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| 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
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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 |
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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.
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Received: 22 May 2024
Revised: 28 July 2024
Published: 18 September 2024
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[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. |
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