摘要
目的分析2004—2016年云南省食用野生蜂蛹中毒事件的特点和规律,为制定预防控制措施提供科学依据。方法收集2004—2016年云南省食用野生蜂蛹中毒事件的调查报告和病例个案资料,对云南省食用野生蜂蛹中毒事件的特征进行分析。结果 2004—2016年云南省共报告食用野生蜂蛹中毒事件11起,发病39人。死亡8人,病死率为20.51%。食用野生蜂蛹中毒事件主要发生在9~12月的云南西部地区的兰坪县和维西县,中毒人群以农民为主。蜂蛹食用量与是否发生中毒及中毒者预后存在正相关,rs分别为0.592和0.558。食用不同烹饪方式制作的野生蜂蛹患者的病死率以及食用野生蜂蛹同时是否伴有大量饮酒患者的病死率差异无统计学意义。结论在重点地区开展野生蜂蛹调查,明确有毒蜂蛹种类,开展食品安全健康教育,开展医务人员相关知识的培训是减少野生蜂蛹中毒发生和降低危害的必要措施。
[Objective]To analyze the characteristics and rules of wild honeybee pupa poisoning events in Yunnan Province from2004-2016,provide scientific evidences for making measures of prevention and control.[Methods]The investigation reports of wild honeybee pupa poisoning events and case data in Yunnan Province from 2004-2016 were collected,to analyze the characteristics of these events.[Results] During 2004-2016,totally 11 wild honeybee pupa poisoning events were reported in Yunnan Province,including 39 patients,and there were 8 death cases with a mortality rate of 20.51%. The wild honeybee pupa poisoning events mostly occurred in Lanping County and Weixi County where are located in west of Yunnan Province,and the peak season appeared September to December. The majority of patients were farmer. The consumption of pupae was positively associated with the occurrence of poisoning and the prognosis of the victim,and the rs was 0.592 and 0.558 respectively. There were no statistically significant differences in mortality rate among the patients who ate the wild honeybee pupa with different cooking methods,as well as the patients ate wild honeybee pupa with or without heavy drinking.[Conclusion]In order to decline the occurrence of wild honeybee pupa poisoning events and decrease the harm,it is necessary to carry out the further investigation of wild honeybee pupa in major areas to identify the type of poisonous bee pupa,implement the health education of food safety and improve the trainings to medical staffs.
作者
黄甜
郑尔达
何继波
林燕
彭霞
HUANG Tian;ZHENG Er-da;HE Ji-bo;LIN Yan;PENG Xia(Center for Public Health Emergencies Disposal/SurveiUance Monitoring, Yunnan Province Centre for Disease Control and Prevention, Kunming Yunnan, 650022, Chin)
出处
《职业与健康》
CAS
2018年第6期757-759,763,共4页
Occupation and Health
基金
云南省科技厅应用基础研究计划青年项目(2015FD085)
关键词
云南省
野生蜂蛹中毒
流行病学特征
Yunnan Province
Wild honeybee pupa poisoning
Epidemiological characteristics
