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2022 Vol. 4, No. 3

Preplanned Studies
Mushroom Poisoning Outbreaks — China, 2021
Haijiao Li, Hongshun Zhang, Yizhe Zhang, Jing Zhou, Yu Yin, Qian He, Shaofeng Jiang, Peibin Ma, Yutao Zhang, Yuan Yuan, Nan Lang, Bowen Cheng, Mei Wang, Chengye Sun
2022, 4(3): 35-40. doi: 10.46234/ccdcw2022.010
Abstract(12427) HTML (617) PDF 826KB(68)
Abstract:
What is already known about this topic?

Mushroom poisoning is one of the most serious food safety issues in China. Most poisoning incidents resulted from eating mushrooms causing gastroenteritis and psycho-neurological disorder from which patients usually could fully recover. Most deaths resulted from species causing acute liver failure and rhabdomyolysis, and the remaining deaths were attributed to acute renal failure and hemolysis.

What is added by this report?

In 2021, the total number of investigations was 327 from 25 provincial-level administrative divisions, involving 923 patients and 20 deaths, and the overall mortality was 2.17%. Overall, 74 poisonous mushrooms causing 6 different clinical syndromes were successfully identified, 15 of which were newly recorded in China as poisonous mushrooms.

What are the implications for public health practice?

Considering the potential huge risks for collecting and eating wild mushrooms, we strongly advise not collecting and eating unfamiliar wild mushrooms. Promoting knowledge about poisonous mushrooms is essential and urgent to reduce mushroom poisonings. Precise species identification timely after mushroom poisoning is important for appropriate diagnosis and treatment. Many deaths were ascribed to delayed hospitalization.

Prevalence, Incidence, and Characteristics of Tuberculosis Among Known Diabetes Patients — A Prospective Cohort Study in 10 Sites, 2013–2015
Jun Cheng, Yanling Yu, Qiongjin Ma, Zhijian Wang, Qingrong Zhou, Guolong Zhang, Shuangyi Hou, Lin Zhou, Feiying Liu, Lan Xia, Lin Xu, Canyou Zhang, Yinyin Xia, Hui Chen, Hui Zhang, Lixia Wang
2022, 4(3): 41-46. doi: 10.46234/ccdcw2022.004
Abstract(7040) HTML (630) PDF 259KB(37)
Abstract:
What is already known about this topic?

The association of diabetes mellitus (DM) with both increased risk of tuberculosis (TB) and unfavorable treatment outcomes has been identified by many studies (1). However, epidemic data for TB cases in DM patients is absent in China.

What is added by this report?

This current population-based prospective cohort study, conducted in ten counties located in eastern, central, and western China during 2013–2015, revealed a high prevalence and incidence of TB in known DM patients. Most TB cases were captured by active case-finding and a much higher presence of being asymptomatic among TB/DM patients was obtained.

What are the implications for public health practice?

Active case-finding should be carried out in DM patients and populations at high risk for developing TB. A TB symptom screening-based case-finding strategy is not enough; chest radiography check should be done once a year for these patients.

Consumption of Milk and Dairy Products Among Junior High and Senior High School Students — China, 2016–2017
Xiaoli Xu, Xue Cheng, Liyun Zhao, Hongyun Fang, Qiya Guo, Lahong Ju, Shujuan Li, Shuya Cai, Wei Piao, Dongmei Yu
2022, 4(3): 47-51. doi: 10.46234/ccdcw2021.271
Abstract(23410) HTML (681) PDF 248KB(37)
Abstract:
What is already known about this topic?

Chinese dietary guidelines recommend an intake of milk and dairy products to be closely related to human health. Although the production capacity of dairy in China is strong, the per capita consumption of dairy products is not high.

What is added by this report?

This report showed that the consumption rate of milk and dairy products of junior high and senior high school students in China was 82.5% from 2016 to 2017. Only 44.1% of them consumed milk and dairy products every day. Only 20.4% of these students reached intake levels recommended by the Dietary guidelines for Chinese residents (2016).

What are the implications for public health practice?

Milk and dairy products are a key food group in a healthy dietary pattern. To cultivate a healthy eating habit of including dairy for children and adolescents, the government, suppliers, schools, and parents need to cooperate together.

Perspectives
Optimization of the Pre-Hospital Rescue System for Out-of-Hospital Cardiac Arrest in China
Lei Hou, Yumeng Wang, Wenlei Wang
2022, 4(3): 52-55. doi: 10.46234/ccdcw2022.008
Abstract(5808) HTML (587) PDF 254KB(19)
Abstract:

Out-of-hospital cardiac arrest (OHCA) presents a significant public health challenge in China. A sharp contrast in survival rate after OHCA exists between China and more developed countries. Due to the short life-saving time window, emergency medical services (EMS) and bystanders peripheral to EMS are key contributors to survival after OHCA. Here we discuss limitations and challenges for current EMS in rescuing OHCA by reviewing requirements for EMS in China. We call for an updated public health-based pre-hospital rescue system that includes establishing a cardiac arrest registry, promoting a “Three Early’s” campaign [early dialing of emergency hotline 120, early cardiopulmonary resuscitation (CPR), and early defibrillation], and operating a mechanism comprised of professional public health institutions (EMS, CDC, specialized disease prevention and control institutions, and health education institutions) as well as many governmental departments, such as healthcare, industry and information technology, and education, and non-governmental organizations, such as the Red Cross Society. Following the optimization of the pre-hospital rescue system and the participation of the whole population in self-rescue and mutual rescue, we believe that a dramatic improvement in OHCA survival will come about in China.