Baumann-Popczyk Anna, Sadkowska-Todys Małgorzata
Zakład Epidemiologii, Narodowego Instytutu Zdrowia Publicznego - Państwowego Zakładu Higieny w Warszawie.
Przegl Epidemiol. 2012;66(2):241-8.
The purpose of this paper was to describe the epidemiology of foodborne outbreaks in Poland in 2010.
The evaluation of the epidemiological situation was based on data from outbreak investigation forms, reported by Sanitary and Epidemiological Stations to the Department of Epidemiology, NIPH-NIH.
In 2010 a notable increase in the number of cases reported with a bacterial infection was observed. This increase however did not exceeded the median number of cases reported in 2004-2008. In 2010 392 foodborne infections and food poisoning involving 6994 cases (outbreaks involving 4 person or more) and 145 foodborne outbreaks (where 2-3 persons became ill were reported. S. Enteritidis was the most frequently etiological agent in outbreaks associated with bacterial infection (32.9% of outbreaks 22.4% cases). Viruses caused 26% of outbreaks affected 30% of cases. In 38.3% outbreaks the etiological agent could not be established. The main vehicle of foodborne outbreaks were meals prepared from (> 3) raw meats (4.6% of outbreaks, 10.9% cases) and meals prepared using milk and eggs (9.9% of outbreaks 5.7% cases). The most frequent places of contamination included farms who produced goods for human consumption (11.5% of outbreaks, 5.0% of cases). Private residences (113 outbreaks with 745 cases) and hospitals were the most common place where food poisoning outbreaks occurred. In 2010 there were 6 outbreaks where more than 100 people were affected in these settings.
Like in previous years, in 2010 the etiological agents, vehicle and sources of infection were not identified in most foodborne outbreaks. In order to decrease the number of outbreaks with undetermined etiological agent, the spectrum of routine laboratory tests of samples taken in outbreaks should be broaden.
本文旨在描述2010年波兰食源性疾病暴发的流行病学情况。
基于卫生防疫站向国家公共卫生研究所-国家卫生研究院流行病学部门报告的暴发调查表格中的数据,对流行病学情况进行评估。
2010年观察到报告的细菌感染病例数量显著增加。然而,这一增长并未超过2004 - 2008年报告病例数的中位数。2010年报告了392起食源性感染和食物中毒事件,涉及6994例(涉及4人或更多人的暴发)以及145起食源性疾病暴发(2 - 3人患病)。肠炎沙门氏菌是与细菌感染相关暴发中最常见的病原体(占暴发的32.9%,病例的22.4%)。病毒导致26%的暴发,影响30%的病例。在38.3%的暴发中,病原体无法确定。食源性疾病暴发的主要传播媒介是用(>3种)生肉制作的餐食(占暴发的4.6%,病例的10.9%)以及使用牛奶和鸡蛋制作的餐食(占暴发的9.9%,病例的5.7%)。最常见的污染场所包括为人类消费生产商品的农场(占暴发的11.5%,病例的5.0%)。私人住宅(113起暴发,745例病例)和医院是食物中毒暴发最常见的发生场所。2010年,在这些场所中有6起暴发影响了100多人。
与往年一样,2010年在大多数食源性疾病暴发中,病原体、传播媒介和感染源未得到确认。为了减少病原体未确定的暴发数量,应扩大暴发时采集样本的常规实验室检测范围。