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Preliminary Incidence and Trends of Infections with Pathogens Transmitted Commonly Through Food — Foodborne Diseases Active Surveillance Network 10 U.S. Sites 2016–2019

机译:通过食物通常传播的病原体感染的初步发病率和趋势-食源性疾病主动监测网络美国10个站点2016–2019年

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摘要

To evaluate progress toward prevention of enteric illnesses, the Foodborne Diseases Active Surveillance Network (FoodNet) of CDC’s Emerging Infections Program monitors the incidence of laboratory-diagnosed infections caused by eight pathogens transmitted commonly through food at 10 U.S. sites. This report summarizes preliminary 2019 data and describes changes in incidence compared with that during 2016–2018. The incidence of enteric infections caused by these eight pathogens reported by FoodNet sites in 2019 continued to increase or remained unchanged, indicating progress in controlling major foodborne pathogens in the United States has stalled. and caused the largest proportion of illnesses; trends in incidence varied by serotype. Widespread adoption of whole genome sequencing (WGS) of bacteria has improved the ability to identify outbreaks, emerging strains, and sources of pathogens. To maximize the potential of WGS to link illnesses to particular sources, testing of isolates by clinical and public health laboratories is needed. Reductions in serotype Typhimurium suggest that targeted interventions (e.g., vaccinating chickens and other food animals) might decrease human infections. Reducing contamination during food production, processing, and preparation will require more widespread implementation of known prevention measures and of new strategies that target particular pathogens and serotypes.
机译:为了评估预防肠道疾病的进展,美国疾病预防控制中心(CDC)的“新兴感染计划”的食源性疾病主动监视网络(FoodNet)监视在美国10个地点通过食品传播的8种病原体引起的实验室诊断感染的发生率。本报告总结了2019年的初步数据,并描述了与2016-2018年相比发生率的变化。由FoodNet网站在2019年报告的由这8种病原体引起的肠道感染的发生率持续增加或保持不变,这表明在控制美国主要食源性病原体方面的进展已经停滞。造成最大比例的疾病;发病率随血清型而变化。细菌的全基因组测序(WGS)的广泛采用提高了识别疾病暴发,新出现的菌株和病原体来源的能力。为了最大化WGS将疾病与特定来源相关联的潜力,需要临床和公共卫生实验室对分离株进行测试。鼠伤寒血清型的降低表明,有针对性的干预措施(例如,给鸡和其他食用动物接种疫苗)可以减少人类感染。在食品生产,加工和准备过程中减少污染将需要更广泛地实施已知的预防措施和针对特定病原体和血清型的新策略。

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