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Volume 17, Number 9—September 2011

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)

Main Article

Table 2

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

Disability weights
Reported or estimated cases
Underreported cases
Moderate cases0.6000.600
Severe cases0.9060.906
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
Inflammatory bowel disease0.260
Irritable bowel syndrome0.042
Reactive arthritis0.150
Irritable bowel syndrome0.042
Typhoid and paratyphoid fever0.6000.096
Food poisoning
Postsurgical conditions0.2390.239
Clinical symptoms in the first year of life§0.140
Asymptomatic at birth, chorioretinitis later in life

Viral: acute hepatitis A
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.

Main Article

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