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economics of foodborne disease

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Pictures of live chickens, chicken inspection, and chicken dinners. USDA photos Foodborne diseases are caused by ingesting bacteria, fungi, parasites, or viruses through contaminated food or water, or through person-to-person contact. The Centers for Disease Control and Prevention (CDC) estimates that foodborne diseases cause approximately 76 million illnesses, 325,000 hospitalizations, and 5,000 deaths in the United States each year. ERS has estimated the annual U.S. economic costs incurred for the major bacterial pathogens: Escherichia coli O157 and other STECs (and associated hemolytic uremic syndrome), Campylobacter (and associated Guillain-Barré syndrome), Listeria monocytogenes, and Salmonella. In addition, ERS has developed outcome trees for the illnesses caused by those pathogens, showing the costs incurred and the number of cases by the severity of disease: no physician visit, physician visit, hospitalization, premature death, and chronic complications.

In 2000, ERS estimated the cost from five bacterial foodborne pathogens as $6.9 billion. The cost estimate includes medical costs, productivity losses from missed work, and an estimate of the value of premature death that takes into account the age distribution of those taken ill. The estimate excludes travel costs in obtaining medical care, lost leisure time, and so forth. Estimates for Salmonella were updated in 2003 (see the Foodborne Illness Cost Calculator). More overview...

contents

cost calculator graphicfeatures
Foodborne Illness Cost Calculator—This interactive online cost model provides information on the assumptions behind ERS estimates for the cost of foodborne illness and gives you the chance to make alternative assumptions and calculate new estimates. Use the calculator to estimate foodborne illness costs for your State or region, a particular outbreak, or to see how cost estimates would change under different assumptions about disease incidence, outcome severity, and the level of medical, productivity, and disutility costs.

In 2000, ERS estimated the cost from five bacterial foodborne pathogens as $6.9 billion—ERS estimated human illness costs for five bacterial pathogens: Campylobacter, Salmonella (nontyphoidal serotypes only), E. coli O157 and non-O157 STEC, and Listeria monocytogenes.

Assigning Values to Life: Comparing Methods for Valuing Health Risks—ERS researchers analyze five approaches that economists and health policy analysts have developed to evaluate policy affecting health and safety: cost-of-illness, willingness-to-pay, cost-effectiveness analysis, risk-risk analysis, and health-health analysis.

recommended readings
Salmonella Cost Estimate Updated Using FoodNet DataSalmonella infections due to contaminated food products make many people ill each year and are responsible for substantial economic costs. Salmonella infections are potentially serious and may be fatal, particularly for the elderly and people with weak immune systems.

Estimated Annual Costs of Campylobacter-Associated Guillain-Barré SyndromeCampylobacter, the most frequently isolated cause of foodborne diarrhea, can cause Guillain-Barré syndrome (GBS), a form of paralysis. Costs of campylobacteriosis from food sources ($0.7 to $4.3 billion) and costs of associated GBS ($0.1 to $1.3 billion) combined equal total annual costs of $0.8 to $5.6 billion from foodborne Campylobacter.

Bacterial Foodborne Disease: Medical Costs and Productivity Losses—This report shows how ERS has estimated the human illness costs for six bacterial pathogens. To organize the medical information, disease outcome trees are constructed to show the lifetime consequences from exposure to a foodborne pathogen. Four severity categories are used for acute illnesses: those who did not visit a physician, visited a physician, were hospitalized, or died prematurely. The lifetime consequences of chronic disease are included in the cost estimates for E. coli O157 and fetal listeriosis.

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Receive notice via e-mail as the latest ERS research on food safety becomes available by subscribing to our e-mail updates. Be sure to click on the "food safety" box.

related briefing rooms related links
Foodsafety.gov—The gateway to government food safety information.

CDC's Frequently Asked Questions about foodborne disease—Provides quick answers to commonly asked questions about foodborne illness.

U.S. Food and Drug Administration: Foodborne Pathogenic Microorganisms and Natural Toxins Handbook—Known as the "Bad Bug Book," a source of information about specific types of microbial pathogens from the Center for Food Safety and Applied Nutrition.

See all related links...

glossary
Brief definitions of the economic and clinical terms used.

 

for more information, contact: Paul Frenzen
web administration: webadmin@ers.usda.gov
page updated: July 22, 2004

 

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