Wednesday, July 4, 2018

PRO/EDR> Botulism - Denmark (02): homemade food

BOTULISM - DENMARK (02): HOMEMADE FOOD
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A ProMED-mail post
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International Society for Infectious Diseases
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Date: Wed 4 Jul 2018
Source: Food Safety News [edited]
<http://www.foodsafetynews.com/2018/07/homemade-food-responsible-for-botulism-outbreak-in-denmark/#.WzzRadIzbIU>


An outbreak of foodborne botulism in Denmark, with 6 confirmed cases,
has been linked to a homemade dish served at a private party in June
2018. Fodevarestyrelsen (Danish Veterinary and Food Administration)
said a sample from the homemade dish was positive with botulinum toxin
type A. The same type was identified in the patients.

All 6 confirmed infections and one possible case attended a private
party in Danish town Sonderborg in June 2018 and were later
hospitalized. DVFA said investigations are ongoing to find out how the
toxin developed in the dish. Statens Serum Institut (SSI), an agency
under the Danish Ministry of Health, confirmed the diagnosis in
patients. A statement from DVFA reported the agency took samples for
analysis from leftovers at the private households involved.

"Since it was a homemade dish served at a private party, it is outside
of our jurisdiction to take action. With homemade dishes, it is very
hard to fully investigate, since we don't have the same data as with
in a professional kitchen," the agency told Food Safety News.

"We have gone through a series of investigational steps concerning the
ingredients used in the dish to ensure that no commercially available
food items on the market could be suspected of being unsafe. With the
last results still coming in, we have no information so far that could
indicate that general food safety is jeopardized."

_Clostridium botulinum_ is a bacterium that produces botulinum toxins.
Foodborne botulism is caused by consumption of improperly processed
food. Homemade canned, preserved or fermented foods are common
sources. Botulinum toxin type A is normally not related to fish or
maritime products.

Symptoms are caused by the toxin produced by the bacterium. They
usually appear within 12 to 36 hours -- with a range of 4 hours to 8
days -- after exposure. The toxin affects multiple systems in the
body, including paralyzing muscles. Most patients require intubation
because muscles used for breathing are usually paralyzed.

[Byline: Joe Whitworth]

--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>

[The specific food involved in this cluster of botulism is not stated.
- Mod.LL

HealthMap/ProMED-mail map of Sonderborg, Region South Denmark,
Denmark: <http://healthmap.org/promed/p/7943>]

[See Also:
Botulism - Denmark: RFI http://promedmail.org/post/20180625.5873740
Botulism - Austria: (Vienna) outdated pork spread
http://promedmail.org/post/20180314.5684580
2017
----
Botulism - Sweden: (VG) susp imported beef, recall
http://promedmail.org/post/20171221.5516181
Botulism - Portugal: (BA) homemade smoked ham
http://promedmail.org/post/20170807.5233020
Botulism - Germany: imported salted fish, alert, recall
http://promedmail.org/post/20170509.5023489
Botulism - Romania: (BZ) canned food
http://promedmail.org/post/20170326.4925806
Botulism - Armenia: homemade canned food
http://promedmail.org/post/20170122.4784109
2016
----
Botulism - Slovakia: st A3, 2015
http://promedmail.org/post/20170810.5241450
Botulism - Europe: Spain (AN), Germany, imported salted fish, alert,
recall http://promedmail.org/post/20161202.4663489
Botulism - Canada : (NU) fermented seal
http://promedmail.org/post/20160913.4484992
Botulism, cosmetic use - China (08): (HK ex GD)
http://promedmail.org/post/20160822.4428848
Botulism - Armenia: (SH) home-preserved food
http://promedmail.org/post/20160201.3984734
2015
----
Botulism, commercially canned tomatoes - Russia: (Mari El) serotype F
http://promedmail.org/post/20150726.3537693
Botulism - Ukraine: dried fish
http://promedmail.org/post/20150607.3417187
Botulism - Azerbaijan: home pickled tomatoes
http://promedmail.org/post/20150221.3177167
Botulism - Tajikistan, Kazakhstan: home canned foods
http://promedmail.org/post/20150201.3135159
2014
----
Botulism - Tajikistan: (SU) home-canned tomatoes
http://promedmail.org/post/20140403.2377447]
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