Wound Botulism Outbreak Among Persons Who Use Black Tar Heroin --- San Diego County, California, 2017--2018

During September 2017-April 2018, nine cases of wound botulism were reported in San Diego County, California; all patients reported injecting heroin and seven used black tar heroin, including subcutaneous injection in six patients.
Source: CDC Morbidity and Mortality Weekly Report - Category: American Health Tags: Botulism Injection Safety MMWR Morbidity & Mortality Weekly Report Outbreaks Source Type: news

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Food-borne botulism, a potentially lethal neuroparalytic disease, is also a health challenge with a variable prevalence rate in Iran. This work presents the results of a 5-year surveillance of botulism in Iran, with the distribution of the cases by regions and by vehicle of transmission. This descriptive-retrospective study was done on food-borne botulism poisoning cases reported to the Iran's Ministry of Health during 2011–2015. Data was collected by interview, examination and questionnaires. All the relevant and confirmed botulism outbreaks that occurred in the period under consideration are described. During these...
Source: Reviews in Medical Microbiology - Category: Microbiology Tags: BACTERIOLOGY Source Type: research
Publication date: July 2019Source: Annals of Emergency Medicine, Volume 74, Issue 1Author(s): Thomas M. Kalinoski, Matthew A. Waxman
Source: Annals of Emergency Medicine - Category: Emergency Medicine Source Type: research
The objective was to assess Pb exposure in waterfowl, fourteen years after the implementation of the Real Decreto 581/2001, which banned the use of Pb ammunition for hunting activities in internationally relevant wetlands. For this purpose, this study measured the actual ingestion of lead pellets in Common shelduck from La Albufera de Valencia and provide data on Pb residue concentrations in different tissues of this species breeding in this NP. The Pb distribution pattern in tissues was bone > kidney > liver > brain > muscle, with Pb concentrations of 778.96 ± 998.64, 122.40 &plusm...
Source: Regulatory Toxicology and Pharmacology - Category: Toxicology Source Type: research
The objective was to assess Pb exposure in waterfowl, fourteen years after the implementation of the Real Decreto 581/2001, which banned the use of Pb ammunition for hunting activities in internationally relevant wetlands. For this purpose, this study measured the actual ingestion of lead pellets in Common shelduck from La Albufera de Valencia and provide data on Pb residue concentrations in different tissues of this species breeding in this NP. The Pb distribution pattern in tissues was bone > kidney > liver > brain > muscle, with Pb concentrations of 778.96 ± 998.64, 122.40 &plusm...
Source: Regulatory Toxicology and Pharmacology : RTP - Category: Toxicology Authors: Tags: Regul Toxicol Pharmacol Source Type: research
This outbreak underscores the importance of educating home canners on safe home-canning practices to prevent botulism.Morbidity &Mortality Weekly Report
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Public Health & Prevention Journal Article Source Type: news
per S PMID: 30870408 [PubMed - in process]
Source: MMWR Morb Mortal Wkl... - Category: Epidemiology Authors: Tags: MMWR Morb Mortal Wkly Rep Source Type: research
On June 6, 2018, at 1:30 p.m., the New York City Department of Health and Mental Hygiene was notified of three related women who had arrived at a hospital 4 hours earlier for evaluation for acute nausea, dizziness, blurred vision, slurred speech, ptosis, thick-feeling tongue, and shortness of breath.
Source: CDC Morbidity and Mortality Weekly Report - Category: American Health Tags: Botulism MMWR Morbidity & Mortality Weekly Report Public Health Source Type: news
A rare 9-person outbreak of wound botulism in California was traced to use of black tar heroin, according to a CDCreport.
Source: JAMA - Category: General Medicine Source Type: research
Abstract Botulism type C was suspected in a 46-year old man after consumption of sick poultry from a flock where botulism type C was confirmed. The patient developed characteristic signs of botulism, but investigation of biological samples did not confirm the presence of Clostridium botulinum or botulinum toxin. Despite having classical botulism symptoms, the man recovered very quickly. This raises the question of botulism transmission to humans by ingestion of contaminated poultry. PMID: 30763675 [PubMed - as supplied by publisher]
Source: Anaerobe - Category: Microbiology Authors: Tags: Anaerobe Source Type: research
Abstract During September 29-October 6, 2017, the County of San Diego Public Health Services (COSD) was notified of two patients with suspected wound botulism and a history of using black tar heroin. On October 9, COSD, which had reported an average of one wound botulism case per year during 2001-2016, sent a health alert through the California Health Alert Network, notifying Southern California providers of these two patients, including their signs and symptoms and black tar heroin exposure. In collaboration with the California Department of Public Health, COSD conducted an investigation to identify additional ca...
Source: MMWR Morb Mortal Wkl... - Category: Epidemiology Authors: Tags: MMWR Morb Mortal Wkly Rep Source Type: research
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