{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T11:49:32Z","timestamp":1791460172475,"version":"4.3.4"},"reference-count":71,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T00:00:00Z","timestamp":1588291200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foodborne Pathogens and Disease"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:p>\n                    Burden of disease metrics are increasingly established to prioritize food safety interventions. We estimated the burden of disease caused by seven foodborne pathogens in Denmark in 2017:\n                    <jats:italic toggle=\"yes\">Campylobacter<\/jats:italic>\n                    ,\n                    <jats:italic toggle=\"yes\">Salmonella<\/jats:italic>\n                    , Shiga toxin\u2013producing\n                    <jats:italic toggle=\"yes\">Escherichia coli<\/jats:italic>\n                    , norovirus,\n                    <jats:italic toggle=\"yes\">Yersinia enterocolitica<\/jats:italic>\n                    ,\n                    <jats:italic toggle=\"yes\">Listeria monocytogenes<\/jats:italic>\n                    , and\n                    <jats:italic toggle=\"yes\">Toxoplasma gondii<\/jats:italic>\n                    . We used public health surveillance data and scientific literature to estimate incidence, mortality, and total disability-adjusted life year (DALY) of each, and linked results with estimates of the proportion of disease burden that is attributable to foods. Our estimates showed that\n                    <jats:italic toggle=\"yes\">Campylobacter<\/jats:italic>\n                    caused the highest burden of disease, leading to a total burden of 1709 DALYs (95% uncertainty interval [UI] 1665\u20131755), more than threefold higher than the second highest ranked pathogen (\n                    <jats:italic toggle=\"yes\">Salmonella:<\/jats:italic>\n                    492 DALYs; 95% UI 481\u2013504).\n                    <jats:italic toggle=\"yes\">Campylobacter<\/jats:italic>\n                    still led the ranking when excluding DALYs attributable to nonfoodborne routes of exposure. The total estimated incidence was highest for norovirus, but this agent ranked sixth when focusing on foodborne burden.\n                    <jats:italic toggle=\"yes\">Salmonella<\/jats:italic>\n                    ranked second in terms of foodborne burden of disease, followed by\n                    <jats:italic toggle=\"yes\">Listeria<\/jats:italic>\n                    and\n                    <jats:italic toggle=\"yes\">Yersinia<\/jats:italic>\n                    . Foodborne congenital toxoplasmosis was estimated to cause the loss of \u223c100 years of healthy life, a burden that was borne by a low number of cases in the population. The ranking of foodborne pathogens varied substantially when based on reported cases, estimated incidence, and burden of disease estimates. Our results reinforce the need to continue food safety efforts throughout the food chain in Denmark, with a particular focus on reducing the incidence of\n                    <jats:italic toggle=\"yes\">Campylobacter<\/jats:italic>\n                    infections.\n                  <\/jats:p>","DOI":"10.1089\/fpd.2019.2705","type":"journal-article","created":{"date-parts":[[2019,11,22]],"date-time":"2019-11-22T10:41:21Z","timestamp":1574419281000},"page":"322-339","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":42,"title":["Burden of Disease Estimates of Seven Pathogens Commonly Transmitted Through Foods in Denmark, 2017"],"prefix":"10.1177","volume":"17","author":[{"given":"Sara","family":"Monteiro Pires","sequence":"first","affiliation":[{"name":"Division of Diet, Disease Prevention and Toxicology, National Food Institute, Technical University of Denmark, Lyngby, Denmark."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lea Sletting","family":"Jakobsen","sequence":"additional","affiliation":[{"name":"Division of Diet, Disease Prevention and Toxicology, National Food Institute, Technical University of Denmark, Lyngby, Denmark."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanne","family":"Ellis-Iversen","sequence":"additional","affiliation":[{"name":"Division of Risk Assessment and Nutrition, National Food Institute, Technical University of Denmark, Lyngby, Denmark."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joana","family":"Pessoa","sequence":"additional","affiliation":[{"name":"Teagasc, Pig Development Department, Animal &amp; Grassland Research and Innovation Centre, Moorepark, Ireland."},{"name":"Section of Herd Health and Animal Husbandry, School of Veterinary Medicine, University College Dublin, Dublin, Ireland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steen","family":"Ethelberg","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease Epidemiology, Statens Serum Institut, Copenhagen, Denmark."},{"name":"Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,5,7]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(14)70767-4"},{"key":"e_1_3_4_3_1","unstructured":"Anonymous. Annual Report on Zoonoses in Denmark 2017. Lyngby Denmark: DTU Food\/National Food Institute 2018."},{"key":"e_1_3_4_4_1","first-page":"1","article-title":"Source attribution of human campylobacteriosis in Denmark","author":"Boysen L","year":"2013","unstructured":"Boysen L, , Rosenquist H, , Larsson JT, , Nielsen EM, , S\u00f8rensen G, , Nordentoft S et al,. Source attribution of human campylobacteriosis in Denmark. Epidemiol Infect, 2013:1\u201310.","journal-title":"Epidemiol Infect"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268815000801"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cofs.2016.06.002"},{"key":"e_1_3_4_7_1","unstructured":"Christensen T Dejg\u00e5rd JJ. Calculation of the costs of illness of of salmonella campylobacter listeria and VTEC in Denmark 2017."},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00038-014-0553-y"},{"key":"e_1_3_4_9_1","unstructured":"Commission Regulation (EC) No 2073\/2005 of 15 November 2005 on microbiological criteria for foodstuffs (Text with EEA relevance). 2005."},{"key":"e_1_3_4_10_1","unstructured":"Danish Food and Veterinary Administration 2018. Action plan for campylobacter in broilers food and the surrounding environment. Copenhagen 2018. Available at: https:\/\/www.foedevarestyrelsen.dk\/SiteCollectionDocuments\/Foder-%20og%20foedevaresikkerhed\/Mikrozoonoser\/Handlingsplan%20for%20campylobacter%202018-2021%20(3).pdf accessed November18 2019."},{"key":"e_1_3_4_11_1","unstructured":"ECDC. ECDC BCoDE toolkit [software application].. Version 1.4 Stockholm: European Centre for Disease Prevention and Control 2015. 2015. 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