2016—2018年广东省食源性疾病流行病学特征及时空聚集性分析
作者:
作者单位:

广东省疾病预防控制中心,广东 广州 510440

作者简介:

李世聪 男 主管医师 研究方向为营养与食品卫生 E-mail:lishicong2020@qq.com

通讯作者:

闻剑 男 主任医师 研究方向为食品安全 E-mail:381719794@qq.com

中图分类号:

R155

基金项目:


Epidemiological characteristics of foodborne diseases and spatiotemporal aggregation analysis in Guangdong Province from 2016 to 2018
Author:
Affiliation:

Guangdong Center for Disease Control and Prevention, Guangdong Guangzhou 510440, China

Fund Project:

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    摘要:

    目的 分析2016—2018年广东省食源性疾病的流行病学时空特征及聚集性分布,为制定防控策略提供依据。方法 将“国家食源性监测报告系统”中广东省2016—2018年食源性疾病病例个案导出,分析病例的流行病学特征并利用ArcGIS 10.8软件展示病例空间自相关分析。结果 2016—2018年广东省共报告食源性疾病76 943例,男女比例为1.16∶1;职业人群中最多的是散居儿童(26.58%,20 452/76 943),各年龄层的病例数以0~5岁年龄段最多(23 584例,占比30.65%),对其中29 072例病例进行了采样检测,致病菌总体阳性检出率为17.03%(4 950/29 072),其中沙门菌阳性检出率为14.84%(4 314/29 072);副溶血性弧菌阳性检出率为1.29%(374/29 072);致泻性大肠埃希菌阳性检出率为0.83%(241/29 072);志贺菌阳性检出率为0.07%(21/29 072)。诺如病毒总体阳性检出率为0.83%(241/29 072)。食源性疾病可疑暴露食品占比最高的是混合食品(21.69%),进食场所主要为家庭(占比65.53%)。2016—2018年每年的食源性疾病发病一般出现两个高峰:一个高峰在8月,另一个高峰在10~12月。空间分析发现2016—2018年每年食源性疾病发病存在一定的空间聚集性。结论 广东省2016—2018年食源性疾病发病率较低,检出病原菌主要为沙门菌,主要集中在0~5岁年龄组,发病高峰集中在8月和10~12月,职业分布主要为散居儿童,以腹泻症状为主,食源性疾病可疑暴露食品主要为混合食品,进食场所主要为家庭,广东省食源性疾病的发病存在时空聚集性,应加强食源性疾病的防控。

    Abstract:

    Objective To analyze the spatial and temporal characteristics and clustering distribution of foodborne diseases in Guangdong Province from 2016 to 2018, and provide evidence for the development of prevention and control strategies.Methods The cases of foodborne diseases in Guangdong Province from 2016 to 2018 were extracted from the National Foodborne Surveillance and Reporting System. The epidemiological characteristics of the cases were analyzed, and ArcGIS 10.8 software was applied to display the spatial autocorrelation analysis of cases.Results From 2016 to 2018, a total of 76 943 cases of foodborne diseases were reported in Guangdong Province, with a male to female ratio of 1.16∶1. The most common occupational population was scattered children (26.58%, 20 452/76 943), and the number of cases in 0-5 years old group was the largest (23 584 cases, 30.65%), 29 072 cases were sampled and tested, and the overall positive detection rate of pathogenic bacteria was 17.03% (4 950/29 072). The positive rate of Salmonella was 14.84% (4 314/29 072). The positive rate of Vibrio parahaemolyticus was 1.29% (374/29 072). The positive rate of diarrheagenic Escherichia coli was 0.83% (241/29 072). The positive rate of Shigella was 0.07% (21/29 072). The overall positive rate of norovirus was 0.83% (241/29 072). Mixed food accounted for the largest proportion of suspected source disease exposure(21.69%), and the main place of eating was at home (65.53%). The annual incidence of foodborne diseases in 2016—2018 generally showed two peaks: one peak was in August and the other one was from October to December. Spatial analysis showed that the incidence of foodborne diseases had a certain spatial clustering from 2016 to 2018.Conclusion The incidence of foodborne diseases was low in Guangdong Province from 2016 to 2018. Salmonella was the main pathogen detected, mainly concentrated in the 0-5 years old age group, and the peak of incidence was concentrated in August, October to December. The occupation distribution was mainly scattered children, and diarrhea was the main symptom. The suspected food was mainly mixed food, and the eating place was mainly family. The incidence of foodborne diseases in Guangdong Province has obvious spatial and temporal clustering, and the prevention and control of foodborne diseases should be strengthened.

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李世聪,严维娜,梁骏华,卢玲玲,闻剑.2016—2018年广东省食源性疾病流行病学特征及时空聚集性分析[J].中国食品卫生杂志,2023,35(3):436-442.

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  • 收稿日期:2021-08-10
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  • 在线发布日期: 2023-05-24
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