{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T14:31:26Z","timestamp":1792247486687,"version":"4.4.0"},"reference-count":53,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      <jats:italic>Salmonella<\/jats:italic>\n                      infection is a common cause of bacterial foodborne diseases (FBDs) globally. In this study, we aimed to explore the epidemiological and etiological characteristics of\n                      <jats:italic>Salmonella<\/jats:italic>\n                      infection from 2012\u20132021 in Zhejiang Province, China.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Descriptive statistical methods were used to analyze the data reported by the Centers for Disease Control and Prevention at all levels in Zhejiang Province through the China National Foodborne Diseases Surveillance Network from 2012\u20132021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 11,269\n                      <jats:italic>Salmonella<\/jats:italic>\n                      cases were reported, with an average positive rate of 3.65%, including 1,614 hospitalizations. A significant seasonal trend was observed for\n                      <jats:italic>Salmonella<\/jats:italic>\n                      cases, with the highest rate over the summer period, peaking from May to October, accounting for 77.96%. The results indicated a higher positive rate among respondents aged 0\u20134 years, especially for the scattered children (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.05). The highest number of\n                      <jats:italic>Salmonella<\/jats:italic>\n                      infections were caused due to contaminated fruit and fruit products. Households (54.69%) had the most common exposure settings. Serotypes analysis revealed that\n                      <jats:italic>Salmonella typhimurium<\/jats:italic>\n                      (36.07%),\n                      <jats:italic>Salmonella enteritidis<\/jats:italic>\n                      (15.17%), and\n                      <jats:italic>Salmonella london<\/jats:italic>\n                      (6.05%) were the dominant strains among the 173 serotypes. Diarrhea, abdominal pain, fever, nausea, and vomiting were the main symptoms of these serotypes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      FBDs caused by\n                      <jats:italic>Salmonella<\/jats:italic>\n                      are important issues for public health in Zhejiang Province, and there is a need to focus on the epidemiological and etiological characteristics to control\n                      <jats:italic>Salmonella<\/jats:italic>\n                      infections.\n                    <\/jats:p>\n                  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