2014年中国大陆食源性疾病暴发事件监测资料分析
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(1.国家食品安全风险评估中心,北京 100022;2.云南省疾病预防控制中心,云南 昆明 650022;3.广东省疾病预防控制中心,广东 广州 511430;4.江苏省疾病预防控制中心,江苏 南京 210009;5.江西省疾病预防控制中心,江西 南昌 330029;6.贵州省疾病预防控制中心,贵州 贵阳 550004)

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付萍 女 研究员 研究方向为食源性疾病和食源性病原菌监测 E-mail:fuping@cfsa.net.cn通信作者:┣┣(中)通信作者┫┫郭云昌 男 研究员 研究方向为食源性疾病监测和食品微生物检验标准 E-mail:gych@cfsa.net.cn

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国家食品安全风险评估中心高层次人才队伍建设523项目


Analysis of foodborne disease outbreaks in mainland China in 2014
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(1.China National Center for Food Safety Risk Assessment,Beijing 100022,China;2.Yunnan Center for Disease Control and Prevention,Yunnan Kunming 650022,China;3.Guangdong Center for Disease Control and Prevention,Guangdong Guangzhou 511430,China;4.Jiangsu Center for Disease Control and Prevention,Jiangsu Nanjing 210009,China;5.Jiangxi Center for Disease Control and Prevention,Jiangxi Nanchang 330029,China;6.Guizhou Center for Disease Control and Prevention,Guizhou Guiyang 550004,China)

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    摘要:

    目的 分析2014年中国大陆食源性疾病暴发监测事件的致病因素、原因食品、发生场所和引发因素。方法 对全国食源性疾病暴发监测网收集的2014年食源性疾病暴发监测数据进行统计分析。结果 2014年,全国31个监测地区共上报食源性疾病暴发事件1 480起,累计发病17 651人,死亡111人。已知原因事件中,微生物性因素引起的事件起数和发病人数最多,分别占38.0%(437/1 151)和58.1%(8 181/14 093);毒蘑菇导致的死亡人数最多,占56.5%(61/108);已明确的原因食品(除误食毒蘑菇外)中,主要为肉类和蔬菜类食品,其事件起数分别占14.7%(186/1 265)和13.5%(171/1 265)。发生场所主要为餐饮服务场所,事件起数和发病人数分别占总数的37.1%(549/1 480)和51.0%(9 008/17 651)。引发因素明确的事件中,主要引发因素为误食误用和对食品的加工不当,事件起数分别占31.1%(348/1 118)和27.3%(305/1 118)。结论 微生物性食源性疾病是不容忽视的重要食品安全问题,家庭误食毒蘑菇是造成死亡的主要因素,宾馆饭店和集体食堂等餐饮服务场所对食品加工不当是引起暴发的常见原因,误食误用是食源性疾病暴发的高危因素。

    Abstract:

    Objective To study the etiologies and causes food of foodborne disease outbreaks in China in 2014. Methods The foodborne disease data collected by the National Foodborne Disease Surveillance Network in 2014 were analyzed. Results There were 1 480 outbreaks of foodborne disease reported from 31 provinces in 2014, resulting in 17 651 illnesses and 111 deaths. Among outbreaks of which suspected etiologic agents were identified,microbial pathogens cased the largest percentage of outbreaks(38.0%, 437/1 151)and the largest percentage of cases(58.1%, 8 181/14 093),poisonous mushroom cased the largest percentage of deaths(56.5%, 61/108). Among outbreaks of which suspected food were identified,the most common food categories causing outbreaks(in addition to poisonous mushroom)were meat products with the largest percentage of outbreaks(14.7%,186/1 265),followed by vegetables with the percentage of outbreaks(13.5%, 171/1 265). The most common location of outbreaks were food and beverage service places with the largest percentage of outbreaks of 37.1%(549/1 480)and cases 51.0%(9 008/17 651).Among outbreaks for which suspected pollution link were identified,the most contributing factors of outbreaks were eating poisonous and improper processing food which caused the largest percentage of outbreaks of 31.1%(348/1 118) and 27.3%(305/1 118). Conclusion Microbial foodborne disease was an important food safety problem that could not be ignored.The misuse of eating poisonous mushrooms was the main factor causing deaths occurred in the family.Improper food processing in location of catering services which restaurants and workplace cafeteria were the common cause of the outbreak,the misuse of eating poisonous food was the highest risk factor causing foodborne disease outbreaks.

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付萍,刘志涛,梁骏华,戴月,刘成伟,朱姝,郭云昌.2014年中国大陆食源性疾病暴发事件监测资料分析[J].中国食品卫生杂志,2018,30(6):628-634.

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  • 收稿日期:2018-09-27
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  • 在线发布日期: 2019-01-23
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