2010—2020年中国大陆由外卖送餐引发的食源性疾病暴发事件流行病学特征分析
作者:
作者单位:

1.江苏省疾病预防控制中心,江苏 南京 210009;2.国家食品安全风险评估中心,北京 100022;3.山东省疾病预防控制中心,山东 济南 250014;4.福建省疾病预防控制中心,福建 福州 350001;5.湖南省疾病预防控制中心,湖南 长沙 410005

作者简介:

吴雨晨 女 主管医师 研究方向为食品安全 E-mail:wyc_jscdc@163.com

通讯作者:

郭云昌 男 研究员 研究方向为食品安全 E-mail:gych@cfsa.net.cn

中图分类号:

R155

基金项目:

国家重点研发计划(2021YFF0703804)


Epidemiological characteristics analysis of foodborne disease outbreaks caused by takeaway in China’s Mainland from 2010 to 2020
Author:
Affiliation:

1.Jiangsu Provincial Center for Disease Control and Prevention, Jiangsu Nanjing 210009, China;2.China National Center for Food Safety Risk Assessment, Beijing 100022, China;3.Shandong Provincial Center for Disease Control and Prevention, Shandong Ji’nan 250014, China;4.Fujian Provincial Center for Disease Control and Prevention, Fujian Fuzhou 350001, China;5.Hunan Provincial Center for Disease Control and Prevention, Hu’nan Changsha 410005, China

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    摘要:

    目的 分析2010—2020年中国大陆由外卖送餐引发的食源性疾病暴发事件流行病学特征,提出相关监管建议。方法 对我国“国家食源性疾病暴发监测系统”收集的2010—2020年由外卖送餐引发的食源性疾病暴发数据进行描述性流行病学分析。结果 2010—2020年中国大陆(除西藏自治区)共报告549起由外卖送餐引起的食源性疾病暴发事件,累计发病9 285人,死亡2人。第三季度的暴发事件数和发病人数最多,分别占41.53%和44.58%。除致病因子不明以外,微生物性事件数和发病人数最多,分别占39.16%和60.26%。除原因食品不明以外,混合食品和多种食品引起的事件数和发病人数均较多,事件数分别占21.86%和15.12%,发病人数分别占20.58%和13.10%。除不明来源场所以外,事件数和发病人数排名前3位的送餐来源场所分别是学校食堂、集体用餐配送单位/中央厨房、快餐店,事件数分别占20.04%、15.66%、15.48%,发病人数分别占35.30%、17.52%、10.57%。除多种因素和不明因素以外,存储不当引起的事件数最多,占8.74%;加工不当引起的发病人数最多,占7.74%。结论 存储和加工不当导致的微生物生长繁殖是外卖送餐引起食源性疾病暴发的主要原因,建议食品安全监督管理部门加强对外卖送餐全过程的严格监督和管理,建立并确保其严格遵守食品原料、生产、运输、配送等各环节良好卫生操作规范,有效防控食源性疾病的发生。

    Abstract:

    Objective To analyze the epidemiological characteristics of foodborne disease outbreaks caused by takeaway in China’s Mainland from 2010 to 2020, and put forward relevant regulatory suggestions.Methods Through the National Foodborne Disease Outbreak Monitoring System, the data of foodborne disease outbreaks caused by takeaway in China’s Mainland from 2010 to 2020 were collected and analyzed, and descriptive epidemiological characteristics were performed.Results A total of 549 foodborne disease outbreaks caused by takeaway were reported in China’s Mainland (except Tibet Autonomous Region) from 2010 to 2020, resulting in 9 285 illnesses and 2 deaths. The largest number of outbreaks and illnesses was in the third quarter, accounting for 41.53% and 44.58% of the total respectively. Except the unknown pathogenic factors, the number of outbreaks and illnesses caused by microbial pathogenic factors were the highest, accounting for 39.16% and 60.26% of the total respectively. Except the unknown suspected food, the number of outbreaks and illnesses caused by mixed food and multiple food were higher, accounting for 21.86% and 15.12% of the outbreaks respectively, and accounting for 20.58% and 13.10% of the number of illnesses respectively. Except the unknown food source, the top 3 food source were school canteens, collective dining delivery units/central kitchens and fast food restaurants, the number of outbreaks accounted for 20.04%, 15.66% and 15.48% respectively, and the number of illnesses accounted for 35.30%, 17.52% and 10.57% respectively. Except the multiple factors and unknown factors, the number of outbreaks caused by improper storage were the highest accounting for 8.74%, and the number of illnesses caused by improper processing accounted for 7.74%.Conclusion Microbial growth and reproduction due to improper storage and processing is the major cause of foodborne disease outbreaks caused by takeaway. It is suggested that the food safety supervision and administration departments should strengthen the whole process supervision and management of takeaway, establish and ensure catering services strictly abide by the good hygiene operations according to food raw in materials, production, transportation, distribution and other aspects, so as to effectively prevent and control the occurrence foodborne diseases.

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吴雨晨,韩海红,宗雯琦,褚遵华,黄峥,贾华云,李宁,戴月,郭云昌.2010—2020年中国大陆由外卖送餐引发的食源性疾病暴发事件流行病学特征分析[J].中国食品卫生杂志,2023,35(2):278-282.

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  • 收稿日期:2022-08-08
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  • 在线发布日期: 2023-04-18
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