The Economic Impact of a Foodborne Disease Outbreak Due to Staphylococcus aureus

1988 ◽  
Vol 51 (11) ◽  
pp. 898-900 ◽  
Author(s):  
P. SUDHAKAR ◽  
R. NAGESWARA RAO ◽  
RAMESH V. BHAT ◽  
C. P. GUPTA

The economic cost of a Staphylococcus aureus outbreak involving over 100 persons was estimated. About 41% of the expenditure was borne by the affected persons which includes, loss of wages or productivity loss and other expenses. The cost of hospitalization, laboratory investigations, etc., was 43%. Educative and preventive measures would considerably reduce the economic cost of the outbreaks which are very high for a developing economy. A comparison of the economic cost calculated on the basis of percent of per capita income with that of a similar outbreak in the United States indicated that the cost of a foodborne disease outbreak is higher in India than in the United States.

2019 ◽  
Vol 134 (5) ◽  
pp. 552-558
Author(s):  
Royal Kai Yee Law ◽  
Hannah Kisselburgh ◽  
Douglas Roblin ◽  
Ekta Choudhary ◽  
Joshua Schier ◽  
...  

Objectives: Foodborne disease is a pervasive problem caused by consuming food or drink contaminated by infectious or noninfectious agents. The 55 US poison centers receive telephone calls for advice on foodborne disease cases that may be related to a foodborne disease outbreak (FBDO). Our objective was to assess whether poison center call records uploaded to the National Poison Data System (NPDS) can be used for surveillance of noninfectious FBDOs in the United States. Methods: We matched NPDS records on noninfectious FBDO agents in the United States with records in the Foodborne Disease Outbreak Surveillance System (FDOSS) for 2000-2010. We conducted multivariable logistic regression analysis comparing NPDS matched and unmatched records to assess features of NPDS records that may indicate a confirmed noninfectious FBDO. Results: During 2000-2010, FDOSS recorded 491 noninfectious FBDOs of known etiology and NPDS recorded 8773 calls for noninfectious foodborne disease exposures. Of 8773 NPDS calls, 469 (5.3%) were matched to a noninfectious FBDO reported to FDOSS. Multivariable logistic regression indicated severity of medical outcome, whether the call was made by a health care professional, and etiology as significant predictors of NPDS records matching an FDOSS noninfectious FBDO. Conclusions: NPDS may complement existing surveillance systems and response activities by providing timely information about single cases of foodborne diseases or about a known or emerging FBDO. Prioritizing NPDS records by certain call features could help guide public health departments in the types of noninfectious foodborne records that most warrant public health follow-up.


2009 ◽  
Vol 56 (2) ◽  
pp. 211-238 ◽  
Author(s):  
Georges Dionne

Abstract The object of this paper is to analyse the effects of insurance and of the relation of trust between consumer and producer on the possibilities of fraud by the producer. Fraud is defined as the provision of unnecessary services to a consumer who does not possess full information about the quality of his purchase. The possibilities of fraud increase with insurance. In particular, they are very high with full insurance since real cost of search tends to infinite. Also we verify that good trust between consumer and producer limits search activities. We apply this model to the market of surgeons in the United States. This market reflects the main characteristics of the model: the consumer is not well informed, the relation of trust is important, the cost of search is high, the service is largely insured and there is excess capacity.


2021 ◽  
Vol 13 (1) ◽  
pp. 431
Author(s):  
Adewale A. Adesanya

The cost of energy in the Western Upper Peninsula (WUP), a rural and northern part of the state of Michigan, is among the highest in the United States. This situation has resulted in hardship for WUP residents due to exorbitant electricity bills. While interest in renewable electricity (RE) has increased in the region, the unanswered questions are what factors would make WUP residents more or less supportive of a transition to 100% RE, and how does the support for a 100% RE transition differ between counties in the WUP? This research analyzed factors that would make residents more or less supportive of a 100% RE transition in the WUP. This research investigated public perceptions through a quantitative residents’ survey (N = 347). Using logistic regression, the results show that residents’ likelihood to participate in a municipality-led initiative that will reduce their consumption by 5% is statistically significant to their probability of support for wind energy development at p < 0.05. Furthermore, the likelihood of 100% RE transition support is very high across WUP counties, with a similar trend for project preferences. The results in this research can provide a roadmap for future community-engaged planning on 100% RE in various counties in the region.


1978 ◽  
Vol 41 (7) ◽  
pp. 559-565 ◽  
Author(s):  
EWEN C. D. TODD

Foodborne disease data from six countries were compared. The number of outbreaks ranged from 48 for Australia to 6,109 for Japan, both over 5-year periods. Salmonella sp., Staphylococcus aureus and Clostridium perfringens were the agents primarily responsible for illness in most of the countries. Vibrio parahaemolyticus, however, was the most significant agent in Japan. Meat and poultry were the foods most implicated in illness, but fish was also important in Japan and the United States. Foodservice establishments seem to have been the main places where food was mishandled, causing subsequent illness. less, however, is known of the contributory factors that led to such illness, although for the United States, the main one appears to have been improper holding temperatures. To permit a better and more complete comparison in the future, surveillance systems of different countries need to be developed on common criteria.


Author(s):  
Sean D. Candrilli ◽  
Samantha Kurosky

Invasive meningococcal disease (IMD) is a contagious bacterial infection that can occur sporadically in healthy individuals. Symptoms are typically similar to other common diseases, which can result in delayed diagnosis and treatment until patients are critically ill. In the United States, IMD outbreaks are rare and unpredictable. During an outbreak, rapidly marshalling the personnel and monetary resources to respond is paramount to controlling disease spread. If a community lacks necessary resources for a quick and efficient outbreak response, the resulting economic cost can be overwhelming. We developed a conceptual framework of activities implemented by universities, health departments, and community partners when responding to university-based IMD outbreaks. Next, cost data collected from public sources and interviews were applied to the conceptual framework to estimate the economic cost, both direct and indirect, of a university-based IMD outbreak. We used data from two recent university outbreaks in Oregon as case studies. Findings indicate a university-based IMD outbreak response relies on coordination between health care providers/insurers, university staff, media, government, and volunteers, along with many other community members. The estimated economic cost was $12.3 million, inclusive of the cost of vaccines ($7.35 million). Much of the total cost was attributable to wrongful death and indirect costs (e.g., productivity loss resulting from death). Understanding the breadth of activities and the economic cost of such a response may inform budgeting for future outbreak preparedness and development of alternative strategies to prevent and/or control IMD.


Author(s):  
Andrew Schmitz ◽  
Charles B. Moss ◽  
Troy G. Schmitz

AbstractThe COVID-19 crisis created large economic losses for corn, ethanol, gasoline, and oil producers and refineries both in the United States and worldwide. We extend the theory used by Schmitz, A., C. B. Moss, and T. G. Schmitz. 2007. “Ethanol: No Free Lunch.” Journal of Agricultural & Food Industrial Organization 5 (2): 1–28 as a basis for empirical estimation of the effect of COVID-19. We estimate, within a welfare economic cost-benefit framework that, at a minimum, the producer cost in the United States for these four sectors totals $176.8 billion for 2020. For U.S. oil producers alone, the cost was $151 billion. When world oil is added, the costs are much higher, at $1055.8 billion. The total oil producer cost is $1.03 trillion, which is roughly 40 times the effect on U.S. corn, ethanol, and gasoline producers, and refineries. If the assumed unemployment effects from COVID-19 are taken into account, the total effect, including both producers and unemployed workers, is $212.2 billion, bringing the world total to $1266.9 billion.


2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii466-iii466
Author(s):  
Karina Black ◽  
Jackie Middleton ◽  
Sunita Ghosh ◽  
David Eisenstat ◽  
Samor Patel

Abstract BACKGROUND Proton therapy for benign and malignant tumors has dosimetric and clinical advantages over photon therapy. Patients in Alberta, Canada are referred to the United States for proton treatment. The Alberta Heath Care Insurance Plan (AHCIP) pays for the proton treatment and the cost of flights to and from the United States (direct costs). This study aimed to determine the out-of-pocket expenses incurred by patients or their families (indirect costs). METHODS Invitation letters linked to an electronic survey were mailed to patients treated with protons between 2008 and 2018. Expenses for flights for other family members, accommodations, transportation, food, passports, insurance, and opportunity costs including lost wages and productivity were measured. RESULTS Fifty-nine invitation letters were mailed. Seventeen surveys were completed (28.8% response rate). One paper survey was mailed at participant request. Nine respondents were from parent/guardian, 8 from patients. All patients were accompanied to the US by a family member/friend. Considerable variability in costs and reimbursements were reported. Many of the accompanying family/friends had to miss work; only 3 patients themselves reported missed work. Time away from work varied, and varied as to whether it was paid or unpaid time off. CONCLUSIONS Respondents incurred indirect monetary and opportunity costs which were not covered by AHCIP when traveling out of country for proton therapy. Prospective studies could help provide current data minimizing recall bias. These data may be helpful for administrators in assessing the societal cost of out-of-country referral of patients for proton therapy.


2019 ◽  
Vol 71 (7) ◽  
pp. 1676-1683 ◽  
Author(s):  
Daniel J Morgan ◽  
Min Zhan ◽  
Michihiko Goto ◽  
Carrie Franciscus ◽  
Bruce Alexander ◽  
...  

Abstract Background Methicillin-resistant Staphylococcus aureus (MRSA) is a common cause of health care–associated infections in long-term care facilities (LTCFs). The Centers for Disease Control and Prevention recommends contact precautions for the prevention of MRSA within acute care facilities, which are being used within the United States Department of Veterans Affairs (VA) for LTCFs in a modified fashion. The impact of contact precautions in long-term care is unknown. Methods To evaluate whether contact precautions decreased MRSA acquisition in LTCFs, compared to standard precautions, we performed a retrospective effectiveness study (pre-post, with concurrent controls) using data from the VA health-care system from 1 January 2011 until 31 December 2015, 2 years before and after a 2013 policy recommending a more aggressive form of contact precautions. Results Across 75 414 patient admissions from 74 long-term care facilities in the United States, the overall unadjusted rate of MRSA acquisition was 2.6/1000 patient days. Patients were no more likely to acquire MRSA if they were cared for using standard precautions versus contact precautions in a multivariable, discrete time survival analysis, controlling for patient demographics, risk factors, and year of admission (odds ratio, 0.97; 95% confidence interval, .85–1.12; P = .71). Conclusions MRSA acquisition and infections were not impacted by the use of active surveillance and contact precautions in LTCFs in the VA.


2010 ◽  
Vol 13 (2) ◽  
Author(s):  
John F Cogan ◽  
R. Glenn Hubbard ◽  
Daniel Kessler

In this paper, we use publicly available data from the Medical Expenditure Panel Survey - Insurance Component (MEPS-IC) to investigate the effect of Massachusetts' health reform plan on employer-sponsored insurance premiums. We tabulate premium growth for private-sector employers in Massachusetts and the United States as a whole for 2004 - 2008. We estimate the effect of the plan as the difference in premium growth between Massachusetts and the United States between 2006 and 2008—that is, before versus after the plan—over and above the difference in premium growth for 2004 to 2006. We find that health reform in Massachusetts increased single-coverage employer-sponsored insurance premiums by about 6 percent, or $262. Although our research design has important limitations, it does suggest that policy makers should be concerned about the consequences of health reform for the cost of private insurance.


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