List of essential medicines(with ATC classification code** numbers), WHO, 2004

abacavir (ABC) J05AF06 73

acetazolamide S01EC01 92

acetylcysteine V03AB23 65

acetylsalicylic acid B01AC06 81

acetylsalicylic acid N02BA01 76

aciclovir J05AB01 72

albendazole P02CA03 67

alcuronium M03AA01 91

allopurinol M04AA01 64

aluminium diacetate D11AA 83

aluminium hydroxide A02AB01 85

amidotrizoate* V08AA01 83

amikacin J01GB06 71

amiloride C03DB01 84

aminophylline R03DA05 94

p-aminosalicylic acid* J04AA01 71

amitriptyline N06AA09 93

amodiaquine P01BA06 74

amoxicillin J01CA04 67

amoxicillin + clavulanic acid* J01CR02 68

amphotericin B J02AA01 72

ampicillin J01CA01 68

anti-D immunoglobulin (human) J06BB01 88

antihaemorrhoidal preparation: local anaesthetic, astringent, and antiinflammatory

drug* C05A 85

antitetanus immunoglobulin (human)* J06BB02 89

antivenom sera* J06AA03 89

artemether P01BE02 75

artemether + lumefantrine* P01BE52 75

artesunate P01BE03 75

ascorbic acid A11GA01 95

asparaginase L01XX02 77

atenolol C07AB03 81

atropine A03BA01 63, 65, 86

atropine S01FA01 92

azathioprine L04AX01 65, 77

azithromycin J01FA10 69

barium sulfate* V08BA01 84

BCG vaccine* J07AN01 90

beclometasone R03BA01 93

benzathine benzylpenicillin J01CE08 68

benznidazole P01CA02 76

benzoic acid + salicylic acid* D01AE20 82

benzoyl peroxide D10AE01 83

benzyl benzoate P03AX01 83

benzylpenicillin J01CE01 68

betamethasone D07AC01 82

biperiden N04AA02 79

bleomycin L01DC01 77

bupivacaine N01BB01 63

calamine lotion* D02AB 82

calcium folinate V03AF03 77

calcium gluconate A12AA03 65, 96

capreomycin J04AB30 71

carbamazepine N03AF01 66, 93

ceftazidime J01DA11 68

ceftriaxone J01DA13 68

charcoal, activated* A07BA01 65

chlorambucil L01AA02 77

chloramphenicol J01BA01 69

chlorhexidine D08AC02 84

chlorine base compound* D08AX 84

chlormethine L01AA05 77

chloroquine P01BA01 64, 75

chloroxylenol D08AE05 84

chlorphenamine R06AB04 65

chlorpromazine N05AA01 93

ciclosporin L04AA01 77

ciprofloxacin J01MA02 69, 71

cisplatin L01XA01 77

clindamycin J01FF01 70

clofazimine J04BA01 70

clomifene G03GB02 88

clomipramine N06AA04 93

clonazepam N03AE01 66

cloxacillin J01CF02 68

coal tar* D05AA 83

codeine R05DA04 64, 86

colchicine M04AC01 64

condoms 87

copper-containing intrauterine device* G02BA02 87

cromoglicic acid R03BC01 94

cyclophosphamide L01AA01 77

cycloserine J04AB01 71

cytarabine L01BC01 77

dacarbazine L01AX04 77

dactinomycin L01DA01 77

dapsone J04BA02 70

daunorubicin L01DB02 77

deferoxamine V03AC01 65

dexamethasone H02AB02 65, 78

dextran 70* B05AA05 79

diaphragms G02BB 87

diazepam N05BA01 63; 66; 93

didanosine (ddI) J05AF02 73

diethylcarbamazine P02CB02 67

diethyltoluamide P03BX01 76

digoxin C01AA05 80; 81

diloxanide P01AC01 74

dimercaprol V03AB09 65

diphteria-pertussis-tetanus vaccine* J07AJ51 90

diphtheria antitoxin J06AA01 89

diphtheria-tetanus vaccine* J07AM51 90

dithranol D05AC01 83

dopamine C01CA04 81

doxorubicin L01DB01 78

doxycycline J01AA02 69; 75

efavirenz (EFV or EFZ) J05AG03 73

eflornithine P01CX03 76

enalapril C09AA02 81

ephedrine R03CA02 63

epinephrine (adrenaline) C01CA24 65; 93; 80

epinephrine (adrenaline) S01EA01 92

ergocalciferol A11CC01 95

ergometrine G02AB03 92

ergotamine N02CA02 76

erythromycin J01FA01 69

ethambutol J04AK02 70

ethanol D08AX08 84

ether, anaesthetic* N01AA01 63

ethinylestradiol G03CA01 87

ethinylestradiol + levonorgestrel* G03AB03 87

ethinylestradiol + norethisterone* G03AA05 87

ethionamide J04AD03 71

ethosuximide N03AD01 66

etoposide L01CB01 78

factor IX complex (coagulation factors II, VII, IX, X) concentrate* B02BD01 80

factor VIII concentrate* B02BD02 80

ferrous salt* B03A 79

ferrous salt + folic acid* B03AD 79

fluconazole J02AC01 72

flucytosine J02AX01 72

fluorescein S01JA01 83

fluorouracil L01BC02 83; 78

fluphenazine N05AB02 93

folic acid B03BB01 79

furosemide C03CA01 84

gentamicin J01GB03 69

gentamicin S01AA11 91

glibenclamide A10BB01 87

glucose* B05BA03 94

glucose with sodium chloride* B05BB02 94

glutaral V07AV 84

glyceryl trinitrate C01DA02 80

griseofulvin D01BA01 72

haloperidol N05AD01 93

halothane N01AB01 63

heparin sodium* B01AB01 79

hepatitis B vaccine J07BC01 90

hydralazine C02DB02 81

hydrochlorothiazide C03AA03 81; 81; 84

hydrocortisone A07EA02 85

hydrocortisone D07AA02 82

hydrocortisone H02AB09 65; 78

hydroxocobalamin B03BA03 79

ibuprofen M01AE01 64

idoxuridine S01AD01 91

imipenem + cilastatin* J01DH51 68

indinavir (IDV) J05AE02 74

influenza vaccine J07BB 90

insulin injection (soluble)* A10AB 87

insulin, intermediate-acting* A10AC 88

intraperitoneal dialysis solution* B05DA 92

iodine* A12CX 95

iohexol V08AB02 84

iopanoic acid V08AC06 84

ipratropium bromide R03BB01 93

isoniazid J04AC01 71

isoniazid + ethambutol* J04AM03 71

isoprenaline R03CB01 80

isosorbide dinitrate C01DA08 80

ivermectin P02CF01 67

kanamycin J01GB04 71

ketamine N01AX03 63

lamivudine (3TC) J05AF05 73

levamisole P02CE01 67; 78

levodopa + carbidopa* N04BA02 79

levofloxacin J01MA12 71

levonorgestrel G03AC03 87

levothyroxine* H03AA01 88

lidocaine C01BB01 80

lidocaine N01BB02 63

lidocaine + epinephrine (adrenaline)* N01BB52 63

lithium carbonate* N05AN01 93

lopinavir + ritonavir (LPV/r)* J05AE30 74

magnesium hydroxide A02AA04 85

magnesium sulfate B05XA05 66

mannitol B05BC01 84

measles-mumps-rubella vaccine* J07BD52 90

mebendazole P02CA01 67

medroxyprogesterone acetate* G03AC06 87; 88

mefloquine P01BC02 75

meglumine antimoniate P01CB01 74

meglumine iotroxate* V08AC02 84

melarsoprol P01CD01 76

meningococcal meningitis vaccine* J07AH 90

mercaptopurine L01BB02 78

metformin A10BA02 88

DL-methionine* V03AB26 65

methotrexate L01BA01 65; 78

methyldopa* C02AB01 81

methylrosanilinium chloride (gentian violet)* D01AE02 82

methylthioninium chloride (methylene blue) V03AB17 66

metoclopramide A03FA01 85

metronidazole J01XD01 69

metronidazole P01AB01 74

miconazole D01AC02 82

morphine N02AA01 64; 64

nalidixic acid J01MB02 69

naloxone V03AB15 66

nelfinavir (NFV) J05AE04 74

neomycin + bacitracin* D06AX30 82

neostigmine N07AA01 91

nevirapine (NVP) J05AG01 73

niclosamide P02DA01 67

nicotinamide A11HA01 95

nifedipine C08CA05 81

nifurtimox P01CC01 76

nitrofurantoin J01XE01 69

nitrous oxide N01AX13 63

norethisterone G03DC02 88

norethisterone enantate* G03AC01 87

nystatin A07AA02 72

nystatin D01AA01 72

nystatin G01AA01 72

ofloxacin J01MA01 71

oral rehydration salts (for glucose–electrolyte solution)* A07CA 86; 94

oxamniquine P02BA02 67

oxygen V03AN 63

oxytocin H01BB02 92

paracetamol N02BE01 64; 76

penicillamine M01CC01 65; 66

pentamidine* P01CX01 74; 76; 76

permethrin P03AC04 83

phenobarbital N03AA02 66

phenoxymethylpenicillin J01CE02 68

phenytoin N03AB02 66

phytomenadione B02BA01 79

pilocarpine S01EB01 92

podophyllum resin* D06BB04 83

poliomyelitis vaccine J07BF 90

polygeline* B05AA10 79

polyvidone iodine* D08AG02 84

potassium chloride B05XA01 94; 94

potassium ferric hexacyanoferrate (II) ·2H2O (Prussian blue) V03AB31 66

potassium iodide* H03CA 88; 72

potassium permanganate D08AX06 82

praziquantel P02BA01 67; 67

prednisolone H02AB06 65; 78

prednisolone S01BA04 91

primaquine P01BA03 75

procainamide C01BA02 80

procaine benzylpenicillin* J01CE09 68

procarbazine L01XB01 78

proguanil P01BB01 75

promethazine R06AD02 64; 85

propranolol C07AA05 77

propyliodone V08AD03 84

propylthiouracil H03BA02 88

protamine sulfate* V03AB14 79

pyrantel P02CC01 67

pyrazinamide J04AK01 71

pyridostigmine N07AA02 91

pyridoxine A11HA02 95

pyrimethamine P01BD01 76

quinidine C01BA01 80

quinine P01BC01 75

rabies immunoglobulin J06BB05 89

rabies vaccine J07BG 90

ranitidine A02BA02 85

retinol A11CA01 95

riboflavin A11HA04 95

rifampicin J04AB02 70; 71

rifampicin + isoniazid* J04AM02 71

rifampicin + isoniazid + pyrazinamide* J04AM02 71

rifampicin + isoniazid + pyrazinamide +ethambutol* J04AM02 71

ritonavir (r) J05AE03 74

rubella vaccine J07BJ 90

salbutamol R03AC02 94

salbutamol R03CC02 94; 92

salicylic acid D01AE12 83

saquinavir (SQV) J05AE01 74

selenium sulfide D01AE13 82

senna* A06AB06 86

silver nitrate D08AL01 91

silver sulfadiazine D06BA01 82

sodium calcium edetate* V03AB03 66

sodium chloride B05XA03 94

sodium fluoride A12CD01 96

sodium hydrogen carbonate* B05XA02 95

sodium lactate, compound solution* B05BB01 95

sodium nitrite V03AB08 66

sodium nitroprusside* C02DD01 81

sodium thiosulfate* V03AB06 66; 82

spectinomycin J01XX04 70

spironolactone C03DA01 84

stavudine (d4T) J05AF04 73

streptokinase B01AD01 81

streptomycin J01GA01 71

sulfadiazine J01EC02 70

sulfadoxine + pyrimethamine* P01BD51 75

sulfamethoxazole + trimethoprim J01EE01 70; 76

sulfasalazine A07EC01 65; 85

sun protection agent with activity against ultraviolet A and ultraviolet B* D02BA 83

suramin sodium P01CX02 76; 67

suxamethonium M03AB01 91

tamoxifen L02BA01 78

testosterone G03BA03 87

tetracaine S01HA03 91

tetracycline S01AA09 91

theophylline R03DA04 94

thiamine A11DA01 96

thioacetazone + isoniazid* J04AM04 72

thiopental N01AF03 63

timolol S01ED01 92

triclabendazole P02BX04 67

trimethoprim J01EA01 70

tropicamide S01FA06 83

tuberculin, purified protein derivative (PPD)* V04CF01 88

typhoid vaccine J07AP 90

urea* D02AE01 83

valproic acid N03AG01 66; 93

vancomycin J01XA01 70

vecuronium M03AC03 91

verapamil C08DA01 80; 80

vinblastine L01CA01 78

vincristine L01CA02 78

warfarin B01AA03 79

water for injection* V07AB 95

yellow fever vaccine J07BL 90

zidovudine (ZDV or AZT) J05AF01 73

* Medicine or item name differs slightly from the name used in the ATC classification

system

** WHO(세계보건기구)에서 개발한 국제적인 의약품 분류 코드로, 의약품을 보다 효율적으로 투여하기 위한 코드

구제역 긴급행동지침(2004. 1,농림부) : 전문은 첨부파일에 있습니다.

 

차   례

제1장 구제역이란                                                       1

제2장 구제역 발생상황별 긴급조치사항                           8

 Ⅰ. 유입경계상황                                                          10

 Ⅱ. 의사환축발생상황                                                     12

 Ⅲ. 발생확인상황                                                          14

 Ⅳ. 발생확산상황                                                          17

 Ⅴ. 종식단계                                                               18

 Ⅵ. 청정화단계                                                            18

제3장 구제역 발생대비 유관부처별 협조업무                   19

 Ⅰ. 발생전                                                                 20

 Ⅱ. 발생후                                                                 21

제4장 구제역 표준행동요령                                          22

 1. 의사환축 발생시 조치사항                                             23

 2. 시료채취, 송부 및 진단                                                27

 3. 발생확인시 긴급조치사항                                              32

 4. 발생장소에서의 방역요령                                              37

 5. 살처분․소각 및 매몰요령                                             42

 6. 살처분 가축등의 보상금 지급요령                                    46

 7. 청소․세척 및 소독요령                                               49

 8. 이동통제중 가축의 운송 및 처리요령                                 58

 9. 예방접종요령                                                           61

 10. 사료 및 조사료 공급요령                                             64

 11. 축산분뇨처리요령                                                      65

 12. 원유처리요령                                                           67

 13. 도축장지정 및 식육처리요령                                          68

 14. 도축부산물 처리요령                                                   70

 15. 이동제한 통제초소 근무자 근무요령                                  72

 16. 기타 조치사항                                                          75

 17. 임상수의사 등의 조치사항                                             77

 18. 축산농가 당부사항                                                     79

 19. 사후관리                                                                81

부  록                                                                    96

 Ⅰ. 각국별 구제역 발생사례                                               97

 Ⅱ. 세계적인 구제역 발생원인 및 감수성동물에 의한 전파위험도     103

 Ⅲ. 구제역 바이러스의 환경저항성                                       111

 Ⅳ. 구제역방역실시요령(농림부 고시)                                    116

 Ⅴ. 방역기관 연락처                                                      140

  1.5 구제역에 대한 대국민 홍보를 실시한다.
  1.5.1 구제역 발생 및 방역조치관련 보도자료를 배포한다.
   – 양축농가를 대상으로 이동제한지역내 축산농가가 지켜야 할 주의사항, 주요증상 및 이상증상 발현시 신고요령 등을 홍보한다(축산농가 당부사항 참조)
  1.5.2 육류소비 위축방지를 위해 구제역이 인체에 해가 없다는 점을 홍보한다.
   – 구제역 관련 보도자료에 구제역은 인체에 해를 미치지 않은 점을 객관적으로 설명하는 자료를 제시한다.
   – 소비자 단체, 생산자단체와 함께 시식회 등의 행사를 개최한다.
   – 살처분・매몰장면 등에 대한 언론보도자제를 요청한다.

구제역 감수성 동물 및 전파위험도

동  물	감수성정도		전 파 확 인	바이러스 보유기간	전파위험도			비  고
	자연 감염	인공 감염			높음	중간	낮음
영양(roan) 영양(sable) 들소 아프리카물소 소 가젤(gazelle, mountain) 임팔라(impala) 산양 면양 알파카 낙타 라마 사슴(fallow) 사슴(mule)   사슴(muntiac) 사슴(red) 사슴(roe) 사슴(white-tailed) 사슴(elk) 야생돼지 집돼지 기린 곰 고양이 개 여우 사람 원숭이 코끼리(아프리카) 코끼리(아시아) 뉴트리아 기니아픽 햄스타(syrian) “	◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦   ◦ ◦ ◦       ◦   ◦ ◦	◦         ◦ ◦   ◦ ◦   ◦	◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦     ◦         ◦ ◦   × × ◦	5년 2.5년   7일 9개월 9개월   35일 14일           11주     안함           36시간         94일	◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦     ◦         ◦ ◦       ◦	◦ ◦ ◦                               ◦ ◦   ◦   ◦ ◦               ◦	◦         ◦ ◦ ◦   ◦   ◦	임상증상 임상증상   임상증상 드뭄 임상증상 임상증상 임상증상, 공기전파에 감수성 높음 “ “ “   낮은 감수성, 임상증상 임상증상 “ “ 임상증상없음 임상증상 “     임상증상, 반추동물보다 공기전파력 300배 임상증상   낮은 감수성 “ 기계적 매개체   임상증상없음   임상증상 기계적 매개체   낮은 감수성

표7. 구제역 감수성 동물 및 전파위험도 (계속)

동  물	감수성정도		전 파 확 인	바이러스 보유기간	전파위험도			비  고
	자연 감염	인공 감염			높음	중간	낮음
마우스 랫트 캥거루 박쥐 고슴도치 토끼 닭 개구리 뱀 거북이 파리(house) 파리(biting) 진드기	◦ ◦   ◦           ◦ ◦ ◦	◦   ◦ ◦ ◦ ◦ ◦	◦ ◦ × ◦     × × ×   ◦ ◦	10주   15～20주	◦ ◦   ◦           ◦ ◦ ◦	◦	◦   ◦ ◦ ◦ ◦ ◦	임상증상, 낮은 감수성, 기계적 매개체 임상증상 “       임상증상없음 “   임상증상없음, 기계적매개체 임상증상없음 “