ndtp-bv bach mai 2007 2012 vietnam.pdf

TNH HNH NG C THC PHM 2007 - 2012V GII PHP PHNG CHNG NG C THC PHM

TRONG THI GIAN TI

TS. Trn Quang Trung, TS. Lm Quc HngCc An ton thc phm, B Y t

H Ni, Thng 10/2013

t vn

i tng, phng php nghin cu

Kt qu nghin cu

Gii php kim sot thi gian ti

NI DUNG TRNH BY

ATTP: Din bin phc tp; nh hng n SK, tnh mng, pht trin KT- XH v ging ni. Hu qu: NTP, FBDs.

Nc pht trin: 10% DS b NTP v FBDs/nm; M 5% DS/nm (>10 triu ca/nm), 175 ca/100.000 vi 5.000 ngi cht/nm; Anh 190 ca/100.000; Nht 20 - 40 ca/100.000 dn; c 4,2 triu ca/nm

Nc km pht trin: t l NTP v FBDs/nm cao hn.

Bo co NTP: ch t 1% s ca b NTP.

Nguyn nhn NTP: TP b nhim tc nhn NTP (t mi trng, bo qun, TP c c, KVS SX, CB TP, tiu dng TP khng AT).

NTP l hin tng SK ca cng ng; Phn tch c im NTP ti Vit Nam nhn dng, kin ngh cc gii php phngchng NTP cho cng ng.

I. T VN

II. I TNG V PHNG PHP NC

1. I TNG V THI GIAN:

Cc v NTP ghi nhn 63 tnh/TP T.

T thng 1/2007 12/2012.

2. THIT K NGHIN CU:

- Hi cu BC v NTP ca 63 tnh TP gi v Cc ATTP BYT (2007-2012).

- V NTP: ngi/v hoc c 1 ngi mc v cht.

- Mu M2: Quyt nh 01/2006/Q-BYT ngy 09/ 01/2006.

3. PHN TCH S LIU:

x l v phn tch theo phng php thng k y sinh.

1. C IM V NG C THC PHM GIAI ON 2007 2012

III. KT QU NGHIN CU

TT NmKt qu iu tra

V ng c (v) S mc (ngi) Cht (ngi)

1 2007 247 7.329 55

2 2008 205 7.828 61

3 2009 152 5.212 35

4 2010 175 5.664 51

5 2011 148 4.700 27

6 2012 168 5.541 34

Trung bnh/nm 182 (148- 247) 6.045 (4.700 - 7.828) 43 (27 61)

Tng cng 1.095 36.274 263

(T 2 ngi mc hoc c 1 ngi cht tr ln do thc phm)

Phn b v, mc, cht NTP theo nm (2007-2012)

247

7329

55 205

7828

61 152

5212

35 175

5664

51 148

4700

27 168

5541

340

1000

2000

3000

4000

5000

6000

7000

8000

2007 2008 2009 2010 2011 2012

V

Ca mc

Cht

c t l mc, cht do NTP c ghi nhn /100.000 dn t cc v NTP

6.16.5

5.3

6.3

0.07 0.07 0.04 0.06 0.03 0.04

8.7 9.2

0

1

2

3

4

5

6

7

8

9

10

2007 2008 2009 2010 2011 2012Nm

McCht

S mc, cht trong v NTP theo quy m t nm 2007 - 2012

Ch sKt qu gim st 2007 - 2012

2007 2008 2009 2010 2011 2012

1. V ng c thc phm 30 ngi/v

S v (v, %) 62/25,1 55/26,8 49/32,2 48/27,4 32/21,6 39/23,2

Mc (ngi, %) 5.677/77,5 6.516/83,2 4.320/82,9 4.606/81,3 3.585/76,3 4.307/77,7

Cht (ngi, %) 0/0 1/1,6 0/0 6/11,5 1/3,7 0/0

2. V ng c thc phm < 30 ngi/v

S v (v) 185/74,9 150/73,2 103/67,8 127/72,6 116/78,4 129/76,8

Mc (ngi) 1.652/22,5 1.312/16,8 892/17,1 1.058/18,7 1.115/23,7 1.234/22,3

Cht (ngi) 55/100 60/98,4 35/100 46/88,5 26/96,3 34/100

Phn b s mc theo quy m cc v ng c thc phm

5677

1652

6516

1312

4320

902

4606

1058

3585

1115

4307

1234

0

1000

2000

3000

4000

5000

6000

7000Ngi

2007 2008 2009 2010 2011 2012

V=>30

V

055

1

60

0

35

6

45

1

26

0

34

0

19

0

10

20

30

40

50

60Ngi

2007 2008 2009 2010 2011 2012 2013

V =>30V

Phn b v ng c thc phm theo 7 vng sinh thi

19.8

28.8

34.232.6

34.536.3

13.411.7

10.5

4.6

8.8

11.311.7 12.214.5

10.3

14.2

11.9

14.2

10.2

15.1

11.4

4.7

10.19.3

6.84.6

12

6.1

12.514.6

9.3

12.510.3

12.210.1

17

21

8.6

18.9 19.6

7.7

0

5

10

15

20

25

30

35

40

2007 2008 2009 2010 2011 2012

Min nipha Bc

ng bngBc b

Bc Trungb

Duyn HiMin trung

Ty Nguyn

Min ngNam b

ng bngSng culong

Min ni pha Bc l khu vc xy ra nhiu ng c thc phm nht: 19.836.3% s v/nm; ng bng Sng cu Long t nht 5.6-21% s v/nm

A IM NG C THC PHM

Ng c thc phm xy ra tp trung ti:

Bp n gia nh: chim t 48,660,6% s v/nm.

Bp n tp th: chim t 13,1- 20,6% s v/nm.

Cc loi c s nguyn nhn khc u xy ra ccv NTP nhng chim t l t hn: TP; Nh hng,

KS; ba tic ng ngi

a im xy ra v ng c thc phm t nm 2007- 2012

TT a im xy ra NTP

Nm

2007 2008 2009 2010 2011 2012

S lng/%

S lng/%

S lng/%

S lng/%

S lng/%

S lng/%

1 Gia nh 120/48,6 112/54,6 79/52,0 106/60,6 80/54,0 95/56,5

2 Nh hng 4/1,6 1/0,5 2/1,3 4/2,3 7/4,7 8/4,8

3 Nh tr 3/1,2 4/1,0 1/0,7 0/0 0/0 6/3,6

4 Bp n tp th 51/20,6 32/15,6 30/19,7 23/13,1 29/19,6 23/13,7

5 Khch sn 3/1,2 1/0,5 2/1,3 1/0,6 4/2,7 2/1,2

6 m ci/gi 33/13,4 34/16,6 22/14,5 16/9,1 12/8,1 15/8,9

7 Thc n ng ph 11/4,5 11/5,4 6/3,9 10/5,7 9/6,1 3/1,8

8 Bp n trng hc 10/4,0 4/2,0 3/2,0 4/2,3 3/2,0 4/2,4

9 Khc 12/4,9 6/2,9 7/4,6 11/6,3 4/2,7 11/6,5

Tng cng 247/100 205/100 152/100 175/100 148/100 168/100

THC N NGUYN NHN TRONG V NG C NM 2007 - 2013

Ru, 2.4

Nm, 13.2

C qu, 2

Sa v SP, 1 hn hp, 40

SP c, 4.9

C khc, 5.4

C nc, 3.4

Ng cc v SP, 7.8

Tht v SP, 9.3

15

Nguyn nhn trong cc v ng c t nm 2007 n nm 2012

36.4

7.8 9.2

40.8

27.7

45.8

27.4

7.70.5 0.7 2.6

10.87.1 5.1

27.1 25.419.1

27 27 25.6 24.828.7

66.371.1

29.634.5

21.4

42.6

0

10

20

30

40

50

60

70

80

2007 2008 2009 2010 2011 2012 Trung bnh

VSV HC c t TN Khng r

NGUYN NHN NG C THC PHM

5.1

24.8

42.6

27.4

VSV HC TTN Khng r

NGUYN NHN T VONG TRONG CCV NG C THC PHM

c t t nhin l nguyn nhn chnh dn n t vong do NTP(chim t 58,1% - 80,6% s trng hp t vong do NTP).

Nm c

20,8 v/nm 90,8 mc/nm 8,8 cht/nm

C nc

5,3 v/nm 15,3 mc/nm 4,3 cht/nm

Cc

3,3 v/nm 10,2 mc/nm 2,2 cht/nm

Tc nhn: Ng c do s dng ru cha c t gy ng c (ru c hmlng Methanol cao, ru ngm cy c):

5,5 v/nm, 6,5 ngi mc/v 1,8 ngi cht/v

Nguyn nhn:

Gian ln thng mi (pha ch ru t cn cng nghip), c bit l tnhtrng s dng Methanol lm tng cn trong ru.

thc ca ngi dn trong s dng ru, cn s dng ru khng rngun gc, ru t pha ch.


Tp trung nhiu H GiangT 2006 2012 ghi nhn 21 v, lm 105ngi mc v 44 ngi t vong.

Nguyn nhn chnh do ngi dn,c bit l ng bo dn tc thiu s vns dng bt ng B MC (DO LU SAU KHI NGM, ) khng mATTP trong ch bin.

Ng c DO C T TRONG bnh tri ng


Thng tin, tuyn truyn cc i tng lin quan nng cao hiu bit, t gic THAY I HNH VI, c trch nhim trong vic d phng, tham gia cng tc phng chng NTP khi xy ra NTP. c bit l i tng C NGUY C CAO V AN TON THC PHM, ng bo dn tc thiu s vng su, vng xa, ng dn ti cc tnh/thnh ph ven bin:

- Ngi sn xut, kinh doanh thc phm;- Ngi tiu dng thc phm;- Ngi qun l ATTP.

Phn vng dch t NTP; tp trung trin khai cc bin php phng chng i vi loi NTP ph hp vi c im tnh hnh a phng, tp trung:

- Gim cht (NTP do c t t nhin);- Gim mc (NTP BTT, l hi).

IV. GII PHP PHNG CHNG NTP

Tng cng cc hot ng cnh bo nguy c ATTP:

(1) Gim st pht hin nguy c NTP (nh k, t sut) pht hin sm nguy c ATTP:

(2) Qun l c hiu qu cc nguy c nhim thc phm.

Tp trung kim sot ch ng v d phng hiu qu NTP (kimsot cc mi nguy do n phi nm c, c nc, cc, sn phmlm t bt ng cc b mc nh bnh dy, bnh tri ng; rukhng m bo an ton thc phm).

GII PHP

Chun ha cc hot ng iu tra NTP, truy xut ngun gc thc phmnguyn nhn lm c s khoa hc x l trit cc v NTP.

- Truy nguyn ngun gc cc thc phm nguyn nhn t xut cc gii php bn vng, x l trit v d phng ng c.

- Ch ng gim st, pht hin sm nguy c NTP kim sot.

- Nng cao nng lc h thng nhm chun ha nng lc chuyn mnk thut sn sng cc phng n k hoch vt t trang b cp cu iu tr xl mt cch c hiu qu khi xy v NTP.

- T chc sn lc lng chuyn mn cc cp, nhng ni c nguyc hay xy ra NTP nh bp n tp th, l hi, khu du lch.

GII PHP

KT LUN

1. T 2007 2012: 1.095 v, 36.274 ca mc, 263 ngi cht; 182 v/nm 6.045ngi mc/nm v 43 ngi cht/nm.

# c t l mc trong cc v 8 ca/100.000/nm, cht 0,05 ngi/100.000.# V NTP ln ( 30ngi): 21,6-32,2% s v, 76,3-83,2% mc v 0

11,5% tng s cht; V NTP nh v va (

2. Cc bin php phng chng ng c thc phm:

a) Mc tiu: D phng sm; gim mc; gim cht.

b) Cc nhm gii php:

-Tng cng TTGDTT: Chuyn i hnh vi;

-Gim st ch ng, t sut: Pht hin nguy c, cnh bo v qun l sm;

-Tp trung bin php vo i tng bp n tp th v ba n ng ngi; ngc thc phm do c t t nhin v ba n gia nh.

-Tng cng gim st, pht hin sm bnh nhn, t chc cp cu, iu tr kpthi ngay ti tuyn c s.

-Nng cao nng lc chn on, cp cu, iu tr; iu tra, x l v NTP.

TRN TRNG CM N!

Slide Number 1Slide Number 3II. I TNG VA PHNG PHAP NCSlide Number 5Slide Number 6Slide Number 7Slide Number 8Slide Number 9Slide Number 10Slide Number 11IA IM NG C THC PHMSlide Number 13Slide Number 14Slide Number 15Slide Number 16Slide Number 17Slide Number 18Slide Number 19Slide Number 20Slide Number 21Slide Number 22Slide Number 23Slide Number 24Slide Number 25

ndtp-bv bach mai 2007 2012 vietnam.pdf

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