2 Botulism outbreaks

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daveomak

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One dead, 20 sick with Botulism symptoms after church potluck


(Reuters) - One person has died and at least 20 others were sick with symptoms of foodborne Botulism following a weekend church potluck in Ohio, hospital officials said on Tuesday.

The Fairfield Medical Center said in a statement that the patients, five of whom were in a critical condition, had all attended a picnic at Cross Pointe Free Will Baptist Church in Lancaster on Sunday.

The U.S. Centers for Disease Control and Prevention had sent anti-toxin to treat the sick, the hospital said, while local health officials investigated the cause of the outbreak.

Botulism is a rare but potentially fatal paralytic illness caused by a nerve toxin that is produced by certain bacteria, according to the CDC.

Symptoms include drooping eyelids, slurred speech and muscle weakness, which can progress to paralysis of the limbs and respiratory muscles, the CDC said.

The hospital said Botulism is not contagious, so there is no threat to the public at-large or people at the hospital. Symptoms generally begin showing up within 36 hours of eating the contaminated food, but can start as many as 10 days after, the hospital said.


Tofu suspected of giving botulism to two people in Queens




Fresh, unrefrigerated bulk tofu from Flushing market may have gotten two people sick with botulism.


Two people got botulism - a rare but potentially fatal foodborne illness - after buying tofu at a store in Flushing.

The city Health Department said in a release Friday evening that it confirmed one case of the potent form of food poisoning, and suspected another case.

Both of the afflicted are Chinese-speaking Queens residents who recently bought fresh, unrefrigerated bulk tofu from Flushing market. The tofu was not made at the store, and its source is under investigation, the Health Department release states.

"This kind of tofu -- commonly sold in an open, water-filled bin -- is highly suspected to be the source of these cases; however it has not yet been confirmed," the release states.

Fresh, unrefrigerated tofu is used to make fermented tofu and is an ingredient in a popular Chinese dish called chou doufu, or stinky tofu. Anyone who has bought this variety of tofu is urged to throw it away, even if they cooked it, because the toxic spores can survive cooking.

A Health Department spokewoman said neither patient has died of the illness, but declined to comment on their condition. She also declined to name the Flushing store where the two bought the tofu.

"We're still investigating the origin and destinations of the tofu, and because of that we aren't disclosing the name of the store," she said.

Botulism impairs the body's nervous system. Symptoms of botulism include blurred or double vision, weakness or paralysis, poor reflexes, and difficulty swallowing, speaking or breathing. The symptoms usually show up 12 to 36 hours after eating the offending food, but they can also emerge days later. If you ate fermented tofu and experience these symptoms, contact a doctor immediately.

New York City has seen only one other case of foodborne botulism in the past 15 years.
 
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because the toxic spores can survive cooking.

 
this is the scary part. There is this assumption with the majority of people (not necessarily people on this site) that once you cook food it is safe. A few years ago we had a bad Red Tide outbreak in Florida and I had people tell me that if you fry the fish it is safe since the oil is so hot. NOT TRUE. The temp that you cook something at is only part of the battle. The more important factor is the internal temp it reaches and how long it is held at that temp.
 
Ingesting the spores is not a concern (except for babies).
huh.gif
 
Spores are not dangerous when ingested (babies excluded) as they don't find our guts hospitable enough to germinate .

Do you eat raw garlic or carrots, boiled potatoes? If yes you likely ate botulism spores.

Edit...maybe not likely but possibly.
 
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Ya beat me to it Dave. At a gazillion to one odds, but someone still wins the lotto.

bmaddox sometime pick up a jar of commercial honey and read the label.

<Chuckles> I knew when I saw it was potluck dinner it wasn't a Methodist garthering, we only have covered dish suppers.
 
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The infant botulism pathology is not well understood. Honey is known to have caused IB thus the warnings. But why not warnings not to feed garlic to 9 month olds, as garlic is known to have exposure to spores? Because there were no occurrences of IB caused by garlic. It is important with stick with facts, studies and not extrapolate and make assumptions as those only lead to paranoia.

Another less known mechanism of entry of the botulism spores is via aerosolized house dust. One baby died in Finland from IB acquired thru dust.
How do you protect your loved ones from house dust?
 
The Ohio story is still unfolding, they say more people may fall ill. No one is saying exactly what the tainted food was.
The good news when they deal with outbreaks (vs isolated cases) is that the response for the people who come with symptoms later rather than sooner is immediate. Hospitals are aware and on standby, antitoxin on hand.

Hope everyone (other than the person who passed away) makes a quick and full recovery.
 
Honey? I was under the impression that honey is sterile. Where did this case occur?



About Infant Botulism

This illness usually affects babies who are between 3 weeks and 6 months old, but all babies are at risk for it until their first birthdays.

Spores of Clostridium botulinum bacteria, found in dirt and dust, can contaminate honey. These bacteria are harmless to older kids and adults because their mature digestive systems can move the spores through the body before they cause any harm.

But very young babies haven't developed the ability to handle the spores yet. So if an infant ingests them, the bacteria germinate, multiply, and produce a toxin. That toxin interferes with the normal interaction between the muscles and nerves and can hamper an infant's ability to move, eat, and breathe.

http://kidshealth.org/parent/infections/bacterial_viral/botulism.html
 
The article in the link says canned potatoes were used for the salad. Never heard of canned potatoes. Why would one can potatoes when is So simple to store them for winter?
 
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