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Foodborne Illness Cost Calculator: Salmonella

ERS estimates that the annual economic cost of salmonellosis—the illness caused by the Salmonella bacterium—is $2,708,292,046 (2010 dollars). This estimate is for all cases of salmonellosis, not just foodborne cases. The estimate includes medical costs due to illness, the cost (value) of time lost from work due to nonfatal illness, and the cost (value) of premature death. It excludes a number of other potential costs, such as those associated with chronic complications, disutility for nonfatal illness, pain and suffering, travel, childcare, etc. Review ERS per case assumptions and calculation descriptions. See Consumer Price Index components and ERS assumptions for information on dollar value conversions.

NOTE: The default number of Salmonella cases entered in the cost calculator was obtained from an update by Voetsch and others (see FoodNet Estimate of the Burden of Illness Caused by Nontyphoidal Salmonella Infections in the United States) of an earlier case estimate by CDC (see Food-Related Illness and Death in the United States). Both estimates are now outdated because CDC has recently released a new estimate of annual Salmonella cases (see Foodborne Illness Acquired in the United States—Major Pathogens). ERS plans to update the calculator to include the new CDC case estimate; in the meantime, calculator users can refer to the new CDC estimate and change the number of Salmonella cases themselves. However, users should be aware of 2 caveats in using the new CDC estimate: 1) CDC reported only the total number of Salmonella cases (1,229,007), hospitalizations (23,128), and deaths (452), so users must decide whether the distribution of cases by severity has changed over time, and 2) the new CDC estimate is statistically uncertain, although CDC measured the uncertainty and reported 90 percent credibility intervals for the total number of cases (772,129-2,008,076), hospitalizations (10,221-44,860), and deaths (0-1,210).

Complete documentation of the Calculator assumptions and detailed citations are also available.

ERS cost estimate: Salmonella, from all sources, dollars
Tree diagram   
Pie chart
  
Cost component Didn't visit physician; survived

Change
per case costs for Severity
1
Visited physician; survived

Change
per case costs for Severity
2
Hospitalized; survived

Change
per case costs for Severity
3
Visited physician / hospitalized; died

Change
per case costs for Severity
4
Total
Number of cases
(Change number of cases)
1,224,547 157,738 14,487 415 1,397,187
All illness dollars
  Medical: 0 63,426,608 176,196,471 4,573,250 244,196,329
    Medications 0 0 0 0 0
    Office visits 0 28,076,733 1,289,314 52,763 29,418,810
    Emergency room 0 7,944,159 2,188,826 62,702 10,195,687
    Outpatient visit 0 27,405,716 1,678,000 48,069 29,131,784
    Hospitalization 0 0 171,040,331 4,409,717 175,450,047
  Productivity, nonfatal 64,911,277 27,794,160 6,900,162 243,559 99,849,157
  Disutility, nonfatal 0 0 0 0 0
  Premature death 0 0 0 2,364,246,559 2,364,246,559
ERS total cost, 2010 64,911,277 91,220,767 183,096,633 2,369,063,368 2,708,292,046
ERS average cost per case, 2010 53 578 12,639 5,708,586 1,938

 

For more information, contact: Paul Frenzen

Web administration: webadmin@ers.usda.gov

Updated date: June 24, 2011