2016—2022年河南省驻马店市食源性疾病暴发事件监测结果  

Surveillance results for foodborne disease outbreaks in Zhumadian of Henan,2016-2022

作　　者：张丽丽[1] 冯煦苑 ZHANG Lili;FENG Xuyuan(Zhumadian Center for Disease Control and Prevention,Zhumadian,Henan 463000,China)

机构地区：[1]驻马店市疾病预防控制中心,河南驻马店463000

出　　处：《现代疾病预防控制》2024年第3期231-236,共6页MODERN DISEASE CONTROL AND PREVENTION

摘　　要：目的分析驻马店市食源性疾病暴发事件流行病学特征,为制定针对性防控措施提供科学依据。方法收集2016—2022年食源性疾病暴发监测系统上报的驻马店市食源性疾病暴发事件信息,描述性分析流行病学特征。结果2016—2022年全市共报告食源性疾病暴发事件119起,暴露2363人,发病461人,死亡1人,罹患率为19.51%,病死率为0.25%。7年罹患率在6.41%~68.00%之间,差异有统计学意义(P<0.001);5—9月为发病高峰,共报告98起(82.35%),其中7月41起(34.45%),发病122人(26.46%);驿城区最多,共报告55起(46.22%),发病248人(53.80%)家庭(53.78%)和餐饮服务场所(42.86%)为主要发生场所;40起(33.62%)事件致病食品为熟肉制品和毒蘑菇,误食误用引发的17起(14.29%),致病因子为真菌及其毒素的19起(15.97%);不明因素事件57起(47.90%),不明致病因子事件85起(71.43%)。结论毒蘑菇中毒和熟肉制品中毒是驻马店市食源性疾病暴发事件防控重点,需针对性的开展食品安全监管和宣传教育;不明原因暴发事件占比较大,需加强技术培训,提高各县区疾控机构流行病学调查和实验室检测能力。Objective To analyze the epidemiological characteristics of foodborne disease outbreaks in Zhumadian,and provide scientific basis for formulating targeted prevention and control measures.Methods Statistical description was used to analysis the reported information of foodborne disease outbreaks in Zhumadian from 2016 to 2022,which was extracted from the Foodborne Disease Outbreak Surveillance System.Results During 2016-2022 in Zhumadian,a total of 119 foodborne disease outbreaks were reported,with 2363 persons with exposure,461 cases and 1 death.The attack rate was 19.51%,and the case fatality rate was 0.25%.The attack rate during 7 years was between 6.41%and 68.00%,and the difference was significant(P<0.001).The incidence peak occurred from May to September,and 98 events were reported from May to September,accounting for 82.35%of the total number of incidents,of which 41 events(34.45%)and 122 patients(26.64%)were reported in July.The largest numbers were reported from Yicheng district,with 55 events(46.22%)and 248 patients(53.80%).Families(53.78%)and food service places(42.86%)were the main places of occurrence.There were 40 events(33.62%)caused by cooked meat products and poisonous mushrooms,17 events(14.29%)caused by mis-ingestion and mis-use,and 19 events(15.97%)caused by fungi and toxins.There were 57 events(47.90%)with unknown factors and 85 events(71.43%).with unknown pathogenic factor.Conclusions Poisoning of poisonous mushrooms and cooked meat products are the focus of foodborne disease outbreaks prevention and control in Zhumadian.It is necessary to carry out targeted food safety supervision and publicity and education.Unknown-cause outbreaks account for a large proportion,and it needs to strengthen technical training and to improve the ability of epidemiological investigation and laboratory testing in disease control and prevention institutions in counties/districts.

关 键 词：食源性疾病 暴发 监测 致病因子 

分 类 号：R155.3[医药卫生—营养与食品卫生学]