Environmental Microbiology Unit, Department of Public Health, School of Medicine, University of Patras, Patras, Greece.
J Appl Microbiol. 2018 Apr;124(4):932-942. doi: 10.1111/jam.13747.
Α systematic review to investigate fresh produce-borne viral outbreaks, to record the outbreak distribution worldwide and to analyse the implication of different types of fresh produce and viral types as well.
Four databases (PubMed/Medline, Scopus, Eurosurveillance Journal and Spingerlink electronic journal) and a global electronic reporting system (ProMED-mail) were searched up to 2016. One hundred and fifty-two viral outbreaks linked to fresh produce consumption were identified. The majority of the reported outbreaks was reported in Europe, followed by North America, Asia, Australia, Africa and South America. A great number of the outbreaks was recorded in Denmark and Finland. The most common viral pathogens were norovirus (48·7%) and hepatitis A virus (46·1%). The most frequent type of fresh produce involved was frozen raspberries (23·7%). Differences in the reporting of outbreaks were recorded between the scientific literature and ProMED.
The number of reported illnesses linked to fresh produce has increased in several countries. Consumption of contaminated fresh produce represents a risk to public health in both developed and developing countries, but the impact will be disproportionate and likely to compound existing health disparities. For this reason, all countries should systematically collate and report such data through a disease surveillance system, in order to adopt risk management practices for reducing the likelihood of contamination.
系统综述调查新鲜农产品传播的病毒暴发情况，记录全球暴发分布，并分析不同类型的新鲜农产品和病毒类型的影响。
截至 2016 年，我们在四个数据库（PubMed/Medline、Scopus、Eurosurveillance Journal 和 Spingerlink 电子期刊）和一个全球电子报告系统（ProMED-mail）中进行了搜索。确定了 152 起与食用新鲜农产品有关的病毒暴发。报告的大多数暴发发生在欧洲，其次是北美、亚洲、澳大利亚、非洲和南美。丹麦和芬兰记录了大量暴发。最常见的病毒病原体是诺如病毒（48.7%）和甲型肝炎病毒（46.1%）。最常涉及的新鲜农产品类型是冷冻覆盆子（23.7%）。科学文献和 ProMED 之间在暴发报告方面存在差异。
在几个国家，与新鲜农产品相关的报告病例数量有所增加。食用受污染的新鲜农产品对发达国家和发展中国家的公众健康构成威胁，但这种影响将是不成比例的，并且可能会加剧现有的健康差距。因此，所有国家都应通过疾病监测系统系统地整理和报告此类数据，以采取风险管理措施减少污染的可能性。
