目的探讨江阴市食源性急性胃肠炎的发病规律、特点和经济与社会负担,为制定预防和控制措施提供依据。方法在全市共设立100个监测点,每月进行1次入户调查,调查资料建立数据库,并按时间、场所、致病因素、发病、就诊、住院情况及社会经济负担进行分析。结果江阴市食源性急性胃肠炎发病率为0.392 1次/人年,患者达47.05万人次;就诊率为69.44%,住院率为8.00%;好发地点为自己家中,占55.56%,引起的原因食品以水产品为最高,占27.78%,城市发病率高于农村(χ2=142.24,P<0.005),性别间差异无统计学意义(χ2=2.49,P>0.05),≥70岁组和<5岁组发病率高,临床症状以腹泻、腹痛为主,高发的时间为5、8月份,呈双峰季节分布,全市经济负担达11 028.52万元,造成旷工(课)11.10万天。结论江阴市食源性急性胃肠炎发病率、就诊率、住院率均高于我国其他地区和其他发达国家,发病、社会、经济负担依然较重,应不断建立健全食源性疾病监测机制,加强疾病负担研究。 Objective To investigate the incidence, characteristics, economic and social burden of food-induced acute gastroenteritis in Jiangyin City and provide the basis for the formulation of prevention and control measures. Methods A total of 100 monitoring points were set up in the city and a household survey was conducted once a month. Data were collected from the survey data and analyzed according to time, place, risk factors, incidence, treatment, hospitalization and socioeconomic burdens. Results The incidence of food-borne acute gastroenteritis in Jiangyin City was 0.392 1 times / person-year, reaching 470,500 person-times. The visiting rate was 69.44% and the hospitalization rate was 8.00%. The incidence was 55.56% (27.2%), the incidence of urban diseases was higher than that of rural areas (χ2 = 142.24, P <0.005), and there was no significant difference between the sexes (χ2 = 2.49, P> 0.05) And <5-year-old group of high incidence of clinical symptoms of diarrhea, abdominal pain-based, high incidence of the time in May and August, the bimodal season distribution, the city’s economic burden of 110285200 yuan, resulting in absenteeism (lesson) 11.10 million days . Conclusions The incidence of food-borne acute gastroenteritis, visiting rate and hospitalization rate in Jiangyin City are all higher than those in other areas in China and other developed countries. The incidence, social and economic burdens are still high. Jiangyin should continuously establish and improve a monitoring system for foodborne diseases, Strengthen the burden of disease research.