Cited by 140Salmonella and Campylobacter epidemiologyFood Safety and HygieneListeria monocytogenes in Food Safety

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Cost-of-illness and disease burden of food-related pathogens in the Netherlands, 2011

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Mangen, Marie-Josée J., Bouwknegt, Martijn, Friesema, Ingrid H.M., Haagsma, Juanita A., Kortbeek, Laetitia M., Tariq, Luqman, Wilson, Margaret, van Pelt, Wilfrid, Havelaar, Arie H.·2015·International Journal of Food Microbiology

DOI 10.1016/j.ijfoodmicro.2014.11.022

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Abstract

To inform risk management decisions on control and prevention of food-related disease, both the disease burden expressed in Disability Adjusted Life Years (DALY) and the cost-of-illness of food-related pathogens are estimated and presented. Disease burden of fourteen pathogens that can be transmitted by food, the environment, animals and humans was previously estimated by Havelaar et al. (2012). In this paper we complement these by cost-of-illness estimates. Together, these present a complete picture of the societal burden of food-related diseases. Using incidence estimates for 2011, community-acquired non-consulting cases, patients consulting their general practitioner, hospitalized patients and the incidence of sequelae and fatal cases, estimates were obtained for DALYs, direct healthcare costs (e.g. costs for doctor's fees, hospitalizations and medicines), direct non-healthcare costs (e.g. travel costs to and from the doctor), indirect non-healthcare costs (e.g. productivity loss, special education) and total costs. The updated disease burden for 2011 was equal to 13,940 DALY/year (undiscounted) or 12,650 DALY/year (discounted at 1.5%), and was of the same magnitude as previous estimates. At the population-level thermophilic Campylobacter spp., Toxoplasma gondii and rotavirus were associated with the highest disease burden. Perinatal listeriosis infection was associated with the highest DALY per symptomatic case. The total cost-of-illness in 2011 of fourteen food-related pathogens and associated sequelae was estimated at € 468 million/year, if undiscounted, and at € 416 million/year if discounted by 4%. Direct healthcare costs accounted for 24% of total costs, direct non-healthcare costs for 2% and indirect non-healthcare costs for 74% of total costs. At the population-level, norovirus had the highest total cost-of-illness in 2011 with € 106 million/year, followed by thermophilic Campylobacter spp. (€ 76 million/year) and rotavirus (€ 73 million/year). Cost-of-illness per infected case varied from € 150 for Clostridium perfringens intoxications to € 275,000 for perinatal listeriosis. Both incident cases and fatal cases are more strongly correlated with COI/year than with DALY/year. More than 40% of all cost-of-illness and DALYs can be attributed to food, in total € 168 million/year and 5,150 DALY/year for 2011. Beef, lamb, pork and poultry meat alone accounted for 39% of these costs. Products of animal origin accounted for € 86 million/year (or 51% of the costs attributed to food) and 3,320 DALY/year (or 64% of the disease burden attributed to food). Among the pathogens studied Staphylococcus aureus intoxications accounted for the highest share of costs attributed to food (€ 47.1 million/year), followed by Campylobacter spp. (€ 32.0 million/year) and norovirus (€ 17.7 million/year).

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Authors: Mangen, M.-J. J., Bouwknegt, M., Friesema, I. H. M., Haagsma, J. A., Kortbeek, L. M., Tariq, L., Wilson, M., van Pelt, W., & Havelaar, A. H.
Affiliations: University Medical Center Utrecht (NL)
National Institute for Public Health and the Environment (NL)
Utrecht University (NL)
Corresponding author: Bouwknegt, Martijn
ORCID: Mangen, Marie-Josée J.
Bouwknegt, Martijn
Friesema, Ingrid H.M.
Haagsma, Juanita A.
Kortbeek, Laetitia M.
Havelaar, Arie H.
Venue: International Journal of Food Microbiology
Publisher: Elsevier BV
Published: 2015-03
Volume: 196
Pages: 84-93
ISSN: 0168-1605 (ISSN-L)
DOI: 10.1016/j.ijfoodmicro.2014.11.022
OpenAlex: W2054278554
Cited by: 140
References: 36
Citations by year: 2026: 2 · 2025: 8 · 2024: 9 · 2023: 11 · 2022: 15 · 2021: 8 · 2020: 14 · 2019: 17 · 2018: 23 · 2017: 12 · 2016: 17 · 2015: 3
FWCI: 15.76
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: International Journal of Food Microbiology (publishedVersion)
PubMed (publishedVersion)
Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
Rivm (National Institute for Public Health and the Environment) (submittedVersion)
Utrecht University Repository (Utrecht University) (submittedVersion)
Funders: Rijksinstituut voor Volksgezondheid en Milieu
Topics: Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
Life Sciences › Agricultural and Biological Sciences › Food Science › Food Safety and Hygiene
Life Sciences › Agricultural and Biological Sciences › Food Science › Listeria monocytogenes in Food Safety
Keywords: foodborne pathogens, economic burden, disease burden, disability-adjusted life years, norovirus, thermophilic Campylobacter, rotavirus, perinatal listeriosis, Toxoplasma gondii, Clostridium perfringens, health care costs, food safety risk management, Netherlands, incidence and mortality
MeSH terms: Animals, Food Microbiology, Humans, Listeriosis, Meat, Netherlands, Incidence, Health Care Costs, Caliciviridae Infections, Cost of Illness, Norovirus

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Cost-of-illness and disease burden of food-related pathogens in the Netherlands, 2011

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