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The global burden on human health from eating shellfish raw is comparable to the impact of all upper respiratory infections and intestinal worm diseases

Global human health burden and associated economic cost of selected diseases in relation to exposures to marine waters and shellfish
contaminated with enteric micro-organisms

Disease
or Cause

Disability adjusted
life-years

DALY

Corresponding economic losses (rounded)
in US million dollars

Marine exposures

Contaminated bathing water

400,000-800,000

1,200-2,400

Contaminated shellfish

3,500,000-7,000,0S00

10,000-20,000

Disease

Tuberculosis

38,000,000

115,000

Malaria

31,000,000

95,000

Diabetes

11,000.000

35,000

Trachea, Brachia and Lung cancer

8,800,000

26,000

Stomach cancer

7,700,000

23,000

Intestinal nematodes

5,000,000

15,000

Upper respiratory tract infections

1,300,000

4,000

Trachoma

1,000,000

3,000

Onchocherciasls

900,000

2,700

Dengue fever

750,000

2,200

Japanese encephalitis

740,000

2,200

Chagas disease

660,000

2,000

Leprosy

380,000

1100

Diphtheria

360,000

1100

Source: Shuval, HI. 1999. Scientific, economic and social aspects of the impact of pollution in the marine environment on human health – a preliminary quantitative estimate of the global disease burden. Unpublished report prepared for the Division on the Protection of the Human Environment, World Health Organization and GESAMP 28 pp. (14 August 1999).

From: GESAMP70:7