Hull-Jackson Carol, Adesiyun Abiodun A
School of Veterinary Medicine, The University of the West Indies, St. Augustine, Trinidad and Tobago, West Indies.
J Infect Dev Ctries. 2019 Jan 31;13(1):1-10. doi: 10.3855/jidc.10404.
Microbes such as Salmonella, Campylobacter and S. aureus have been implicated in Foodborne disease outbreaks (FBDOs) worldwide, yet information on their occurrence in Barbados is scanty. The purpose of this study was to determine the aetiological agents, food vehicles, locations and peak seasons of FBDOs in Barbados; assess the quality of epidemiological investigations; and identify deficiencies in food production practices and laboratory detection.
A search of FBDOs occurring in Barbados between 1998-2009 was conducted among published and unpublished literature sources and reports. The search terms included the keywords "foodborne disease," "outbreaks" and "Barbados".
During the period 1998 to 2009, there were 24 foodborne outbreaks, 215 cases of illness, one hospitalisation and no deaths. Overall, 37.5% of outbreaks were associated with hotels/resorts. Salmonella Enteritidis phage type 8 was most commonly implicated with eggs and poultry being the primary vehicles. Three outbreak reports were available for assessment and revealed that there were deficiencies in the outbreak investigations. These reports also recorded high levels of food contamination with indicator organisms, suggesting that improvements in food hygiene and production practices were required.
The number of FBDOs is low in comparison to developed countries. However, the data was likely affected by under-reporting and inadequacies in the outbreak investigations and laboratory detection. Improvements in these areas would lead to not only better detection and characterisation of FBDOs in Barbados but improved food safety control measures.
沙门氏菌、弯曲杆菌和金黄色葡萄球菌等微生物已被认为是全球食源性疾病暴发（FBDO）的病因，但关于它们在巴巴多斯的出现情况的信息却很少。本研究的目的是确定巴巴多斯食源性疾病暴发的病原体、食物载体、地点和高峰季节；评估流行病学调查的质量；并确定食品生产实践和实验室检测中的不足之处。
在已发表和未发表的文献来源及报告中搜索1998 - 2009年期间在巴巴多斯发生的食源性疾病暴发。搜索词包括关键词“食源性疾病”、“暴发”和“巴巴多斯”。
在1998年至2009年期间，共发生24起食源性疾病暴发，215例病例，1例住院，无死亡病例。总体而言，37.5%的暴发与酒店/度假村有关。肠炎沙门氏菌8型噬菌体最常被牵连，鸡蛋和家禽是主要载体。有三份暴发报告可供评估，结果显示暴发调查存在不足之处。这些报告还记录了指示生物对食物的高污染水平，表明需要改善食品卫生和生产实践。
与发达国家相比，巴巴多斯食源性疾病暴发的数量较低。然而，数据可能受到报告不足以及暴发调查和实验室检测不完善的影响。这些领域的改进不仅将有助于更好地检测和描述巴巴多斯的食源性疾病暴发情况，还将改善食品安全控制措施。
