Vol. 16 No. 1 (2024): Arch Pub Health
Public Health

Assessment of the burden of salmonellosis in the Republic of North Macedonia

Aneta Kostova
Institute of the Public Health of the Republic of North Macedonia; Ss. Cyril and Methodius University in Skopje, Faculty of Medicine, Republic of North Macedonia
Gordana Ristovska
Institute of the Public Health of the Republic of North Macedonia; Ss. Cyril and Methodius University in Skopje, Faculty of Medicine, Republic of North Macedonia
Darko Kotev
Center for Public Health, Veles, Republic of North Macedonia

Published 2024-07-01

Keywords

  • burden,
  • salmonellosis,
  • unsafe food,
  • YLD,
  • DALY

How to Cite

1.
Kostova A, Ristovska G, Kotev D. Assessment of the burden of salmonellosis in the Republic of North Macedonia. Arch Pub Health [Internet]. 2024 Jul. 1 [cited 2024 Jul. 20];16(1). Available from: https://id-press.eu/aph/article/view/6113

Abstract

Food-related diseases still cause a significant public health, economic and social burden worldwide. Each year, 1 in 10 people become ill from food contaminated with microbes or chemical agents, resulting in 600 million illnesses, 420,000 deaths and loss of 33 million healthy life years globally.  The aim of this study was to determine the burden of infections caused by Salmonella spp. at national level, and to determine the public health and economic impact. Material and methods: Data from the National database of infectious diseases for 2019 were used; incidence, years of life lost (YLL), years lost due to disability (YLD), disability-adjusted life years (DALY) and economic losses were determined. Results: The analysis included 197 salmonellosis patients, of which 101 or 51.3% were male patients and 96 or 48.7% were female patients. The largest number of cases occurred in month XI (November) with 46 cases. The most represented age group were children aged 0-5 years (79 patients). The largest number of cases were registered in Skopje - 80 cases (40.6%). Data analysis showed a significant association between clinically established diagnosis and hospitalization in patients with salmonellosis. DALY was 19.9 or 0.96 DALY per 100,000 population. The value of productivity losses was 6,637,665 denars or €107,930. Conclusion: This is the first national study of salmonellosis burden and should serve as an important resource for focusing activities that will reduce this burden. The findings of the study could be the basis for the development of strategies at the regional and national level.

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