Doctor of Philosophy, The Ohio State University, 2025, Consumer Sciences
Food-borne illnesses presented signifcant public health and fnancial chal
lenges to people, healthcare systems, and the food industry. This dissertation
contributed to our understanding of foodborne illnesses by estimating their
economic and societal costs, examining how consumers and retailers reacted
to outbreaks, and evaluating medical expenses. We adopted interdisciplinary
approaches to provide pertinent information to stakeholders in the food in
dustry, lawmakers, and medical professionals.
In Chapter 2, I analyzed the socioeconomic costs of foodborne illnesses,
focusing on the connections between pathogens and vehicles and how they
impacted the economy (Yang and Scharf, 2024). Using probabilistic food
attribution modeling, I estimated that up to 9.18% (90% CI: 5.81%–15.18%)
of foodborne illnesses linked to identifed pathogens were attributed to leafy
greens. Including illnesses from unknown sources, leafy greens accounted
for up to 2.3 million (90% CI: 1.1 million–4.1 million) illnesses annually in
the United States, with associated costs reaching $5.3 billion (90% CI: $4.2
billion–$8.2 billion). Key pathogens such as Norovirus, Escherichia coli, and
Salmonella drove the majority of these burdens, with romaine lettuce emerg
ing as a critical contributor to E. coli O157:H7 outbreaks.
Chapter 3 mainly examined how consumers and retailers responded to the
onion outbreaks in 2020 and 2021. When demand shifts were quantifed us
ing the Heckman selection model and Google Trends (GT) data, the fndings
indicated that onion purchases fell by 20.37–27.14% during outbreak peri
ods. GT data, which captured the dynamics of risk perception, suggested
that public awareness moderated demand reductions. In 2021, outbreaks
cost around $1.346 billion, compared to $1.158 billion in 2020. States with
dense populations were most afected. These results underscored the sig
nifcance of unambiguous information, efcient recall procedures, (open full item for complete abstract)
Committee: Robert Scharff (Advisor); Dean Lillard (Committee Member); Andrew Hanks (Committee Member); Brian Roe (Committee Member)
Subjects: Economics; Food Science; Public Health