Simmons Greg, Whittaker Robyn, Boyle Kerry, Morris Arthur J, Upton Arlo, Calder Lester
Auckland Regional Public Health.
N Z Med J. 2002 May 24;115(1154):237-40.
To estimate the completeness and timeliness of notifications of seven potentially foodborne diseases in Auckland.
The diseases audited were shigellosis, salmonellosis, campylobacteriosis, yersiniosis, listeriosis, hepatitis A and verocytotoxigenic (VTEC) E. coli infections. Hospital and community laboratory-confirmed cases for the calendar year 2000 were audited against those notified to the Auckland Regional Public Health Service. Cases were matched on disease, name, date of birth, gender and National Health Index number.
There were 3182 laboratory-confirmed cases of the seven diseases identified of which 77% had been notified to the Auckland Regional Public Health Service. The proportion of laboratory-confirmed cases notified ranged from a 65% for hepatitis A to 100% for VTEC infection. The median delay between laboratory confirmation and practitioner notification was two days. Notification of all laboratory-confirmed cases would have resulted in an estimated 145 additional investigations in the year 2000.
A change to laboratory-based notification could improve public health investigation and control of foodborne disease in New Zealand.
评估奥克兰七种潜在食源性疾病通报的完整性和及时性。
审核的疾病包括志贺氏菌病、沙门氏菌病、弯曲杆菌病、耶尔森菌病、李斯特菌病、甲型肝炎和产志贺毒素大肠杆菌（VTEC）感染。将2000年全年医院和社区实验室确诊的病例与通报给奥克兰地区公共卫生服务机构的病例进行比对。病例按照疾病、姓名、出生日期、性别和国民健康指数编号进行匹配。
共确定了3182例七种疾病的实验室确诊病例，其中77%已通报给奥克兰地区公共卫生服务机构。实验室确诊病例的通报比例从甲型肝炎的65%到VTEC感染的100%不等。实验室确诊与医生通报之间的中位延迟为两天。如果通报所有实验室确诊病例，2000年估计将增加145次调查。
改为基于实验室的通报方式可能会改善新西兰食源性疾病的公共卫生调查和防控工作。
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