Foodborne Disease in Canada - a 5-year Summary

1983 ◽  
Vol 46 (7) ◽  
pp. 650-675 ◽  
Author(s):  
E. C. D. TODD
Keyword(s):  
Food Processing ◽  
Disease Surveillance ◽  
The United States ◽  
Foodborne Disease ◽  
Salmonella Spp ◽  
Naturally Occurring ◽  
Time Period ◽  
Etiologic Agents ◽  
The Impact ◽  
Disease Specific

Five years of foodborne disease surveillance in Canada were examined. Microorganisms, particularly Salmonella spp., Staphylococcus aureus and Clostridium perfringens, were the main etiologic agents, but diseases also resulted from contaminanation of food with chemicals and parasites or food containing naturally-occurring plant and animal toxins. The foods involved were, in general, potentially hazardous items, such as meat and poultry. Where information is known, most of the problems associated with foodborne illness occurred at foodservice establishments, but the impact of mishandling in homes and food processing establishments was also great. The kinds of data accumulated were similar to those from the United States for the same time period, In order to reduce the prevalence of foodborne disease, specific educational and enforcement programs have to be initiated. Similar approaches could be taken for both countries.

Foodborne Disease in Canada - a 10-year Summary from 1975 to 1984

1992 ◽  
Vol 55 (2) ◽  
pp. 123-132 ◽  
Author(s):  
EWEN C. D. TODD
Keyword(s):  
Staphylococcus Aureus ◽  
Listeria Monocytogenes ◽  
Clostridium Perfringens ◽  
Food Processing ◽  
Clostridium Botulinum ◽  
Foodborne Illness ◽  
Foodborne Disease ◽  
Naturally Occurring ◽  
Etiologic Agents ◽  
The Impact

Ten years of foodborne disease data from 1975 to 1984 in Canada were examined. Microorganisms, particularly Salmonella, Staphylococcus aureus, Clostridium perfringens and Bacillus cereus, were the main etiologic agents, but diseases also resulted from contamination of food with chemicals and parasites or food containing naturally occurring plant and animal toxins. An average of 5.6 deaths per year was recorded, with Salmonella, Clostridium botulinum, and Listeria monocytogenes responsible for most of them. The foods involved was, in general, potentially hazardous items, such as meat and poultry. Where information is known, most of the problems associated with foodborne illness occurred at foodservice establishments, but the impact of mishandling in homes and food processing establishments was also great. Incidents of microbiological etiology tended to peak in the summer months, particularly those caused by Salmonella, S. aureus, Campylobacter, and B. cereus.

An Analysis of Procedural Medicare Reimbursement Rates in Hand Surgery: 2000 to 2019

Hand ◽  
2021 ◽  
pp. 155894472199080
Author(s):  
Danielle A Thornburg ◽  
Nikita Gupta ◽  
Nathan Chow ◽  
Jack Haglin ◽  
Shelley Noland
Keyword(s):  
Consumer Price Index ◽  
Hand Surgery ◽  
The United States ◽  
Medicare Reimbursement ◽  
Reimbursement Rate ◽  
Time Period ◽  
Long Term Trends ◽  
Fee Schedule ◽  
Procedure Codes ◽  
The Impact

Background: Medicare reimbursement trends across multiple surgical subspecialties have been analyzed; however, little has been reported regarding the long-term trends in reimbursement of hand surgery procedures. The aim of this study is to analyze trends in Medicare reimbursement for commonly performed hand surgeries. Methods: Using the Centers for Medicare and Medicaid Services Physician and Other Supplier Public Use File, we determined the 20 hand surgery procedure codes most commonly billed to Medicare in 2016. Reimbursement rates were collected and analyzed for each code from The Physician Fee Schedule Look-Up Tool for years 2000 to 2019. We compared the change in reimbursement rate for each procedure to the rate of inflation in US dollars, using the Consumer Price Index (CPI) over the same time period. Results: The reimbursement rate for each procedure increased on average by 13.9% during the study period while the United States CPI increased significantly more by 46.7% ( P < .0001). When all reimbursement data were adjusted for inflation to 2019 dollars, the average reimbursement for all included procedures in this study decreased by 22.6% from 2000 to 2019. The average adjusted reimbursement rate for all procedures decreased by 21.92% from 2000 to 2009 and decreased by 0.86% on average from 2009 to 2019 ( P < .0001). Conclusion: When adjusted for inflation, Medicare reimbursement for hand surgery has steadily decreased over the past 20 years. It will be important to consider the implications of these trends when evaluating healthcare policies and the impact this has on access to hand surgery.

The Impact of the Use of Cross-Border Compensation Peers: The Case of Canadian Companies Using U.S. Peers

2020 ◽  
pp. 0148558X2093012
Author(s):  
Steven Balsam ◽  
Hong Fan ◽  
Amin Mawani ◽  
Daqun Zhang
Keyword(s):  
Ceo Compensation ◽  
Peer Groups ◽  
The United States ◽  
Stage Model ◽  
Change Models ◽  
Cross Border ◽  
Compensation Package ◽  
Time Period ◽  
Market Factors ◽  
The Impact

CEO compensation in Canada is significantly lower than that in the United States. In this article, we examine the choice of, and impact on Canadian CEO Compensation, using U.S. firms in their compensation peer groups. Using a two-stage model to control for endogeneity, while we find the choice of peers associated with labor market factors, we still find that the use of U.S. peers positively associated with higher Canadian CEO compensation. This finding is after controlling for the traditional determinants of CEO compensation, as well as use of domestic peers. While this result holds for all components of the compensation package, we also find that having U.S. peers is associated with a greater proportion of equity in the compensation package. Our results are robust to various formulations including change models and using an earlier time period when peer disclosure was voluntary.

scholarly journals Assessing the Impact of Lifestyle Interventions on Diabetes Prevention in China: A Modeling Approach

2019 ◽  
Vol 16 (10) ◽  
pp. 1677 ◽  
Author(s):  
Linna Luo ◽  
Bowen Pang ◽  
Jian Chen ◽  
Yan Li ◽  
Xiaolei Xie
Keyword(s):  
Physical Activity ◽  
Peer Influence ◽  
Diabetes Prevention ◽  
The United States ◽  
Population Based ◽  
Agent Based ◽  
Individual Health ◽  
Time Period ◽  
Lower Body Weight ◽  
The Impact

China’s diabetes epidemic is getting worse. People with diabetes in China usually have a lower body weight and a different lifestyle profile compared to their counterparts in the United States (US). More and more evidence show that certain lifestyles can possibly be spread from person to person, leading some to propose considering social influence when establishing preventive policies. This study developed an innovative agent-based model of the diabetes epidemic for the Chinese population. Based on the risk factors and related complications of diabetes, the model captured individual health progression, quantitatively described the peer influence of certain lifestyles, and projected population health outcomes over a specific time period. We simulated several hypothetical interventions (i.e., improving diet, controlling smoking, improving physical activity) and assessed their impact on diabetes rates. We validated the model by comparing simulation results with external datasets. Our results showed that improving physical activity could result in the most significant decrease in diabetes prevalence compared to improving diet and controlling smoking. Our model can be used to inform policymakers on how the diabetes epidemic develops and help them compare different diabetes prevention programs in practice.

Surveillance of Foodborne Disease II. Summary and Presentation of Descriptive Data and Epidemiologic Patterns; Their Value and Limitations

1997 ◽  
Vol 60 (5) ◽  
pp. 567-578 ◽  
Author(s):  
FRANK L. BRYAN ◽  
JOHN J. GUZEWICH ◽  
EWEN C. D. TODD
Keyword(s):  
Disease Surveillance ◽  
Foodborne Diseases ◽  
Foodborne Disease ◽  
Foodborne Illnesses ◽  
Descriptive Data ◽  
Contributory Factors ◽  
Common Diseases ◽  
Etiologic Agents ◽  
The Common

This second part of a four-part series on foodborne disease surveillance concentrates on tabulation of data to show the common diseases and to detect those emerging in a community, region or nation. Over several years, these data give a continued description of foodborne illnesses. The presentation starts with a summarization of the incidents, outbreaks, and cases that occur over a defined interval and continues with a breakdown of specific etiologic agents or diseases that make up the summary figures. Suggested tables showing time and place of occurrences are given. These, along with data on persons who acquire these diseases, form the epidemiologic patterns of foodborne diseases. Definitions of the terms used in the table and criteria for confirming categories of etiologic agents are given. The value and limitations of each set of data in the tables are critically reviewed. The same sort of presentation is continued for data on vehicles, method of processing and preparation, and contributory factors in the next part of this series.

scholarly journals The Impact of Intergenerational Mobility on Msa Growth in the United States

2020 ◽  
Vol 15 (1) ◽  
pp. 127-141
Author(s):  
Mauro Joseph
Keyword(s):  
United States ◽  
Intergenerational Mobility ◽  
Negative Relationship ◽  
The United States ◽  
Income Mobility ◽  
Absolute Income ◽  
Time Period ◽  
Two Measures ◽  
The Impact ◽  
The Relationship

AbstractThis paper explores the relationship between economic growth and intergenerational mobility in the United States. Data from metropolitan statistical areas in the U.S. is used to examine how two measures of intergenerational mobility impact growth rates. More precisely, I examine how absolute income mobility and relative income mobility are related the growth rate of real gross metropolitan product (RGMP) from 2001 to 2011. I find that absolute mobility has a positive relationship with RGMP growth over the time period, and that relative mobility exhibits a negative relationship with RGMP. Results are found to be robust to two stage least squares estimation.

Risks Associated with Vehicles of Foodborne Pathogens and Toxins

1988 ◽  
Vol 51 (6) ◽  
pp. 498-508 ◽  
Author(s):  
FRANK L. BRYAN
Keyword(s):  
United States ◽  
Botulinum Toxin ◽  
Relative Risk ◽  
Foodborne Pathogens ◽  
Disease Surveillance ◽  
The United States ◽  
Foodborne Disease ◽  
Relative Importance ◽  
Roast Beef ◽  
Pinto Beans

A review of foodborne disease surveillance data from the United States for the years 1977 through 1984 was made to ascertain the relative importance of various foods as vehicles; 1,586 incidents were tabulated. Data are given for all outbreaks and for individual diseases. Foods were classified by category, class and item. Seafoods, meats, poultry and salads were the most frequently implicated categories. The most frequently implicated items were roast beef, ham, turkey, chicken and raw clams. Chinese foods, usually fried rice and Mexican-style foods usually ground or shredded meat or pinto beans were also commonly implicated. Of the salads, potato and chicken salads were identified more frequently than other salads. Mahi-mahi was the most common vehicle of scombrotoxin; amberjack/jack was the most common vehicle of ciguatoxin; roast beef and turkey were the most common vehicles of C. perfringens and salmonellae; ham was the most common vehicle of staphylococcal enterotoxin; potato salad was the most common vehicle of shigellae; peppers were the most common vehicle of botulinum toxin; and fried rice was the most common vehicle of B. cereus toxins. Relative risk for each food is discussed in reference to assessing hazards and setting food safety priorities.

Surveillance of Foodborne Disease III. Summary and Presentation of Data on Vehicles and Contributory Factors; Their Value and Limitations

1997 ◽  
Vol 60 (6) ◽  
pp. 701-714 ◽  
Author(s):  
FRANK L. BRYAN ◽  
JOHN J. GUZEWICH ◽  
EWEN C. D. TODD
Keyword(s):  
Food Safety ◽  
Disease Surveillance ◽  
Food Service ◽  
Foodborne Disease ◽  
Contributory Factors ◽  
Related Information ◽  
Etiologic Agents ◽  
Processing Plants ◽  
Safety Programs ◽  
Specific Food

Foodborne disease outbreak data are collected, collated, interpreted and disseminated to improve food safety programs at all organizational levels. Part II of this series described the disease aspects of foodborne surveillance. This part (III) focuses on the food components, with collation of data to list vehicles, significant ingredients, the places where foods were mishandled, the methods of processing or preparation, and operations that contributed to outbreaks. Specific food items should be cited as vehicles, but they will have to be put into subgroups and categories for some tabular presentations. Significant ingredients are the items in combined (mixed) foods that are the likely sources of the etiologic agents. Places of mishandling include farms, dairies, aquatic and land environments where foods are harvested, processing plants, food service establishments, homes, and transportation. Multiple places may contribute to the mishandling in any outbreak. The method of processing include all sorts of processing operations. The method of preparation is classified into the following food service systems: raw unaltered foods, assembled/prepare serve, cook-serve, cook hold-hot, cook chill serve, cook chill reheat, and acidify serve. The contributory factors are situations or operations that allow contamination of foods and survival and/or proliferation of the etiologic agents in the foods. This data will provide direction for setting food safety program priorities, suggest places and operations at which regulations need to be established and enforced, and indicate educational and training needs. Definitions of the terms used in the tables are given, and the value and limitations of each set of data in the tables and in tables of related information commonly presented in foodborne disease surveillance summaries are reviewed. The data from the tables should be used to improve food safety programs, which is the subject of the next part of this series.

Worldwide Surveillance of Foodborne Disease: the Need to Improve†

1996 ◽  
Vol 59 (1) ◽  
pp. 82-92 ◽  
Author(s):  
EWEN C. D. TODD
Keyword(s):  
Latin American ◽  
Disease Surveillance ◽  
Large Population ◽  
The United States ◽  
Control Measures ◽  
Annual Reports ◽  
Effective Control ◽  
Surveillance Program ◽  
Foodborne Disease ◽  
E Coli

A foodborne-disease surveillance program is an essential part of a food safety program. Foodborne surveillance should be able to issue early alerts on contaminated food to which a large population is exposed; collate notifications of enteric diseases and laboratory isolations; report foodborne disease incidents on a regular basis; and use sentinel and specific epidemiological studies as required. Although most countries have some kind of reporting of notifiable diseases, few have foodborne-disease surveillance programs, and little is known of foodborne disease in general on a worldwide basis. However, in the last decade many European countries have generated annual reports to join those of Canada, England/Wales, Japan and the United States. In addition, a few other countries are attempting to develop foodborne-disease reporting programs but are hampered by lack of resources. However, it is apparent that staphylococcal intoxication has been decreasing in most nations, except in some Latin American countries where cheese from unpasteurized milk and cream-filled desserts are widely consumed. In contrast, salmonellosis has been increasing or remaining steady as the main foodborne disease in practically all other countries. Newly-recognized agents such as E. coli O157:H7 and other verotoxigenic E. coli, or previously-known agents in new food associations such as Clostridium botulinum, are also being documented in several countries. Although the socioeconomic impact of foodborne diseases is very high, there are at best limited effective control measures to reduce them, even in industrialized countries. One reason control is difficult to achieve is that surveillance is inadequate and the burden of foodborne disease is not fully understood by policy-makers. Another reason is that a consistent and coordinated effort by industry and government is required, as has been practiced in Sweden to reduce substantially the Salmonella contamination of poultry. Improvement of surveillance on a worldwide basis is all the more important with increasing world trade and travel, and international organizations need to take a lead role in accomplishing this.

scholarly journals Impact of Sclerotinia Stem Rot on Yield of Canola

Plant Disease ◽  
2007 ◽  
Vol 91 (2) ◽  
pp. 191-194 ◽  
Author(s):  
L. E. del Río ◽  
C. A. Bradley ◽  
R. A. Henson ◽  
G. J. Endres ◽  
B. K. Hanson ◽  
...  
Keyword(s):  
North Dakota ◽  
Field Experiments ◽  
Disease Incidence ◽  
The United States ◽  
Stem Rot ◽  
Sclerotinia Stem Rot ◽  
Potential Yield ◽  
Naturally Occurring ◽  
The Cost ◽  
The Impact

Sclerotinia sclerotiorum is the causal agent of Sclerotinia stem rot (SSR) of canola (Brassica napus). In North Dakota, the leading canola producer in the United States, SSR is an endemic disease. In order to estimate the impact of this disease on canola yield, field experiments were conducted from 2000 to 2004 at several locations in North Dakota and Minnesota. Experimental plots were either inoculated with laboratory-produced ascospores or infected by naturally occurring inoculum in commercial fields. Applying fungicides at different concentrations and timings during the flowering period created epiphytotics of diverse intensities. Disease incidence was measured once prior to harvesting the crop on 50 to 100 plants per plot. Results of the study indicated that 0.5% of the potential yield (equivalent to 12.75 kg/ha) was lost for every unit percentage of SSR incidence (range of 0.18 to 0.96%). Considering the current cost of fungicide applications and the market value of this commodity, a 17% SSR incidence could cause losses similar to the cost of a fungicide application. Additional efforts are required to improve current levels of tolerance of canola plants to this pathogen.

Sign in / Sign up

Export Citation Format

Share Document