Keddy Karen H, Hoffmann Sandra, Founou Luria Leslie, Estrada-Garcia Teresa, Gobena Tesfaye, Havelaar Arie H, Jakobsen Lea Sletting, Kubota Kunihiro, Law Charlee, Lake Rob, Minato Yuki, Al-Natour Fadi Nasr Radwan, Pires Sara M, Rachmawati Tety, Sripa Banchob, Torgerson Paul, Walter Elaine Scallan
Department of Veterinary Tropical Diseases, Faculty of Veterinary Science, University of Pretoria, Pretoria, South Africa.
US Department of Agriculture, Economic Research Service, Washington, DC, United States of America.
PLOS Glob Public Health. 2025 Apr 9;5(4):e0004309. doi: 10.1371/journal.pgph.0004309. eCollection 2025.
Estimates of national burdens of the foodborne disease (FBD) inform country-level food safety policies, ranking infectious and non-infectious FBD hazards in terms of health and socioeconomic impact to mitigate FBD burdens. Using relevant publications on FBD burdens from scientific literature, this review contends that four major imperatives (health, economic, planetary boundaries, governance) argue for a sustainable programme to quantify national FBD burdens. FBD disproportionately affects children under five years of age, and low- and middle-income countries. The economic costs are significant and include medical care, child development, lost productivity and international trade losses. Climatic changes and environmental contamination cause socio-ecological disruptions, increasing risk factors for FBD. Good governance promotes food safety initiatives, addressing in part under-diagnosis and underreporting. Strengthening national policies on FBD surveillance and burden estimation can promote food safety policies and address the global and national imperatives for FBD control. Evidence-based educational and regulatory interventions for FBD can promote improvements in the health and socioeconomic circumstances of the most vulnerable.
食源性疾病（FBD）国家负担的估计为国家层面的食品安全政策提供依据，根据对健康和社会经济的影响对传染性和非传染性食源性疾病危害进行排名，以减轻食源性疾病负担。利用科学文献中有关食源性疾病负担的相关出版物，本综述认为，有四项主要要求（健康、经济、地球边界、治理）支持实施一项可持续计划，以量化国家食源性疾病负担。食源性疾病对五岁以下儿童以及低收入和中等收入国家的影响尤为严重。经济成本巨大，包括医疗保健、儿童发育、生产力损失和国际贸易损失。气候变化和环境污染会导致社会生态破坏，增加食源性疾病的风险因素。良好的治理可促进食品安全举措，部分解决诊断不足和报告不足的问题。加强国家食源性疾病监测和负担估计政策可促进食品安全政策，并应对全球和国家层面控制食源性疾病的要求。基于证据的食源性疾病教育和监管干预措施可促进改善最弱势群体的健康和社会经济状况。
