An assessment of the human health impact of seven leading foodborne pathogens in the United States using disability adjusted life years

Epidemiology and Infection - Tập 143 Số 13 - Trang 2795-2804 - 2015
Elaine Scallan1, Robert M. Hoekstra2, Barbara E. Mahon3, Timothy F. Jones4, Patricia M. Griffin3
1Department of Epidemiology, Colorado School of Public Health, University of Colorado Denver, Aurora, CO, USA
2Biostatistic and Information Management Office, Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA
3Enteric Diseases Epidemiology Branch, Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA
4Tennessee Department of Health, Nashville, TN, USA

Tóm tắt

SUMMARY

We explored the overall impact of foodborne disease caused by seven leading foodborne pathogens in the United States using the disability adjusted life year (DALY). We defined health states for each pathogen (acute illness and sequelae) and estimated the average annual incidence of each health state using data from public health surveillance and previously published estimates from studies in the United States, Canada and Europe. These pathogens caused about 112 000 DALYs annually due to foodborne illnesses acquired in the United States. Non-typhoidal Salmonella (32 900) and Toxoplasma (32 700) caused the most DALYs, followed by Campylobacter (22 500), norovirus (9900), Listeria monocytogenes (8800), Clostridium perfringens (4000), and Escherichia coli O157 (1200). These estimates can be used to prioritize food safety interventions. Future estimates of the burden of foodborne disease in DALYs would be improved by addressing important data gaps and by the development and validation of US-specific disability weights for foodborne diseases.

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