National Institute of Public Health NIH - National Research Institute in Warsaw, Department of Epidemiology of Infectious Diseases and Surveillance.
Przegl Epidemiol. 2023;77(2):233-240. doi: 10.32394/pe.77.22.
The aim of this study is to assess the epidemiological situation of foodborne botulism in Poland in 2018-2021, compared to previous years.
The assessment is based on an analysis of aggregated surveillance data from the annual bulletin "Infectious Diseases and Poisons in Poland" from 2013-2021, as well as botulism case reports collected by sanitary-epidemiological stations and sent to the Department of Epidemiology of Infectious Diseases and Surveillance of the NIPH NIH - NRI or provided by EpiBase.
A total of 54 foodborne botulism cases were registered between 2018 and 2021, including 31 (57.4%) cases of laboratory-confirmed botulism intoxication. Most cases (46 cases, 85.2%) were sporadic. The declining trend in the number of notifications continued throughout the time period, and the incidence recorded in 2021 (0.02 per 100,000 population) was the lowest since the introduction of mandatory reporting and registration of botulism in Poland. The highest median annual incidence was recorded in the Warmisko-Mazurskie (0.18), but many voivodeships reported only single notifications or none. The decreasing trend in rural areas relative to the level of incidence in urban areas continued. Men (incidence in men more than twice that of women) and people aged 50-59 predominated. All patients were hospitalized. According to the State Sanitary Inspection, there were 3 deaths (mortality of 5.6%).
In 2018-2021, the downward trend in the number of foodborne botulism notifications in Poland continued. At the same time, the considerable proportion of cases reported by physicians without laboratory confirmation and not meeting the definition of botulism adopted in other EU countries is noteworthy. The incidence in rural areas decreases to the level of incidence in urban areas, and the previously observed geographical distribution of cases diminishes.
本研究旨在评估 2018-2021 年波兰食源性肉毒中毒的流行病学情况，并与以往年份进行比较。
评估基于对 2013-2021 年《波兰传染病与毒物年鉴》年度报告汇总监测数据的分析，以及卫生防疫站收集并发送至国家传染病与监测研究所流行病学部门的肉毒中毒病例报告，或通过 EpiBase 提供的数据。
2018-2021 年共登记 54 例食源性肉毒中毒病例，其中 31 例（57.4%）为实验室确诊肉毒中毒。大多数病例（46 例，85.2%）为散发病例。报告数量呈下降趋势，2021 年记录的发病率（每 10 万人 0.02 例）为波兰强制报告和登记肉毒中毒以来的最低水平。温姆扎-马祖里省（0.18）的年发病率中位数最高，但许多省仅报告了单个病例或无报告。与城市地区的发病率相比，农村地区的发病率呈下降趋势。男性（男性发病率是女性的两倍以上）和 50-59 岁人群居多。所有患者均住院治疗。根据国家卫生检查，有 3 人死亡（死亡率为 5.6%）。
2018-2021 年，波兰食源性肉毒中毒报告数量继续呈下降趋势。同时，值得注意的是，相当一部分由未进行实验室确认且不符合其他欧盟国家采用的肉毒中毒定义的医生报告的病例。农村地区的发病率下降到城市地区的水平，先前观察到的病例地理分布也有所减少。
