2006-2008年广州市食源性疾病暴发监测分析

Analysis of Foodborne Disease Outbreaks in Guangzhou Between 2006 and 2008

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 present the critical strategy and measures with the surveillance on foodborne disease outbreaks in Guangzhou,2006-2008. Method Data collected by Foodborne Disease Outbreaks Surveillance and Reporting System （FDOSR） of Guangzhou was analyzed on season,month,pathogen,food,meal place,reason,and so on. Results Total 189 foodborne disease outbreaks were reported,resulting 2678 cases and 6 deaths,with 14. 17 illnesses per outbreak, attack rate 13. 47% , and fatality rate 0. 22% . 166 outbreaks （ 87. 83% ） were ascertained of pathogens, with microorganisms of most outbreaks （58. 20% ） and cases （70. 95% ）,poisonous propagations of largest deaths （66. 67% ）. microorganisms accounted for the highest cases per outbreaks （17. 27 cases）,while chemical agents of maximum at attack rate （91. 83% ）,poisonous propagations of largest fatality rate （1. 86% ）. Conclusion Efficiency and quality of FDOSR for correct prevention should be improved to reduce the burden of foodborne disease.