2023年中国大陆食源性疾病暴发监测结果分析  

Analysis of foodborne diseases outbreak surveillance in China’s Mainland,2023

作　　者：范鹏辉 李红秋 褚遵华[2] 刘志涛[3] 郭华[4] 林黎[5] 章荣华[6] 梁进军[7] 蒋玉艳[8] 戴月[9] 黄峥[10] 胡晴文 刘继开 韩海红 闫韶飞 李薇薇 郭云昌 FAN Penghui;LI Hongqiu;CHU Zunhua;LIU Zhitao;GUO Hua;LIN Li;ZHANG Ronghua;LIANG Jinjun;JIANG Yuyan;DAI Yue;HUANG Zheng;HU Qingwen;LIU Jikai;HAN Haihong;YAN Shaofei;LI Weiwei;GUO Yunchang(National Center for Food Safety Risk Assessment,Beijing 100022,China;Shandong Provincial Center for Disease Control and Prevention,Shandong Ji’nan 250014,China;Yunnan Provincial Center for Disease Control and Prevention,Yunnan Kunming 650022,China;Sichuan Provincial Center for Disease Control and Prevention,Sichuan Chengdu 610041,China;Guizhou Provincial Center for Disease Control and Prevention,Guizhou Guiyang 550004,China;Zhejiang Provincial Center for Disease Control and Prevention,Zhejiang Hangzhou 310051,China;Hu’nan Provincial Center for Disease Control and Prevention,Hu’nan Changsha 410005,China;Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention,Guangxi Nanning 530028,China;Jiangsu Provincial Center for Disease Control and Prevention,Jiangsu Nanjing 210009,China;Fujian Provincial Center for Disease Control and Prevention,Fujian Fuzhou 350012,China)

机构地区：[1]国家食品安全风险评估中心,北京100022 [2]山东省疾病预防控制中心,山东济南250014 [3]云南省疾病预防控制中心,云南昆明650022 [4]贵州省疾病预防控制中心,贵州贵阳550004 [5]四川省疾病预防控制中心,四川成都610041 [6]浙江省疾病预防控制中心,浙江杭州310051 [7]湖南省疾病预防控制中心,湖南长沙410005 [8]广西壮族自治区疾病预防控制中心,广西南宁530028 [9]江苏省疾病预防控制中心,江苏南京210009 [10]福建省疾病预防控制中心,福建福州350012

出　　处：《中国食品卫生杂志》2024年第10期1199-1208,共10页Chinese Journal of Food Hygiene

基　　金：国家重点研发计划(2021YFF0703804)。

摘　　要：目的分析2023年食源性疾病暴发监测数据,为政府制定食源性疾病防控策略及监管措施提供依据。方法对“食源性疾病暴发监测系统”中2023年食源性疾病暴发监测数据进行描述性分析。结果2023年我国31个省(自治区、直辖市)和新疆生产建设兵团共上报食源性疾病暴发事件6960起,发病人数30237人,死亡人数90人,6~9月高发,占全年事件数的66.65%。毒蘑菇中毒事件最多,占事件总数的44.35%,较2022年增加88.35%,家庭毒蘑菇中毒事件占比89.93%,较2022年增加91.58%;生物性暴发事件数占事件总数的10.40%,较2022年增加58.47%,餐饮服务场所生物性暴发事件占77.89%,较2022年增加43.51%,副溶血性弧菌、沙门菌是最主要的致病因子,分别占27.90%和24.17%;前3位的病原食品组合为副溶血性弧菌—水产品及其制品、沙门菌—肉与肉制品和沙门菌—蛋与蛋制品,分别占纳入分析事件总数的27.67%、12.88%和11.78%。结论2023年毒蘑菇中毒事件数创历年新高,生物性食源性疾病暴发事件数较2022年明显增加,副溶血性弧菌—水产品及其制品、沙门菌—肉与肉制品和沙门菌—蛋与蛋制品是最需要被优先控制的病原食品组合。Objective To analyze the foodborne disease outbreaks surveillance data in 2023,and provide the basis for the government to formulate prevention and control strategies and regulatory measures for foodborne diseases.Methods A descriptive analysis was conducted on the foodborne disease outbreaks surveillance data collected through National Foodborne Outbreak Surveillance System.Results In 2023,31 provinces,autonomous regions,municipalities and The Xinjiang Production and Construction Corps reported a total of 6960 outbreaks of foodborne diseases,with 30237 cases and 90 deaths,mainly from June to September.The number of poisonous mushroom poisoning was the highest,accounting for 44.35%of the total outbreaks,an increase of 88.35%compared with 2022.Household poisonous mushroom poisoning accounted for 89.93%,an increase of 91.58%compared with 2022.The number of microbial outbreaks accounted for 10.40%of the total outbreaks,with an increase of 59.47%compared with 2022.Microbial outbreaks in catering service places accounted for 77.89%of the total outbreaks,with an increase of 43.51%compared with 2022.Vibrio parahaemolyticus and Salmonella were the main etiologies,accounting for 27.90%and 24.17%,respectively.The top three pathogen food combinations were Vibrio parahaemolyticus—aquatic products,Salmonella—egg and egg products,and Salmonella—meat and meat products,accounting for 27.67%,12.88%and 11.78%of the total cases,respectively.Conclusion Vibrio parahaemolyticus—aquatic products and their products,Salmonella—eggs and egg products,and Salmonella—meat and meat products are the combinations that need to be priority controlled.

关 键 词：食品安全 食源性疾病 食物中毒 暴发监测 中国 毒蘑菇 

分 类 号：R155[医药卫生—营养与食品卫生学]