Epidemic Intelligence Service, Office of Workforce and Career Development, Centers for Disease Control and Prevention, Atlanta, GA30309, USA.
Clin Infect Dis. 2010 Feb 15;50(4):554-9. doi: 10.1086/649932.
The federal ban in the United States on the sale of turtles with shell lengths <4 inches that was established in 1975 has reduced the number of turtle-associated human Salmonella infections during subsequent years, especially among children. Although numerous sporadic turtle-associated Salmonella infections in humans have been reported since the ban went into effect, outbreaks were not reported until recently. Since 2006, 3 multistate outbreaks of turtle-associated Salmonella infections have been documented in the United States. This review examines the history of turtle-associated human Salmonella infections in the United States and discusses reasons why an increase in turtle-associated salmonellosis may be occurring and how challenges in enforcement of the ban affect disease control. Additional steps should be considered by the public health community, state governments, and enforcement agencies to prevent turtle-associated Salmonella infections in humans.
美国于 1975 年颁布的一项联邦禁令，禁止销售甲壳长度小于 4 英寸的龟类，这使得随后几年与龟类相关的人类沙门氏菌感染数量减少，尤其是儿童感染数量减少。尽管自禁令生效以来，有大量与龟类相关的人类沙门氏菌感染的零星报告，但直到最近才报告暴发疫情。自 2006 年以来，美国已记录了 3 起与龟类相关的沙门氏菌感染的多州暴发疫情。本文回顾了美国与龟类相关的人类沙门氏菌感染的历史，并讨论了为什么与龟类相关的沙门氏菌病可能正在增加，以及禁令执行方面的挑战如何影响疾病控制。公共卫生界、州政府和执法机构应考虑采取更多措施，以预防与龟类相关的沙门氏菌感染人类。
