{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T10:00:17Z","timestamp":1785319217740,"version":"3.55.0"},"reference-count":49,"publisher":"American Public Health Association","issue":"S2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:p> Objectives. In collaboration with Public Health Practice\u2013Based Research Networks, we investigated relationships between local health department (LHD) food safety and sanitation expenditures and reported enteric disease rates. <\/jats:p><jats:p> Methods. We combined annual infection rates for the common notifiable enteric diseases with uniquely detailed, LHD-level food safety and sanitation annual expenditure data obtained from Washington and New York state health departments. We used a multivariate panel time-series design to examine ecologic relationships between 2000\u20132010 local food safety and sanitation expenditures and enteric diseases. Our study population consisted of 72 LHDs (mostly serving county-level jurisdictions) in Washington and New York. <\/jats:p><jats:p> Results. While controlling for other factors, we found significant associations between higher LHD food and sanitation spending and a lower incidence of salmonellosis in Washington and a lower incidence of cryptosporidiosis in New York. <\/jats:p><jats:p> Conclusions. Local public health expenditures on food and sanitation services are important because of their association with certain health indicators. Our study supports the need for program-specific LHD service-related data to measure the cost, performance, and outcomes of prevention efforts to inform practice and policymaking. <\/jats:p>","DOI":"10.2105\/ajph.2015.302555","type":"journal-article","created":{"date-parts":[[2015,2,17]],"date-time":"2015-02-17T20:55:09Z","timestamp":1424206509000},"page":"S345-S352","source":"Crossref","is-referenced-by-count":22,"title":["Local Health Department Food Safety and Sanitation Expenditures and Reductions in Enteric Disease, 2000\u20132010"],"prefix":"10.2105","volume":"105","author":[{"given":"Betty","family":"Bekemeier","sequence":"first","affiliation":[{"name":"Betty Bekemeier, Michelle Pui-Yan Yip, and Greg Whitman are with the Department of Psychosocial and Community Health, University of Washington School of Nursing, Seattle. Tao Kwan-Gett is with the Department of Health Services, University of Washington School of Public Health, Seattle. Matthew D. 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