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Local health department food safety and sanitation expenditures and reductions in enteric disease, 2000-2010

Author

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  • Bekemeier, B.
  • Yip, M.P.-Y.
  • Dunbar, M.D.
  • Whitman, G.
  • Kwan-Gett, T.

Abstract

Objectives: In collaboration with Public Health Practice-Based Research Networks, we investigated relationships between local health department (LHD) food safety and sanitation expenditures and reported enteric disease rates. 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 2000-2010 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. 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. 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.

Suggested Citation

  • Bekemeier, B. & Yip, M.P.-Y. & Dunbar, M.D. & Whitman, G. & Kwan-Gett, T., 2015. "Local health department food safety and sanitation expenditures and reductions in enteric disease, 2000-2010," American Journal of Public Health, American Public Health Association, vol. 105, pages 345-352.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302555_0
    DOI: 10.2105/AJPH.2015.302555
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    Cited by:

    1. Gulzar H. Shah & Padmini Shankar & Vinoth Sittaramane & Elizabeth Ayangunna & Evans Afriyie-Gyawu, 2022. "Ensuring Food Safety for Americans: The Role of Local Health Departments," IJERPH, MDPI, vol. 19(12), pages 1-12, June.
    2. Nancy L. Winterbauer & Betty Bekemeier & Lisa VanRaemdonck & Anna G. Hoover, 2016. "Applying Community-Based Participatory Research Partnership Principles to Public Health Practice-Based Research Networks," SAGE Open, , vol. 6(4), pages 21582440166, November.
    3. Bernet, Patrick M. & Gumus, Gulcin & Vishwasrao, Sharmila, 2018. "Effectiveness of public health spending on infant mortality in Florida, 2001–2014," Social Science & Medicine, Elsevier, vol. 211(C), pages 31-38.

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