Scientific Opinion on the risk posed by pathogens in food of non-animal origin. Part 1 (outbreak data analysis and risk ranking of food/pathogen combinations)
Scientific Opinion on the risk posed by pathogens in food of non-animal origin. Part 1 (outbreak data analysis and risk ranking of food/pathogen combinations)
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DOI：
10.2903/j.efsa.2013.3025
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发表时间：
2013-01-01
期刊：
影响因子：
3.3
通讯作者：
Threlfall, John
中科院分区：
文献类型：
--
作者：
Andreoletti, Olivier;Baggesen, Dorte Lau;Threlfall, John
非动物源性食品（FoNAO）以多种形式消费，并且是几乎所有膳食的主要组成部分。这些食物类型有可能与2011年与VTEC O 104相关的大规模疫情有关。对与食用FoNAO和动物源性食品（FoAO）相关的人类病例发生率进行了比较，以表明这两组食品之间的比例。得出的结论是，作为欧盟人畜共患病监测的一部分报告的疫情数据目前是欧盟范围内比较估计的唯一选择。使用2007年至2011年的数据，FoNAO与10%的疫情、26%的病例、35%的住院和46%的死亡有关。如果排除2011年VTEC O 104爆发的数据，FoNAO与10%的爆发和18%的病例有关，但仅与8%的住院和5%的死亡有关。从2008年到2011年，报告的与非动物源性食品有关的疫情、病例、住院和死亡数量有所增加。为了识别和排名最常与欧盟FoNAO人类病例相关的特定食物/病原体组合，使用七个标准开发了一个模型：根据欧盟人畜共患病监测（2007-11）的食源性疫情数据，食物和病原体之间的关联强度，疾病发生率，疾病负担，剂量-反应关系，消费，有效期内污染的普遍性和病原体生长潜力。讨论了使用暴发数据的方法的缺点。排名最高的食物/病原体组合是沙门氏菌属。生食绿叶蔬菜，其次是沙门氏菌（Salmonella spp）。以及球茎和茎类蔬菜、沙门氏菌属（Salmonella spp.）和番茄、沙门氏菌属（Salmonella spp.）和瓜类，以及致病性大肠杆菌和新鲜豆荚、豆类或谷物。(C)欧洲食品安全局，2013年
Food of non-animal origin (FoNAO) is consumed in a variety of forms, and a major component of almost all meals. These food types have the potential to be associated with large outbreaks as seen in 2011 associated with VTEC O104. A comparison of the incidence of human cases linked to consumption of FoNAO and of food of animal origin (FoAO) was carried out to provide an indication of the proportionality between these two groups of foods. It was concluded that outbreak data reported as part of EU Zoonoses Monitoring is currently the only option for EU-wide comparative estimates. Using this data from 2007 to 2011, FoNAO were associated with 10% of the outbreaks, 26% of the cases, 35% of the hospitalisations and 46% of the deaths. If the data from the 2011VTEC O104 outbreak is excluded, FoNAO was associated with 10% of the outbreaks, 18% of cases, but only 8% of the hospitalisations and 5% of the deaths. From 2008 to 2011 there was an increase in the numbers of reported outbreaks, cases, hospitalisations and deaths associated with food of non-animal origin. In order to identify and rank specific food/pathogen combinations most often linked to human cases originating from FoNAO in the EU, a model was developed using seven criteria: strength of associations between food and pathogen based on the foodborne outbreak data from EU Zoonoses Monitoring (2007-11), incidence of illness, burden of disease, dose-response relationship, consumption, prevalence of contamination and pathogen growth potential during shelf life. Shortcomings in the approach using outbreak data were discussed. The top ranking food/pathogen combination was Salmonella spp. and leafy greens eaten raw followed by (in equal rank) Salmonella spp. and bulb and stem vegetables, Salmonella spp. and tomatoes, Salmonella spp. and melons, and pathogenic Escherichia coli and fresh pods, legumes or grain. (C) European Food Safety Authority, 2013