Meftahuddin T
Disease Control Division, Department of Public Health, Ministry of Health, Kuala Lumpur.
Med J Malaysia. 2002 Mar;57(1):70-9.
This paper examines the trend and possible contributing factors for the occurrence of the food borne diseases outbreaks in Malaysia. These diseases mainly are cholera, typhoid fever, hepatitis A, dysentery and food poisoning. The outbreaks still occur sporadically in certain high risk areas throughout the country. The incidence rate of all the other three major food borne diseases steadily declined from the year 1988 to 1997 except for food poisoning and cholera. Statistic of food poisoning from the year 1996 to 1997 showed that 66.5% of the outbreak occurred in schools whereas only 0.4% originated from the contaminated food sold at various public food outlets. The school age group is always more affected than the general population. Amongst the contributing factors identified are related to unhygienic food handling practices followed by inadequate safe water supply and poor environmental sanitation. A multisectoral approach between Ministry of Health and other government agencies or private agents needs to be undertaken in the management of the food borne diseases in order to curb the incidences of food borne diseases in Malaysia.
本文探讨了马来西亚食源性疾病暴发的趋势及可能的促成因素。这些疾病主要包括霍乱、伤寒、甲型肝炎、痢疾和食物中毒。在全国某些高风险地区，此类疾病仍有零星暴发。1988年至1997年期间，除食物中毒和霍乱外，其他三种主要食源性疾病的发病率稳步下降。1996年至1997年食物中毒统计数据显示，66.5%的暴发发生在学校，而仅有0.4%源自各公共食品销售点售卖的受污染食品。学龄儿童群体总是比普通人群受影响更大。已确定的促成因素包括不卫生的食品处理习惯，其次是安全供水不足和环境卫生状况差。为控制马来西亚食源性疾病的发病率，卫生部与其他政府机构或私人机构之间需要采取多部门协作方法来管理食源性疾病。
