Analysis Of The Surveillance Results Of Foodborne Diarrhoeal Disease Pathogens And The Disease Burden In Monitoring Stations Of Jilin Province In 2014

Purpose:To understand the sentinel hospital active surveillance of foodborne diarrhoeal diseases in monitoring stations of Jilin Province, to analyze the detection rate of common foodborne pathogen and its influence factors, to analyze the epidemiological and economic burden of foodborne diarrhoeal disease, and discuss the influence factors, then provide theoretical basis for the prevention and control measures of foodborne diarrhoeal disease. Method:Foodborne diarrhoeal disease active surveillance was that the basic information and suspicious exposure history were collected, and the patients’ feces or anus swabs samples were collected and inspected by doctors of the sentinel hospital, then doctors filled in monitoring information through the foodborne disease active surveillance system. Foodborne diarrhoeal disease burden research was a population-based face to face investigation for 6000 community residents in monitoring stations of Jilin province, which using multi- stage stratified random sampling method. Using Epidata 3.0 and Excel2007 for data entry and establishment of the database, and SPSS 20.0 statistical software for statistical analysis. The chi- square test and Fisher’ exact probability were used to compare rate, the t test or one-way ANOVA were used to compare means, the LSD method was used to compare two groups, the Wilcoxon test was used for nonparametric test,the binary logistic regression analysis was used in the analysis of multiple factors. Result:1. 3824 foodborne diarrhoeal disease illness were surveilled by sentinel hospitals in Jilin, the number of cases in male were more, accounted for 56.0%, and the number of cases under the age of five were more, accounted for 36.1%, cases were mainly concentrated in May to October, accounted for 82.3%, and cases in the central region of Jilin were more, accounted for 39.6 %. The main suspect food were fruits,vegetables or their products, accounted for 25.0%,and the main suspect dining place was home, accounted for 71.6%.2. 237 strains of pathogenic from feces or anal swab samples were checked out, the total detection rate was 1.5%, the detection rate of Norovirus was 14.0%, which was highest. The detection rates of Salmonella and Shigella among differen genders were different, Salmonella detection rate was 2.8% for men,and 1.7% for women, the rates were higher in men than women, Shigella were not checked out for men, and 0.2% for women, the detection rates were higher in women than men. The detection rates of Vibrio parahemolyticus,Norovirus and Salmonella were different among different ages, age of 40~49, under age of five and age of 50~59 respectively had higher detection rates, accounted for 0.6%、19.8% and 4.0%. The detection rates of Norovirus and Salmonella were different among different months, month of April to May and June respectively had higher detection rates, accounted for 30.6% and 4.8%. The detection rates of Diarrheogenic escherichia coli were different in different regions of Jilin province, eastern part had higher detection rates, accounted for 3.3%.3. There were 136 foodborne diarrhoeal disease patients from 5906 respondents in the foodborne diarrhoeal disease burden research, monthly prevalence was 2.3%. The occurrence of foodborne diarrhoeal disease were concentrated in spring(OR=2.417)and summer(OR=3.370), and residents whose family income per capita between 5000 ~ 9999(OR = 1.732) yuan had higher risk of foodborne diarrhoeal disease.4. The 136 foodborne diarrhoeal disease patients had the economic burden of 5142.35 yuan, the direct economic burden was 4081.50 yuan, the indirect economic burden was 1060.85 yuan, and the direct economic burden were higher than indirect.5. The foodborne diarrhoeal disease patients of high school or above(OR=0.100) less likely to have the economic burden, and the patients who ill lasted 1~1.99 days(OR=9.915),2~2.99 days(OR=9.329)and three days or above(OR=59.187)were on the contrary, and ill lasted three days or above had higher degree of economic burden. Conclusion:1. In the sentinel hospital active surveillance of foodborne diarrhoeal diseases, the number of cases in male were more, the number of cases under the age of five were more, cases were mainly concentrated in May to October, and cases in the central region of Jilin were more. The main suspect food was fruits,vegetables or their products, and the main suspect dining place was home.2. The detection rate of Norovirus was higheast in the pathogen detection of feces or anal swab samples. The detection rates of Salmonella and Shigella among differen genders, Vibrio parahemolyticus, Norovirus and Salmonella among differen ages, Norovirus and Salmonella among different months, Diarrheogenic escherichia coli in differen regions of Jilin were different.3. The occurrence of foodborne diarrhoeal disease were concentrated in spring and summer, and residents whose family income per capita between 5000 ~ 9999 yuan had higher risk of foodborne diarrhoeal disease.4. The direct economic burden of foodborne diarrhoea disease were higher than indirect.5. The foodborne diarrhoeal disease patients of high school or above less likely to have the economic burden, and the patients who ill lasted 1~1.99 days, 2~2.99 days and three days or above were on the contrary, and ill lasted three days or above had higher degree of economic burden.