2016—2017年安徽省毒蕈中毒事件流行病学特征分析
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摘要
目的了解安徽省毒蕈中毒事件流行病学特征,为制定针对性干预措施提供参考依据。方法通过"食源性疾病事件监测系统"和"食源性疾病监测报告系统"查询2016—2017年安徽省毒蕈中毒事件及病例,对流行病学特征进行描述性分析。结果 2016—2017年安徽省共报告毒蕈导致的中毒事件129起,中毒223人,死亡2人,主要发生在8～10月,多发生在农村地区,家庭是毒蕈中毒主要发生场所,高发地区为皖北与皖中交接区域和皖南山区,病例主要为40岁以上人群,临床症状主要表现为胃肠道症状,首诊诊断为疑似毒蕈中毒的正确率为69.23%(90/130)。结论安徽省毒蕈中毒具有季节性、区域高发性的特点,应针对重点区域、重点人群进行宣传,减少毒蕈中毒事件发生。
Objective This study aimed to get a better understanding of epidemiological characteristics of mushroom poisoning events in Anhui Province to provide reference to map out intervention strategies. Methods The descriptive analysis was conducted on the data of mushroom poisoning events and cases in Anhui Province reported through "Foodborne Disease Event Reporting System" and "Foodborne Disease Surveillance Reporting System" from 2016 to 2017. Results A total of 129 mushroom poisoning events were included with 223 poisoning cases and 2 deaths in Anhui Province from 2016 to 2017.The mushroom poisoning events mainly occurred during August to October, in the rural areas and home sittings, and were high in border region between Wanbei and Wanzhong, and Wannan mountain region. The most of patients were older than 40, and the common clinical findings were gastrointestinal symptoms, the correct rates of first visit were 69.23%(90/130). Conclusion Mushroom poisoning events in Anhui Province showed high risk season and area, effective intervention measures should be taken to key population and district in order to reduce mushroom poisoning events.
Objective This study aimed to get a better understanding of epidemiological characteristics of mushroom poisoning events in Anhui Province to provide reference to map out intervention strategies. Methods The descriptive analysis was conducted on the data of mushroom poisoning events and cases in Anhui Province reported through "Foodborne Disease Event Reporting System" and "Foodborne Disease Surveillance Reporting System" from 2016 to 2017. Results A total of 129 mushroom poisoning events were included with 223 poisoning cases and 2 deaths in Anhui Province from 2016 to 2017.The mushroom poisoning events mainly occurred during August to October, in the rural areas and home sittings, and were high in border region between Wanbei and Wanzhong, and Wannan mountain region. The most of patients were older than 40, and the common clinical findings were gastrointestinal symptoms, the correct rates of first visit were 69.23%(90/130). Conclusion Mushroom poisoning events in Anhui Province showed high risk season and area, effective intervention measures should be taken to key population and district in order to reduce mushroom poisoning events.
引文
[1] 安徽省地方志编纂委员会办公室.安徽地方志 [M].北京:方志出版社,1998:29-31.
[2] 陈小敏,杨华,桂国弘,等.2008—2015年全国食物中毒情况分析[J].食品安全导刊,2017(25):69-73.
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[5] 朱海燕,张杜娟,张健安,等.歙县四起毒蕈中毒事件调查分析[J].安徽预防医学杂志,2015,21(5):354-355.
[6] 王锐,高永军,丁凡,等.中国2004—2011年毒蕈中毒事件分析[J].中国公共卫生,2014,30(2):158-161.
[7] 王娅芳,周亚娟,朱姝,等.2004—2013年贵州省毒蕈中毒事件流行病学特征分析[J].中国食品卫生杂志,2015,27(1):49-53.
[8] 史文佩,梁进军,王婷婷,等.2015年湖南省毒蕈中毒的空间分布特征及影响因素[J].中南大学学报(医学版),2017,42(9):1080-1085.
[2] 陈小敏,杨华,桂国弘,等.2008—2015年全国食物中毒情况分析[J].食品安全导刊,2017(25):69-73.
[3] 图力古尔,包海鹰,李玉.中国毒蘑菇名录[J].菌物学报,2014,33(3):517-548.
[4] 蒋绍锋,何仟,张宏顺,等.毒蕈中毒病例中毒特征分析[J].中国医刊,2015,50(6):63-67.
[5] 朱海燕,张杜娟,张健安,等.歙县四起毒蕈中毒事件调查分析[J].安徽预防医学杂志,2015,21(5):354-355.
[6] 王锐,高永军,丁凡,等.中国2004—2011年毒蕈中毒事件分析[J].中国公共卫生,2014,30(2):158-161.
[7] 王娅芳,周亚娟,朱姝,等.2004—2013年贵州省毒蕈中毒事件流行病学特征分析[J].中国食品卫生杂志,2015,27(1):49-53.
[8] 史文佩,梁进军,王婷婷,等.2015年湖南省毒蕈中毒的空间分布特征及影响因素[J].中南大学学报(医学版),2017,42(9):1080-1085.