MMWR Morb Mortal Wkly Rep. 2010 Aug 13;59(31):973-9.
Foodborne agents cause an estimated 76 million illnesses annually in the United States. Outbreak surveillance provides insights into the causes of foodborne illness, types of implicated foods, and settings of foodborne infections that can be used in food safety strategies to prevent and control foodborne disease. CDC collects data on foodborne disease outbreaks submitted from all states and territories. This report summarizes epidemiologic data for the 1,097 reported outbreaks occurring during 2007 (the most recent finalized data), which resulted in 21,244 cases of foodborne illness and 18 deaths. Among the 497 foodborne outbreaks with a laboratory-confirmed single etiologic agent reported, norovirus was the most common cause, followed by Salmonella. Among the 18 reported deaths, 11 were attributed to bacterial etiologies (five Salmonella, three Listeria monocytogenes, two Escherichia coli O157:H7, and one Clostridium botulinum), two to viral etiologies (norovirus), and one to a chemical (mushroom toxin). Four deaths occurred in outbreaks with unknown etiologies. Among the 235 outbreaks attributed to a single food commodity, poultry (17%), beef (16%), and leafy vegetables (14%) were most often the cause of illness. Public health, regulatory, and agricultural professionals can use this information when creating targeted control strategies and to support efforts to promote safe food preparation practices among food employees and the public.
食源性疾病在美国每年估计导致 7600 万例疾病。暴发监测提供了有关食源性疾病的原因、涉及的食品类型以及食源性感染发生的场所的见解,这些见解可用于食品安全策略,以预防和控制食源性疾病。CDC 收集来自所有州和地区提交的食源性疾病暴发数据。本报告总结了 2007 年(最近完成的数据)报告的 1097 起暴发的流行病学数据,这些暴发导致 21244 例食源性疾病和 18 例死亡。在报告的 497 起具有实验室确认单一病原体的食源性暴发中,诺如病毒是最常见的原因,其次是沙门氏菌。在报告的 18 例死亡中,11 例归因于细菌病因(5 例沙门氏菌、3 例李斯特菌单核细胞增生症、2 例大肠杆菌 O157:H7 和 1 例肉毒梭菌),2 例归因于病毒病因(诺如病毒),1 例归因于化学原因(蘑菇毒素)。4 例死亡发生在病因不明的暴发中。在归因于单一食品商品的 235 起暴发中,禽肉(17%)、牛肉(16%)和叶类蔬菜(14%)是最常见的致病原因。公共卫生、监管和农业专业人员可以在制定有针对性的控制策略以及支持促进食品从业人员和公众安全食品制备实践的努力时使用这些信息。