Moon Shinje, Sohn Il-Woong, Hong Yeongseon, Lee Hyungmin, Park Ji-Hyuk, Kwon Geun-Yong, Lee Sangwon, Youn Seung-Ki
Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Osong, Korea.
Division of Health and Korean Medicine, Jeollanamdo Provincial Government, Muan, Korea.
Osong Public Health Res Perspect. 2014 Feb;5(1):34-9. doi: 10.1016/j.phrp.2013.12.004. Epub 2014 Jan 10.
Food- and water-borne disease outbreaks (FBDOs) are an important public health problem worldwide. This study investigated the trends in FBDOs in Korea and established emerging causal pathogens and causal vehicles.
We analyzed FBDOs in Korea by year, location, causal pathogens, and causal vehicles from 2007 to 2012. Information was collected from the FBDOs database in the Korean Centers for Disease Control and Prevention.
During 2007-2012, a total of 1794 FBDOs and 48,897 patients were reported. After 2007, FBDOs and patient numbers steadily decreased over the next 2 years and then plateaued until 2011. However, in 2012, FBDOs increased slightly accompanied by a large increase in the number of affected patients. Our results highlight the emergence of norovirus and pathogenic Escherichia coli other than enterohemorrhagic E. coli (EHEC) in schools in 2012. We found that pickled vegetables is an emerging causal vehicle responsible for this problem.
On the basis of this study we recommend intensified inspections of pickled vegetable manufacturers and the strengthening of laboratory surveillance of relevant pathogens.
食源性和水源性疾病暴发（FBDOs）是全球重要的公共卫生问题。本研究调查了韩国FBDOs的趋势，并确定了新出现的致病病原体和传播媒介。
我们分析了2007年至2012年韩国FBDOs的年份、地点、致病病原体和传播媒介。信息从韩国疾病控制与预防中心的FBDOs数据库收集。
2007 - 2012年期间，共报告了1794起FBDOs事件，涉及48897名患者。2007年后，FBDOs事件数和患者数在接下来的两年稳步下降，然后直到2011年趋于平稳。然而，在2012年，FBDOs事件略有增加，同时受影响患者数量大幅增加。我们的结果突出了2012年诺如病毒和除肠出血性大肠杆菌（EHEC）之外的致病性大肠杆菌在学校中的出现。我们发现腌制蔬菜是导致这一问题的新出现的传播媒介。
基于本研究，我们建议加强对腌制蔬菜制造商的检查，并加强对相关病原体的实验室监测。
