Finger Jéssica A F F, Baroni Wilma S G V, Maffei Daniele F, Bastos Deborah H M, Pinto Uelinton M
Food Research Center (FoRC-CEPID), Sao Paulo 05508-080, Brazil.
Department of Food and Experimental Nutrition, Faculty of Pharmaceutical Sciences, University of Sao Paulo, Sao Paulo 05508-080, Brazil.
Foods. 2019 Sep 23;8(10):434. doi: 10.3390/foods8100434.
This study aimed to assess the foodborne diseases (FBD) outbreaks reported in Brazil between 2000 and 2018, based on data from the Brazilian Ministry of Health (official data) and from scientific literature. According to official data, 13,163 FBD outbreaks were reported in the country during this period, involving 247,570 cases and 195 deaths. The largest prevalence of FBD outbreaks was observed in the Southeast region of Brazil (45.6%). In most outbreaks it was not possible to determine the food implicated (45.9%) but among those identified, water was the most frequently associated (12.0%). The etiological agent was not identified in most outbreaks (38.0%), while (14.4%) was the most frequently reported among those identified. Homes were the main site of FBD occurrence (12.5%). Regarding data obtained from the scientific literature, 57 articles dealing with FBD in the country throughout the same period were selected and analyzed. Based on these articles, mixed foods were the most prevalent in the outbreaks (31.6%), spp. was the pathogen most frequently reported (22.8%) and homes were also the main site of FBD occurrence (45.6%). Despite under-notification, the records of FBD outbreaks that have occurred in Brazil in the past recent years show alarming data, requiring attention from health authorities. The notification of outbreaks is essential to facilitate public health actions.
本研究旨在基于巴西卫生部的数据（官方数据）和科学文献，评估2000年至2018年期间巴西报告的食源性疾病（FBD）暴发情况。根据官方数据，在此期间该国报告了13163起食源性疾病暴发事件，涉及247570例病例和195例死亡。食源性疾病暴发的最大患病率在巴西东南部地区观察到（45.6%）。在大多数暴发事件中，无法确定相关食品（45.9%），但在已确定的食品中，水是最常涉及的（12.0%）。在大多数暴发事件中未确定病原体（38.0%），而在已确定的病原体中，（14.4%）是最常报告的。家庭是食源性疾病发生的主要场所（12.5%）。关于从科学文献中获得的数据，选择并分析了同期国内57篇关于食源性疾病的文章。根据这些文章，混合食品在暴发中最为普遍（31.6%）， spp.是最常报告的病原体（22.8%），家庭也是食源性疾病发生的主要场所（45.6%）。尽管报告不足，但巴西近年来发生的食源性疾病暴发记录显示出惊人的数据，需要卫生当局予以关注。暴发的报告对于促进公共卫生行动至关重要。
