厦门口岸一起旅行团食物中毒事件的调查及应急处置

Investigation and emergency disposal of a food poisoning incident in a tour group at Xiamen port

目的通过调查一起旅行团食物中毒事件的应急处置,提升口岸一线应对突发公共卫生事件水平,预防类似事件再次发生。方法回顾性分析厦门港五通码头2020年11月发生的一起旅行团食物中毒事件,采用流行病学调查、现场检查和实验室检测,查阅结案报告、口岸食物中毒事故报告登记表、口岸食物中毒事故个案调查登记表、口岸食物中毒事故调查报告表资料。结果现场流行病学调查和患者腹痛、腹泻、恶心、呕吐的临床表现,发病4人的肛拭子样本经血清学分型方法鉴定为副溶血性弧菌阳性,判断本事件是一起副溶血性弧菌引起的食物中毒事件,污染食物不明,由厦门市湖里区疾病预防控制中心和口岸海关分别结案。结论旅行团在口岸区域发生突发公共卫生事件风险高、敏感性强、关注度大、协作面广,应引起口岸海关部门的重视。

Objective Through the investigation of a food poisoning incident in a tour group and analysis of the emergency response,to improve the level of response to public health emergencies at grassroots ports,to prevent the happening of the similar incidents again.Methods A food poisoning incident involving a tour group at Wutong Wharf of Xiamen port in November,2020 was retrospectively analyzed.Epidemiological investigation,field inspection and laboratory testing were used to review and analyze the closing report,port food poisoning accident report registration form,port food poisoning accident case investigation registration form,port food poisoning accident investigation report form,and other materials.Results Based on the field epidemiological investigation and clinical manifestations of the main symptoms of abdominal pain,diarrhea,nausea,vomiting,the collected patients’anal swab was serologically identified as positive for Vibrio parahaemolyticus,it was an incident of food poisoning caused by Vibrio parahaemolyticus,the contaminated food was unknown.The incidence was ended by the Center for Disease Control and Prevention of Huli District,Xiamen and Xiamen Customs,respectively.Conclusion The risk of public health emergencies in the port area of the tour group,heightened sensitivity,elevated level of concern and extensive cooperation should attract the attention of local Customs.