Burden of acute gastrointestinal illness caused by non-typhoidal Salmonella and Vibrio parahaemolyticus in Zhejiang Province
CHEN Jiang1, QI Xiaojuan1, CHEN Lili1, LU Qinbao2, WANG Jikai1, ZHOU Biao1
1. Department of Nutrition and Food Safety, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China; 2. Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China
Abstract:Objective To analyze the disease burden of acute gastrointestinal illness (AGI) caused by non-typhoidal Salmonella and Vibrio Parahaemolyticus in Zhejiang Province, so as to provide the reference for the prevention and control of foodborne diseases. Methods The detection rates of non-typhoidal Salmonella and Vibrio parahaemolyticus in 2022 were collected through the Zhejiang Foodborne Disease Outbreak Surveillance System. The number of cases, incidence and hospitalizations of AGI caused by non-typhoidal Salmonella and Vibrio parahaemolyticus were calculated. Disability-adjusted life years (DALY) were used to analyze the disease burden of AGI caused by non-typhoidal Salmonella and Vibrio parahaemolyticus among different age groups. Results The number of AGI cases caused by non-typhoidal Salmonella in Zhejiang Province in 2022 was 889 500 person-times, the incidence rate was 1 352.42/105, the number of hospital visits was 328 900 person-times, the DALY was 972.69 (95%CI: 771.68-1 164.16) person-years, and the DALY rate was 1.48 (95%CI: 1.17-1.77) /105. The incidence rate and DALY rate were highest in the children aged under 5 years, reaching 3 989.51/105 and 13.93 (95%CI: 8.67-18.42) /105, respectively. The number of AGI cases caused by Vibrio parahaemolyticus in Zhejiang Province was 639 400 person-times, the incidence rate of 972.16/105,the number of hospital visits was 166 800 person-times, the DALY was 509.30 (95%CI: 411.75-699.62) person-years, and the DALY rate was 0.78 (95%CI: 0.63-1.06)/105. The incidence rate and DALY rate were highest in the residents aged 45 to <65 years, reaching 1 383.55/105 and 1.27 (95%CI: 1.14-1.96)/105, respectively. Conclusions The incidence and DALY of AGI caused by non-typhoidal Salmonella were relatively high in Zhejiang Province. The AGI caused by non-typhoidal Salmonella in the children under 5 years and the AGI caused by Vibrio parahaemolyticus in the residents aged 45 to <65 years need to be monitored with priority.
[1] 陈江,张荷香,廖宁波,等.杭嘉湖地区食源性副溶血性弧菌、非伤寒沙门菌发病率的研究[J].中国预防医学杂志,2018,19(1):49-52. [2] CHEN L L,WANG J K,CHEN J,et al.Epidemiological characteristics of Vibrio parahaemolyticus outbreaks,Zhejiang,China,2010-2022[J/OL].Front Microbiol,2023,14[2024-07-28].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10336542/.DOI:10.3389/fmicb.2023.1171350. [3] HE Y,WANG J K,ZHANG R H,et al.Epidemiology of foodborne diseases caused by Salmonella in Zhejiang Province,China,between2010 and 2021[J/OL].Frontiers in Public Health,2023,11[2024-07-28].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9929456/.DOI:10.3389/fpubh.2023.1127925. [4] 张铁威,张艳,刘冰,等.2013—2021年杭州市糖尿病死亡及疾病负担分析[J].预防医学,2023,35(9):752-756. [5] HAVELAAR A H,KIRK M D,TORGERSON P R,et al.World Health Organization global estimates and regional comparisons of the burden of foodborne disease in2010[J/OL].PLoS Med,2015,12(12)[2024-07-28].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4668832/.DOI:10.1371/journal.pmed.1001923. [6] 高飞,张剑峰,李敬晶,等.黑龙江省2018年急性胃肠炎发病情况及其疾病负担分析[J].中国公共卫生,2023,39(4):505-508. [7] 刘勋,孟秋雨,黄凯雄,等.2016—2019年重庆市江津区感染性腹泻病流行特征及疾病负担分析[J].疾病监测,2022,37(2):228-232. [8] WANG J K,HE Y,CHEN L L,et al.A population-based survey of the prevalence of sely-reported acute gastrointestinal illness in Zhejiang Province,China[J/OL].PLoS One,2022,17(5)[2024-07-28].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9116671/.DOI:10.1371/journal.pone.0268717. [9] World Health Organization.WHO methods and data sources for global burden of disease estimates 2000-2016[R].Geneva:World Health Organization,2018. [10] CHEN J,ALIFU X L D,QI X J,et al.Estimating the health burden of foodborne gastroenteritis caused by non-typhoidal Salmonella enterica and Vibrio parahaemolyticus in Zhejiang province,China[J].Risk Anal,2023,44(5):1176-1182. [11] GIBNEY K B,O'TOOLE J,SINCLAIR M,et al.Disease burden of selected gastrointestinal pathogens in Australia,2010[J].Int J Infect Dis,2014,28(7):176-185. [12] MANGEN M J,PLASS D,HAVELAAR A H,et al.The pathogen-and incidence-based DALY approach:an appropriated methodology for estimating the burden of infectious diseases[J/OL].PLoS One,2013,8(11)[2024-07-28].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3835936/.DOI:10.1371/journal.pone.0079740. [13] WEN S C,BEST E,NOURSE C.Non-typhoidal Salmonella infections in children:review of literature and recommendations for management[J].J Paediatr Child Health,2017,53(10):936-941. [14] 周绍英,张琰,杨元斌,等.宁波市食源性腹泻病例沙门菌感染分析[J].预防医学,2020,32(9):904-906. [15] 贺悦,齐小娟,王绩凯,等.浙江省2021年食源性疾病监测结果分析[J].中国卫生检验杂志,2023,33(4):504-508. [16] KIRK M D,PIRES S M,BLACK R E,et al.World Health Organization estimates of the global and regional disease burden of 22 foodborne bacterial,protozoal,and viral diseases,2010:a data synthesis[J/OL].PLoS Med,2015,12(12)[2024-07-28].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4668831/.DOI:10.1371/journal.pmed.1001921. [17] SAPP A C,NANE G F,AMAYA M P,et al.Estimates of disease burden caused by foodborne pathogens in contaminated dairy products in Rwanda[J].BMC Public Health,2023,23(1):657-666. [18] 陈艳,李鹏,王虹玲,等.舟山市食源性疾病监测结果分析[J].预防医学,2020,32(4):398-401.