Epidemiological characteristics and species analysis of mushroom poisoning incidents in Sichuan Province from 2019 to 2022

Abstract

Abstract: Objective The analyze the epidemiological characteristics of mushroom poisoning incidents in Sichuan Province from 2019 to 2022,and provide scientific basis and reference suggestions for the prevention and control of mushroom poisoning in Sichuan Province. Methods Information related to mushroom poisoning in Sichuan Province from 2019 to 2022 was collected from the Food-borne Disease Outbreak Surveillance System. Excel 13.0 was used to organize the relevant data,and the data were analyzed. Results A total of 474 cases of mushroom poisoning were reported in Sichuan Province from 2019 to 2022,with 1 659 cases and 10 deaths,and the case fatality rate was 6.03‰. The period from June to October was a high incidence period for mushroom poisoning incidents,with the number of incidents,incidence,and mortality accounting for 91.77%（435/474）,91.56%（1 519/1 659） and 80%（8/10）,respectively. Mianyang City,Liangshan Prefecture,Zigong City,Yibin City,Guangyuan City,Chengdu City and Luzhou City were the key cities and prefectures,with the number of incidents and incidence of 81.22%（385/474） and 78.72%（1 306/1 659）,respectively. Anzhou District,Yanyuan County,Jiangyou City,Rong County,Youxian District,Wangcang County,Gulin County,Muli Tibetan Autonomous County and Santai County were the key districts and counties,and the number of incidents in these nine districts and counties exceeded 10,accounting for 47.89%（227/474） of the total number of incidents. Families were high-risk places,with the number of incidents,incidence,and mortality accounted for 88.40%（419/474）,81.74%（1356/1659） and 100.00%（10/10）,respectively. The main cause of the incident was self-mining,accounting for 75.20%（379/504）. The main cause of the incident was ingestion and misuse,accounting for 97.28%（465/478）. Among the identified toxic types,gastroentertis type was the main type,accounting for 65.45%（36/55）. Conclusion Relevant departments should increase project funds to support the identification and typing of toadstool species. Key areas should actively carry out health education activities on mushroom poisoning for key populations during the high incidence season,create local wild mushroom science popularization maps,and carry out wild mushroom education in rural areas and households. Grassroots medical institutions should improve the diagnosis ability and treatment level of mushroom poisoning cases. Relevant departments need to continue to strengthen the construction of the monitoring and reporting systems.

Key words: Mushroom poisoning, Epidemiological characteristics, Mushroom species

CLC Number:

R155.3

TONG Zhaoyan, CHEN Wen, XU Yi, LIN Li. Epidemiological characteristics and species analysis of mushroom poisoning incidents in Sichuan Province from 2019 to 2022. [J]OCCUPATION AND HEALTH, 2024, 40(10): 1338-1342.

References

[1] 陈作红. 2000年以来有毒蘑菇研究新进展[J].菌物学报,2014,33(3):493-516.
[2] LIMA A D L,COSTA FORTES R,GARBI NOVASE M R C,et al.Poisonous mushrooms;a review of the most common intoxications[J].Nutr Hosp,2012,27(2):402-408.
[3] JIRI P,RAN W,EUGENIE N,et al.Chemistry and toxicology of major bioactive substances in inocybe mushrooms[J].Int J Mol Sci,2021,22(4):1-13.
[4] SERGEY G,RAMIN R,JOSEF D,et al.Poisoning associated with the use of mushrooms:A review of the global pattern and main characteristics[J].Food Chem Toxicol,2019,128:267-279.
[5] 夏琳琳,邱爽,王若彤,等.2011—2020 年中国食源性疾病暴发的时空趋势[J].卫生研究,2023,52(2):226-231.
[6] 宋阳,李雪梅,陈文,等.2015—2018 年四川省毒蕈中毒病例流行病学分析[J].现代预防医学,2019,46(21):4440-4443,4447.
[7] 宋阳,张誉,陈文,等.2016—2018年四川省毒蕈中毒事件流行病学分析[J].预防医学情报杂志,2021,37(7):982-987.
[8] 王锐,高永军,丁凡,等.中国2004—2011年毒蕈中毒事件分析[J].中国公共卫生,2014,30(2):158-161.
[9] 张誉,陈文,程刚,等.2010—2018年四川省毒蕈引发的食源性疾病事件流行病学分析[J].预防医学情报杂志,2020,36(11):1429-1432,1454.
[10] 朱姝,王娅芳,刘琳,等.贵州省2016—2020年毒蘑菇中毒事件监测分析[J].现代预防医学,2021,48(15):2742-2744,2758.
[11] 欧阳英英,龚晨睿,戴诗玙,等.2016—2020年湖北省毒蘑菇中毒流行特征分析[J].中国食品卫生杂志,2022,34(3):614-617.
[12] 孙亮,陈莉莉,廖宁波,等.2010—2016年浙江省毒蘑菇中毒流行病学分析[J].中国食品卫生杂志,2018,30(3):270-274.
[13] 沈秀莲,黄甜,贾豫晨,等.2005—2019 年云南省毒蘑菇中毒流行病学特征及空间相关分析[J].中国食品卫生杂志,2022,34(1):153-158.
[14] 游兴勇,周厚德,刘洋,等.2012—2017年江西省毒蘑菇中毒事件流行病学分析[J].中国食品卫生杂志,2019,31(6) :588-591.
[15] 赵江,汤钦岚,闵向东,等.2010—2018 年云南省毒蕈中毒事件分析[J].首都公共卫生,2019,13(6):280-282.
[16] 陈国平,孟灿,徐粒子,等.2016—2017年安徽省毒蕈中毒事件流行病学特征分析[J].中国食品卫生杂志,2019,31(2):178-181.
[17] 魏蔷,白光大,邓立权.2015年吉林省毒蕈中毒事件流行病学特征分析[J].中国卫生工程学,2017,16(6):737-739.
[18] 张黎光,李峻志,祁鹏,等.毒蕈鉴别及毒素检测研究进展[J].中国食用菌,2014,33(2):1-3.
[19] 邓春英,康超,向准,等.贵州省毒蘑菇资源名录[J].贵州科学,2018,36(5):24-30.
[20] 陈作红,杨祝良,图力古尔,等.毒蘑菇识别与中毒防治[M].北京:科学技术出版社,2016:13-14.
[21] 李林静,李高阳,谢秋涛.毒蘑菇毒素的分类与识别研究进展[J].中国食品卫生杂志,2013,25(4):383-387.
[22] 曾立爱,刘成伟,游兴勇,等.2015—2019 年江西省毒蕈中毒病例流行病学特征分析[J].中国食品卫生杂志,2021,33(2):242-247.
[23] 刘鑫源,王瑞,罗勇军.我国毒蕈中毒的医学地理特点及诊治研究进展[J].人民军医,2019,62(4):373-377.
[24] 卢中秋,洪广亮.高度重视,提高毒蕈中毒的临床救治水平[J].中华急诊医学杂志,2018,27(3):245-247.
[25] 朱加应,董裕康,任亦频,等.贵州省毒蕈中毒诊断与治疗指南(2020版)[J].贵州医药,2020,44(9):1369-1372.