Akil Luma, Ahmad H Anwar
Department of Behavioral and Environmental Health, School of Public Health, Jackson State University, Jackson, MS 39211, USA.
Department of Biology/Environmental Science, College of Science, Engineering and Technology, Jackson State University, Jackson, MS 39217, USA.
Diseases. 2019 Feb 7;7(1):19. doi: 10.3390/diseases7010019.
(1) Background: infections are a major cause of illnesses in the United States. Each year around 450 people die from the disease and more than 23,000 people are hospitalized. outbreaks are commonly associated with eggs, meat and poultry. In this study, a quantitative risk assessment model (QRAM) was developed to determine infections in broiler chicken. (2) Methods: Data of positive infections were obtained from the United States Department of Agriculture (USDA) and the Centers for Disease Control and Prevention (CDC) Foodborne Disease Outbreak Surveillance System, in addition to published literature. The Decision Tools @RISK add-in software was used for various analyses and to develop the QRAM. The farm-to-fork pathway was modeled as a series of unit operations and associated pathogen events that included initial contamination at the broiler house (node 1), contamination at the slaughter house (node 2), contamination at retail (node 3), cross-contamination during serving and cooking (node 4), and finally the dose⁻response model after consumption. (3) Results: QRAM of infections from broiler meat showed highest contribution of infection from the retail node (33.5%). (4) Conclusions: This QRAM that predicts the risk of infections could be used as a guiding tool to manage the control programs.
(1) 背景:在美国,感染是疾病的主要成因。每年约有450人死于该疾病,超过23000人住院。疫情爆发通常与蛋类、肉类和家禽有关。在本研究中,开发了一种定量风险评估模型(QRAM)来确定肉鸡中的感染情况。(2) 方法:除已发表的文献外,阳性感染数据还来自美国农业部(USDA)和疾病控制与预防中心(CDC)食源性疾病疫情监测系统。使用Decision Tools @RISK插件软件进行各种分析并开发QRAM。从农场到餐桌的路径被建模为一系列单元操作和相关病原体事件,包括肉鸡舍的初始污染(节点1)、屠宰场的污染(节点2)、零售环节的污染(节点3)、服务和烹饪过程中的交叉污染(节点4),以及最终消费后的剂量反应模型。(3) 结果:来自鸡肉的感染QRAM显示零售节点的感染贡献最大(33.5%)。(4) 结论:这个预测感染风险的QRAM可作为管理控制项目的指导工具。