2006-2020年美国沙门菌跨州暴发案例分析

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

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

doi: 10.3784/jbjc.202103260160
基金项目: 国家重点研发计划(No. 2017YFC1600104);国家科技重大专项(No. 2018ZX10714002–003–009)
详细信息
    作者简介:

    张婧萱,女,广西壮族自治区贵港市人,主管技师,主要从事感染性病原检测和监测工作,Email:zjx6862004@163.com

    黄美恋,女,福建省厦门市人,主管技师,主要从事临床微生物检测工作,Email:737084739@qq.com

    通讯作者:

    裴迎新,Tel:010–58900505,Email:peiyx@chinacdc

    许学斌,Tel:021–62758710,Email:xuxuebin@scdc.sh.cn

  • 中图分类号: R211; R378

Multistate Salmonella infection outbreaks in United States, 2006 to 2020

Funds: This study was supported by the National Key Research and Development Program of China (No. 2017YFC1600100) and National Science and Technology Major Project of China (No. 2018ZX10714002–003–009)
More Information
  • 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。
  • 图  1  2006-2020年美国沙门菌的年度食源和宠物源跨州暴发

    Figure  1.  Annual outbreaks of SMSFBD and SMSPBD, United States, 2006–2020

    图  2  2006-2020年美国153件SMSFBD的年度病例特征

    Figure  2.  Annual cases distribution of 153 SMSFBD outbreaks, United States, 2006–2020

    图  3  2006-2020年美国153件SMSFBD溯源结果

    Figure  3.  Tracing of 153 SMSFBD outbreaks, United States, 2006–2020

    图  4  2006-2020年美国宠物源沙门菌跨州暴发的疾病负担趋势

    Figure  4.  Trend of disease burden by SMSPBD, United States, 2006–2020

    表  1  美国国家肠道感染监测实验室系统报告病例数

    Table  1.   Annual salmonellosis cases from LEDS in the United States

    类别年度
    200620072008200920102011201220132014201520162017201820192020
    确诊病例32 95532 01635 89734 07038 24537 27837 62134 03437 14039 10936 803暂无暂无暂无暂无
    食源暴发8984032 1795072 4066761 2489985941 6057741 0071 847 4241 283
    宠物暴发4127135336101584730401320 76 3431 3681 824
      注:沙门菌(含伤寒和副伤寒)病例数为2006-2016年;SMSFBD、SMSPBD病例数为2006-2020年
    下载: 导出CSV

    表  2  2015年美国农业部统计经济损失最高15种食源性病原体

    Table  2.   The 15 kinds of foodborne pathogens causing highest economic loss by USDA, 2015

    排位食源性病原体疾病负担(亿美元)病例数(例)住院数(例)死亡数(例)
    1沙门菌37.001027 56119 336378
    2弓形虫33.0086 6864 428343
    3单核细胞增生李斯特菌28.001 5911 173306
    4诺如病毒23.005 461 73114 663149
    5弯曲菌19.00845 0248 46376
    6产气荚膜梭菌3.43965 95843826
    7创伤弧菌3.20969336
    8小肠结肠耶尔森菌2.7897 65648029
    9EHEC O157∶H72.7163 1532 13830
    10除霍乱外的其他弧菌17 564838
    11志贺菌1.38131 2541 45610
    12隐孢子虫0.5257 6162104
    13副溶血性弧菌0.4134 6641004
    14非O157∶H7的STEC0.27112 7522711
    15环孢子虫0.0211 407110
      注:STEC. 产志贺样毒素大肠埃希菌的统称,常见菌型:O157∶H7、O26∶H11、O45、O103、O111、O121、O145和2012年德国首次报道的O104亦可称之为EHEC
    下载: 导出CSV

    表  3  2006-2020年美国153件食源沙门菌跨州暴发事件概述

    Table  3.   Characteristics of 153 SMSFBD outbreaks, United States, 2006–2020

    年度件数溯源(件)召回(件)跨州总数(州)病例数(例)住院数(例)住院:病例(%)死亡数(例)
    20062269898 9310.36
    20073376403 6 1.49
    2008551182 17928212.9411
    20092258507
    2010991372 406
    201199122676
    201210911791 2486
    20131111311699827027.052
    20141111214059411819.871
    2015171661721 60531019.317
    20162819224477417722.872
    2017201862401 00725625.422
    20181616142641 84755730.164
    20197765542415135.611
    2020333771 28320115.670
    合计15314043206716 8492 422 14.3734
      注:–. 不详
    下载: 导出CSV

    表  4  美国2006-2020年34件宠物源沙门菌跨州暴发事件概述

    Table  4.   Characteristics of 34 SMSPBD outbreaks, United States, 2006–2020

    年度件数溯源(件)召回(件)跨州总数(州)病例数(例)住院数(例)住院∶病例(%)死亡数(例)
    200611024125.000
    2007220451272721.261
    2008110251352921.480
    20093308133600.000
    2010110810110.000
    2011220301582113.291
    20128801194734810.150
    20130000000.000
    20141101240820.000
    2015440431323828.790
    20160000000.000
    201711019763039.470
    2018220553435716.620
    20194411201 36827019.742
    2020440951 82436620.071
    合计343416545 02689617.835
    下载: 导出CSV
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  • 收稿日期:  2021-03-26
  • 网络出版日期:  2021-07-07
  • 刊出日期:  2021-08-31

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