Bélanger P, Tanguay F, Hamel M, Phypers M
Centre for Foodborne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada, Ottawa, ON.
Can Commun Dis Rep. 2015 Nov 5;41(11):254-262. doi: 10.14745/ccdr.v41i11a01.
Enteric outbreak investigation in Canada is performed at the local, provincial/territorial (P/T) and federal levels. Historically, routine surveillance of outbreaks did not occur in all jurisdictions and so the Public Health Agency of Canada, in partnership with P/T public health authorities, developed a secure, web-based Outbreak Summaries (OS) Reporting System to address this gap.
This analysis summarizes the foodborne outbreak investigations reported to the OS Reporting System between 2008 and 2014.
Finalised reports of investigations between 2008 and 2014 for all participating jurisdictions in Canada were extracted and descriptive analysis was carried out for foodborne outbreaks on etiological agent, severity of illness, outbreak duration, exposure setting and outbreak source.
There were 115 reported foodborne outbreaks included in the analysis. This represents 11.2% of all outbreaks reported in the enteric module of the OS Reporting System between 2008 and 2014. was the most commonly reported cause of foodborne outbreak (40.9%) and Enteritidis was the most common serotype reported. Foodborne outbreaks accounted for 3,301 illnesses, 225 hospitalizations and 30 deaths. Overall, 38.3% of foodborne outbreaks were reported to have occurred in a community and 32.2% were associated with a food service establishment. Most foodborne outbreak investigations (63.5%) reported a specific food associated with the outbreak, most frequently meat.
The OS Reporting System supports information sharing and collaboration among Canadian public health partners and offers an opportunity to obtain a national picture of foodborne outbreaks. This analysis has demonstrated the utility of the OS Reporting System data as an important and useful source of information to describe foodborne outbreak investigations in Canada.
加拿大的肠道疫情调查在地方、省/地区及联邦层面开展。从历史上看,并非所有辖区都对疫情进行常规监测,因此加拿大公共卫生署与省/地区公共卫生当局合作,开发了一个安全的基于网络的疫情摘要(OS)报告系统来弥补这一差距。
本分析总结了2008年至2014年期间向OS报告系统报告的食源性疫情调查情况。
提取了加拿大所有参与辖区2008年至2014年调查的最终报告,并对食源性疫情的病原体、疾病严重程度、疫情持续时间、暴露环境和疫情源头进行了描述性分析。
分析纳入了115起报告的食源性疫情。这占2008年至2014年期间OS报告系统肠道模块中报告的所有疫情的11.2%。 是食源性疫情最常报告的病因(40.9%),肠炎沙门氏菌是报告的最常见血清型。食源性疫情导致3301人患病、225人住院和30人死亡。总体而言,38.3%的食源性疫情报告发生在社区,32.2%与食品服务机构有关。大多数食源性疫情调查(63.5%)报告了与疫情相关的特定食品,最常见的是肉类。
OS报告系统支持加拿大公共卫生伙伴之间的信息共享与合作,并提供了一个了解全国食源性疫情情况的机会。本分析证明了OS报告系统数据作为描述加拿大食源性疫情调查的重要且有用信息来源的实用性。