Descriptive Study of Foodborne Disease Using Case Monitoring Data in Shandong Province, China, 2016-2017
Abstract
Background: In order to generate data on the burden of foodborne diseases in Shandong Province, we aimed to use the case monitoring data of foodborne diseases from 2016 to 2017 to estimate.
Methods: Data were obtained from the foodborne disease surveillance reporting system with dates of onset from Jan 1, 2016, to Dec 31, 2017, in Shandong, China.
Results: The places of food exposure were categorized by settings as follows: private home, catering facility, collective canteens, retail markets, rural banquets and other. Exposed food is divided into 23 categories. Overall incidence rate and proportions by exposure categories, age, and sex-specific incidence rates were calculated and sex proportions compared. Approximately 75.00% of cases who had at least one exposure settings were in private homes. The most frequently reported exposed food was a variety of food (meaning more than two kinds of food). The two-year average incidence rate was 75.78/100,000, sex-specific incidence rate was much higher for females compared to males (78.23 vs. 74.69 cases per 100,000 population). An age-specific trend was observed in the cases reported (Chi-Square for linear trend, χ2=4.39, P=0.036<0.05).
Conclusion: A preliminary estimate of 14 million cases of foodborne diseases in Shandong province each year. Future studies should focus on cross-sectional and cohort studies to facilitate the assessment of the distribution and burden of foodborne disease of the population in Shandong. Considering strengthening the burden of foodborne diseases in foodborne disease surveillance is also a feasible way.
2. Helms, M, Vastrup P, Gerner-Smidt P et al. (2003). Short and long term mortality as-sociated with foodborne bacterial gastro-intestinal infections: registry based study. BMJ, 326(7385): 357.
3. Wheeler JG, Sethi D, Cowden JM, et al (1999). Study of infectious intestinal dis-ease in England: rates in the community, presenting to general practice, and re-ported to national surveillance. BMJ, 318 (7190): 1046-1050.
4. de Wit MA, Koopmans MP, Kortbeek LM et al (2001). Sensor, a population-based cohort study on gastroenteritis in The Netherlands: incidence and aetiology. Am J Epidemiol, 154(7): 666-674.
5. Elaine S, Robert MH, Frederick JA et al (2011). Foodborne Illness Acquired in the United States-Major Pathogens. Emerg In-fect Dis. 17(1): 7-15.
6. Chen Y, Yan WX (2013). Review on an as-sessment of the burden of acute gastro-intestinal illness and foodborne disease. Chinese J Food Hyg, 25(2): 190-193.
7. Elaine S, Patricia MG, Frederick JA et al (2011). Foodborne Illness Acquired in the United States-Unspecified Agents. Emerg Infect Dis. 17(1): 16-22.
8. Hall GV, Kirk MD, Ashbolt R et al (2006). Frequency of infectious gastrointestinal illness in Australia, 2002: regional, sea-sonal and demographic variation. Epi-demiol Infect, 134(1): 111-118.
9. T Kuchenmüller, S Hird, C Stein et al (2009). Estimating the global burden of food-borne diseases--a collaborative effort. Eu-ro Surveill, 14(18).
10. Executive Office of the President. (2011). Executive Order 13563: Improving regu-lation and regulatory review. Federal Regis-ter, 76(14): 3821-3823.
11. Shandong Provincial Bureau of Statistics. Population and Households by Region (2015/2016). Shandong statistical year book - 2016/2017, http://old.stats-sd.gov.cn/tjnj/nj2016/indexch.htm. and http://old.stats-sd.gov.cn/tjnj/nj2017/indexch.htm.
12. CDC. (2014). Surveillance for Foodborne Disease Outbreaks United States, 2014: Annual Report. https://www.cdc.gov/foodsafety/pdfs/ foodborne-outbreaks-annual-report-2014-508.pdf
13. Centers for Disease Control and Preven-tion. (2013). Surveillance for foodborne disease outbreaks-United States, 1998-2008. Morbidity and Mortality Weekly Report 62: 1-34.
14. Marlow M A , Luna-Gierke R E , Griffin P M et al (2017). Foodborne Disease Out-breaks in Correctional Institutions-United States, 1998-2014. Am J Public Health, 107(7):1150-1156.
15. Li Y , Huang Y , Yang J et al. Bacteria and poisonous plants were the primary causa-tive hazards of foodborne disease out-break: a seven-year survey from Guangxi, South China. BMC Public Health, 2018, 18(1):519.
16. Guo S, Lin D, Wang LL, Hu H (2018). Monitoring the Results of Foodborne Diseases in Sentinel Hospitals in Wen-zhou City, China from 2014 to 2015. Iran J Public Health, 47(5): 674-681.
17. Lund BM (2015). Microbiological Food Safety for Vulnerable People. Int J Environ Res Public Health, 12(8): 10117-10132.
18. Anderson M, Jaykus LE, BeulieuS et al (2011). Pathogen-produce pair attribution risk ranking tool to prioritize fresh pro-duce commodity and pathogen combina-tions for further evaluation (P3ARRT). Food Control, 22: 1865-1872.
19. Da Silva Felício MT, Hald T, Liebana E et al (2015). Risk ranking of pathogens in ready-to-eat unprocessed foods of non-animal origin (FoNAO) in the EU: initial evaluation using outbreak data (2007-2011). Int J Food Microbiol, 195: 9-19.
20. Zhou YJ, Dai Y, Yuan BJ et al (2013). Popu-lation-based estimate of the burden of acute gastrointestinal illness in Jiangsu province, China, 2010-2011. Epidemiol In-fect, 141(5): 944-952.
21. Zhang RH, Chen J, Zhang HX et al (2012). Self-reported disease burden of acute gastroenteritis in Hangzhou-Jiaxing-Huzhou area in Zhejiang. Disease Surveil-lance, 27(4): 311-315.
22. Buehler JW, Berkelman RL, Hartley DM et al (2002). Syndromic surveillance and bio-terrorism-related epidemics. Emerg Infect Dis, 9 (10): 1197-1204.
23. Hall G, Kirk MD, Becker N et al (2005). FoodNet Working Group. Estimating foodborne gastroenteritis, Australia. Emerg Infect Dis, 11(8): 1257-1264.
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Issue | Vol 48 No 4 (2019) | |
Section | Original Article(s) | |
DOI | https://doi.org/10.18502/ijph.v48i4.1006 | |
Keywords | ||
Foodborne diseases Case monitoring Surveillance Acute gastroenteritis Assessment |
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