Kirk Martyn, Ford Laura, Glass Kathryn, Hall Gillian
Emerg Infect Dis. 2014 Nov;20(11):1857-64. doi: 10.3201/eid2011.131315.
Foodborne disease is a major public health problem worldwide. To examine changes in foodborne illness in Australia, we estimated the incidence, hospitalizations, and deaths attributed to contaminated food circa 2010 and recalculated estimates from circa 2000. Approximately 25% of gastroenteritis cases were caused by contaminated food; to account for uncertainty we used simulation techniques to estimate 90% credible intervals. We estimate that circa 2010, 4.1 million foodborne gastroenteritis cases occurred, and circa 2000, 4.3 million cases occurred. Circa 2010, contaminated food was estimated to be responsible for 30,840 gastroenteritis-associated hospitalizations, 76 associated deaths, and 5,140 nongastrointestinal illnesses. Cases of salmonellosis and campylobacteriosis increased from 2000 to 2010 and were the leading causes of gastroenteritis-associated hospitalizations; Listeria monocytogenes and nontyphoidal Salmonella spp. infections were the leading causes of death. Although the overall incidence of foodborne illnesses declined over time in Australia, cases of foodborne gastroenteritis are still common.
食源性疾病是全球主要的公共卫生问题。为研究澳大利亚食源性疾病的变化情况，我们估算了2010年前后因受污染食物导致的发病率、住院率和死亡率，并重新计算了2000年前后的估算数据。约25%的肠胃炎病例由受污染食物引起；为考虑不确定性，我们使用模拟技术估算了90%的可信区间。我们估计，2010年前后发生了410万例食源性肠胃炎病例，2000年前后为430万例。2010年前后，受污染食物估计导致30840例与肠胃炎相关的住院病例、76例相关死亡病例以及5140例非胃肠道疾病。2000年至2010年，沙门氏菌病和弯曲杆菌病病例增加，是与肠胃炎相关住院病例的主要原因；单核细胞增生李斯特菌和非伤寒沙门氏菌感染是主要死因。尽管澳大利亚食源性疾病的总体发病率随时间下降，但食源性肠胃炎病例仍然常见。
