2010~2018年保山市食源性疾病暴发事件监测结果分析

Analysis of surveillance results of foodborne disease outbreaks in Baoshan city from 2010 to 2018

中文关键词:  食源性疾病  事件监测  流行病学分析  食品安全

英文关键词:foodborne disease  event monitoring  epidemiological analysis  food safety

中文摘要:

      目的 了解2010~2018年保山市食源性疾病暴发事件的发病规律和特点。方法 对保山市2010~2018年报告的食源性疾病暴发事件资料, 从时间、场所、致病因素进行分析。结果 共报告食源性疾病暴发事件416起(达到突发公共卫生事件的20起), 除1起食源性寄生虫感染外, 其余均为食物中毒, 发病2677人, 死亡20人。6~8月为发病高峰, 报告起数、发病人数、死亡人数分别占全年的56.3%、41.3%、75.0%。毒蘑菇中毒报告起数及死亡人数最高, 分别占总数的49.5%、50.0%; 微生物性发病人数最高, 占总数的31.4%; 导致死亡病例主要为毒蘑菇、乌头碱, 占总数的75%。家庭报告起数、发病人数及死亡人数最多, 分别占总数的72.1%、51.7%、90.0%。农村宴席及学校平均每起事件的发病人数高于其它场所。 结论 加强对农村宴席及学校的监管, 有针对性的开展预防野生菌、附子(川乌、草乌)及微生物性食物中毒健康教育, 可有效降低发病数及死亡数。

英文摘要:

      Objective To understand the occurrence rules and characteristics of foodborne disease outbreaks in Baoshan city from 2010 to 2018. Methods The data of foodborne disease outbreaks reported in baoshan city from 2010 to 2018 were analyzed from the aspects of time, place and pathogenic factors. Results A total of 416 foodborne disease outbreaks (20 public health emergencies) were reported, all of which were food poisoning except one foodborne parasitic infection, with 2677 cases and 20 deaths. From June to August, the peak incidence rate, the number of reports, the number of cases, and the number of deaths accounted for 56.3%, 41.3%, and 75.0% of the year. The number of reported poisoning and the death toll of poisonous mushrooms were the highest, accounting for 49.5%, 50.0% of the total number respectively. The number of microbiological cases was the highest, accounting for 31.4% of the total. The deaths were mainly caused by poisonous mushrooms and aconitine, which accounted for 75% of the total. Families reported the highest number of cases, cases and deaths, accounting for 72.1%, 51.7% and 90% respectively. Rural banquets and schools have higher incidence of disease per incident than other places. Conclusion Strengthening the supervision of rural banquets and schools, and carrying out targeted health education on prevention of wild bacteria, aconites (radix aconitariae, radix aconitariae) and microbial food poisoning can effectively reduce the number of cases and deaths.