Bryan Frank L
U.S. Department of Health and Human Services, Public Health Service, Center for Diease Control, Atlanta, Georgia 30333.
J Food Prot. 1981 May;44(5):394-402. doi: 10.4315/0362-028X-44.5.394.
In the United States, Salmonella has been isolated from over 31,000 persons during 1979; this figure is more than 60% higher than isolations made 18 years earlier. In Canada, the change from about 5,000 isolations from humans in 1977 to more than 8,000 in 1979 is also approximately a 60% increase, but over an interval of only 3 years. In the U.S. during 1973 - 1978, salmonellosis accounted for 40% of reported cases of foodborne disease and 23% of reported outbreaks of foodborne disease. In Canada during 1973-1975, it accounted for 39% of all reported cases of foodborne disease and 25% of reported outbreaks of foodborne disease. Foods most frequently reported as vehicles of salmonellosis in the U.S. were beef, turkey, homemade ice cream (containing eggs), pork and chicken. Turkey was the most frequently reported vehicle in Canada. Factors usually contributing to these outbreaks (in order of importance) are improper cooling, lapse of a day or more between preparation and serving, inadequate cooking or heat processing, ingestion of contaminated raw ingredients, and cross-contamination. Changes in the relative frequency of isolations of particular serovars sometimes indicate spread of foodborne Salmonella by a particular food or the effectiveness of a control measure. Factors that perpetuate the Salmonella problem are Salmonella -contaminated rendered animal byproducts and contaminated feed, concentrating animals in feed lots and brooding houses, spreading Salmonella during animal slaughtering and processing foods of animal origin, national and international distribution of food and feeds, food preparation and storage practices in foodservice establishments and homes and environmental contamination from animal wastes and other sources.
在美国,1979年从31000多人身上分离出了沙门氏菌;这一数字比18年前的分离数量高出60%以上。在加拿大,从1977年约5000例人类分离病例到1979年超过8000例的变化,增幅也约为60%,但间隔仅3年。在美国1973 - 1978年期间,沙门氏菌病占食源性疾病报告病例的40%,占食源性疾病报告暴发事件的23%。在加拿大1973 - 1975年期间,它占所有食源性疾病报告病例的39%,占食源性疾病报告暴发事件的25%。在美国,最常被报告为沙门氏菌病传播媒介的食物是牛肉、火鸡、自制冰淇淋(含鸡蛋)、猪肉和鸡肉。火鸡是加拿大最常被报告的传播媒介。通常导致这些暴发的因素(按重要性排序)有冷却不当、制备与供应之间间隔一天或更长时间、烹饪或热处理不足、摄入受污染的生原料以及交叉污染。特定血清型分离频率的相对变化有时表明食源性沙门氏菌通过特定食物传播或某项控制措施的有效性。使沙门氏菌问题长期存在的因素包括受沙门氏菌污染的动物加工副产品和受污染的饲料、在饲养场和育雏舍集中饲养动物、在动物屠宰和动物源性食品加工过程中传播沙门氏菌、食品和饲料的国内及国际流通、食品服务场所和家庭中的食品制备和储存做法以及动物粪便和其他来源造成的环境污染。