食因性疾病爆發流行調查

Foodborne Outbreak Investigation

陳國東(Kow-Tong Chen) ； 林瑞雄(Ruey-Shiung Lin)

《台灣家庭醫學雜誌》 12卷3期 (2002/09) Pp. 97-110

https://doi.org/10.7023/TJFM.200209.0097

摘要

食因性疾病是全世界各國公共衛生關注的焦點，一旦發生，它可造成許多人生病及經濟的損失，相對於食品安全，它也可造成許多國家食品工業及農業社會的衝擊。一般預防食因性疾病的策略是要瞭解食品受污染的機轉及疾病傳染模式，進而阻斷它的發生。不管微生物如何演變，以目前的監測系統雖可以有效偵測到食因性疾病爆發流行的發生，但仍很難精確知道它所發生的範圍及造成事件的元兇，以提出有效的控制方法及預防未來再發生類似食因性疾病爆發流行。要知道引起食因性疾病的食物，可能污染過程，傳播途徑就有賴於食因性疾病流行病學調查。在不斷的調查中，可以從中學習錯誤的教訓。本文即在報告台灣地區食因性疾病調查的經驗，供學者參考。

並列摘要

Foodborne illness is major public health concern worldwide and cuts across national boundaries: The breakout will result in a huge number of sickly people as well as immensely economic loss. In terms of the safety of food, it will also make a great impact on the food industry and the farming community in many countries. The general strategy of prevention is to understand the mechanism of contamination and the pattern of disease transmission well enough so as to interrupt the occurrence. In spite of the evolving or adaptive capacity of microorganisms, although the ifficulties associated with foodborne illness can be overcome nowadays and our monitoring system can give us an early warning, it is still difficult to be precise about the extent of foodborne illness in the community and to assess the risk of becoming ill from eating contaminated food. Foodborne outbreak investigation is to identify and control an ongoing source and to learn how to prevent the future similar outbreak from occurring. We can learn from the investigation what we went wrong in order to devise strategies to prevent similar events in the future. The aim of this article is to share the experience of foodborne investigation in Taiwan for reference.

並列關鍵字

foodborne disease ； epidemiologic investigation ； outbreak

參考文獻

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