WHO ESTIMATES OF THE GLOBAL BURDEN OF FOODBORNE DISEASES FOODBORNE DISEASE BURDEN EPIDEMIOLOGY REFERENCE GROUP 2007-2015 WHO ESTIMATES OF THE GLOBAL BURDEN OF FOODBORNE DISEASES FOODBORNE DISEASE BURDEN EPIDEMIOLOGY REFERENCE GROUP 2007-2015 WHO Library Cataloguing-in-Publication Data WHO estimates of the global burden of foodborne diseases: foodborne disease burden epidemiology reference group 2007-2015. I.World Health Organization. ISBN 978 92 4 156516 5 Subject headings are available from WHO institutional repository © World Health Organization 2015 All rights reserved. Publications of the World Health Organization are available on the WHO web site (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@ who.int). 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Printed in Switzerland Design by Paprika-Annecy Cover : © Rania Spatha - Photos : © Shutterstock : Chatrawee Wiratgasem, Lucky Business, Chepko Danil Vitalevich, Jenny Sturm, giulio napolitano, vanillaechoes, africa924, Max Topchii, charnw V CONTENTS ACKNOWLEDGEMENTS VIII FOREWORD IX EXECUTIVE SUMMARY X 1 INTRODUCTION 1 1.1 Motivation: the importance of food safety ............................................................................................................. 3 1.2 The value of foodborne disease burden estimates ............................................................................................. 3 1.3 Purpose and audience .......................................................................................................................................................4 1.4 Scope .........................................................................................................................................................................................4 1.5 History and structure .........................................................................................................................................................4 1.6 Objectives ................................................................................................................................................................................ 5 1.7 Other relevant burden of disease estimates ..........................................................................................................6 1.8 Timeline: FERG Meetings ................................................................................................................................................. 7 1.8.1 Overview .............................................................................................................................................................................................7 1.8.2 Extracts from reports of major meetings ............................................................................................................................7 1.8.3 Strategic revisions .........................................................................................................................................................................10 1.8.4 Key decisions ...................................................................................................................................................................................10 1.8.5 Country-level involvement ..........................................................................................................................................................11 1.9 Task Force Meetings ..........................................................................................................................................................12 1.10 Participants ...........................................................................................................................................................................12 1.11 Declarations of Interest ....................................................................................................................................................12 2 COMMISSIONED WORK 13 2.1 Enteric Diseases Task Force ...........................................................................................................................................15 2.1.1 Brucella spp. ..................................................................................................................................................................................... 15 2.1.2 Diarrhoeal disease ......................................................................................................................................................................... 15 2.1.3 Mycobacterium bovis................................................................................................................................................................... 15 2.1.4 Shiga toxin-producing Escherichia coli............................................................................................................................... 15 2.1.5 Norovirus .......................................................................................................................................................................................... 16 2.1.6 Invasive non-typhoidal Salmonella enterica ..................................................................................................................... 16 2.1.7 Listeria monocytogenes ............................................................................................................................................................. 16 2.2 Parasitic Diseases Task Force .......................................................................................................................................16 2.2.1 Taenia solium.................................................................................................................................................................................... 16 2.2.2 Trematodes (includes Echinostoma spp., Fasciolopsis buski, Heterophyes spp. and Metagonimus spp.) ..16 2.2.3 Echinococcus multilocularis ..................................................................................................................................................... 17 2.2.4 Trichinella spp. ................................................................................................................................................................................. 17 2.2.5 Toxoplasma gondii ......................................................................................................................................................................... 17 2.3 Chemicals and Toxins Task Force ...............................................................................................................................17 2.3.1 Aflatoxins .......................................................................................................................................................................................... 17 2.3.2 Arsenic ................................................................................................................................................................................................ 17 2.3.3 Cassava cyanide ............................................................................................................................................................................. 17 2.3.4 Peanut Allergens ............................................................................................................................................................................ 18 2.3.5 Dioxins ................................................................................................................................................................................................. 18 2.4 Source Attribution Task Force ......................................................................................................................................18 2.5 Computational Task Force .............................................................................................................................................18