张婧萱, 黄美恋, 刘玥, 顾桂敏, 杨红霞, 华德, 张亚淋, 裴迎新, 许学斌. 2006-2020年美国沙门菌跨州暴发案例分析[J]. 疾病监测, 2021, 36(8): 837-844. DOI: 10.3784/jbjc.202103260160
引用本文: 张婧萱, 黄美恋, 刘玥, 顾桂敏, 杨红霞, 华德, 张亚淋, 裴迎新, 许学斌. 2006-2020年美国沙门菌跨州暴发案例分析[J]. 疾病监测, 2021, 36(8): 837-844. DOI: 10.3784/jbjc.202103260160
Zhang Jingxuan, Huang Meilian, Liu Yue, Gu Guimin, Yang Hongxia, Hua De, Zhang Yalin, Pei Yingxin, Xu Xuebin. Multistate Salmonella infection outbreaks in United States, 2006 to 2020[J]. Disease Surveillance, 2021, 36(8): 837-844. DOI: 10.3784/jbjc.202103260160
Citation: Zhang Jingxuan, Huang Meilian, Liu Yue, Gu Guimin, Yang Hongxia, Hua De, Zhang Yalin, Pei Yingxin, Xu Xuebin. Multistate Salmonella infection outbreaks in United States, 2006 to 2020[J]. Disease Surveillance, 2021, 36(8): 837-844. DOI: 10.3784/jbjc.202103260160

2006-2020年美国沙门菌跨州暴发案例分析

Multistate Salmonella infection outbreaks in United States, 2006 to 2020

  • 摘要: 食源和宠物源沙门菌感染造成的疾病负担已成为美国重大公共卫生问题。 本文通过分析2006 — 2020年美国153件食源性沙门菌跨州暴发(SMSFBD)和34件宠物源沙门菌跨州暴发(SMSPBD)案例的病原血清型分布、疾病负担、食物归因和处置结果等指标,描述美国不同群体在不同社会经济发展阶段对加工食品消费特征的变化。 同时,观察到在新型冠状病毒肺炎疫情大流行期间,随着社交活动和食品采购频次的减少,导致被动降低了食源暴露风险;随着居家生活时间增加等一系列生活方式的改变,导致原本流行于2018年新型庭院养殖活禽,却于2020年引发美国暴发史上波及范围最广、病例数最多、菌型最复杂的SMSPBD。 该结果提示,其他国家和地区防控食源和宠物源沙门菌暴发,可借鉴发达国家跨部门主动监测的策略,建立和运行与其疾病流行特征、疾病预防控制能力以及经济社会发展水平相匹配的食品与养殖生态安全预警体系,以应对各种新型食源性和生态型的沙门菌病不断变化的挑战。

     

    Abstract: Foodborne and pet-borne Salmonella infectious diseases have become a major public health problem in the United States. By collecting the data and information of the epidemiological investigations of 153 Salmonella multistate foodborne disease (SMSFBD) outbreaks and 34 Salmonella multistate pet-borne disease (SMSPBD) outbreaks in the United States from 2006 to 2020, we analyzed the distribution of Salmonella serotypes, characteristics of disease burden, food attribution and the corresponding response outcomes, and descripted the trend of changes in food consumption of processed food among different groups in the United States at different social-economic development stages. We also observed that a series of lifestyle changes, such as passive reduction of food exposure risk caused by decreasing social activities and food procurement frequency and increased home stay time due to coronavirus disease 2019 (COVID-19) pandemic. New backyard poultry raising which was popular from 2018 might be potential cause of an outbreak of SMSPBD with the most extensive coverage, the largest number of cases and the most complex Salmonella serotype in the United States in 2020. The results showed that it is necessary to learn from the active surveillance strategies and experiences in the prevention and control of SMSFBD and SMSPBD outbreaks in developed countries to establish the tailored food and cultivation early warning system based on local epidemiological characteristics of the diseases, capacity of the diseases control and prevention, economic and social development level to response the rising challenges of new type salmonellosis.

     

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