广西23年食物中毒流行病学评价与干预对策  

The epidemiological evaluation of the food poisoning in Guangxi from 1981 to 2003 and the strategies of intervention in future

作　　者：陈兴乐[1] 唐振柱[1] 黄林[1] 杨文敏 彭琪元 林霞 许艳云[1] 

机构地区：[1]广西壮族自治区疾病预防控制中心,南宁530021 [2]广西壮族自治区卫生监督所,南宁530021

出　　处：《广西预防医学》2004年第4期200-204,共5页Guangxi Journal of Preventive Medicine

摘　　要：目的掌握广西食物中毒特点 ,为食物中毒防制提供依据。方法对广西1981～2003年食物中毒数据进行归类分析。结果23年间发生食物中毒2569次 ,发病55986人 ,死亡596人 ,年均发病率5.63/10万 ,病死率1.1%。桂西南为高发地域 ,家庭为高发场所 ,农村居民>县乡镇居民>城市居民。沙门氏菌、金葡菌、椰酵假单胞菌、有机磷、毒鼠强、毒蘑菇、河豚鱼为主要致病因素。结论建立食源性疾病综合防制体系、落实乡镇食品安全体制、实施食品从业人员卫生资格制度、GMP认证制度、食品安全信用管理制度、完善食品安全科普宣传机制、建立综合国民健康监测与预警制度、针对广西食物中毒的主要致病因素进行全面的危险性评估等措施才能有效地保护广大人民食用安全。Objective To reveal the epidemiological characteristics and laws of food poisoning in Guangxi,China for reference to the prevention of food poining.Methods The data of food poisoning occurred in Guangxi,China from1981to2003were analysed and put into categories.Results In the23years,2569outbreaks of food poisoning occurred,55986people were poisoned and596died.The annual average morbidity rate was56.3per million and the mortality rate was1.1%.The west and south areas of Guangxi were the highest areas of food poisoning occurred.The most cases occured in the families.The rank was arranged as village>county>city.The main pathogenic factors causing food poisoning were Salmomella,Staphylococcus aureus,Pseudomonas coˉcovenenans subsp.farino fermentans,organic phosphoric pesticide,tetramine,toxic mushroom and tetrodontidae.Conclusion we should set up the integrated prevention system of foodborne diseases,carry out the food safety supervision system in village,put the food employee hygiene qualifications system and GMP attestation system into practice,the system of making tracks for prosecution management,perfect the system of propagandizing technology knowledge on food safety,the citizen's health monitor with the early-warning system.According to the main pathogenic factors in Guangxi,using the system intervention measures,we can achieve biggest interests for the most people safety in food consumption.

关 键 词：广西 食物中毒 流行病学 评价 干预 

分 类 号：R595.7[医药卫生—内科学]