{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T22:48:12Z","timestamp":1791586092675,"version":"4.3.4"},"reference-count":72,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,8,9]],"date-time":"2025-08-09T00:00:00Z","timestamp":1754697600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Challenges"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Foodborne illnesses exert a substantial toll on public health and economic systems globally, with low\u2010 and middle\u2010income countries (LMICs) like Somalia being disproportionately affected due to fragile health infrastructure, limited regulatory oversight, and high prevalence of informal food markets. This study assessed the prevalence and economic burden of foodborne diseases in Somalia by integrating regional epidemiological data and cost estimates to compensate for national data gaps. Cholera remains the most frequently reported illness, but evidence from sub\u2010Saharan Africa suggests a broader burden of pathogens such as <jats:italic>Salmonella<\/jats:italic>, <jats:italic>Escherichia coli<\/jats:italic>, and <jats:italic>Campylobacter<\/jats:italic>, whose surveillance remains underdeveloped in Somalia. Direct healthcare costs are substantial, ranging from outpatient care to the treatment of severe complications, such as Guillain\u2013Barr\u00e9 syndrome and hemolytic uremic syndrome. Indirect costs include lost productivity, educational disruption, long\u2010term disability, and exacerbated poverty cycles. The impact on the livestock\u2010driven economy is also profound, with repeated export rejections and trade losses highlighting the vulnerability of Somalia's food system. This perspective underscores the urgent need for enhanced surveillance systems, regulatory harmonization, and investment in food safety infrastructure to reduce the disease burden and protect economic stability.<\/jats:p>","DOI":"10.1002\/puh2.70097","type":"journal-article","created":{"date-parts":[[2025,8,9]],"date-time":"2025-08-09T14:23:41Z","timestamp":1754749421000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The Economic and Public Health Burden of Foodborne Illness in Somalia: Prevalence, Costs, and Policy Imperatives"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8535-198X","authenticated-orcid":false,"given":"Yakub Burhan","family":"Abdullahi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5991-4052","authenticated-orcid":false,"given":"Mohamed Mustaf","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences SIMAD University  Mogadishu Somalia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7224-2247","authenticated-orcid":false,"given":"Yusuf Hared","family":"Abdi","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Tropical Medicine Somali National University  Mogadishu Somalia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6900-9870","authenticated-orcid":false,"given":"Sharmake Gaiye","family":"Bashir","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Tropical Medicine Somali National University  Mogadishu Somalia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9058-4807","authenticated-orcid":false,"given":"Naima Ibrahim","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Tropical Medicine Somali National University  Mogadishu Somalia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0220-4014","authenticated-orcid":false,"given":"Mohamed Sharif","family":"Abdi","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Tropical Medicine Somali National University  Mogadishu Somalia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,9]]},"reference":[{"key":"e_1_2_14_2_1","volume-title":"Estimating the Burden of Foodborne Diseases: A Practical Handbook for Countries A Guide for Planning, Implementing and Reporting Country\u2010Level Burden of Foodborne Disease","author":"WHO","year":"2021"},{"key":"e_1_2_14_3_1","volume-title":"The National Food Safety Policy Final Draft","author":"Federal Republic of 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