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北京市重大活动食源性疾病风险评估分级

Risk assessment and hierarchical classification of foodborne disease epidemics during major events in Beijing: an empirical study based on surveillance data analysis

  • 摘要:
    目的  以北京市某重大体育赛事为例,开展北京市重大活动中的食源性疾病风险评估理论分级方法研究,为我国其他重大活动食源性疾病风险评估工作提供借鉴和经验。
    方法 按照世界卫生组织食源性疾病名录,结合北京市食源性疾病监测系统2016 — 2020年重大体育赛事同时期(11月 — 次年4月)监测到的食源性疾病作为风险因子,通过风险矩阵法和Borda序值法评估北京某重大体育赛事重点保障人群和一般人群食源性疾病风险水平。
    结果 共识别出3大类7小类25种食源性疾病风险因子,重点保障人群和一般人群食源性疾病风险等级均集中在高危险度(H级)、中危险度(M级)和低危险度(L级)风险等级。对重点保障人群而言,H级风险因子5种(20%),M级风险因子11种(44%),L级风险因子9种(36%),其中风险因子重要性最高的为杀鼠剂和河鲀毒素中毒。对一般人群而言,H级风险因子4种(16%),M级风险因子6种(24%),L级风险因子15种(60%)。其中风险因子重要性最高的为诺如病毒病和菜豆中毒。
    结论 重大活动食源性疾病风险评估应结合该活动的特点、既往大型活动经验及同时期食源性疾病监测数据制定评估标准。保障工作应针对高、中危险度和Borda序值排前列的风险因子,在原材料采购、贮存、加工等环节开展监测和检测,科学制定食谱,做好人员健康与教育,防止交叉污染。

     

    Abstract:
    Objective To develop a theoretical grading method for foodborne disease risk assessment during major events in Beijing, using a major sports event as an example, and to provide references and experiences for foodborne disease risk assessment during other major events in China.
    Methods According to the World Health Organization's list of foodborne diseases, combined with the foodborne diseases monitored by the Beijing Foodborne Disease Surveillance System during the major sports event from 2016 to 2020 (November to April of the following year) as risk factors, the risk levels of foodborne diseases in the key population and the general population of a major sports event in Beijing were evaluated using the risk matrix method and the Borda count method.
    Results A total of 25 foodborne disease risk factors were identified in 3 major categories and 7 subcategories. The risk levels of foodborne disease in both the key population and the general population were concentrated in the high risk (H), moderate risk (M), and low risk (L) levels. For the key population, there were 5 H-level risk factors (20%), 11 M-level risk factors (44%), and 9 L-level risk factors (36%), of which rodenticides and tetrodotoxin poisoning were the most important risk factors. For the general population, there were 4 H-level risk factors (16%), 6 M-level risk factors (24%), and 15 L-level risk factors (60%). Among them, norovirus and kidney bean poisoning were the most important risk factors.
    Conclusions Foodborne disease risk assessment for major events should be based on the characteristics of the event, previous experience with major events, and foodborne disease surveillance data from the same period. Prevention measures should focus on high and medium risk factors and those at the top of the Borda ordinal, and carry out monitoring and testing in the procurement, storage, processing and other links of raw materials, formulate recipes scientifically, do a good job in personnel health and training, and prevent cross-contamination.

     

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