Global & Disaster Medicine

Archive for the ‘Botulism’ Category

Five cases of botulism caused by botulinum neurotoxin type E (BoNT E) have been diagnosed in November 2016 in two countries: 3 cases in males in Germany and 2 cases in partners (one male and one female) in Spain.

European Food Safety Association

“…..On 22 November 2016, Germany reported two laboratory-confirmed cases of foodborne botulism BoNT -type E in adult males from two neighbouring states with onset dates in early November to the Epidemic Intelligence Information System for Food- and Waterborne Diseases and Zoonoses (EPIS-FWD). Both patients had clinical symptoms compatible with botulism and their stool samples were confirmed positive for gene-encoding BoNT E in the German Consultant Laboratory for botulism. Both patients had eaten ‘dried and salted roach’ (Rutilus rutilus). On 28 November 2016, Germany posted an alert in the Early Warning and Response System (EWRS). On 7 December, Germany updated EWRS with information on an additional case, later confirmed, from a third German state with clinical symptoms of botulism and disease onset 24 November 2016. The patient had eaten dried and salted roach (Rutilus rutilus). Analyses of faecal samples were initiated in order to verify the botulism. The three German patients have a Russian background. On 19 December 2016, Germany reported a fourth confirmed case of foodborne botulism in a female with a Kazakh background through EWRS. She had consumed dried and salted roach and fell ill on 11 December 2016.  On 25 November 2016, Spain reported two probable cases of botulism in partners (one male and one female). The cases were Russian nationals with residence in Spain who consumed dried and salted fish ’Plötze Salz’ (Rutilus rutilus) and developed symptoms on 5 and 6 November 2016. The results of the clinical samples tested were negative…….”


The Los Angeles County Department of Public Health warns against consuming local deer- antler tea due to botulism risk.

LA Public Health

For Immediate Release:
April 28, 2017
For more information contact:
Public Health Communications
(213) 240-8144

Public Health Warns Residents Not to Consume Local Deer – Antler Tea
LOS ANGELES – The Los Angeles County Department of Public Health (Public Health) warns against consuming local deer- antler tea due to botulism risk. Public Health has recently identified one confirmed and one suspected case of botulism occurring in adults. Preliminary investigation suggests that these cases may be associated with the consumption of a deer-antler tea product (photos attached) that was acquired during the month of March. Pending further investigation, Public Health recommends that all persons who purchased product similar to this (i.e., deer-antler tea provided in a sealed pouch similar to the attached photographs) during the month of March, immediately dispose of it.Public Health will provide more information as it becomes available.

Botulism is a rare but serious illness caused by a nerve toxin that is produced by the bacterium Clostridium. Classic symptoms of botulism include double vision, blurred vision, drooping eyelids, slurred speech, difficulty swallowing and weakness. These are all symptoms of muscle paralysis caused by the bacterial toxin. If untreated, these symptoms may progress to cause paralysis of the respiratory muscles, arms, legs, and trunk. In foodborne botulism, symptoms generally begin 18 to 36 hours after eating a contaminated food, but they can occur as early as 6 hours or as late as 10 days. The respiratory failure and paralysis that occur with severe botulism may require a patient to be on a breathing machine (ventilator) for weeks or months, plus intensive medical and nursing care. The paralysis slowly improves.

People experiencing symptoms of botulism, who have recently drunk the tea, should seek immediate medical attention.

For more information on botulism visit:

Product pictures:

The Los Angeles County Department of Public Health is committed to protecting and improving the health of over 10 million residents of Los Angeles County. Through a variety of programs, community partnerships and services, Public Health oversees environmental health, disease control, and community and family health. Nationally accredited by the Public Health Accreditation Board, the Los Angeles County Department of Public Health comprises nearly 4,000 employees and has an annual budget exceeding $900 million. To learn more about Los Angeles County Public Health, visit, and follow LA County Public Health on social media at,, and


Emergent Biosolutions gets Health Canada approval for Botulism antitoxin


Emergent BioSolutions Inc.  today announced that Health Canada has approved the company’s New Drug Submission (NDS) for its botulism antitoxin, BAT® [Botulism Antitoxin Heptavalent (A, B, C, D, E, F, G) – (Equine)]. BAT is indicated for the treatment of symptomatic botulism following documented or suspected exposure to botulinum neurotoxin serotypes A, B, C, D, E, F, or G in adults and pediatric patients…….

Emergent has an existing ten-year contract, executed in 2012, to supply BAT to the Canadian Department of National Defense as well as the Public Health Agency of Canada and individual provincial health authorities. In addition, Emergent has been supplying BAT to the U.S. Strategic National Stockpile as part of a $450 million contract with the Biomedical Advanced Research and Development Authority (BARDA), within the Office of the Assistant Secretary for Preparedness and Response in the U.S. Department of Health and Human Services. BAT, which was licensed by the U.S. Food and Drug Administration in 2013, is the only botulism antitoxin available in the U.S. for treating naturally occurring, non-infant botulism, and for administering to patients under emergency conditions…..”


Mangia olive al botulino e finisce in coma, poi viene dimessa in anticipo dall’ospedale e muore per complicanze.

Il Messagero


 clostridium botulinum


Taiwan: 9th case of suspected iatrogenic botulism


	clostridium botulinum

China: Four cases of botox-related botulism

South China Morning Post

“…The four women, aged between 21 and 47, developed potentially fatal complications such as difficulty in swallowing and breathing, and were admitted into hospitals for further treatment…..”



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