论文部分内容阅读
目的分析2015年浙江省食源性疾病暴发事件流行特征,并提出食源性疾病暴发事件的防控重点。方法收集2015年浙江省食源性疾病暴发监测数据及各县(市、区)地理、常住人口资料,采用Arc GIS 10.2和SPSS 19.0软件对浙江省食源性疾病暴发事件进行描述性流行病学分析。结果 2015年浙江省共报告食源性疾病暴发事件116起,发病1 009例,住院115例,死亡10例;发病高峰期为6—11月;副溶血性弧菌报告事件数居首位(32.76%),其次为毒蘑菇中毒事件(8.62%);暴发点散在分布于全省各地(Moran指数I=0.013 27,P=0.726),但嘉兴、丽水及金华等局部内陆地区有副溶血性弧菌性食源性疾病聚集热点;事件发生场所居前3位的为宾馆饭店、家庭及农村宴席,其中家庭性食源性疾病暴发事件比例上升,其住院率(33.90%)及病死率(7.63%)最高。结论在食源性疾病事件高发的夏秋季节,应做好细菌性及毒蘑菇类食源性疾病的预警预报工作,继续加强规范集体供餐单位的监督及管理工作。
Objective To analyze the epidemiological characteristics of foodborne disease outbreak in Zhejiang Province in 2015 and to point out the prevention and control of foodborne disease outbreak. Methods The surveillance data of foodborne disease outbreaks in Zhejiang Province and the geography and resident population of counties (cities and districts) in 2015 were collected. Descriptive epidemiology of foodborne disease outbreaks in Zhejiang Province was conducted using ArcGIS 10.2 and SPSS 19.0 software. analysis. Results In 2015, a total of 116 food-borne outbreaks were reported in Zhejiang Province, including 1 009 cases, 115 hospitalizations and 10 deaths. The peak incidence was 6-11 months. Vibrio parahaemolyticus reported the highest number of reported incidents 32.76%) followed by poisonous mushroom poisoning (8.62%). Outbreaks scattered throughout the province (Moran index I = 0.01327, P = 0.726), but some inland areas such as Jiaxing, Lishui and Jinhua had parahemolytic Vibrio sexual food-borne diseases concentrated hot spots; the top three places of occurrence were guesthouses, families and rural banquets, in which the incidence of familial outbreaks of food-borne diseases increased. The hospitalization rate (33.90%) and mortality rate (7.63%) the highest. Conclusion During the summer and autumn with high incidence of foodborne diseases, early warning and forecasting of bacterial and poisonous mushroom foodborne diseases should be done, and the supervision and management of the collective collective catering units should be further strengthened.