and Sanitation

• traditional latrine type toilet to raise pigs

→ breeding bed of flies and mosquitoes,

epidemic diseases

IV. Traditional Food, Sanitation, and Health

Page 16: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Raw Pork and Health

• systicercosis prevailed in the past Jeju Island directly related to eating raw pork infected with Cysticercus cellulosae (pork tapeworm)

IV. Traditional Food, Sanitation, and Health

Page 17: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Raw freshwater Snail or Fish and Health

• liver distoma (Clonorchis sinensis) and the development of praziquantal and albendazole

IV. Traditional Food, Sanitation, and Health

Page 18: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Rapid Change of Water Supply, Food, Sanitation, and Health

Page 19: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Development of Water Supply Systems

• From: primitive spring and rain water collection

• To: modern water supply systems using groundwater wells

V. Rapid Change of Water Supply, Food, Sanitation, and Health

Page 20: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Changes in Food, Sanitation, and Health

• rapid improvement of housing problems including kitchen and bath facilities, particularly the separation of traditional latrine and piggery

• prohibition of eating raw pork and freshwater snail and fish

→ contributed to the dev’t of sanitary and health conditions

V. Rapid Change of Water Supply, Food, Sanitation, and Health

Page 21: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Nexus of Water, Food, Sanitation, and Health

• drastic changes and developments mentioned above are interrelated and accelerated the overall rapid changes of water, food, sanitation, and health

V. Rapid Change of Water Supply, Food, Sanitation, and Health

Page 22: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Conclusion and Recommendations

Page 23: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Water supply systems in all the inhabited 9 Jeju islands, 2011

* including reservoir surface water mainly for farming, artificial recharge wells, and bottled water

VI. Conclusion and Recommendations

underground water 83.9%

spring water 8.5%

rain water 4.3%

others * 3.3%

Page 24: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Nexus Effects of Water, Food, Sanitation, and Health

• better quality of life in many aspects

• eradication of water-borne and epidemic diseases

VI. Conclusion and Recommendations

Page 25: Water, Food, Sanitation, snd Health of the Jeju Islandersnexusconference.web.unc.edu/files/2014/04/han-san-bok.pdf · Health of the Jeju Islanders Sang-Bok HAN Professor Emeritus,

Recommendations

• saving and rational utilization of water, food, energy as the limited resources,

which may be affected directly or indirectly by unexpected climate changes.

VI. Conclusion and Recommendations