2011-2017年云南省野生菌中毒情况分析

Analysis on wild mushroom poisoning in Yunnan province from 2011 to 2017

[目的]分析云南省野生菌中毒事件发生的规律和流行特点,为制定预防野生菌中毒的措施提供依据。[方法]根据云南省食源性疾病监测资料和统计报告资料,对2011-2017年云南省野生菌中毒事件发生情况进行分析。[结果]2011-2017年云南省共报告野生菌中毒事件1789起,中毒7966人,死亡219人,病死率2.7%。野生菌中毒好发于第二和第三季度;农村中毒起数占总中毒起数的89.8%;家庭中毒起数占总中毒起数的86.6%;农村宴席中毒事件波及人数较多,平均每起71人;20~59岁青壮年中毒人数最多,占总中毒人数的74.2%;病死率6岁以下和60岁以上者较高,均为6.6%;楚雄州、文山州、玉溪市是野生菌中毒发生的高发地区,中毒报告起数占总报告起数的52.2%。[结论]云南省野生菌中毒的发生有明显的季节性和地区差异,家庭和农村宴席是野生菌中毒发生的主要场所;中毒人群主要发生在青壮年,6岁以下和60岁以上病死率居高。云南省野生菌中毒防控形势不容乐观,应引起重视。

Objective To analyze the rule laws and popular feature of wild mushroom poisoning in Yunnan province so as to provide basis for formulating measures of preventing and controlling wild mushroom poisoning.Methods According to foodborne disease monitoring data and statistical report,it analyzed wild mushroom poisoning from 2011 to 2017 in Yunnan province.Results From 2011 to 2017,a total of 1789 cases of wild mushroom poisoning were reported in Yunnan Province,there were 7966 persons poisoning and 219 patients died with mortality 2.7%.Wild mushroom poisoning was occurred in the second and third quarters.89.8%cases of wild mushroom poisoning occurred in rural areas,and 86.6%cases of wild mushroom poisoning occurred in households.More poisoning people were involved in rural feast,average was 71 persons for every case.Most of them were young adults whose aged from 20 to 59 years old,accounted 74.2%.Case fatality rate was mostly under 6 years and above 60 years old with mortality 6.6%.High-prevalence areas of wild mushroom poisoning were Chuxiong prefecture,Wenshan prefecture and Yuxi city with 52.2%of total report.Conclusions There are obvious differences of seasonal and regional in wild mushroom poisoning in Yunnan Province.Family and rural feastare main places of wild mushroom poisoning.Most of them are young adults.Case fatality rate is mostly under 6 years and above 60 years old.The situation of prevention and control of wild mushroom poisoning in Yunnan Province is not optimistic,and it should be paid attention to.