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加拿大食源性和水源性疾病——1984年年度总结

Foodborne and Waterborne Disease in Canada-1984 Annual Summary.

作者信息

Todd E C D

机构信息

Bureau of Microbial Hazards, Food Directorate, Health Protection Branch, Health and Welfare Canada, Ottawa, Ontario, K1A OL2, Canada.

出版信息

J Food Prot. 1989 Jul;52(7):503-511. doi: 10.4315/0362-028X-52.7.503.

Abstract

Data on foodborne disease in Canada in 1984 are compared with those for 1983. A total of 1,181 incidents, comprising 1,016 outbreaks and 165 single cases, caused illnesses in 9,953 persons in 1984. These figures are the highest on record with almost double the number of cases occurring in 1983. Salmonella , Staphylococcus aureus , Clostridium perfringens , and Bacillus cereus were responsible for most of the illnesses. The main Salmonella serovars involved were S. typhimurium , S. enteritidis , and S. heidelberg . There were no incidents of parasitic infections or paralytic shellfish poisonings similar to 1983. Fifty-five incidents (82 cases) of chemical origin were recorded; extraneous matter and rancid compounds were the most frequently implicated. There were two deaths, one from botulism and the other from salmonellosis. Most of the illnesses were associated with meat and poultry (30.6% of incidents and 29.9% of cases). Dairy foods, particularly cheese, bakery products, and marine foods were also major vehicles of foodborne disease. Mishandling of food took place mainly in foodservice establishments (38.8% of incidents), homes (20.6% of incidents), and food processings establishments (5.9% of incidents). Chemicals, such as extraneous material and rancid compounds, were the agents associated with 40.0% of incidents caused by processors' mishandling. On a population basis, incidents were greatest in Ontario, followed by those in Quebec, British Columbia, and Manitoba. Details of several foodborne disease incidents are presented. In addition, seven incidents of waterborne disease were documented in 1984, five more than in 1983. Campylobacter , Salmonella and Yersinia were identified as pathogens associated with drinking water.

摘要

1984年加拿大食源性疾病的数据与1983年的数据进行了比较。1984年共有1181起事件,包括1016起暴发和165起单个病例,导致9953人患病。这些数字是有记录以来最高的,病例数几乎是1983年的两倍。沙门氏菌、金黄色葡萄球菌、产气荚膜梭菌和蜡样芽孢杆菌是导致大多数疾病的原因。涉及的主要沙门氏菌血清型为鼠伤寒沙门氏菌、肠炎沙门氏菌和海德堡沙门氏菌。没有出现与1983年类似的寄生虫感染或麻痹性贝类中毒事件。记录了55起(82例)化学源事件;异物和酸败化合物是最常涉及的因素。有两例死亡,一例死于肉毒中毒,另一例死于沙门氏菌病。大多数疾病与肉类和家禽有关(占事件的30.6%和病例的29.9%)。乳制品,特别是奶酪、烘焙食品和海产品也是食源性疾病的主要传播媒介。食品处理不当主要发生在食品服务场所(占事件的38.8%)、家庭(占事件的20.6%)和食品加工场所(占事件的5.9%)。化学物质,如异物和酸败化合物,是与加工者处理不当导致的40.0%的事件相关的因素。按人口计算,安大略省的事件最多,其次是魁北克省、不列颠哥伦比亚省和马尼托巴省。文中介绍了几起食源性疾病事件的详细情况。此外,1984年记录了7起水源性疾病事件,比1983年多5起。弯曲杆菌、沙门氏菌和耶尔森氏菌被确定为与饮用水相关的病原体。

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