Economic Impact of a Botulism Outbreak

Mann, Jonathan

doi:10.1001/jama.1983.03330340041028

Cited by 15 publications

(3 citation statements)

References 11 publications

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“…Botulism is a potentially fatal disease and represents both a medical and public health emergency. Even when antitoxin is promptly administered, neurological sequelae may take weeks to months to resolve [12], burdening patients, their families, and the health care system [13]. Although the source of ingested toxin in this outbreak was not confirmed, improperly stored homemade oil-based condiments were identified as a plausible and likely cause.…”

Section: Discussionmentioning

confidence: 99%

Outbreak of type A foodborne botulism at a boarding school, Uganda, 2008

et al. 2014

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Summary Botulism has rarely been reported in Africa. In October 2008, botulism was reported among three Ugandan boarding-school students. All were hospitalized; one died. A cohort study was performed to assess food exposures among students, and clinical specimens and available food samples were tested for botulinum toxin. Three case-patients were identified; a homemade, oil-based condiment was eaten by all three. In the cohort study, no foods were significantly associated with illness. Botulinum toxin type A was confirmed in clinical samples. This is the first confirmed outbreak of foodborne botulism in Uganda. A homemade, oil-based condiment was the probable source. Consumption of homemade oil-based condiments is widespread in Ugandan schools, putting children at risk. Clinicians and public health authorities in Uganda should consider botulism when clusters of acute flaccid paralysis are seen. Additionally, schools should be warned of the hazard of homemade oil-based condiments, and take steps to prevent their use.

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Section: Discussionmentioning

confidence: 99%

Outbreak of type A foodborne botulism at a boarding school, Uganda, 2008

et al. 2014

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“…In Romania, there was also a decrease in the incidence of botulism in the postcommunist period, but in 2007, Romania reported the highest incidence of botulism in the European Union-0.18 per 100,000 population (Neghina and Neghina, 2011). The cost of treatment and resuscitation of each case of this poisoning are tens of thousands of U.S. dollars (Mann, 1983). Taking this into consideration, FB, despite its low prevalence, has a high social and economic burden.…”

Section: Introductionmentioning

confidence: 99%

Foodborne Botulism in Ukraine from 1955 to 2018

Semenko

Mokhort

Sokolovska

et al. 2021

Foodborne Pathogens and Disease

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We aim to identify possible biological, social, and economic factors that could influence the prevalence of foodborne botulism (FB). The objective of this article is to assess epidemiological peculiarities of FB in Ukraine from 1955 to 2018 using national epidemiological surveillance data. This article presents an epidemiological descriptive population-based study of the epidemiology of FB using correlation analysis. From 1955 to 2018, 8614 cases of botulism were recorded in Ukraine causing 659 deaths. The distribution of types of botulism toxins is represented by type A (7.97%), B (59.64%), suspected as C (0.56%), E (25.47%), others (5.33%), and unidentified (1.04%). From 1990 to 2015, the rate correlation between Human Development Index (HDI) and incidence of botulism was −0.75 ± 0.20. Homemade canned meat and fish continue to be the leading causes of botulism in Ukraine. Cases related to commercial food were rare or absent, but in recent years (2017–2018), their percentage has increased to 32.56%. The HDI and botulism have an inverse mathematical correlation and predictable logical relationship: with an HDI increase, the incidence of FB decreased. In general, food botulism in Ukraine is related to traditional socioeconomic factors related to cultural food habits. In the face of declining living standards and uncertainty that food products will be physically or economically available, homemade preservation increases. Home food preservation is a major cause of botulism in Ukraine. The elimination of FB is possible in Ukraine only with the complete cessation of home canning and state control over the manufacture and sale of commercial canned products.

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“…Since doctors cannot selectively test for this salmonella the trend is probably real. Secondly, evidence is accumulating which suggests that the costs associated with salmonella infection and other food-borne illnesses are high [5,6]. Thirdly, the increased attention that has been placed on containing public expenditure and pressures on resources in these sectors has led to greater emphasis on the assessment of the efficacy and efficiency of public sector activities [7].…”

Section: Introductionmentioning

confidence: 99%

The social and economic impact of salmonellosis: A report of a national survey in England and Wales of laboratory-confirmed salmonella infections

Sockett¹,

Roberts

1991

Epidemiol. Infect.

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SUMMARYThis study presents the findings of a national survey of 1482 cases of salmonellosis reported to Environmental Health Departments in England and Wales between August 1988 and March 1989. A questionnaire survey of ill individuals and the environmental health officers who investigated them sought information about costs which were imposed upon public health authorities, the health sector, individuals and their families and the costs to the wider economy in terms of lost production.Costs of £996339 were identified. Over half (£507 555) resulted from lost production due to sickness absence and more than a third (£392 822) were costs to the public sector which resulted from health care and local authority investigation of cases. The remaining costs (£95962), although the smallest proportion of the total, indicated that salmonellosis can have a significant impact on affected individuals and their families.

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Economic Impact of a Botulism Outbreak

Cited by 15 publications

References 11 publications

Outbreak of type A foodborne botulism at a boarding school, Uganda, 2008

Outbreak of type A foodborne botulism at a boarding school, Uganda, 2008

Foodborne Botulism in Ukraine from 1955 to 2018

The social and economic impact of salmonellosis: A report of a national survey in England and Wales of laboratory-confirmed salmonella infections

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