Quantitative risk assessment of acquiring listeriosis from consumption of minimally processed vegetables

J. Ponniah, Tunung Robin, Margaret Selina Paie, L. Chai, S. Radu, Y. Cheah, Farinazleen Mohd. Ghazali, M. Nishibuchi, Y. Nakaguchi, P. Malakar
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Abstract

Listeriosis is a serious invasive disease with high fatality rates especially among the vulnerable population. Although the causative pathogen had been detected in several foods in Malaysia, there have so far been no reported cases of listeriosis in Malaysia. The aim of this study was to carry out a quantitative risk assessment to estimate the risk of acquiring listeriosis through the consumption of minimally processed salad vegetables in Malaysia. The probability of illness per serving was calculated using an exponential dose-response model for high-risk and low-risk groups of consumer using the stochastic approach. The risk estimate of acquiring listeriosis for the healthy population was 1.98 × 10 –4 per 100,000 population. For susceptible population, the risk estimate was considerably higher, i.e., 0.172 per 100,000 population for AIDS patients, 0.00496 per 100,000 population for diabetics and 0.149 per 100,000 for the elderly population.
食用最低限度加工蔬菜感染李斯特菌病的定量风险评估
李斯特菌病是一种严重的侵袭性疾病,致死率高,特别是在脆弱人群中。虽然在马来西亚的几种食品中发现了致病病原体,但到目前为止,马来西亚尚未报告李斯特菌病病例。本研究的目的是进行定量风险评估,以估计在马来西亚通过食用最低限度加工的沙拉蔬菜获得李斯特菌病的风险。使用指数剂量-反应模型对高风险和低风险消费者群体使用随机方法计算每次服务的患病概率。健康人群感染李斯特菌病的风险估计值为1.98 × 10 -4 / 10万。对于易感人群,风险估计要高得多,即艾滋病患者每10万人中有0.172人,糖尿病患者每10万人中有0.00496人,老年人每10万人中有0.149人。
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