2010—2020年中国大陆副溶血性弧菌引发食源性疾病暴发调查  

Investigation of foodborne disease outbreaks caused by Vibrio parahaemolyticus in China’s Mainland from 2010 to 2020

作　　者：吴鹏 刘继开 戴月[3] 陈莉莉[4] 黄峥[5] 梁骏华[6] 付萍 马洁[7] 郭云昌 李宁 WU Peng;LIU Jikai;DAI Yue;CHEN Lili;HUANG Zheng;LIANG Junhua;FU Ping;MA Jie;GUO Yunchang;LI Ning(Enshi Prefecture Center for Disease Control and Prevention,Hubei Enshi 445000,China;China National Center for Food Safety Risk Assessment,Beijing 100022,China;Jiangsu Provincial Center for Disease Control and Prevention,Jiangsu Nanjing 210009,China;Zhejiang Provincial Center for Disease Control and Prevention,Zhejiang Hangzhou 310051,China;Fujian Provincial Center for Disease Control and Prevention,Fujian Fuzhou 350001,China;Guangdong Provincial Center for Disease Control and Prevention,Guangdong Guangzhou 511400,China;Tianjin Center for Disease Control and Prevention,Tianjin 300011,China)

机构地区：[1]恩施州疾病预防控制中心,湖北恩施445000 [2]国家食品安全风险评估中心,北京100022 [3]江苏省疾病预防控制中心,江苏南京210009 [4]浙江省疾病预防控制中心,浙江杭州310051 [5]福建省疾病预防控制中心,福建福州350001 [6]广东省疾病预防控制中心,广东广州511400 [7]天津市疾病预防控制中心,天津300011

出　　处：《中国食品卫生杂志》2024年第1期73-78,共6页Chinese Journal of Food Hygiene

基　　金：国家重点研发计划(2022YFC2602303)。

摘　　要：目的分析2010—2020年中国大陆副溶血性弧菌引起的食源性疾病暴发事件的流行病学特征,获得其发生时间和地区的分布特点以及引发事件的场所、高危食品和危险因素。方法对我国食源性疾病暴发监测系统收集的2010—2020年副溶血性弧菌引起的食源性疾病暴发资料进行统计分析。结果2010—2020年共上报副溶血性弧菌引起的食源性疾病暴发事件1772起,累计发病27212人,住院5944人,死亡2人。发生高峰时间是7~9月。发达地区发病率(28.8例/百万人)高于不发达地区(8.2例/百万人),沿海地区发病率(31.7例/百万人)高于内陆地区(9.2例/百万人)。病因食品以水产食品(61.2%)、肉类食品(25.3%)为主。发生场所以宾馆饭店占比最高,占49.6%。污染环节主要是烹饪水产食品时未充分烧熟煮透,加工即食肉类食品和蔬菜类食品时生熟交叉污染。结论应重点加强餐饮服务场所中水产食品和肉类食品的加工、储存等环节监管,降低副溶血性弧菌导致食源性疾病发病的风险。Objective To obtain the occurrence time and regional distribution characteristics,place of occurrence,high-risk food and risk factors,the epidemiological characteristics of foodborne disease outbreaks caused by Vibrio parahaemolyticus from 2010 to 2020 in China’s Mainland was analyzed.Methods The data of foodborne disease outbreaks caused by Vibrio parahaemolyticus were collected from China disease outbreak surveillance system from 2010 to 2020 were analyzed statistically.Results From 2010 to 2020,a total of 1772 outbreaks of foodborne diseases caused by Vibrio parahaemolyticus were reported,with a total of 27212 cases,5944 hospitalized cases and 2 deaths.The peak time was from July to September.The incidence in developed areas(28.8 cases/million people)was higher than that in underdeveloped areas(8.2 cases/million people),and the incidence in coastal areas(31.7 cases/million people)was higher than that in inland areas(9.2 cases/million people).The main causes were aquatic food(61.2%)and meat(25.3%).Hotels and restaurants accounted for 49.6%of the total.The main contamination links were incomplete cooking of aquatic food and raw and cooked cross-contamination of ready-to-eat meat and vegetable food.Conclusion In order to reduce the risk of foodborne diseases caused by Vibrio parahaemolyticus,it is important to strengthen the supervision of processing and storage of aquatic food and meat in catering service places.

关 键 词：食源性疾病 暴发 副溶血性弧菌 归因分析 

分 类 号：R155[医药卫生—营养与食品卫生学]