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- W190433211 abstract "This thesis presents a detailed analysis of illness related costs ofhuman salmonellosis In England and Wales, estimated at £263 million(minimum), including intangible costs, in 1988, and explores potentialbenefits of preventive activities aimed at the poultry industry.To explore trends In reported infection and the factors which mayinfluence those trends, salmonella reporting between 1960 and 1989 wasexamined. Trends in foodborne Illness were associated with increasedreporting of salmonella infection. The factors which contributed tothis increase included Intrinsic factors such as the microbiologicalquality of food, and extrinsic factors such as ambient temperaturewhich may amplify intrinsic effects. Evidence that poultry productswere important vehicles of human Illness was supported by trends ininfections in animals and poultry, and food consumption patterns. Thusa significant decrease in human infection would result from reductionin poultry contamination.The findings of a unique and detailed survey of 1,482 human salmonellacases, presented in this thesis, indicated tangible costs of illness of£996,350 to £1,091,131. Over a third (E392,822 - £426,887) were costsrelated to investigation and treatment of cases and over half (E507,555-E559,401) was production loss associated with sickness related absencefrom work. The remaining costs Identified represented important coststo affected Individuals and their families. Additional intangible costsof £1.57 million to £5.07 million were ascribed to value of lives lostand to pain and suffering estimates.Extrapolation of costs, utilizing an index of severity developed forthis study and categorisation of cases by level of treatment demanded,indicated national, tangible, costs of £231 million to £331 million;additional intangible costs were £32 million to £119 million). Thecost-effectiveness of limiting these totals was explored by twoapproaches. Cost reduction by changes in cases management (eg. reducingfaecal specimens tested and time off work) indicated small potentialsavings. However, substantial benefits were indicated by cost-benefitanalysis of preventive activities including irradiation of poultrycarcasses and use of competitive exclusion methods in poultry rearing." @default.
- W190433211 created "2016-06-24" @default.
- W190433211 creator A5066144708 @default.
- W190433211 date "1993-01-01" @default.
- W190433211 modified "2023-09-24" @default.
- W190433211 title "The economic and social impact of human salmonellosis in England and Wales: a study of the costs and epidemiology of illness and the benefits of prevention." @default.
- W190433211 doi "https://doi.org/10.17037/pubs.00682221" @default.
- W190433211 hasPublicationYear "1993" @default.
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