Correia A M, Gonçalves G, Saraiva M M
Centro Regional de Saude Publica do Norte, Portugal.
Euro Surveill. 2004 Mar;9(3):18-20. doi: 10.2807/esm.09.03.00450-en.
In October 2001, foodborne outbreaks (FBO) were included in the Portuguese alert and response surveillance system. Accordingly, the northern regional health authority (Delegado Regional de Saude do Norte--DRSN) began a surveillance programme of foodborne outbreaks. This report is a brief description of data generated from this programme in 2002. For each foodborne outbreak the local health authority (Delegado de Saude Concelhio--DSC) produced a written report. Fifty-nine percent of the 27 FBOs studied by DSCs during 2002 were reported within 72 hours after the date of onset. Five hundred and seventy seven people became ill, 9.6% of the patients were admitted to hospital, and no deaths were reported. The aetiological agent was identified from patients in 63% of FBOs, and in food items in 18.5% of the situations. Salmonella enterica was responsible for 73.7% of the outbreaks in which the agent was laboratory confirmed. Meals implicated in the outbreak were mainly prepared in restaurants and private homes (75.0% of FBO). Inadequate processing, preparing or handling of foods were the contributing factors more often reported by the DSC. We believe that epidemiological surveillance and control of FBO must be reinforced in Portugal as part of a wider strategy to promote food safety.
2001年10月，食源性疾病暴发（FBO）被纳入葡萄牙的警报与应对监测系统。相应地，北部地区卫生当局（北地区卫生代表处——DRSN）启动了一项食源性疾病暴发监测计划。本报告简要描述了2002年该计划产生的数据。对于每起食源性疾病暴发，当地卫生当局（市卫生代表处——DSC）都编写了一份书面报告。2002年DSC研究的27起FBO中，59%是在发病日期后的72小时内报告的。577人患病，9.6%的患者住院治疗，无死亡报告。在63%的FBO中从患者身上鉴定出病原体，在18.5%的情况中从食品中鉴定出病原体。肠炎沙门氏菌在实验室确诊病原体的暴发中占73.7%。与暴发相关的餐食主要在餐馆和私人住宅制备（占FBO的75.0%）。食品加工、制备或处理不当是DSC报告中最常出现的促成因素。我们认为，作为促进食品安全更广泛战略的一部分，葡萄牙必须加强对食源性疾病暴发的流行病学监测和控制。
