1998—2017年南平市食源性疾病事件流行病学特征分析
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作者单位:

(1.南平市疾病预防控制中心 福建医科大学公共卫生学院实习教学基地,福建 南平 353000;2.南平市卫生监督所,福建 南平 353000)

作者简介:

黄信有 男 副主任医师 研究方向为食品安全风险监测 E-mail:npcdchxy@163.com 张芝平 男 主任技师 研究方向为食品安全风险监测 E-mail:309479844@qq.com

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基金项目:

南平市自然科学基金联合资助项目(2019J33)


Analysis of epidemiological characteristics of foodborne disease events in Nanping City from 1998 to 2017
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Affiliation:

(1.Practice Teaching Base of School of Public Health of Fujian Medical University,Nanping Center for Disease Control and Prevention,Fujian Nanping 353000,China;2.Nanping Health Inspection Institute,Fujian Nanping 353000,China)

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    摘要:

    目的 分析南平市食源性疾病事件的流行病学特征和规律,为制定食源性疾病事件的预防控制策略提供依据。方法 收集1998—2017年南平市所辖10个县(市、区)上报的食源性疾病事件,对事件归因变量进行统计,回顾性的描述性分析。结果 20年间,南平市共报告食源性疾病事件184起,发病人数2 871人,死亡人数40人,年均发病率5.12人/10万,病死率为1.39%。食源性疾病事件的高发期为第三季度,8月份事件起数和死亡人数最多。报告事件起数和发病人数最多的为致病微生物事件,分别为80起(43.48%,80/184)和1 862人(64.86%,1 862/2 871);其次为有毒植物性事件,分别为66起(35.87%,66/184)和310人(10.80%,310/2 871)。引发事件的致病因子中,误食毒蕈共55起(29.89%,55/184),副溶血性弧菌污染共23起(12.50%,23/184);毒蕈为主要致死因子,死亡人数为35人(87.50%,35/40)。事件发生场所以家庭为主(39.13%,72/184),其中有毒植物性事件占66.67%(48/72);其次为宾馆饭店(22.28%,41/184),其中致病微生物事件占80.49%(33/41)。结论 南平市食源性疾病事件的控制策略应针对高发时段、多发地区、易发场所和高危致病因子实施重点监管,建立有效的预警、监测及政府监管机制,进一步遏制食源性疾病事件的发生。

    Abstract:

    Objective The epidemiological characteristics and patterns of foodborne disease events in Nanping City were analyzed to provide a basis for formulating prevention and control strategies of foodborne disease. Methods Foodborne disease incidents reported from all over Nanping City during 1998 and 2017 were collected, and a retrospective descriptive analysis was conducted. Results A total of 184 foodborne disease incidents were reported in Nanping, with 2 871 cases and 40 deaths, with an annual average incidence of 5.12/100 000 and a case fatality rate of 1.39%.The peak season for foodborne illness was the third quarter, with the highest number of incidents and deaths in August. The number of incidents and patients with the largest number were pathogenic microbial events, accounting for 43.48%(80/184) and 64.86%(1 862/2 871) respectively. Toxic plant accounted for 35.87%(66/184) and 10.80%(310/2 871).The most common pathogenic factor was the accidental eating of poisonous mushrooms, accounting for 29.89%(55/184). Vibrio parahaemolyticus was the second factor, accounting for 12.50%(23/184).The most fatal cases were from mushroom, accounting for 87.50%(35/40). Family were the most occurred site, accounted for 39.13%(72/184), and 66.67%(48/72) were caused by toxic plants. Hotels and restaurants accounted for 22.28%(41/184) and 80.49%(33/41) were pathogenic microorganisms. Conclusion The control strategy of foodborne disease events in Nanping should focus on reducing wild mushroom poisoning and changing bad eating habits, carrying out a wide range of food safety education in vulnerable seasons, months and regions, establishing an effective early warning, monitoring and government supervision mechanism, and reducing the occurrence of foodborne disease.

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黄信有,张芝平,刘振江,吴春蕾,程莹婷,陈华,杨铭建.1998—2017年南平市食源性疾病事件流行病学特征分析[J].中国食品卫生杂志,2020,32(2):184-189.

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  • 收稿日期:2020-02-04
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  • 在线发布日期: 2020-05-01
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