2016年-2017年湖州市食源性疾病流行分布特征  

Epidemiological distribution characteristics of foodborne diseases in Huzhou during 2016-2017

作　　者：付云[1] 袁瑞[1] 宋臻鹏[1] FU Yun;YUAN Rui;SONG Zhen-peng(Huzhou Center for Disease Control and Prevention,Huzhou,Zhejiang 313000,China)

机构地区：[1]湖州市疾病预防控制中心

出　　处：《中国卫生检验杂志》2019年第20期2537-2540,共4页Chinese Journal of Health Laboratory Technology

摘　　要：目的分析2016年-2017年湖州市食源性疾病的流行病学分布特征,为食源性疾病防控提供科学依据。方法收集2016年-2017年湖州市所有哨点医院报告的食源性疾病病例,并采集粪便标本进行副溶血性弧菌、沙门菌、志贺菌、致泻大肠埃希菌和诺如病毒检测。结果共收集8351例病例,男、女性别比为0.98∶1,26岁~55岁年龄组为高发人群(70.26%,5867/8351),职业以农民(38.65%,3228/8351)为主,发病时间主要集中在5月-10月(64.78%,5526/8531)。可疑食物为水产品及其制品(21.31%,1526/7160)和肉及肉制品(18.81%,1347/7160)。主要致病微生物为诺如病毒(16.57%,331/1998)、致泻大肠埃希菌(11.06%,255/2305)和副溶血性弧菌(7.15%,394/5508)。诺如病毒主要流行于冬春季(χ^2=274.94,P<0.01),副溶血性弧菌主要流行于夏秋季(χ^2=374.48,P<0.01)。结论湖州市食源性疾病高发于夏秋季节,中轻年和农民为高发人群,冬春季以诺如病毒流行为主、夏秋季以副溶血性弧菌流行为主。Objective To analyze the epidemiological distribution characteristics of foodborne diseases in Huzhou during 2016-2017,so as to provide basis for foodborne disease prevention and control.Methods All of foodborne disease cases from sentinel hospital in Huzhou during 2016-2017 were collected.The faecal of foodborne disease cases were sampled for the detection of specific pathogens including Vibrio parahaemolyticus,Salmonella,Shigella,diarrheogenic E.coli and Norovirus.Results A total of 8 351 cases were collected.The male-female ratio was 0.98∶1.The high risk population was farmers(38.65%,3 228/8 351)and people in 26-55 years age group(70.26%,5 867/8 351).The peak of the incidence was during July-November(64.78%,5 526/8 531).Aquatic products(21.31%,1 526/7 160)took the largest proportion of the suspected food,followed by meat and their products(18.81%,1 347/7 160).Norovirus,diarrheogenic E.Coli and Vibrio parahaemolyticus was the three major pathogenic microorganisms.The detection rate of them were 16.57%(331/1 998),11.06%(255/2 305)and 7.15%(394/5 508).Norovirus was popular in winter and spring(χ^2=274.94,P<0.01),while Vibrio parahaemolyticus was popular in summer and autumn(χ^2=374.48,P<0.01).Conclusion Foodborne diseases mainly occur in summer and autumn.And young and middle-aged people as well as farmers are the high-risk groups.Norovirus is the main foodborne pathogen in winter and spring,and Vibrio parahaemolyticus is mainly in summer and autumn.

关 键 词：食源性疾病 食源性病原体 哨点医院 湖州 

分 类 号：R155.5[医药卫生—营养与食品卫生学]