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Volume 17, Number 9—September 2011

Synopsis

Risk-based Estimate of Effect of Foodborne Diseases on Public Health, Greece

Elissavet GkogkaComments to Author , Martine W. Reij, Arie H. Havelaar, Marcel H. Zwietering, and Leon G.M. Gorris
Author affiliations: Author affiliations: Wageningen University, Wageningen, the Netherlands (E. Gkogka, M.W. Reij, M.H. Zwietering, L.G.M. Gorris); Utrecht University, Utrecht, the Netherlands (A.H. Havelaar); National Institute for Public Health and the Environment, Bilthoven, the Netherlands (A.H. Havelaar); Unilever Research and Development, Shanghai, People’s Republic of China (L.G.M. Gorris)

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Table 2

Disability weights related to the diseases included in study of the effects of foodborne infections, Greece, 1996–2006

Illness
Disability weights
Reported or estimated cases
Underreported cases
Bacterial
Botulism
Moderate cases0.6000.600
Severe cases0.9060.906
Brucellosis0.2000.200
Campylobacteriosis0.067
Gastroenteritis0.393
Reactive arthritis0.140
Guillain-Barré syndrome, first year*0.250
Guillain-Barré syndrome, long-term sequelae0.160
Inflammatory bowel disease0.260
Irritable bowel syndrome0.042
Enterohemorrhagic Escherichia coli0.067
Watery diarrhea and hemorrhagic colitis0.393
Hemolytic uremic syndrome and end-stage renal disease
Leptospirosis0.9200.096
Listeriosis
Salmonellosis0.067
Gastroenteritis0.393
Inflammatory bowel disease0.260
Irritable bowel syndrome0.042
Reactive arthritis0.150
Shigellosis0.2200.096
Irritable bowel syndrome0.042
Typhoid and paratyphoid fever0.6000.096
Food poisoning
0.220
0.067
Parasitic
Amebiasis0.4000.067
Cryptosporidiosis0.3930.067
Echinococcosis
Cured0.2000.200
Postsurgical conditions0.2390.239
Relapse0.8090.809
Undiagnosed0.2000.200
Giardiasis0.3930.067
Toxoplasmosis
Clinical symptoms in the first year of life§0.140
Asymptomatic at birth, chorioretinitis later in life
0.080

Viral: acute hepatitis A
0.500
0.500
Mixed/ill-defined causes
Other helminthiases0.4630.067
Intestinal infections caused by other specified microorganism0.4000.067
Ill-defined intestinal infections0.4000.067

*For an explanation of this selection, see the Technical Appendix.
†For hemolytic uremic syndrome (including end-stage renal disease as a sequela), it is estimated that every case corresponds to 1.05 years lived with disability (24).
‡Not applicable for listeriosis because the high case-fatality rate (>95%) of the disability-adjusted life year estimates is composed of years of life lost (24) that mainly determine the burden of the disease. Therefore, no years lived with disability were estimated.
§Clinical symptoms in the first year of life include chorioretinitis, intracranial calcifications, hydrocephalus, and central nervous system abnormalities that lead to neurologic deficiencies such as mental retardation.
¶Toxoplasmosis cases are estimates for the entire population. Consequently, underreporting does not apply.

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