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2001年加强澳大利亚食源性疾病监测:澳食网工作组

Enhancing foodborne disease surveillance across Australia in 2001: the OzFoodNet Working Group.

作者信息

Ashbolt Rosie, Givney Rod, Gregory Joy E, Hall Gillian, Hundy Rebecca, Kirk Martyn, McKay Ian, Meuleners Lynn, Millard Geoff, Raupach Jane, Roche Paul, Prasopa-Plaizier Nittita, Sama Mohinder K, Stafford Russell, Tomaska Nola, Unicomb Leanne, Williams Craig

机构信息

Tasmanian Department of Health and Human Services, Hobart.

出版信息

Commun Dis Intell Q Rep. 2002;26(3):375-406.

PMID:12416702
Abstract

In 2000, the OzFoodNet network was established to enhance surveillance of foodborne diseases across Australia. OzFoodNet consists of 7 sites and covers 68 per cent of Australia's population. During 2001, sites reported 15,815 cases of campylobacteriosis, 6,607 cases of salmonellosis, 326 cases of shigellosis, 71 cases of yersiniosis, 61 cases of listeriosis, 47 cases of shiga-toxin producing E. coli and 5 cases of haemolytic uraemic syndrome. Sites reported 86 foodborne outbreaks affecting 1,768 people, of whom 4.0 per cent (70/1,768) were hospitalised and one person died. There was a wide range of foods implicated in these outbreaks and the most common agent was S. Typhimurium. Sites reported two international outbreaks; one of multi-drug resistant S. Typhimurium Definitive Type 104 due to helva imported from Turkey, and one of S. Stanley associated with dried peanuts from China. The National Centre for Epidemiology and Population Health conducted a national survey of gastroenteritis. Preliminary data from interviews of 2,417 people suggests that the incidence of foodborne illness is significantly higher than previously thought. OzFoodNet initiated case control studies into risk factors for Campylobacter, Salmonella, Listeria, and shiga-toxin producing E. coli. OzFoodNet developed a foodborne disease outbreak register for Australia; established a network of laboratories to type Campylobacter; prepared a survey of pathology laboratories; reviewed Australian data on listeriosis; and assessed the usefulness of sentinel surveillance for gastroenteritis. This program of enhanced surveillance has demonstrated its capacity to nationally investigate and determine the causes of foodborne disease.

摘要

2000年,澳大利亚建立了OzFoodNet网络,以加强对食源性疾病的监测。OzFoodNet由7个站点组成,覆盖澳大利亚68%的人口。2001年期间,各站点报告了15815例弯曲杆菌病病例、6607例沙门氏菌病病例、326例志贺氏菌病病例、71例耶尔森氏菌病病例、61例李斯特菌病病例、47例产志贺毒素大肠杆菌病例和5例溶血性尿毒综合征病例。各站点报告了86起食源性疾病暴发,影响了1768人,其中4.0%(70/1768)住院治疗,1人死亡。这些暴发涉及多种食品,最常见的病原体是鼠伤寒沙门氏菌。各站点报告了两起国际暴发;一起是由于从土耳其进口的赫尔瓦导致的多重耐药鼠伤寒沙门氏菌定型104暴发,另一起是与来自中国的干花生相关的斯坦利沙门氏菌暴发。国家流行病学和人口健康中心对肠胃炎进行了全国性调查。对2417人的访谈初步数据表明,食源性疾病的发病率明显高于此前的认知。OzFoodNet启动了关于弯曲杆菌、沙门氏菌、李斯特菌和产志贺毒素大肠杆菌危险因素的病例对照研究。OzFoodNet为澳大利亚建立了食源性疾病暴发登记册;建立了弯曲杆菌分型实验室网络;开展了病理学实验室调查;审查了澳大利亚李斯特菌病数据;并评估了肠胃炎哨点监测的效用。这一强化监测计划已证明其有能力在全国范围内调查并确定食源性疾病的病因。

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