首页|2019-2023年泰安市食源性疾病主动监测结果流行病学分析

2019-2023年泰安市食源性疾病主动监测结果流行病学分析

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目的 了解和掌握食源性疾病主要病原体流行趋势,为泰安市制定食源性疾病预防控制措施提供依据.方法 对2019-2023年泰安市通过食源性疾病主动监测系统上报的病例信息和病原体检测结果进行统计分析.结果 2019-2023年病原体检出率为28.11%,其中新冠疫情后(2023年)病原体检出率最高,为45.02%;各病原体检出率由高到低依次为诺如病毒(13.50%)、沙门氏菌(10.54%)、致泻大肠埃希氏菌(3.61%)、副溶血弧菌(0.46%),志贺氏菌未检出;细菌类病原体夏季高发,5-8月检出率较高,诺如病毒冬春季高发,11月和2月为检出率高峰;0~<1岁组(30.14%)和1~<3岁组(31.49%)病原体检出率较高;农民(35.54%)、散居儿童(31.31%)和学生(30.36%)是病原体检出率较高的群体;造成病原体检出率较高的暴露食品是水产动物及其制品(43.21%)、蛋与蛋制品(37.65%)、水果类及其制品(36.63%);造成病原体检出率最高的进食场所是家庭(30.54%).结论 泰安市病原体检出率季节性明显,主要病原体是诺如病毒和沙门氏菌,重点人群是农民,主要可疑食品是水产动物及其制品,今后应根据主要病原体高发季节进行针对性防控,对重点人群开展科普宣传,加强主动监测和食品监管,降低食源性疾病发病风险.
Epidemiological analysis of active monitoring results of foodborne diseases in Taian from 2019 to 2023
Objective:Understand and master the epidemic trends of the main pathogens of foodborne diseases,and provide a basis for the formulation of prevention and control measures for foodborne diseases in Taian.Methods:Statistical analysis of case information and pathogen detection results reported through the foodborne disease active monitoring system in Taian from 2019 to 2023.Results:The detection rate of pathogens was 28.11%from 2019 to 2023,and the highest rate was 45.02%after the COVID-19(2023);The detection rates of various pathogens from high to low were Norovirus(13.50%),Salmonella(10.54%),Escherichia coli causing diarrhea(3.61%),Vibrio parahaemolyticus(0.46%),and Shigella was not detected;Bacterial pathogens are more prevalent in summer,with a higher detection rate from May to August.Norovirus is more prevalent in winter and spring,with peak detection rates in November and February;The pathogen detection rate is higher in the group aged 1 to 3(31.49%)and the group aged 0 to 1(30.14%);Farmers(35.54%),scattered children(31.31%),and students(30.36%)are the occupations with a high detection rate of pathogens in physical examinations;The exposed foods that cause a high detection rate of pathogens are aquatic animals and their products(43.21%),eggs and egg products(37.65%),and fruits and their products(36.63%);The place with the highest detection rate of pathogens in physical examinations is the home(30.54%).Conclusion:The pathogen detection rate in Taian varies seasonally,with the main pathogens being Norovirus and Salmonella.The key population is farmers,and the main suspicious foods are aquatic animals and their products.In the future,targeted prevention and control should be carried out according to the high incidence season of the main pathogens,popular science promotion should be carried out for key populations,active monitoring and food supervision should be strengthened,and the risk of foodborne diseases should be reduced.

foodborne diseasesactive monitoringpathogen

石国栋、刘冰、戚勇

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泰安市泰山区疾病预防控制中心营养与食品科,山东 泰安 271000

泰安市疾病预防控制中心公共卫生科,山东 泰安 271000

泰安市岱岳区疾病预防控制中心营养与食品科,山东 泰安 271000

食源性疾病 主动监测 病原体

2024

山东第一医科大学(山东省医学科学院)学报
泰山医学院

山东第一医科大学(山东省医学科学院)学报

影响因子:0.6
ISSN:2097-0005
年,卷(期):2024.45(6)
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