背景：疾病控制和预防中心通过2个监测系统监测弧菌病：全国霍乱和其他弧菌疾病监测（COVIS）系统和10个州食源性疾病主动监测网络（FoodNet）。COVIS进行被动监测，FoodNet对实验室确认的弧菌感染进行主动监测。
方法：我们总结了从1996年至2010年向COVIS和FoodNet报告的弧菌感染（不包括产毒霍乱弧菌O1和O139）。对于每个系统，我们使用美国人口普查局对监测区域的人口估计值计算了发病率.
结果：从1996年到2010年，COVIS报告了7700例，FoodNet报告了1519例。从1996年到2010年，在这两个系统中，每100,000人口中报告的弧菌病的年发病率都有所增加，在COVIS中从0.09到0.28，在FoodNet中从0.15到0.42。3种常见的弧菌是副溶血性弧菌，五、创伤,和溶藻弧菌；两个监测系统都显示每个的发病率增加。在这两个系统中，大多数住院和死亡是由创伤弧菌感染引起的，大多数病人是白人。病例数量在夏季达到顶峰。
结论：来自COVIS和FoodNet的监测数据表明，从1996年到2010年，总体上以及3种最常报告的物种中的每一种，弧菌病的发病率都有所增加。两种系统的流行病学模式相似。目前的预防努力未能防止弧菌病发病率的增加；需要更有效的努力来降低发病率。
BACKGROUND: The Centers for Disease Control and Prevention monitors vibriosis through 2 surveillance systems: the nationwide Cholera and Other Vibrio Illness Surveillance (COVIS) system and the 10-state Foodborne Diseases Active Surveillance Network (FoodNet). COVIS conducts passive surveillance and FoodNet conducts active surveillance for laboratory-confirmed Vibrio infections.
METHODS: We summarized Vibrio infections (excluding toxigenic V. cholerae O1 and O139) reported to COVIS and FoodNet from 1996 through 2010. For each system, we calculated incidence rates using US Census Bureau population estimates for the surveillance area.
RESULTS: From 1996 to 2010, 7700 cases of vibriosis were reported to COVIS and 1519 to FoodNet. Annual incidence of reported vibriosis per 100,000 population increased from 1996 to 2010 in both systems, from 0.09 to 0.28 in COVIS and from 0.15 to 0.42 in FoodNet. The 3 commonly reported Vibrio species were V. parahaemolyticus, V. vulnificus, and V. alginolyticus; both surveillance systems showed that the incidence of each increased. In both systems, most hospitalizations and deaths were caused by V. vulnificus infection, and most patients were white men. The number of cases peaked in the summer months.
CONCLUSIONS: Surveillance data from both COVIS and FoodNet indicate that the incidence of vibriosis increased from 1996 to 2010 overall and for each of the 3 most commonly reported species. Epidemiologic patterns were similar in both systems. Current prevention efforts have failed to prevent increasing rates of vibriosis; more effective efforts will be needed to decrease rates.
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