摘要
目的 分析2017—2020年南通市食源性疾病及疑似聚集事件的流行特征,了解江苏省食源性疾病监测系统识别食源性疾病疑似聚集事件的能力,提高疾病预防控制机构早发现、早预警、早处置食源性疾病事件的能力。方法收集2017—2022年南通市食源性疾病监测报告系统中的数据,对食源性疾病病例和疑似食源性疾病聚集事件信息进行描述性流行病学分析,采用χ^(2)检验进行不同组间率的比较。结果 2017—2022年共监测食源性疾病病例19 631例,不同年份报告的病例数和报告发病率呈逐年上升的趋势(χ^(2)趋势=1 150.535,P<0.05)。食源性疾病病例的职业以农民(31.49%)占比最高,其次为工人(26.50%),25~<45岁食源性疾病病例最多(39.38%)。食源性疾病发病集中在6—9月(61.87%),食源性疾病病例可疑暴露食品以水产动物及其制品占比最大(31.02%),食源性疾病病例可疑暴露进食场所以家庭为主(44.91%)。共识别疑似食源性疾病聚集事件154起,114起确认为聚集事件(74.03%),21起疑似食源性疾病聚集事件经核实后上报食源性疾病暴发监测系统。结论 农民和工人是食源性疾病的高发人群,家庭是食源性疾病的主要可疑暴露进食场所,江苏省食源性疾病监测系统识别食源性疾病疑似聚集事件的灵敏度较高,特异度却有待提高。应不断完善食源性疾病监测体系,规范食源性疾病监测工作。
Objective To analyze the epidemiological characteristics of foodborne diseases and suspected clustering events in Nantong City from 2017 to 2022,to understand the ability of Jiangsu Province's foodborne disease surveillance system in identifying suspected clustering events of foodborne diseases,and to enhance the ability of disease prevention and control institutions to detect,warn and handle foodborne disease incidents early.Methods Data on foodborne diseases were collected from the foodborne disease surveillance reporting system in Nantong City from 2017 to 2022.The information on foodborne disease cases and suspected foodborne disease clustering events was analyzed by descriptive epidemiological methods,and the rates of different groups were compared by the Chi-square test.Results A total of foodborne disease 19631 cases were monitored from 2017 to 2022.The number of reported foodborne disease cases and the reported incidence rate in different years showed an increasing trend year by year(X2rend=1150.535,P<0.05).Among the occupations of foodborne disease cases,farmers accounted for the highest percentage(31.49%),followed by workers(26.50%),and the highest number of foodborne disease cases were aged 25-<45 years old(39.38%).The onset of foodborne disease was concentrated from June to September(61.87%).The largest percentage of suspected food exposure in foodborne disease cases was aquatic animals and their products(31.02%).The main suspected exposure and eating place of foodborne disease cases was the household(44.91%).A total of 154 suspected foodborne disease clustering events were identified,of which 114(74.03%)were confirmed as clustering events and 21 suspected clustering events of foodborne diseases were reported to the foodborne disease outbreak surveillance system after verification.Conclusion Farmers and workers are the high-risk groups for foodborne diseases,households are the main suspected exposure and eating places for foodborne diseases.The sensitivity of Jiangsu Province's foodborne disease surveillance system in identifying suspected clustering events of foodborne diseases is high but the specificity needs to be improved.It is necessary to improve the monitoring system for foodborne diseases and standardize the surveillance work of foodborne diseases.
作者
孙华闽
黄建萍
张卫兵
朱星辰
焦曼
谭维维
SUN Huamin;HUANG Jianping;ZHANG Weibing;ZHU Xingchen;JIAO Man;TAN Weiwei(Department of Food Safety and School Health,Nantong Center for Disease Control and Prevention,Nantong,Jiangsu 226007,China;不详)
出处
《医学动物防制》
2026年第2期178-183,共6页
Journal of Medical Pest Control
基金
江苏省卫生健康委科研项目(Z2023023)
江苏省预防医学科研课题面上项目(Ym2023021)
南通市科技计划(社会民生)项目(MS2023035)
南通市卫生健康委员会科研课题专项(MS2024085)。
关键词
食源性疾病
监测
流行特征
疑似聚集事件
哨点医院
分析
Foodborne disease
Surveillance
Epidemiological characteristic
Suspected clustering events
Sentinel hospital
Analysis
