Poisoning caused by Coriaria sinica maxim among children in Guizhou Province during 2015 to 2020

Abstract

Objective To analyze the occurrence and epidemiological characteristics of acute poisoning caused by Coriaria sinica maxdim in Guizhou Province during 2015 to 2020, and to provide scientific basis for prevention of Coriaria sinica maxim poisoning.

Methods A total of 176 cases of Coriaria sinica maxim poisoning were reported in Guizhou Province during 2015 to 2020, with all of the 505 affected were children and adolescents under 16 years old. No death was reported. Poisoning caused by Coriaria sinica maxim was most commonly reported in the year of 2020, with 97 reported incidents and 292 poisonings. Poisoning incidents were most freqently reported in the mature stage of Coriariasinica fruit during April to June, with 153 cases and 437 poisoning cases reported in May. The top three areas reporting Coriaria sinica maxim poisoning included Bijie, Anshun and Zunyi City, with the number of reported eventws being 57, 27, and 27, and poisoned children and adolescents of 160, 90, and 73. Most of the affected children were from rural areas. The median incubation period was 2 hours, and the primary clinical symptoms included vomiting (93.66%), nausea (58.02%) and abdominal pain (38.42%).

Conclusion A large number of Coriaria sinica maxim poisoning incidents occur due to unsupervised access to Coriaria sinica maxim among rural children. The publicity and education of children, especially for rural left-behind children, should be strengthened to reduce the incidence of Coriaria sinica maxim poisoning.

Abstract

【摘要】 目的 分析贵州省 2015—2020 年马桑果中毒事件发生情况及流行病学特征, 为预防马桑果中毒提供科学依据。 方法 对“食源性疾病暴发监测”系统报告的贵州省 2015—2020 年的马桑果中毒事件进行汇总统计分析。 结果 贵州省 2015—2020 年马桑果中毒事件共报告 176 起, 中毒 505 人, 均为 16 岁以下儿童, 无死亡病例。报告最多的是 2020 年, 报告 事件数 97 起, 中毒人数 292 人；中毒事件报告在马桑果成熟期 4—6 月, 5 月报告最多, 报告事件数 153 起, 中毒 437 人;报 告数最多的前 3 位市(州)为毕节市、安顺市和遵义市, 报告事件数分别为 57, 27, 27 起, 中毒人数分别为 160, 90, 73 人；中 毒主要为农村儿童在野外误采误食;潜伏期中值 2 h, 临床症状以呕吐 (93.66%)、恶心 (58.02%)、腹痛为主 (38.42%)。 结论 农村儿童误采误食是马桑果中毒的主要原因。应加强对儿童, 特别是农村儿童的宣传教育, 以降低马桑果中毒事件的 发生。