2010-2016年河北省食源性疾病暴发事件流行特征分析
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摘要
目的分析2010-2016年河北省食源性疾病暴发事件,了解暴发流行趋势和特征,提出针对性的防控措施。方法收集汇总2010年10月1日～2016年12月31日河北省报告的食源性疾病暴发事件,用描述性流行病学方法分析结果。结果 2010-2016年河北省共报告食源性疾病暴发事件308起,发病3 152人,死亡25人,病死率0. 79%。第二、三季度是食源性疾病暴发的高发季节,微生物性和化学性是主要致病因素,分别占报告总数的24. 7%和24. 4%;以采食野生毒蘑菇为主的有毒动植物及真菌毒素中毒是死亡的主要原因,13人因食用野生毒蘑菇致死,占报告死亡人数的52. 0%。家庭和饮食服务单位是食源性疾病暴发的主要场所,分别占报告总数的45. 1%和35. 7%。结论应加强食源性疾病的监测报告,针对以上食源性疾病的发生特点开展针对性的预警提示和对公众的宣传教育。
Objective To analyze the data of foodborne disease outbreaks in Hebei Province from 2010 to 2016,understand the epidemic trends and characteristics of outbreaks,and put forward targeted prevention and control measures. Methods The data of the foodborne disease outbreak monitoring system in Hebei Province from 2010 to 2016 was collected and the descriptive epidemiological analysis methods was used to analyze the results. Results From 2010 to 2016,a total of 308 foodborne disease outbreaks were reported in Hebei Province,with 3 152 cases and 25 deaths,and the fatality rate was about 0. 79%. The second and third quarters were the high incidences of foodborne disease outbreaks. Microbial and chemical factors were main causative factors,accounting for 24. 7% and 24. 4% of the total number respectively. Toxic flora and fauna dominated by wild poisonous mushrooms and Mycotoxin poisoning were main causes of death. Thirteen people died from the consumption of wild poisonous mushrooms,which accounted for 52. 0% of the reported deaths. Home and food service unit are the main places for foodborne diseases outbreaks,accounting for 45. 1% and 35. 7% of the total number,respectively. Conclusion The monitoring report of foodborne diseases should be strengthened. Targeted warning alerts and public education should be carried out in response to theoccurrence characteristics of the above foodborne diseases.
Objective To analyze the data of foodborne disease outbreaks in Hebei Province from 2010 to 2016,understand the epidemic trends and characteristics of outbreaks,and put forward targeted prevention and control measures. Methods The data of the foodborne disease outbreak monitoring system in Hebei Province from 2010 to 2016 was collected and the descriptive epidemiological analysis methods was used to analyze the results. Results From 2010 to 2016,a total of 308 foodborne disease outbreaks were reported in Hebei Province,with 3 152 cases and 25 deaths,and the fatality rate was about 0. 79%. The second and third quarters were the high incidences of foodborne disease outbreaks. Microbial and chemical factors were main causative factors,accounting for 24. 7% and 24. 4% of the total number respectively. Toxic flora and fauna dominated by wild poisonous mushrooms and Mycotoxin poisoning were main causes of death. Thirteen people died from the consumption of wild poisonous mushrooms,which accounted for 52. 0% of the reported deaths. Home and food service unit are the main places for foodborne diseases outbreaks,accounting for 45. 1% and 35. 7% of the total number,respectively. Conclusion The monitoring report of foodborne diseases should be strengthened. Targeted warning alerts and public education should be carried out in response to theoccurrence characteristics of the above foodborne diseases.
引文
[1]陈艳,刘秀梅,樊永祥,等. 2004年中国食源性疾病暴发事件监测资料分析[J].中国食品卫生杂志,2008,20(6):503-506.
[2]刘秀英,胡怡秀.全球食源性疾病现状[J].国外医学(卫生学册),2003,30(4):199-205.
[3]朱小波,田美娜,陈磊,等. 2009-2011年河北省食源性疾病暴发特点分析及控制策略[J].医学动物防制,2014,30(7):763-766.
[4]徐君飞,张居作. 2001-2010年中国食源性疾病暴发情况分析[J].中国农学通报,2012,28(27):313-316.
[5]张骏,余思洋,刘志涛,等. 2012-2014年云南省食源性疾病暴发事件特征分析[J].职业与健康,2016,32(5):636-640.
[6] CDC. Incidence and trends of infection with pathogens transmitted commonly through food-foodborne diseases active surveillance network,10 US sites,1996-2012[J]. MMWR,2013,62(15):283-287.
[7]赵怀龙,付留杰,唐功臣.我国主要的食源性致病菌[J].医学动物防制,2012,28(11):1212-1216.
[8]崔燕,梁效成. 2011-2013年甘肃省食源性疾病暴发事件分析[J].疾病预防控制通报,2015,30(1):76-78.
[9]庞璐,张哲,徐进. 2006-2010年我国食源性疾病暴发简介[J].中国食品卫生杂志,2011,23(6):560-563.
[10]陈君石.食品安全—中国的重大公共卫生问题[J].中华流行病学杂志,2003,24(8):649-650.
[11]李泰然.中国食源性疾病现状及管理建议[J].中华流行病学杂志,2003,24(8):651-653.
[12]李海麟,樊立华.论食物中毒报告的规范化[J].中国公共卫生管理,2007,23(2):142-144.
[13]崔春霞,苏军,宋壮志,等. 2011年-2015年内蒙古食源性疾病暴发事件监测数据分析[J].中国卫生检验杂志,2017,27(23):3469-3471,3477.
[14]王玉明,崔燕. 2012-2014年甘肃省食源性疾病暴发事件调查质量评价[J].中国食品卫生杂志,2016,28(5):594-597.
[15]王立贵,张霞,褚宸一,等.食源性疾病监测网络现状与展望[J].华南国防医学杂志,2012,26(1):89-90.
[2]刘秀英,胡怡秀.全球食源性疾病现状[J].国外医学(卫生学册),2003,30(4):199-205.
[3]朱小波,田美娜,陈磊,等. 2009-2011年河北省食源性疾病暴发特点分析及控制策略[J].医学动物防制,2014,30(7):763-766.
[4]徐君飞,张居作. 2001-2010年中国食源性疾病暴发情况分析[J].中国农学通报,2012,28(27):313-316.
[5]张骏,余思洋,刘志涛,等. 2012-2014年云南省食源性疾病暴发事件特征分析[J].职业与健康,2016,32(5):636-640.
[6] CDC. Incidence and trends of infection with pathogens transmitted commonly through food-foodborne diseases active surveillance network,10 US sites,1996-2012[J]. MMWR,2013,62(15):283-287.
[7]赵怀龙,付留杰,唐功臣.我国主要的食源性致病菌[J].医学动物防制,2012,28(11):1212-1216.
[8]崔燕,梁效成. 2011-2013年甘肃省食源性疾病暴发事件分析[J].疾病预防控制通报,2015,30(1):76-78.
[9]庞璐,张哲,徐进. 2006-2010年我国食源性疾病暴发简介[J].中国食品卫生杂志,2011,23(6):560-563.
[10]陈君石.食品安全—中国的重大公共卫生问题[J].中华流行病学杂志,2003,24(8):649-650.
[11]李泰然.中国食源性疾病现状及管理建议[J].中华流行病学杂志,2003,24(8):651-653.
[12]李海麟,樊立华.论食物中毒报告的规范化[J].中国公共卫生管理,2007,23(2):142-144.
[13]崔春霞,苏军,宋壮志,等. 2011年-2015年内蒙古食源性疾病暴发事件监测数据分析[J].中国卫生检验杂志,2017,27(23):3469-3471,3477.
[14]王玉明,崔燕. 2012-2014年甘肃省食源性疾病暴发事件调查质量评价[J].中国食品卫生杂志,2016,28(5):594-597.
[15]王立贵,张霞,褚宸一,等.食源性疾病监测网络现状与展望[J].华南国防医学杂志,2012,26(1):89-90.