Pan T M, Chiou C S, Hsu S Y, Huang H C, Wang T K, Chiu S I, Yea H L, Lee C L
National Institute of Preventive Medicine, Department of Health, Taipei, Taiwan ROC.
J Formos Med Assoc. 1996 May;95(5):417-20.
In 1994, 102 outbreaks of food-borne disease involving 4,726 cases were reported to the Taiwan Department of Health. This is the highest number of outbreaks and cases in recent years in Taiwan. Of these outbreaks, 72.5% (74/102) were caused by bacterial pathogens, with Vibrio parahaemolyticus responsible for 56.7% (42/74), Staphylococcus aureus 20.3% (15/74), Bacillus cereus 14.9% (11/74) and Salmonella spp other than S. typhi and S. paratyphi 8.1% (6/74). V. parahaemolyticus has been a leading cause of problems in Taiwan for many years. Contamination of seafood with this organism has been reported frequently, particularly in the warmer months. In 1994, small outbreaks (fewer than 5 cases) and large outbreaks (more than 50 cases) represented 31.4% (32/102) and 12.7% (13/102), respectively, of the total. The median outbreak size was 10 cases. A high proportion (54%, 7/13) of the large outbreaks was associated with commercial lunch-boxes supplied to elementary and junior high schools. Health education to improve food sanitation and supervision of food sanitation practices need to be strengthened.
1994年，台湾地区卫生部门共接到102起食源性疾病暴发事件报告，涉及4726例病例。这是台湾近年来食源性疾病暴发事件及病例数最多的一年。在这些暴发事件中，72.5%（74/102）由细菌病原体引起，其中副溶血性弧菌占56.7%（42/74），金黄色葡萄球菌占20.3%（15/74），蜡样芽孢杆菌占14.9%（11/74），伤寒沙门菌和副伤寒沙门菌以外的沙门菌属占8.1%（6/74）。多年来，副溶血性弧菌一直是台湾食源性疾病问题的主要病因。该病菌污染海产品的情况屡有报道，尤其是在温暖月份。1994年，小暴发事件（少于5例病例）和大暴发事件（多于50例病例）分别占总数的31.4%（32/102）和12.7%（13/102）。暴发事件的中位数规模为10例病例。在大暴发事件中，很大一部分（54%，7/13）与供应给中小学的商业午餐盒有关。需要加强改善食品卫生的健康教育以及对食品卫生操作的监督。
