Re: PRO>PROMed Digest V2004 #201

From: Brian Himelbloom (ffbhh@uaf.edu)
Date: Thu May 27 2004 - 09:27:26 PDT

  • Next message: Pamela Tom: "Re: PRO>PROMed Digest V2004 #201"

    Hi Liz,

    My guess is this may be due to consumption of raw, whole (not gutted),
    dried fish which has caused Type E botulism among Russian immigrants in
    the US. The following is an excerpt from the FDA Bad Bug Book
    <http://www.cfsan.fda.gov/~mow/chap2.html>:

    "...In October and November, 1987, 8 cases of type E botulism occurred,
    2 in New York City and 6 in Israel. All 8 patients had consumed
    Kapchunka, an uneviscerated, dry-salted, air-dried, whole whitefish. The
    product was made in New York City and some of it was transported by
    individuals to Israel. All 8 patients with botulism developed symptoms
    within 36 hours of consuming the Kapchunka. One female died, 2 required
    breathing assistance, 3 were treated therapeutically with antitoxin, and
    3 recovered spontaneously. The Kapchunka involved in this outbreak
    contained high levels of type E botulinal toxin despite salt levels that
    exceeded those sufficient to inhibit C. botulinum type E outgrowth. One
    possible explanation was that the fish contained low salt levels when
    air-dried at room temperature, became toxic, and then were re-brined.
    Regulations were published to prohibit the processing, distribution and
    sale of Kapchunka and Kapchunka-type products in the United States..."

    Regards,

    Brian Himelbloom
    Associate Professor of Seafood Microbiology
    University of Alaska Fairbanks
    Fishery Industrial Technology Center
    118 Trident Way
    Kodiak, AK 99615-7401

    Liz Brown wrote:

    > Does anyone on the Seafood NIC listserve know about the packaging or
    > production method of these products?
    >
    >> Date: Wed, 26 May 2004 19:40:40 -0400 (EDT)
    >> From: ProMED-mail <promed@promed.isid.harvard.edu>
    >> Subject: PRO/EDR> Botulism, dried fish suspected - Russia (Volgograd)....
    >



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