MMWR Morb Mortal Wkly Rep. 2014 Apr 18;63(15):328-32.
Foodborne disease continues to be an important problem in the United States. Most illnesses are preventable. To evaluate progress toward prevention, the Foodborne Diseases Active Surveillance Network (FoodNet) monitors the incidence of laboratory-confirmed infections caused by nine pathogens transmitted commonly through food in 10 U.S. sites, covering approximately 15% of the U.S. population. This report summarizes preliminary 2013 data and describes trends since 2006. In 2013, a total of 19,056 infections, 4,200 hospitalizations, and 80 deaths were reported. For most infections, incidence was well above national Healthy People 2020 incidence targets and highest among children aged <5 years. Compared with 2010-2012, the estimated incidence of infection in 2013 was lower for Salmonella, higher for Vibrio, and unchanged overall.† Since 2006-2008, the overall incidence has not changed significantly. More needs to be done. Reducing these infections requires actions targeted to sources and pathogens, such as continued use of Salmonella poultry performance standards and actions mandated by the Food Safety Modernization Act (FSMA). FoodNet provides federal and state public health and regulatory agencies as well as the food industry with important information needed to determine if regulations, guidelines, and safety practices applied across the farm-to-table continuum are working.
食源性疾病在美国仍是一个重要问题。大多数疾病是可以预防的。为了评估预防工作的进展情况,食源性疾病主动监测网络(FoodNet)监测了美国 10 个地区的 9 种病原体通过食物传播所致实验室确诊感染的发病率,这些地区覆盖了美国约 15%的人口。本报告总结了初步的 2013 年数据,并描述了自 2006 年以来的趋势。2013 年,共报告了 19,056 例感染、4,200 例住院和 80 例死亡病例。对于大多数感染,发病率远高于国家《健康人民 2020》的目标发病率,发病率最高的是 5 岁以下儿童。与 2010-2012 年相比,2013 年估计的感染发病率在沙门氏菌中较低,在弧菌中较高,总体上不变。†自 2006-2008 年以来,总发病率没有显著变化。还需要做更多的工作。减少这些感染需要针对来源和病原体采取行动,例如继续使用沙门氏菌家禽性能标准和食品安全现代化法案(FSMA)规定的行动。FoodNet 为联邦和州公共卫生及监管机构以及食品行业提供了在从农场到餐桌的整个过程中确定法规、指南和安全措施是否有效的重要信息。