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    Costs and benefits of controlling Campylobacter in the Netherlands - integrating risk analysis, epidemiology and economics.

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    Authors
    Havelaar AH
    Nauta MJ
    Mangen MJJ
    de Koeijer AG
    Bogaardt M-J
    Evers EG
    Jacobs-Reitsma WF
    van Pelt W
    Wagenaar JA
    de Wit GA
    van der Zee H
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    Series/Report no.
    RIVM rapport 250911009
    Type
    Report
    Language
    en
    
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    Title
    Costs and benefits of controlling Campylobacter in the Netherlands - integrating risk analysis, epidemiology and economics.
    Translated Title
    Kosten en baten van Campylobacterbestrijding in Nederland - integratie van risicoanalyse, epidemiologie en economie
    Publiekssamenvatting
    Een combinatie van decontaminatie met een middel als melkzuur en technische maatregelen om de verspreiding van mest tijdens het slachten tegen te gaan, lijkt volgens modelberekeningen de meest economische methode om de microbiologische veiligheid van kippenvlees te verbeteren. Campylobacter-bacterien zijn de belangrijkste bacteriele veroorzakers van voedselinfecties in Nederland, met ongeveer 80.000 gevallen van gastro-enteritis per jaar. Onder de vele verschillende routes waarlangs de mens aan Campylobacter kan worden blootgesteld nemen consumptie van kippenvlees, direct contact met dieren en rauw geconsumeerde producten een belangrijke plaats in. Genoemde resultaten zijn verkregen in een multidisciplinair onderzoek naar de kosten en baten van maatregelen om de besmetting van kippenvlees terug te dringen. Aanvullende hygienemaatregelen op de boerderij zouden volgens modelberekeningen in theorie de besmetting bij het pluimvee sterk terug kunnen brengen, maar het is nog niet duidelijk welke maatregelen precies genomen moeten worden. Op korte termijn is meer effect te verwachten van aanvullende maatregelen op het slachthuis om de besmettingsgraad van het vlees te verminderen. Volgens modelberekeningen kunnen alleen al daardoor in Nederland ongeveer 12.000 gevallen per jaar van gastro-enteritis worden voorkomen. Om deze maatregelen succesvol te kunnen invoeren is nog wel aanvullend praktijkonderzoek nodig. Door onbekendheid met de maatregelen en de additionele kosten is het draagvlak bij de consument en ketenpartijen gering zodat actieve communicatie van groot belang is.

    A combination of decontamination with a chemical such as lactic acid and technical measures to reduce leakage of feces during slaughtering have been shown by model calculations in a Netherlands study to be the most economic method to improve the safety of broiler meat. Campylobacter bacteria form the most common bacterial cause of foodborne infections in the Netherlands, with approximately 80,000 cases of gastroenteritis per year. Of the many different routes by which humans can be exposed to Campylobacter, the most important are the consumption of broiler meat and other raw food products, and direct contact with animals. Results above are derived from a multidisciplinary study on the costs and benefits of measures to reduce the contamination of broiler meat. Model calculations also showed additional hygienic measures to theoretically reduce the contamination on broiler farms, but it is not yet clear what exact measures should be taken. In the short term, more effect can be expected from additional measures in the processing plant to reduce the level of contamination of meat. Model calculations indicate that in the Netherlands alone, this would result in the prevention of 12,000 cases of gastrointestinal illness per year. Successful implementation of these measures will require additional studies on a practical scale. Because of unfamiliarity and additional costs, there is little support for measures among consumers and industry. Therefore active communication will be paramount.
    Description
    This report is the English translation of report nr 250911008<br>
    Publisher
    Rijksinstituut voor Volksgezondheid en Milieu RIVM
    Sponsors
    VWS
    LNV
    VWA
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