{"id":122845,"date":"2026-06-19T08:51:15","date_gmt":"2026-06-19T08:51:15","guid":{"rendered":"https:\/\/www.europesays.com\/cz\/122845\/"},"modified":"2026-06-19T08:51:15","modified_gmt":"2026-06-19T08:51:15","slug":"prymula-stat-zasadne-pochybil-mel-zjistit-kolik-toxinu-deti-vypily","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/cz\/122845\/","title":{"rendered":"Prymula: St\u00e1t z\u00e1sadn\u011b pochybil. M\u011bl zjistit, kolik toxinu d\u011bti vypily"},"content":{"rendered":"

Epidemiolog a\u00a0b\u00fdval\u00fd ministr zdravotnictv\u00ed Roman Prymula kritizuje postup \u010desk\u00fdch \u00fa\u0159ad\u016f v\u00a0kauze kontaminovan\u00e9ho kojeneck\u00e9ho ml\u00e9ka. Vysok\u00e9 koncentrace toxinu cereulid, kter\u00e9 Seznam Zpr\u00e1vy odhalily ve vzorc\u00edch stahovan\u00e9 v\u00fd\u017eivy, ozna\u010duje za z\u00e1va\u017en\u00fd n\u00e1lez. Je\u0161t\u011b ost\u0159eji ale kritizuje postup st\u00e1tu, kter\u00fd podle n\u011bj dot\u010den\u00e9 \u0161ar\u017ee v\u016fbec neotestoval.<\/p>\n

\u201eSt\u00e1t z\u00e1sadn\u011b pochybil. M\u011bl zjistit, jestli toxinu nebylo v\u00a0ml\u00e9ce je\u0161t\u011b v\u00edc,\u201c \u0159\u00edk\u00e1 v\u00a0rozhovoru pro Seznam Zpr\u00e1vy a\u00a0dod\u00e1v\u00e1, \u017ee bez dat z\u00a0testov\u00e1n\u00ed zkr\u00e1tka nelze vyhodnotit skute\u010dn\u00e9 riziko pro populaci. St\u00e1t m\u011bl podle n\u011bj ud\u011blat v\u0161e pro to, aby zjistil, jak\u00e9mu riziku byly d\u011bti vystaveny.<\/p>\n

Co \u0159\u00edk\u00e1te na nam\u011b\u0159en\u00e9 hodnoty toxinu v\u00a0kojeneck\u00e9m ml\u00e9ce, kter\u00e9 nechala redakce otestovat? P\u0159ipome\u0148me, \u017ee hodnoty zm\u011b\u0159en\u00e9 belgickou laborato\u0159\u00ed pat\u0159\u00ed k\u00a0nejvy\u0161\u0161\u00edm ve\u0159ejn\u011b zn\u00e1m\u00fdm koncentrac\u00edm cereulidu ve stahovan\u00e9 kojeneck\u00e9 v\u00fd\u017eiv\u011b v\u00a0Evrop\u011b. <\/p>\n

Ty hodnoty jsou zhruba jeden\u00e1ctkr\u00e1t vy\u0161\u0161\u00ed ne\u017e referen\u010dn\u00ed hodnoty Evropsk\u00e9ho \u00fa\u0159adu pro bezpe\u010dnost potravin. Tyto limity byly ned\u00e1vno v\u00fdrazn\u011b zp\u0159\u00edsn\u011bny a\u00a0jsou nastaveny velmi konzervativn\u011b. Nemysl\u00edm si proto, \u017ee by nam\u011b\u0159en\u00e9 koncentrace samy o\u00a0sob\u011b p\u0159edstavovaly bezprost\u0159edn\u00ed ohro\u017een\u00ed \u017eivota. P\u0159esto jde o\u00a0velmi z\u00e1va\u017en\u00fd n\u00e1lez. Pokud by bylo d\u00edt\u011b toxinu vystaveno opakovan\u011b nebo by se u\u00a0n\u011bj rozvinulo v\u00fdrazn\u00e9 zvracen\u00ed, mohly by nastat komplikace, v\u010detn\u011b dehydratace. Takov\u00e9 mno\u017estv\u00ed toxinu v\u00a0kojeneck\u00e9m ml\u00e9ce zkr\u00e1tka nem\u00e1 co d\u011blat.<\/p>\n

<\/a><\/p>\n

Je standardn\u00ed, \u017ee \u00fa\u0159ady netestovaly ani neuchovaly vzorky z\u00a0t\u011bchto stahovan\u00fdch \u0161ar\u017e\u00ed?<\/p>\n

Nepova\u017euji to za standardn\u00ed. Anal\u00fdza m\u011bla b\u00fdt provedena, abychom byli schopni kvantifikovat riziko. P\u0159ekvapila m\u011b i\u00a0reakce v\u00fdrobce. Prakticky se chlub\u00ed t\u00edm, \u017ee v\u00fdrobky st\u00e1hl bezprost\u0159edn\u011b pot\u00e9, co zjistil kontaminaci vstupn\u00ed suroviny. Podle m\u00e9ho n\u00e1zoru m\u011bl ale tuto surovinu analyzovat je\u0161t\u011b p\u0159edt\u00edm, ne\u017e se v\u00fdrobek dostal na trh.<\/p>\n

Jak tedy hodnot\u00edte roli st\u00e1tu? <\/p>\n

Celkov\u011b jde o\u00a0z\u00e1sadn\u00ed pochyben\u00ed. St\u00e1t by se m\u011bl velmi zaj\u00edmat o\u00a0to, zda koncentrace toxinu nebyly je\u0161t\u011b vy\u0161\u0161\u00ed. Jen\u017ee \u017e\u00e1dn\u00e9 testov\u00e1n\u00ed neprob\u011bhlo.<\/p>\n

Kdo m\u011bl podle v\u00e1s na\u0159\u00eddit anal\u00fdzu stahovan\u00fdch \u0161ar\u017e\u00ed?<\/p>\n

Na\u0159\u00eddit ji m\u016f\u017ee St\u00e1tn\u00ed zem\u011bd\u011blsk\u00e1 a\u00a0potravin\u00e1\u0159sk\u00e1 inspekce nebo ministerstvo zdravotnictv\u00ed prost\u0159ednictv\u00edm St\u00e1tn\u00edho zdravotn\u00edho \u00fastavu nebo Krajsk\u00fdch hygienick\u00fdch stanic. Aby st\u00e1t m\u011bl k\u00a0dispozici data a\u00a0v\u011bd\u011bl, zda je pot\u0159eba zas\u00e1hnout. U\u017e z\u00a0toho, kolik instituc\u00ed m\u016f\u017ee kontrolu na\u0159\u00eddit, je z\u0159ejm\u00e9, \u017ee kompetence nemusej\u00ed b\u00fdt zcela jasn\u00e9, a\u00a0j\u00e1 se osobn\u011b domn\u00edv\u00e1m, \u017ee tak trochu dopl\u00e1c\u00edme na ne \u00fapln\u011b \u0161\u0165astn\u00fd \u010d\u00e1ste\u010dn\u00fd p\u0159evod kompetenc\u00ed v\u00a0oblasti potravin z\u00a0ministerstva zdravotnictv\u00ed na ministerstvo zem\u011bd\u011blstv\u00ed v\u00a0uplynul\u00e9m volebn\u00edm obdob\u00ed.<\/p>\n

Co \u0159\u00edk\u00e1te argumentu st\u00e1tu, \u017ee nem\u011blo smysl ml\u00e9ko testovat, proto\u017ee u\u017e bylo sta\u017eeno z\u00a0trhu? Nebo \u017ee se potravin\u00e1\u0159sk\u00e1 inspekce soust\u0159edila na v\u00fdrobky, kter\u00e9 z\u016fstaly na trhu?<\/p>\n

Nemysl\u00edm si, \u017ee je to spr\u00e1vn\u00fd postup. Lid\u00e9 m\u011bli ml\u00e9ko doma a\u00a0mohli ho d\u00e1l pou\u017e\u00edvat. Varov\u00e1n\u00ed ze strany st\u00e1tu m\u011blo b\u00fdt podstatn\u011b d\u016frazn\u011bj\u0161\u00ed. Anal\u00fdza m\u011bla b\u00fdt provedena, abychom mohli \u0159\u00edct, zda v\u00fdrobek p\u0159ekra\u010duje bezpe\u010dnostn\u00ed limity a\u00a0zda p\u0159edstavuje zdravotn\u00ed riziko. To bychom m\u011bli v\u011bd\u011bt.<\/p>\n

M\u016f\u017ee b\u00fdt probl\u00e9m, \u017ee p\u0159\u00edznaky jako zvracen\u00ed a\u00a0pr\u016fjem rodi\u010de p\u0159isoud\u00ed b\u011b\u017en\u00e9 vir\u00f3ze a\u00a0hygien\u011b nic nehl\u00e1s\u00ed?<\/p>\n

To m\u016f\u017ee b\u00fdt v\u00fdznamn\u00fd probl\u00e9m. Pokud nem\u00e1m dostatek hl\u00e1\u0161en\u00ed, nem\u00e1m ani podklad pro dal\u0161\u00ed kroky.<\/p>\n

Kdy\u017e st\u00e1t netestoval stahovan\u00e9 \u0161ar\u017ee, m\u016f\u017eeme v\u016fbec vyhodnotit rozsah cel\u00e9 af\u00e9ry?<\/p>\n

Bez dat nelze vyhodnotit skute\u010dn\u00e9 riziko pro populaci. K\u00a0dispozici jsou pouze va\u0161e testy. Analyzovali jste jednu \u0161ar\u017ei ve t\u0159ech vzorc\u00edch a\u00a0rozptyl v\u00fdsledk\u016f je minim\u00e1ln\u00ed. To nazna\u010duje, \u017ee kontaminace byla v\u00a0r\u00e1mci cel\u00e9 \u0161ar\u017ee pom\u011brn\u011b konzistentn\u00ed.<\/p>\n

M\u016f\u017ee se toxin v\u00a0t\u011ble d\u00edt\u011bte p\u0159i opakovan\u00e9 konzumaci hromadit?<\/p>\n

M\u016f\u017ee. Cereulid se odbour\u00e1v\u00e1 velmi slo\u017eit\u011b a\u00a0v organismu m\u016f\u017ee p\u0159etrv\u00e1vat pom\u011brn\u011b dlouho. Nelze proto vylou\u010dit kumulaci ani v\u00fdrazn\u011bj\u0161\u00ed chronick\u00e9 dopady. Studie, kter\u00e9 by to spolehliv\u011b hodnotily, v\u0161ak zat\u00edm chyb\u00ed a\u00a0nev\u00edme, co p\u0159esn\u011b m\u016f\u017ee dlouhodob\u00e1 expozice zp\u016fsobit.<\/p>\n

<\/a><\/p>\n

Jak hodnot\u00edte skute\u010dnost, \u017ee \u0161lo o\u00a0ml\u00e9ko ur\u010den\u00e9 pro zvl\u00e1\u0161tn\u00ed l\u00e9ka\u0159sk\u00e9 \u00fa\u010dely, tedy pro nemocn\u00e9 d\u011bti?<\/p>\n

To je znepokojuj\u00edc\u00ed. Jde o\u00a0v\u00fd\u017eivu, kter\u00e1 by m\u011bla b\u00fdt sledov\u00e1na se zvl\u00e1\u0161tn\u00ed pe\u010dlivost\u00ed. Je rozd\u00edl mezi expozic\u00ed zdrav\u00e9ho dosp\u011bl\u00e9ho \u010dlov\u011bka a\u00a0d\u00edt\u011bte s\u00a0oslabenou imunitou nebo jin\u00fdm zdravotn\u00edm probl\u00e9mem. U\u00a0t\u011bchto d\u011bt\u00ed mohou b\u00fdt n\u00e1sledky z\u00e1va\u017en\u011bj\u0161\u00ed. Individu\u00e1ln\u00ed riziko proto m\u016f\u017ee b\u00fdt v\u00fdrazn\u011b vy\u0161\u0161\u00ed ne\u017e p\u0159i hodnocen\u00ed rizika pro populaci jako celek.<\/p>\n

Syst\u00e9m stoj\u00ed na d\u016fv\u011b\u0159e ve v\u00fdrobce, kte\u0159\u00ed odpov\u00eddaj\u00ed za kvalitu v\u00fdrobk\u016f uv\u00e1d\u011bn\u00fdch na trh. Je v\u00a0po\u0159\u00e1dku, kdy\u017e si \u00fa\u0159ady informace od v\u00fdrobce samy neov\u011b\u0159uj\u00ed?<\/p>\n

Ur\u010dit\u00e1 m\u00edra d\u016fv\u011bry je nezbytn\u00e1, proto\u017ee nelze testovat v\u0161echny v\u00fdrobky na trhu. Proto existuj\u00ed nam\u00e1tkov\u00e9 kontroly. Na druhou stranu kontaminace kojeneck\u00e9 v\u00fd\u017eivy bakteri\u00ed Bacillus cereus a\u00a0jej\u00edm toxinem nen\u00ed nic nov\u00e9ho. V\u00fdrobce t\u00edm nemohl b\u00fdt p\u0159ekvapen. Opravdu se div\u00edm, \u017ee monitoring neprob\u00edh\u00e1 je\u0161t\u011b p\u0159edt\u00edm, ne\u017e \u0161ar\u017ee opust\u00ed v\u00fdrobn\u00ed z\u00e1vod.<\/p>\n

P\u0159elomov\u00e1 v\u011bdeck\u00e1 pr\u00e1ce o\u00a0cereulidu v\u00a0kojeneck\u00e9 v\u00fd\u017eiv\u011b vy\u0161la u\u017e v\u00a0roce 2006.\u00a0Kdo tedy podle v\u00e1s selhal? Evropsk\u00e9 \u00fa\u0159ady, kter\u00e9 v\u00fdrobc\u016fm nena\u0159\u00eddily povinn\u00e9 testov\u00e1n\u00ed cereulidu?<\/p>\n

Hlavn\u00ed selh\u00e1n\u00ed vid\u00edm na stran\u011b v\u00fdrobc\u016f. M\u011bli pou\u017e\u00edvat skute\u010dn\u011b prov\u011b\u0159en\u00e9 suroviny a\u00a0fin\u00e1ln\u00ed v\u00fdrobek testovat. To pova\u017euji za jejich z\u00e1kladn\u00ed odpov\u011bdnost. Vyroben\u00e9 \u0161ar\u017ee by m\u011bli testovat v\u00fdrobci preventivn\u011b, je\u0161t\u011b p\u0159ed uveden\u00edm na trh. Po vzniku podobn\u00e9 ud\u00e1losti mus\u00ed ale adekv\u00e1tn\u011b a\u00a0v\u010das reagovat tak\u00e9 st\u00e1tn\u00ed org\u00e1ny. Ani to se nestalo.<\/p>\n","protected":false},"excerpt":{"rendered":"Epidemiolog a\u00a0b\u00fdval\u00fd ministr zdravotnictv\u00ed Roman Prymula kritizuje postup \u010desk\u00fdch \u00fa\u0159ad\u016f v\u00a0kauze kontaminovan\u00e9ho kojeneck\u00e9ho ml\u00e9ka. Vysok\u00e9 koncentrace toxinu cereulid,…\n","protected":false},"author":2,"featured_media":122846,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_share_on_mastodon":"0"},"categories":[7],"tags":[43,42,41,40,7638,17946,34185],"class_list":["post-122845","post","type-post","status-publish","format-standard","has-post-thumbnail","category-cesko","tag-ceska-republika","tag-cesko","tag-czech-republic","tag-czechia","tag-mleko","tag-roman-prymula","tag-toxiny-v-detske-vyzive"],"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@cz\/116775923527493038","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/122845","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/comments?post=122845"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/posts\/122845\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media\/122846"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/media?parent=122845"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/categories?post=122845"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/cz\/wp-json\/wp\/v2\/tags?post=122845"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}