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Publication
Investigação laboratorial de surtos de toxinfeções alimentares, 2015
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Advisor(s)
Abstract(s)
O Instituto Nacional de Saúde Doutor Ricardo Jorge (INSA), em parceria
com a Direção-Geral de Alimentação e Veterinária (DGAV), notifica anualmente
à European Food Safety Authority (EFSA) os dados dos surtos de
toxinfeção alimentar ocorridos em Portugal, cuja investigação laboratorial
é efetuada no INSA. De acordo com as orientações da Organização
Mundial da Saúde (OMS) e da EFSA, em 2015, no Departamento de Alimentação
e Nutrição do INSA, foram compilados e analisados os dados
referentes a 20 surtos, tendo sido afetados 421 indivíduos, dos quais 96
foram hospitalizados, não tendo sido reportados óbitos. O local onde os
alimentos foram consumidos ou onde ocorreu uma ou mais etapas finais
de preparação foi identificado em 90% dos surtos (75% locais públicos e
25% domésticos). O agente causal e/ou suas toxinas foram identificados
em 50% dos surtos: Toxina botulínica tipo B, C. per fringens, Salmonella
Enteritidis, Listeria monocy togenes serogrupo IVb, E. coli verotoxigénica
não-O157, Enterotoxina estafilocócica tipo A e Shigella sonnei. Foram
identificados como principais fatores contributivos o tratamento térmico
inadequado, abusos tempo/temperatura e ocorrência de contaminações
cruzadas. De acordo com a Diretiva 2003/99/CE, a EFSA em colaboração
com o European Centre for Disease Prevention and Control (ECDC)
elabora anualmente um relatório técnico com informação relativa aos
Estados-Membros, de modo a gerar evidência científica que permita a
otimização dos sistemas de segurança alimentar implementados, assim
como os programas de educação para a saúde, minimizando o impacte
humano, económico e social destas doenças na Europa.
National Health Institute Doutor Ricardo Jorge (INSA) in partnership with the Directorate-General of Food and Veterinary Medicine (DGAV), notifies each year to the European Food Safety Authority (EFSA) the data of foodborne outbreaks that occurred in Portugal, whose laboratory investigation was done by INSA. According to the guidelines of World Health Organization (WHO) and EFSA, in 2015 in the Food and Nutrition Department of INSA data from 20 outbreaks were compiled and analyzed; involving 421 cases, 96 hospitalizations and no fatal cases were reported. The places where food was consumed or where the final stages of preparation of the food vehicle took place were identified in 90% of the outbreaks (75% public places and 25% households). The causative agents or its toxins were identified in 50% of the outbreaks analyzed: Botulinum toxin type B, C. perfringens, Salmonella Enteritidis, Listeria monocytogenes serogroup IVb, E. coli verotoxigenic non-O157, Staphylococcus toxin type A and Shigella sonnei. The main contributory factors identified were inadequate heat treatment, time/temperature abuse and occurrence of cross-contaminations. In accordance with Directive 2003/99/EC, EFSA in collaboration with European Centre for Disesese Prevention and Control (ECDC) prepares annually a technical report with information from the Member States, in order to produce scientific evidence that allows the optimization of implemented food safety systems, as well as health education programs, minimizing the human, economic and social impact of these diseases in Europe.
National Health Institute Doutor Ricardo Jorge (INSA) in partnership with the Directorate-General of Food and Veterinary Medicine (DGAV), notifies each year to the European Food Safety Authority (EFSA) the data of foodborne outbreaks that occurred in Portugal, whose laboratory investigation was done by INSA. According to the guidelines of World Health Organization (WHO) and EFSA, in 2015 in the Food and Nutrition Department of INSA data from 20 outbreaks were compiled and analyzed; involving 421 cases, 96 hospitalizations and no fatal cases were reported. The places where food was consumed or where the final stages of preparation of the food vehicle took place were identified in 90% of the outbreaks (75% public places and 25% households). The causative agents or its toxins were identified in 50% of the outbreaks analyzed: Botulinum toxin type B, C. perfringens, Salmonella Enteritidis, Listeria monocytogenes serogroup IVb, E. coli verotoxigenic non-O157, Staphylococcus toxin type A and Shigella sonnei. The main contributory factors identified were inadequate heat treatment, time/temperature abuse and occurrence of cross-contaminations. In accordance with Directive 2003/99/EC, EFSA in collaboration with European Centre for Disesese Prevention and Control (ECDC) prepares annually a technical report with information from the Member States, in order to produce scientific evidence that allows the optimization of implemented food safety systems, as well as health education programs, minimizing the human, economic and social impact of these diseases in Europe.
Description
Keywords
Toxinfeções Alimentares Avaliação do Risco Segurança Alimentar Infecções Gastrointestinais Vigilância Laboratorial Vigilância Epidemiológica Saúde Pública Portugal
Pedagogical Context
Citation
Boletim Epidemiológico Observações. 2016;5(Supl 8):36-39
Publisher
Instituto Nacional de Saúde Doutor Ricardo Jorge, IP