2007-2016年海南省食源性疾病暴发流行病学分析  

Incidence of foodborne diseases in Hainan province, 2007-2016

作　　者：王吉晓 何剑[1] 王帅[1] 马永忠[1] WANG Ji-xiao;HE Jian;WANG Shuai(Department of Food Safety and Foodborne Disease Surveillance and Assessment,Hainan Provincial Center for Disease Control and Prevention,Haikou,Hainan Province 570203,China)

机构地区：[1]海南省疾病预防控制中心食品安全风险监测评估所食源性疾病监测与标准室,海口570203

出　　处：《中国公共卫生》2018年第9期1288-1291,共4页Chinese Journal of Public Health

摘　　要：目的分析2007—2016年海南省食源性疾病暴发事件的流行病学特征,为有效防控食源性疾病暴发事件的发生提供科学依据。方法对2007—2016年海南省报告食源性疾病暴发事件,按照季度、地区、致病因素、发生场所等进行描述性分析。结果 2007—2016年海南全省共报告食源性疾病暴发事件292起,发病3 435例,死亡9例,年均发病率8.03%,年均病死率0.26%;第三季节是高发季节,家庭是高发场所,主要由微生物引起,其中又以副溶血性弧菌最多;有毒海产品是导致死亡的主要原因;2011年发病率最低,2013年发病率最高,各年份间发病率差异有统计学意义(χ~2=570.50,P<0.01)。结论海南省食品安全形势严峻,加强食品安全的宣传教育,制定针对性措施,有效预防和降低食源性疾病暴发。Objective To analyze epidemiological characteristics of foodbome disease outbreaks in Hainan province during the period from 2007 through 2016 and to provide evidences for effective prevention and control of foodbome diseases. Methods We collected data on reported foodborne disease outbreaks in Hainan province from 2007 through 2016.The seasonality, regionality, pathogen, and occurrence setting distribution of the outbreaks were analyzed. Results Totally292 foodborne disease outbreaks, involving 3 435 sufferers and 9 deaths, were reported during the 10-year period in Hainan province. The mean annual incidence of foodbome diseases was 8.03% and the mean annual fatality rate for foodborne disease sufferers was 0.26%. Most of the outbreaks occurred in family settings and during the 3 rd season of a year. The majority of the outbreaks were caused by the contamination of pathogenic microorganisms and Vibrio parahaemolyticus was a main pathogen detected in the outbreaks. Consumption of pathogen-contaminated seafood was correlated to the most of the deaths in the outbreaks. The lowest annual incidence rate of foodbome diseases was observed in 2011 and the highest was in2013. There was a statistically significant yearly difference in the incidence rate of foodborne diseases（x^2 = 570.50, P〈0.01）. Conclusion Foodborne disease is still a major problem for food safety and related health education and intervention programs should be promoted in Hainan province.

关 键 词：食源性疾病暴发 流行病学分析 水产品 预防措施 

分 类 号：R155.3[医药卫生—营养与食品卫生学]