Baker M G, Sneyd E, Wilson N A
Department of Public Health, Wellington School of Medicine and Health Sciences, Otago University, Wellington, New Zealand.
Epidemiol Infect. 2007 Jan;135(1):163-70. doi: 10.1017/S0950268806006583. Epub 2006 Jun 6.
Notifications of campylobacteriosis by New Zealand medical practitioners have increased steadily in the last two decades. To determine if this increase is real, as opposed to a surveillance artefact, we examined both available notification (1980-2003) and hospitalization data (1995-2003). The similarity in the temporal pattern of increasing hospitalizations for campylobacteriosis, with that of notifications, is suggestive that this increase is indeed real. Although some risk factors for this disease have been identified (e.g. uncooked poultry consumption) it is unclear what the likely causes of the increasing rates are. The overall disease burden is also high compared with other developed countries (an annual notification rate of 396 cases per 100000 population in 2003), with highest rates in children aged 1-4 years, males, Europeans, and those living in urban areas. Given the large disease burden, further research and intervention studies should be public health priorities in this country.
在过去二十年中，新西兰医生报告的弯曲杆菌病病例数稳步增加。为了确定这种增加是真实的，而非监测假象，我们研究了现有的病例报告数据（1980 - 2003年）和住院数据（1995 - 2003年）。弯曲杆菌病住院人数增加的时间模式与病例报告的时间模式相似，这表明这种增加确实是真实的。虽然已经确定了该疾病的一些风险因素（如食用未煮熟的家禽），但尚不清楚发病率上升的可能原因是什么。与其他发达国家相比，总体疾病负担也很高（2003年的年报告率为每10万人口396例），1 - 4岁儿童、男性、欧洲人以及居住在城市地区的人群发病率最高。鉴于疾病负担巨大，进一步的研究和干预研究应成为该国公共卫生的优先事项。
