Van Cauteren Dieter, Le Strat Yann, Sommen Cécile, Bruyand Mathias, Tourdjman Mathieu, Da Silva Nathalie Jourdan, Couturier Elisabeth, Fournet Nelly, de Valk Henriette, Desenclos Jean-Claude
Emerg Infect Dis. 2017 Sep;23(9):1486-1492. doi: 10.3201/eid2309.170081.
Estimates of the annual numbers of foodborne illnesses and associated hospitalizations and deaths are needed to set priorities for surveillance, prevention, and control strategies. The objective of this study was to determine such estimates for 2008-2013 in France. We considered 15 major foodborne pathogens (10 bacteria, 3 viruses, and 2 parasites) and estimated that each year, the pathogens accounted for 1.28-2.23 million illnesses, 16,500-20,800 hospitalizations, and 250 deaths. Campylobacter spp., nontyphoidal Salmonella spp., and norovirus accounted for >70% of all foodborne pathogen-associated illnesses and hospitalizations; nontyphoidal Salmonella spp. and Listeria monocytogenes were the main causes of foodborne pathogen-associated deaths; and hepatitis E virus appeared to be a previously unrecognized foodborne pathogen causing ≈68,000 illnesses in France every year. The substantial annual numbers of foodborne illnesses and associated hospitalizations and deaths in France highlight the need for food-safety policymakers to prioritize foodborne disease prevention and control strategies.
为了确定监测、预防和控制策略的重点,需要对食源性疾病的年度发病数以及相关的住院和死亡人数进行估算。本研究的目的是确定2008 - 2013年法国的这些估算数据。我们考虑了15种主要的食源性病原体(10种细菌、3种病毒和2种寄生虫),并估计这些病原体每年导致128万至223万例疾病、16500至20800例住院以及250例死亡。弯曲杆菌属、非伤寒沙门氏菌属和诺如病毒占所有食源性病原体相关疾病和住院病例的70%以上;非伤寒沙门氏菌属和单核细胞增生李斯特菌是食源性病原体相关死亡的主要原因;戊型肝炎病毒似乎是一种此前未被认识的食源性病原体,每年在法国导致约68000例疾病。法国每年大量食源性疾病及相关的住院和死亡人数凸显了食品安全政策制定者将食源性疾病预防和控制策略列为优先事项的必要性。