2021年江苏省张家港市一起因防锈液混入自来水导致亚硝酸盐中毒事件的流行病学调查
作者:
作者单位:

1.张家港市疾病预防控制中心,江苏 张家港 215600;2.苏州市疾病预防控制中心,江苏 苏州 215004

作者简介:

于颖慧 女 主任医师 研究方向为食源性疾病监测与暴发事件调查 E-mail:ehcoy@126.com

通讯作者:

王波 男 主任医师 研究方向为食品安全风险监测 E-mail:153652012@qq.com

中图分类号:

R155

基金项目:

苏州市科技计划项目(SS202043、SS202144)


An epidemiological investigation of nitrite poisoning caused by tap water contaminated by anticorrosive solution in 2021 at Jiangsu Province, Zhangjiagang City
Author:
Affiliation:

1.Zhangjiagang Center for Disease Control and Prevention, Jiangsu Zhangjiagang 215600, China;2.Suzhou Center for Disease Control and Prevention, Jiangsu Suzhou 215004, China

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    摘要:

    目的 对一起因企业自来水受污染导致食源性亚硝酸盐中毒事件的原因进行调查和分析,探讨预防控制措施,防范类似事件的再次发生。方法 通过现场流行病学调查、卫生学调查及实验室检测等方法追溯中毒原因,分析可能的污染环节。结果 共搜索到病例9名,临床症状以口唇紫绀(100.00%)、乏力(66.67%)、恶心(55.56%)为主。流行病学曲线显示为点源暴露模式,首末病例发病时间间隔50 min,平均潜伏期20 min。患者呕吐物、剩余食物和自来水中均检出不同浓度的亚硝酸盐。患者呕吐物亚硝酸盐浓度与舒张压值存在负相关关系(rs=0.798,P<0.05)。所有患者经特异性治疗后,症状得到明显缓解。结论 本次事件是酸洗池内含高浓度亚硝酸盐的防锈液在虹吸作用下返流入自来水管道后,通过食用被污染自来水加工后的食物导致的亚硝酸盐中毒,因此企业生产用水应与生活用水分路设置,关键位置安装止回阀,避免类似中毒事件的发生。

    Abstract:

    Objective To prevent the recurrence of nitrite poisoning caused by siphonage through a waterpipe siphon, its causes were investigated and analyzed, and prevention and control measures are discussed.Methods A field epidemiological investigation, hygiene investigation, and laboratory testing were used to identify causes and possible sources of contamination in this poisoning event.Results A total of nine cases were found with cyanosis (100.00%), fatigue (66.67%), and nausea (55.56%). The epidemiological curve showed one point source exposure pattern, with an interval of 50 min between the first and last cases and an average incubation period of 20 min. Different concentrations of nitrite were detected in vomit, residual food, and tap water. A negative correlation was observed between nitrite concentration in vomits and diastolic blood pressures (rs=0.798, P<0.05). Patient symptoms were significantly relieved after receiving specific treatment for nitrite poisoning.Conclusion This incident was caused by an anticorrosive solution containing nitrite in pickling tanks flowing back into the tap water pipeline through siphonage, which led to tap water contamination and poisoning. The sense of responsibility and standardized management of enterprises are suggested to be strengthened. The water pipe network for production should be separated from that of domestic water and non-return valves should be installed at key locations to avoid similar poisoning events.

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于颖慧,施惠军,陈祝军,王波,张利明.2021年江苏省张家港市一起因防锈液混入自来水导致亚硝酸盐中毒事件的流行病学调查[J].中国食品卫生杂志,2024,36(1):79-83.

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  • 收稿日期:2022-10-11
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  • 在线发布日期: 2024-04-09
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