taylor swift ai换脸 Weekly Briefings for China CDC Weekly, Vol 6, No. 51, 2024
发布日期：2024-12-24 14:20 点击次数：182
Expert Consensus and Call on Actions for Weight Management in China: Advancing Healthy China Initiative taylor swift ai换脸Through Strategic Actionstaylor swift ai换脸
Xiaomin Sun1，2，&; Zhaozhang Sun1，2，3，&; Wen Peng4，5; Jianduan Zhang6; Bo Gou7; Xiangyang Tian8; Yuexin Yang9; Youfa Wang1，2，#; Expert Author Group
1. Global Health Institute， School of Public Health， Xi’an Jiaotong University Health Science Center， Xi’an City， Shaanxi Province， China;
2. International Obesity and Metabolic Disease Research Center， Xi'an Jiaotong University， Xi’an City， Shaanxi Province， China;
3. Department of Culture， Media and Creative Industries， King's College London， London， UK;
4. Nutrition and Health Promotion Center， Department of Public Health， Medical College， Qinghai University， Xining City， Qinghai Province， China;
5. Qinghai Provincial Key Laboratory of Prevention and Control of Glucolipid Metabolic Diseases with Traditional Chinese Medicine， Xining City， Qinghai Province， China;
6. School of Public Health， Tongji Medical College， Huazhong University of Science and Technology， Wuhan City， Hubei Province， China;
7. School of Exercise and Health Sciences， Xi'an Physical Education University， Xi’an City， Shaanxi Province， China;
8. Chinese Center for Health Education， Beijing， China;
9. National Institute for Nutrition and Health， Chinese Center for Disease Control and Prevention， Beijing， China.
& Joint first authors.
# Corresponding author: Youfa Wang， youfawang@xjtu.edu.cn.
Author group: Expert Author Group including Chun Chang; Wei Cui; Zijian Feng; Linong Ji; Hongjuan Li; Ailing Liu; Yingying Luo; Yanan Ma; Bingyin Shi; Yi Song; Deliang Wen; Qingli Xu; Juhong Yang; Yinkun Yan; Qian Zhang; Yaling Zhao; Zhirong Zeng.
China faces a critical public health challenge with obesity rates exceeding 50% among adults and 20% among children. In response， the National Health Commission launched a comprehensive three-year "Year of Weight Management" initiative in March 2024， further emphasized by the 36th Patriotic Health Month's theme "Healthy Towns - Healthy Weight" in April 2024. These initiatives underscore the urgent necessity for implementing comprehensive strategies to combat obesity and its associated non-communicable diseases. To catalyze these national efforts， the Obesity Prevention and Control Section of the Chinese Nutrition Society， in collaboration with the Chinese Society of Behavioral Health of the Chinese Preventive Medicine Association， the International Center for Obesity and Metabolic Diseases Research， the Global Health Institute at Xi'an Jiaotong University， and other partnering institutions， issued the Expert Consensus of "China Healthy Weight Management Action Initiative" during the March 4， 2024 World Obesity Day campaign. This paper presents and analyzes the initiative's systematic strategy， which integrates ten strategic recommendations across five key domains: 1) strategic policy and guideline implementation， 2) strengthening healthcare systems and public awareness， 3) collaborative and international engagement， 4) building health-conducive environments， and 5) data-driven approaches and technological solutions. The initiative establishes a comprehensive framework for addressing obesity through an integrated approach encompassing public policy， healthcare systems， and community engagement. Implementation of these strategic recommendations is expected to significantly enhance public health outcomes and accelerate progress toward achieving the "Healthy China 2030 Initiative" objectives.
中国健康体重束缚行动倡议书：以策略行动股东健康中国
孙晓敏1，2，&；孙照彰1，2，3，&；彭雯4，5；张建端6；苟波7；田晨曦8；杨月欣9；王友发1，2，#；民众作家组
1. 全球健康策动院，寰球卫生学院， 西安交通大学，西安市，陕西省，中国；
2. 海外臃肿与代谢性疾病策动中心，西安交通大学，西安市，陕西省，中国；
3. 文化、传媒与创意产业系，伦敦国王学院，伦敦，英国；
4. 养分与健康促进中心，医学院寰球卫生系，青海大学，西宁市，青海省，中国；
5. 青海省糖脂代谢疾病防控中医药重心实验室，西宁市，青海省，中国；
6. 寰球卫生学院，同济医学院，华中科技大学，武汉市，湖北省，中国；
7. 畅通与健康科学学院，西安体育学院，西安市，陕西省，中国；
8. 中国健康讲明中心，北京，中国；
9. 养分与健康所，中国疾病退缩罢休中心，北京，中国
& 共同第一作家。
# 通讯作家: 王友发，youfawang@xjtu.edu.cn。
集体作家：民众作家组成员包括常春；崔巍；冯子健；纪立农；李红娟；刘爱玲；罗樱樱；马亚楠；施秉银；宋逸；闻德亮；许庆丽；杨菊红；闫银坤；张建端；张倩；赵亚玲；曾志嵘。
在我国，卓越50%的成年东说念主和约20%的儿童超重臃肿，已成为首要寰球卫生问题。为搪塞这一挑战，国度卫健委于2024年3月初始了为期三年的“体重束缚年”看成，并在同庚4月通过第36个爱国卫生月主题看成“健康城镇-健康体重”进一步强调了该推断。这些步履突显了遴荐详尽策略搪塞臃肿过甚相干慢性病的紧迫性和重要性。为进一步股东国度层面的行动，中国养分学会臃肿防控分会、中华退缩医学会步履健康分会、西安交通大学海外臃肿与代谢病策动中心和全球健康策动长处入其他合作机构，于2024年3月4日“世界臃肿日”系列看成中发布了《中国住户健康体重束缚行动倡议》。该倡议整合了国表里在体重束缚规模的最新策动效果和相干实验指南，提议五个重要规模十条行动建议，包括政策策略和指南延伸、全社会参与及海外融合、构建健康促进环境、数据驱动设施及技能科罚有蓄意、增强卫生系统设置及公众体重束缚意志等。《倡议书》十分强调通过健康讲明、社区参与和技能翻新，推动健康饮食和增多肉体看成，以灵验防控臃肿，促进“健康中国2030”的终了。
For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2024.268
Epidemiological Characteristics of Sporadic Foodborne Diseases Caused by Vibrio parahaemolyticus — China， 2013–2022
Danjie Jiang1，&; Haihong Han2，&; Yunchang Guo2; Ronghua Zhang3; Li Zhan3; Yijing Zhou4; Xin Qiao4; Hong Liu5; Xiaochen Ma6; Jikai Liu2; Ping Fu2; Weiwei Li2，#
1. Ningbo Municipal Center for Disease Control and Prevention， Ningbo City， Zhejiang Province， China.
2. NHC Key Laboratory of Food Safety Risk Assessment， Food Safety Research Unit (2019RU014) of Chinese Academy of Medical Science; China National Center for Food Safety Risk Assessment， Beijing， China;
3. Zhejiang Provincial Center for Disease Control and Prevention， Hangzhou City， Zhejiang Province， China;
4. Jiangsu Provincial Center for Disease Control and Prevention， Nanjing City， Jiangsu Province， China;
5. Shanghai Municipal Center for Disease Control and Prevention， Shanghai， China;
6. Beijing Municipal Center for Disease Control and Prevention， Beijing， China;
& Joint first authors.
# Corresponding author: Weiwei Li， weiweili@cfsa.net.cn.
Vibrio parahaemolyticus (V.parahaemolyticus) is a common foodborne pathogen in coastal areas of China. Most epidemiological studies on V. parahaemolyticus have focused on foodborne disease outbreaks， with fewer studies based on longterm， continuous， and systematic sentinel surveillance. Data were collected from the national foodborne disease active surveillance program in 31 provincial-level administrative divisions (PLADs) in China from 2013 to 2022. V. parahaemolyticus-positive cases were collected for further analysis in this study. From 2013 to 2022， the National Foodborne Disease Case Surveillance System identified 23，818 cases of V. parahaemolyticus foodborne infection in China. Patient ages ranged from 2 months to 100 years， with an average age of 38.41 years. These cases primarily occurred in coastal areas during summer. A new serotype， O10:K4， emerged in 2020 and has become the dominant serotype over O3:K6. V. parahaemolyticus infection is common in the eastern coastal areas of China and strongly associated with aquatic food consumption. This study recommends that food regulatory authorities increase routine surveillance and inspection during high-risk periods and in high-risk areas. Authorities should also use social media platforms to conduct extensive public education campaigns on the prevention and control of V. parahaemolyticus associated foodborne disease.
副溶血性弧菌引起的散漫食源性疾病的流行特征策动 — 中国，2013–2022年
蒋丹捷1，&；韩海红2，&；郭云昌2；章华贵3；占利3；周翌婧4；乔昕4；刘弘5；马晓晨6；刘继开2；付萍2；李薇薇2，#
1. 宁波市疾病退缩罢休中心，宁波市，浙江省，中国；
2. 食物安全风险评估重心实验室，中国医学科学院食物安全翻新单元（2019RU014），国度食物安全风险评估中心，北京，中国；
3. 浙江省疾病退缩罢休中心，杭州市，浙江省，中国；
4. 江苏省疾病退缩罢休中心，南京市，江苏省，中国；
5. 上海市疾病退缩罢休中心，上海，中国；
6. 北京市疾病退缩罢休中心，北京，中国；
# 通讯作家: 李薇薇，weiweili@cfsa.net.cn 。
副溶血性弧菌是中国沿海地区常见的食源性疾病致病菌。对于副溶血性弧菌的流行病学策动大多聚拢于食源性疾病的暴发事件，而基于弥远、聚拢和系统的哨点监测策动较少。从2013年至2022年在中国31个省级行政区开展的国度食源性疾病主动监测使命中网罗数据。本策动网罗副溶血性弧菌阳性病例进行进一步分析。从2013年到2022年，在国度食源性疾病病例监测系统中共发现23，818例副溶血性弧菌食源性疾病病例。患者年岁边界为2个月到100岁，平均年岁为38.41岁。这些病例主要发生在夏令的沿海地区。2020年出现了一种新的血清型O10:K4，并缓缓替代O3:K6而成为主要的流行血清型。副溶血性弧菌感染在中国东部沿海地区很常见，与食用水产食物密切相干。本策动建议食物监管部门在高风险期间和高风险地区加强日常监测和搜检。关连部门还应诈欺酬酢媒体平台开展平常的公众讲明看成。
For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2024.269
Detection and Identification in Reported Mushroom Poisoning Incidents — China， 2012–2023
Yuan Yuan1，2; Yizhe Zhang2; Jing Zhou1，2; Nan Lang2; Shaofeng Jiang2; Haijiao Li1，2; Qian He2; Yutao Zhang2; Bowen Cheng2; Jiaju Zhong2; Jiaqi Liang2; Yu Yin2; Yifan Liang2; Hongshun Zhang1，2; Chengye Sun1，2，#
Author Affiliation
1. State Key Laboratory of Trauma， Burn and Combined Injury， Third Military Medical University， Chongqing， China
2. National Institute of Occupational Health and Poison Control， Chinese Center for Disease Control and Prevention， Beijing， China
# Corresponding author: Chengye Sun， suncy@chinacdc.cn
The detection and identification characteristics in reported mushroom poisoning incidents were analyzed to provide the basic data of prevention， and control strategy in China. According to the report information from China CDC’s “Public Health Emergency Reporting Management Information System”， descriptive epidemiological methods were used to analyze the distribution of detection year， region， detection department， identification method and the poisonous mushroom species from 2012 to 2023. The scientific naming of poisonous mushroom species were based on the List of Poisonous Mushrooms in China， and the clinical types were compared with the Identification and Poisoning Control of Poisonous Mushrooms. From 2012 to 2023， the number of reported mushroom poisoning incidents， poisonings and deaths accounted for 21.87% (653/2，986)， 4.33% (3，229/74，586)， and 54.20% (710/1，310) of reported foodborne poisoning incidents， poisonings and deaths， respectively. The fatality rate was 21.99% (710/3，229). There were 102 incidents (15.62%) were tested for poisoning-related toxicants， of which 92 poisonous mushroom incidents had toxicant detection or identification results， except for 10 cases in which no detection and identification results were issued in the final report， accounting for 14.08% of mushroom poisoning incidents. A total of 13 provincial-level administrative divisions (PLADs) participated in the detection and identification in China， and the top 5 detection incidents were Hunan， Yunnan， Guangdong， Sichuan and Guizhou PLADs， with 25 (27.17%)， 22 (23.91%)， 17 (18.48%)， 9 (9.78%)， and 6 (6.52%) incidents， respectively. The distribution of detection and identification methods in the top 5 PLADs was different. In Hunan Province， morphological identification was the predominant method (88.00%). Yunnan Province had the highest proportion of toxin detection (27.28%). However， Sichuan and Guizhou provinces used molecular biology detection rather than toxin detection. Yunnan Province employed the widest variety of detection and identification methods. The departments involved in the detection and identification of poisonous mushroom were CDCs， universities， multi-department cooperation (including public security department， agricultural department)， scientific research institutes， and hospitals， with the ratios of 63.04%， 16.30%， 9.78%， 6.52% and 4.35%. Among the 92 reported incidents with the results of detection and identification， the largest number of incidents and poisonings were acute liver failure， rhabdomyolysis， gastroenteritis， psycho-neurological disorder and acute renal failure. The largest number of deaths was caused by acute liver failure mushrooms， accounting for 55.17% (64/116) of all clinical types of mushroom poisoning incidents. Twenty-five species were involved in the 92 mushroom poisoning incidents， Amanita exitialis and Russula subnigricans were responsible for the most incidents， both of which accounted for 17.39% (16/92) of all species. Amanita exitialis and Amanita fuliginea caused the largest number of poisonings and deaths， accounting for 13.32% (55/413) and 18.10% (21/116) respectively. Research on detection and identification of poisonous mushrooms needs to be strengthened. The detection ability of primary medical and health institutions as well as the diagnosis and treatment of mushrooms poisoning in primary hospitals need to be improved.
毒蘑菇中毒呈报事件检测飘扬分析 — 中国，2012–2023年
袁媛1，2；章轶哲2；周静1，2；郎楠2；蒋绍锋2；李海蛟1，2；何仟2；张驭涛2；程博文2；钟加菊2；梁嘉祺2；尹萸2；梁一帆2；张宏顺1，2；孙承业1，2，#
1. 第全军医大学创伤、烧伤与复合伤国度重心实验室，重庆，中国
2. 中国疾病退缩罢休中心办事卫生与中毒罢休所，北京，中国
# 通讯作家：孙承业，suncy@chinacdc.cn。
通过分析中国毒蘑菇中毒事件检测飘扬情况，为毒蘑菇中毒退缩罢休策略提供依据。应用神气流行病学设施，从中国疾病退缩罢休中心的国度“突发寰球卫滋事件束缚信息系统”中，对2012年-2023年我国蘑菇中毒事件的检测年份踱步、地区踱步、检测部门踱步、飘扬设施踱步以及飘扬的毒蘑菇种类进行分析。毒蘑菇种类汉文称号对照《中国毒蘑菇名录》，临床分型对照《毒蘑菇识别与中毒防治》。2012年-2023年，呈报毒蘑菇中毒事件、中毒东说念主数和牺牲东说念主数分裂占呈报的食物中毒事件数、中毒东说念主数和牺牲东说念主数的21.87%（653/2，986）、4.33%（3，229/74，586）和54.20%（710/1，310）。病死率为21.99%（710/3，229）。有102起（15.62%)的毒蘑菇中毒事件进行了中毒相干毒物检测，其中，撤退在了案呈报未出具检测飘扬扫尾的10起事件外，有92起毒蘑菇中毒事件有毒物检测或飘扬扫尾，占毒蘑菇中毒事件数的14.08%。世界共有13个省级行政单元参与检测飘扬，检测事件数目前5位的次第是湖南、云南、广东、四川和贵州，分裂检测飘扬了25起（27.17%）、22起（23.91%）、17起（18.48%）、9起（9.78%）和6起（6.52%）。检测飘扬毒蘑菇中毒事件数名次前5位的省察测飘扬设施踱步不同。形式学飘扬是各省份最主要的设施，该设施占到湖南省察测飘扬设施的88.00%；毒素检测在云南省开展的比例最高，达到27.28%；四川、贵州并未将毒素检测设施用于毒蘑菇事件中，而给与分子生物学检测；云南省是给与检测飘扬设施种类最多的省份。参与毒蘑菇中毒事件检测飘扬的部门有疾控中心、高档学校、多部门（包括公安、农业）合作、科研院所、病院，组成比分裂是63.04%、16.30%、9.78%、6.52%和4.35%。在92起呈报了毒物检测飘扬扫尾的事件中，事件数和中毒东说念主数最多的次第为急性肝挫伤型、横纹肌溶化型、胃肠炎型、神经精神型和急性肾贫乏型毒蘑菇。牺牲东说念主数最多的为急性肝挫伤型毒蘑菇，占扫数临床类型毒蘑菇的55.17%（64/116）。这些事件中，波及25个种属，致命鹅膏和亚稀褶红菇事件数最多，均占扫数飘扬毒蘑菇中毒事件的17.39%（16/92）；致命鹅膏导致的中毒东说念主数最多，灰斑纹鹅膏导致牺牲东说念主数最多，分裂占扫数飘扬毒蘑菇中毒事件的13.32%（55/413）和18.10%（21/116）。毒蘑菇检测飘扬策动需要加强，各级医疗卫欲望构的检测智商和下层病院该类毒物的会诊救治水平亟待晋升。
For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2024.270
Dietary Vitamin Intake Among Chinese Adults — 10 PLADs， China， 2022–2023
Xiaofan Zhang1，2; Chang Su1，2; Jiguo Zhang1，2; Feifei Huang1，2; Wenwen Du1，2; Xiaofang Jia1，2; Yifei Ouyang1，2; Li Li1，2; Jing Bai1，2; Yanli Wei1，2; Fangxu Guan1，2; Yuna He1，2; Bing Zhang1，2; Huijun Wang1，2，#
1. National Institute for Nutrition and Health， Chinese Center for Disease Control and Prevention， Beijing， China.
2. Key Laboratory of Public Nutrition and Health， National Health Commission of the People's Republic of China， Beijing， China.
# Corresponding authors: Huijun Wang， wanghj@ninh.chinacdc.cn.
Vitamins are essential micronutrients for maintaining physiological function and overall health. According to the 2015–2017 Chinese Nutrition and Health Surveillance report， Chinese residents generally face risks of insufficient dietary intake of vitamins A， B1， B2， and C. With ongoing urbanization， Chinese dietary patterns are transitioning from traditional plant-based diet toward modern western diet. This study analyzed data from 10 provincial-level administrative divisions (PLADs)， including Heilongjiang， Liaoning， Shandong， Henan， Hunan， Hubei， Jiangsu， Shaanxi， Guangxi， and Guizhou， during 2022–2023 to characterize current dietary vitamin intakes among Chinese adults. The median daily intakes were 467.8 μg RE for vitamin A， 27.3 mg for vitamin E， 0.7 mg for vitamin B1， 0.7 mg for vitamin B2， 12.9 mg for niacin， and 51.2 mg for vitamin C among adults aged 18 years and above. The risk of insufficient intake was particularly concerning for vitamins B2 (84.2%)， B1 (78.0%)， C (76.4%)， and A (52.6%)， with elevated risks observed among males， rural residents， and older adults. Notably， only 1.6% of adults achieved the proposed intakes for preventing non-communicable chronic diseases (PI-NCD) for vitamin C intake. These findings highlight the urgent need to strengthen dietary guidance for Chinese adults and implement effective nutrition policies and interventions to address vitamin insufficiency， particularly targeting males， elderly individuals， and rural populations.
成东说念主膳食维生素摄入近况 — 十省份，中国，2022–2023年
张晓帆1，2；苏畅1，2；张继国1，2；黄绯绯1，2；杜文雯1，2；贾小芳1，2；欧阳一非1，2；李丽1，2；白晶1，2；魏灿艳1，2；关方旭1，2；何宇纳1，2；张兵1，2；王惠君1，2，#
1.养分与健康策动所，中国疾病退缩罢休中心，北京，中国；
2.国度卫生健康委寰球养分与健康重心实验室，北京，中国；
# 通讯作家：王惠君：wanghj@ninh.chinacdc.cn。
维生素是看护生理功能和健康所必需的微量养分素。把柄2015-2017年中国住户养分与健康景况监测呈报，中国住户多数濒临维生素A、B1、B2和C摄入不及的风险。跟着城镇化进度的加速，中国住户的膳食模式正在从传统的植物性饮食向当代西方饮食窜改。本策动分析了2022-2023年间来自10个省级行政区画（PLADs）的膳食数据，包括黑龙江、辽宁、山东、河南、湖南、湖北、江苏、陕西、广西和贵州，旨在神气中国成年东说念主膳食维生素的摄入近况。策动扫尾流露，18岁及以上的成年东说念主逐日膳食维生素A、维生素E、维生素B1、维生素B2、烟酸和维生素C的摄入量中位数分裂为467.8微克视黄醇当量、27.3毫克、0.7毫克、0.7毫克、12.9毫克和51.2毫克。维生素B2（84.2%）、维生素B1（78.0%）、维生素C（76.4%）和维生素A（52.6%）的摄入不及风险较高，尤其是男性、农村住户和老年东说念主的风险较高。值得驻防的是，只消1.6%的成年东说念主达到了退缩非传染性慢性疾病（PI-NCD）建议的维生素C摄入量。这些发现强调了加强对中国成年东说念主的膳食疏浚，延伸灵验的养分政策和插手步履来科罚维生素摄入不及的穷苦需要，十分是针对男性、老年东说念主和农村住户。
For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2024.271
Diarrheagenic Escherichia coli Outbreak Reporting to Foodborne Disease Outbreaks Surveillance System — China， 2011–2022
Tongyu Wang1; Yangbo Wu1; Weiwei Li2; Ping Fu2; Hongqiu Li2; Ning Li2; Yue Dai3; Junhua Liang4; Xiaochen Ma1，#; Yunchang Guo2，#
1. Institute for Nutrition and Food Hygiene， Beijing Center for Disease Prevention and Control， Beijing， China
2. Division of Foodborne Disease Surveillance， China National Center for Food Safety Risk Assessment， Beijing， China
3. Jiangsu Provincial Center for Disease Prevention and Control， Nanjing City， Jiangsu Province， China
4. Guangdong Provincial Center for Disease Prevention and Control， Guangzhou City， Guangdong Province， China.
# Corresponding author: Yunchang Guo， gych@cfsa.net.cn; Xiaochen Ma，maxch@bjcdc.org.
Outbreaks of foodborne diarrheal Escherichia coli (DEC) remain a major public health problem in China. This study systematically analyzed the occurrence， trend， and epidemiological characteristics of foodborne diarrheal Escherichia coli outbreaks in the past 10 years. The DEC outbreak data collected by the Chinese Foodborne Disease Outbreak Surveillance System from 2011 to 2022 were analyzed. A total of 413 DEC outbreaks occurred in China from 2011–2022， resulting in 8，127 morbidities， 2，565 hospitalizations， and 1 death. Enteroaggregate adhesive Escherichia coli was the most common pathogen causing foodborne outbreaks (48.82%)， and the most common outbreak occurred in school canteens (21.79%). Foodborne DEC outbreak reports provide detailed information on the pathogens and food species that caused the outbreak. We also need to continuously track and analyze the causes of outbreaks to guide the implementation of preventive measures.
食源性疾病暴发监测系统呈报的致泻大肠埃希氏菌暴发事件分析 — 中国，2011–2022年
王同瑜1；吴阳博1；李薇薇2；付萍2；李红秋2；李宁2；戴月3；梁骏华4；马晓晨1，#；郭云昌2，#
1. 养分与食物卫生所，北京市疾病退缩罢休中心，北京，中国；
2. 国度食物安全风险评估中心，北京，中国；
3. 江苏省疾病退缩罢休中心，南京市，江苏省，中国；
4. 广东省疾病退缩罢休中心，广州市，广东省，中国。
# 通讯作家：郭云昌，gych@cfsa.net.cn；马晓晨，maxch@bjcdc.org。
食源性致泻性大肠埃希菌（DEC）的暴发在中国仍然是一个首要的寰球卫生问题。本策动系统分析了近10年中国食源性致泻大肠埃希菌暴发事件的发生情况、变化趋势及流行病学特征。这将有助于晋升暴发事件的造访和处置智商，并明确引起暴发的病因及高危食物。对2011–2022年中国食源性疾病暴发监测系统网罗的DEC暴发疫情数据进行分析。2011–2022年中国大陆共发生413起DEC暴发疫情，导致8，127例发病、2，565例入院和1例牺牲。肠聚会性黏附性大肠埃希菌是引起食源性暴发最常见的病原（48.82%），最常发生暴发事件的面貌为学校食堂（21.79%）。食源性DEC疫情呈报提供了关连引起暴发事件的病原体和食物种类的介意信息。咱们还需要握续追踪和分析暴发事件的原因，以疏浚退缩步履的延伸。
For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2024.272
An Outbreak of Foodborne Botulism Caused by Clostridium botulinum BoNT/A3 in Pickled Eggs — Weihai City， Shandong Province， China， July 2024
Tingting Miao1; Xiang Li1; Bin Hu2; Huajiang Zhang1; Li Xu1; Dongfang Zhang3; Miaomiao Sui1; Xiao Han1; Ling Li1; Deyu Zhuang1; Dahai Yu4; Zhenghui Yang5，#; Jinbo Zhang1，#
1 Weihai Center for Disease Control and Prevention， Weihai City， Shandong Province， China.
2 Shandong Center for Disease Control and Prevention， Jinan City， Shandong Province， China
3 Weihai Municipal Hospital， Weihai City， Shandong Province， China
4 Huancui District Center for Disease Control and Prevention， Weihai City， Shandong Province， China
5 Weihai Health Commission， Weihai City， Shandong Province， China.
女同视频# Corresponding author: Zhenghui Yang， whsjkzxbgs@wh.shandong.cn; Jinbo Zhang， whsjkzxsys@wh.shandong.cn.
Clostridium botulinum is a strictly anaerobic， Gram-positive bacterium whose spores are ubiquitous in soil and livestock feces. When foods such as fruits， vegetables， meat， and grains are contaminated by C. botulinum spores， the bacteria can proliferate rapidly and produce toxins under anaerobic conditions. In this study， we reported an outbreak of foodborne botulism caused by C. botulinum in pickled eggs in Weihai， China. On July 15， 2024， two patients suspected of foodborne botulism presented to the Emergency Department of Hospital with same symptoms such as difficulty breathing and ptosis. Both patients had consumed homemade pickled eggs. From July 16 to 17， the hospital admitted three additional patients with the same food exposure history and similar symptoms. Epidemiological investigation revealed that a total of 8 people consumed homemade pickled eggs， among which 5 developed symptoms such as ptosis and dyspnea， while 3 remained asymptomatic. All cases showed improvement after receiving botulinum antitoxin treatment， and no deaths occurred. We isolated 12 C. botulinum strains in this study. The phylogenetic analysis results revealed that the 12 C. botulinum isolates came from the same origin. With the complete genome of C. botulinum， The results of BLAST and arrangement of bont gene clusters indicated that the isolated strains belonged to the BoNT/A3 type. In conclusion， this outbreak was a case of foodborne botulism caused by homemade pickled eggs contaminated with C. botulinum producing BoNT/A3.This investigation revealed that foodborne botulism remains a public health issue in China. Therefore， strengthening education regarding the health risks of consuming homemade， traditionally pickled foods is critical to safeguarding public health.
一说念食用腌鸡蛋导致的A3型肉毒毒素（BoNT/A3）中毒事件的造访呈报 — 威海市，山东省，中国，2024年7月
苗婷婷1；李祥1；胡彬2；张化江1；徐莉1；张东方3；隋苗苗1；韩笑1；李羚1；庄德宇1；于大海4；杨正辉5，#；张金波1，#
1．威海市疾病退缩罢休中心，威海市，山东省，中国；
2．山东省疾病退缩罢休中心，济南市，山东省，中国；
3. 威海市立病院，威海市，山东省，中国；
4. 环翠区疾病退缩罢休中心，威海市，山东省，中国；
5. 威海市卫生健康委员会，威海市，山东省，中国。
# 通讯作家：杨正辉， whsjkzxbgs@wh.shandong.cn; 张金波， whsjkzxsys@wh.shandong.cn。
肉毒梭状芽孢杆菌是一种严格的厌氧性革兰氏阳性细菌，其孢子平常存在于泥土和牲口粪便中。当生果、蔬菜、肉类和谷物等食物被肉毒梭状芽孢杆菌孢子浑浊时，这些细菌可在厌氧要求下马上繁衍并产生毒素。本策动报说念了中国威海一说念由平正腌鸡蛋中肉毒梭状芽孢杆菌引起的食源性肉毒中毒事件。2024年7月15日，两名疑似食源性肉毒中毒患者因呼吸困难和眼睑下垂等症状被送往病院急诊科就诊。这两名患者王人曾食用过平正腌鸡蛋。7月16日至17日，病院又收治了三名有雷同食物构兵史和近似症状的患者。流行病学造访流露，共有8东说念主食用平正腌鸡蛋，5东说念主出现眼睑下垂、呼吸困难等中毒症状，3东说念主无症状。经肉毒毒素抗毒素调养后均好转，无牺牲病例。本次暴发中共分离得到12株肉毒梭菌，系统发育分析标明他们王人属于归并开端。通过全基因组测序技能取得肉毒杆菌全基因组序列，Blast和bont基因簇共线性分析扫尾标明分离得到的肉毒梭菌属于BoNT/A3型。
总之，本次暴发事件是由食用被BoNT/A3肉毒毒素浑浊的腌鸡蛋导致的食源性暴发事件。本次造访标明，食源性肉毒中毒在中国一经一个寰球卫生问题。因此，加强对于食用平正传统腌制食物健康风险的讲明对于保险公众健康至关重要。
For more information: https://weekly.chinacdc.cn/en/article/doi/10.46234/ccdcw2024.273taylor swift ai换脸