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目的分析2006-2008年广州市食源性疾病暴发的特征,提出针对性的防控策略和措施。方法确定食源性疾病暴发的标准,利用食源性疾病暴发监测与报告系统收集2006-2008年暴发资料,建立excel食源性疾病暴发数据库,按季节、月份、致病因素、致病食品、就餐场所、引发因素等进行分析。结果2006-2008年食源性疾病暴发共189起,发病2678例,死亡6例,平均每起发病14.17例,罹患率13.47%,病死率0.22%。查明致病因素共166起,占总数的87.83%;微生物性暴发起数和发病人数最多,分别占总数的58.20%和70.95%;有毒动植物性暴发死亡人数最多,占总数的66.67%。微生物性(17.27例)平均每起患者数最多;化学性罹患率(91.83%)最高;有毒动植物性病死率(1.86%)最高。结论应提高食源性疾病暴发监测与报告系统的效率和质量,开展针对性防控,降低食源性疾病负担。
Objective To analyze the characteristics of outbreaks of foodborne diseases in Guangzhou from 2006 to 2008 and put forward targeted prevention and control strategies and measures. Methods To determine the standard of foodborne disease outbreaks and to collect outbreak data of 2006-2008 by using foodborne disease outbreak monitoring and reporting system and to establish database of outbreaks of excel foodborne diseases. According to the season, month, pathogenic factors, Dining places, triggers and other analysis. Results A total of 189 food-borne outbreaks were reported in 2006-2008, with 2678 cases of morbidity and 6 deaths. The average incidence was 14.17 cases with an attack rate of 13.47% and a case fatality rate of 0.22%. A total of 166 pathogens were identified, accounting for 87.83% of the total. Microbial outbreaks and the highest number were reported, accounting for 58.20% and 70.95% respectively of the total number of cases. Toxic animals and plants suffered the most deaths, accounting for 66.67% of the total. The average number of patients per microbial (17.27 cases) was the highest, the highest rate of chemical attack (91.83%) and the highest rate of toxic animals and plants (1.86%). Conclusion The efficiency and quality of the foodborne disease outbreak monitoring and reporting system should be improved, targeted prevention and control should be carried out to reduce the burden of foodborne diseases.