{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T14:55:39Z","timestamp":1715352939169},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Przegl Epidemiol"],"abstract":"<p style=\"text-align: left;\"><strong>OBJECTIVES.<\/strong> The aim of this study is to assess the epidemiological situation of foodborne botulism in Poland in 2018-2021, compared to previous years.<br \/> <strong>MATERIALS AND METHODS.<\/strong> The assessment is based on an analysis of aggregated surveillance data from the annual bulletin \u201cInfectious Diseases and Poisons in Poland\u201d from 2013-2021, as well as botulism case reports collected by sanitary epidemiological stations and sent to the Department of Epidemiology of Infectious Diseases and Surveillance of the NIPH NIH \u2013 NRI or provided by EpiBase.<br \/><strong>RESULTS.<\/strong> A total of 54 foodborne botulism cases were registered between 2018 and 2021, including 31 (57.4%) cases of laboratory-confirmed botulism intoxication. Most cases (46 cases, 85.2%) were sporadic. The declining trend in the number of notifications continued throughout the time period, and the incidence recorded in 2021 (0.02 per 100,000 population) was the lowest since the introduction of mandatory reporting and registration of botulism in Poland. The highest median annual incidence was recorded in the Warmisko-Mazurskie (0.18), but many voivodeships reported only single notifications or none. The decreasing trend in rural areas relative to the level of incidence in urban areas continued. Men (incidence in men more than twice that of women) and people aged 50-59 predominated. All patients were hospitalized. According to the State Sanitary Inspection, there were 3 deaths (mortality of 5.6%).<br \/> <strong>CONCLUSIONS.<\/strong> In 2018-2021, the downward trend in the number of foodborne botulism notifications in Poland continued. At the same time, the considerable proportion of cases reported by physicians without laboratory confirmation and not meeting the definition of botulism adopted in other EU countries is noteworthy. The incidence in rural areas decreases to the level of incidence in urban areas, and the previously observed geographical distribution of cases diminishes.<\/p>\n<p style=\"text-align: left;\"><strong>CEL PRACY.<\/strong> Celem niniejszej pracy jest ocena sytuacji epidemiologicznej zatru\u0107 pokarmowych jadem kie\u0142basianym w Polsce w latach 2018-2021 w por\u00f3wnaniu z latami poprzednimi.<br \/> <strong>MATERIA\u0141 I METODY.<\/strong> Ocen\u0119 przeprowadzono w oparciu o analiz\u0119 danych zbiorczych z rocznych biuletyn\u00f3w \u201eChoroby zaka\u017ane i zatrucia w Polsce\u201d z lat 2013-2021 oraz danych indywidualnych z raport\u00f3w jednostkowych o zachorowaniach na botulizm wype\u0142nianych przez stacje sanitarno epidemiologiczne i przesy\u0142anych do Zak\u0142adu Epidemiologii Chor\u00f3b Zaka\u017anych i Nadzoru NIZP PZH \u2013 PIB lub zamieszczonych w EpiBazie.<br \/> <strong>WYNIKI.<\/strong> W latach 2018-2021 zarejestrowano w Polsce og\u00f3\u0142em 54 zachorowania, w tym 31 (57,4%) przypadk\u00f3w potwierdzonych laboratoryjnie wykazaniem obecno\u015bci toksyny botulinowej. Wi\u0119kszo\u015b\u0107 przypadk\u00f3w (46 zachorowa\u0144, 85,2%) stanowi\u0142y zachorowania sporadyczne. Przez ca\u0142y okres utrzymywa\u0142 si\u0119 trend spadkowy w liczbie zg\u0142osze\u0144,<br \/>a odnotowana w 2021 r. zapadalno\u015b\u0107 (0,02 na 100 000 ludno\u015bci) by\u0142a najni\u017csz\u0105 od czasu wprowadzenia w Polsce obowi\u0105zku zg\u0142aszania i rejestracji botulizmu. Najwy\u017csz\u0105 median\u0119 rocznej zapadalno\u015bci odnotowano w wojew\u00f3dztwie warmi\u0144sko mazurskim (0,18), wiele wojew\u00f3dztw zg\u0142asza\u0142o jednak jedynie pojedyncze zachorowania lub nie zg\u0142asza\u0142o ich wcale. Utrzyma\u0142 si\u0119 trend obni\u017cania si\u0119 zapadalno\u015bci na wsi do poziomu zapadalno\u015bci w miastach. Cz\u0119\u015bciej chorowali m\u0119\u017cczy\u017ani (zapadalno\u015b\u0107 ponad 2-krotnie wy\u017csza od zapadalno\u015bci kobiet) oraz osoby w wieku 50-59 lat. Hospitalizowano wszystkich chorych. Wed\u0142ug danych Pa\u0144stwowej Inspekcji Sanitarnej odnotowano 3 zgony (\u015bmiertelno\u015b\u0107 5,6%).<br \/> <strong>WNIOSKI.<\/strong> W latach 2018-2021 utrzymywa\u0142a si\u0119 w Polsce tendencja spadkowa liczby zg\u0142aszanych zatru\u0107 pokarmowych jadem kie\u0142basianym. Jednocze\u015bnie zwraca uwag\u0119 znacz\u0105cy odsetek przypadk\u00f3w zg\u0142aszanych przez lekarzy bez potwierdzenia laboratoryjnego, nie spe\u0142niaj\u0105cych kryterium definicji botulizmu przyj\u0119tej w innych krajach UE. Zapadalno\u015b\u0107 na wsi obni\u017ca si\u0119 do poziomu zapadalno\u015bci w miastach, a tak\u017ce zacieraj\u0105 si\u0119 obserwowane wcze\u015bniej r\u00f3\u017cnice terytorialne.<\/p><\/jats:p>","DOI":"10.32394\/pe.77.22","type":"journal-article","created":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T08:05:30Z","timestamp":1697011530000},"page":"233-240","source":"Crossref","is-referenced-by-count":1,"title":["Foodborne botulism in Poland in 2018-2021"],"prefix":"10.32394","volume":"77","author":[{"given":"Micha\u0142","family":"Czerwi\u0144ski","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miros\u0142aw P.","family":"Czarkowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17323","published-online":{"date-parts":[[2023,10,5]]},"container-title":["Przeglad Epidemiologiczny"],"original-title":["Zatrucia jadem kie\u0142basianym w Polsce w latach 2018-2021"],"link":[{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-181120-101681","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-181120-101681","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T08:43:06Z","timestamp":1709887386000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/Foodborne-botulism-in-Poland-in-2018-2021,181120,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,5]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023]]}},"alternative-id":["181120"],"URL":"https:\/\/doi.org\/10.32394\/pe.77.22","relation":{},"ISSN":["0033-2100","2545-1898"],"issn-type":[{"value":"0033-2100","type":"print"},{"value":"2545-1898","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,5]]}}}