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青岛市崂山区2017-2022年食源性疾病暴发事件流行特征分析

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目的 了解崂山区食源性疾病暴发事件的流行特征,找出关键控制环节,为当地政府更科学地处置食源性疾病暴发事件、更有针对性地制定预防和控制措施提供理论依据.方法 收集2017-2022年崂山区疾病预防控制中心调查处置的食源性疾病暴发事件的相关信息,对其流行病学特征进行描述性统计学分析.结果 2017-2022年崂山区共发生食源性疾病暴发事件85起,达到突发公共卫生事件标准0起,累计发病455例;平均每年发生14.2起,不同年份间发生数量差异有统计学意义,x2=45.094,P<0.001;新冠疫情前3年(2017-2019年)平均每年发生22起,新冠疫情期间(2020-2022年)平均每年发生6.3起,新冠疫情期间食源性疾病暴发事件发生数量明显低于新冠疫情前,差异有统计学意义,x2=6.916,P<0.050;不同月份相比,发生高峰主要集中在7、8月份,7、8月份共发生61起,占所有事件的71.8%;可疑餐次进食场所主要集中在餐饮服务机构(72起,84.7%);查明原因30起,事件查明率为35.3%;查明原因的事件中,致病因子以微生物类最为常见(26起,86.7%),其次是有毒动植物类(4起,13.3%),无化学性事件.微生物类以副溶血性弧菌占比最大(21起,80.8%),有毒动植物类以菜豆占比最大(2起,50%);发病人员以20~50岁的中青年为主(333例,73.2%),外地人群发生数量(51起,267例)多于本地人群(34起,188例),外地人群以旅行团或自驾游等人群为主(94.1%);外地人群因感染副溶血性弧菌而诱发的食源性疾病暴发事件高于本地人群,差异有统计学意义,x2=5.102,P<0.050.结论 随着新冠疫情的结束,人员流动的全面恢复,食源性疾病暴发事件发生数量有增加的风险,应加强对餐饮服务机构的监管,重点防范暑期旅游高峰季节由副溶血性弧菌引发的食源性疾病暴发事件.
Analysis on epidemic characteristics of foodborne disease outbreaks in Laoshan district from 2017 to 2022
Objective To understand the epidemic characteristics of foodborne disease outbreaks in Laoshan district,find out the key control links,and provide a theoretical basis for the local government to deal with foodborne disease outbreaks more scientifically and formulate more targeted prevention and control measures.Methods Relevant information on food-borne disease outbreaks investigated and handled by the Disease Control and Prevention Center of Laoshan District from 2017 to 2022 was collected,and descriptive statistical analysis was conducted on their epidemiological characteristics.Re-sults From 2017 to 2022,a total of 85 outbreaks of foodborne diseases occurred in Laoshan district,reaching the stand-ard of 0 public health emergencies,with a total of 455 cases;an average of 14.2 outbreaks occurred each year,and the difference in the number of outbreaks between different years was statistically significant,x2=45.094,P<0.001.In the first three years of COVID-19(2017-2019),22 outbreaks occurred annually on average,and 6.3 outbreaks occurred an-nually during COVID-19(2020-2022).The number of foodborne disease outbreaks during COVID-19 was significantly lower than that before COVID-19,x2=6.916,P<0.050;The peak occurred mainly in July and August,with 61 cases in July and August,accounting for 71.8%of all events;The eating places of suspicious meals were mainly concentrated in catering service institutions(72 cases,84.7%);The causes were identified in 30 cases,with an incident identification rate of 35.3%;Among the events that identified the cause,microorganisms were the most common pathogenic factors(26 cases,86.7%),followed by toxic animals and plants(4 cases,13.3%),and there were no chemical events.Vibrio parahaemolyticus accounted for the largest proportion of microorganisms(21 cases,80.8%),and kidney bean accounted for the largest proportion of toxic animals and plants(2 cases,50%);The incidence of the disease was mainly among young and middle-aged people aged 20-50(333 cases,73.2%),and the number of cases in non local populations(51 ca-ses,267 people)was higher than that in local populations(34 cases,188 people).The non local population was mainly composed of travel groups or self driving tours(94.1%);Outbreaks of foodborne diseases caused by Vibrio parahaemo-lyticus infection in non local populations were significantly higher than those in local populations,=5.102,P<0.050.Conclusions With the end of the COVID-19 and the overall recovery of personnel mobility,the number of foodborne dis-ease outbreaks is at risk of increasing.It is necessary to strengthen the supervision of catering service institutions,and fo-cus on preventing foodborne disease outbreaks caused by Vibrio parahaemolyticus in the summer peak tourism season.

food-borne diseaseoutbreak eventsepidemiological characteristicsanalysis

张慧龙、王玮

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青岛市崂山区疾病预防控制中心食品安全科,山东青岛 266100

青岛市崂山区疾病预防控制中心检验科,山东青岛 266100

食源性疾病 暴发事件 流行病学特征 分析

2024

社区医学杂志
中华预防医学会

社区医学杂志

影响因子:0.588
ISSN:1672-4208
年,卷(期):2024.22(19)