botulism case

From: Liz Brown (bfeab@uaf.edu)
Date: Mon Dec 18 2006 - 10:27:34 PST

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    This description does not indicate a culprit in the manufacture of the
    product or it's packaging. If anybody knows any more about this I would
    be interested - please e-mail me directly.
    -Liz
    ===========================

    > Date: Fri, 15 Dec 2006 19:06:58 -0500 (EST)
    > From: ProMED-mail <promed@promed.isid.harvard.edu>
    > Subject: PRO/EDR> Botulism, salted fish - Russia (Buryatiya)
    >
    > BOTULISM, SALTED FISH - RUSSIA (BURYATIYA)
    > ******************************************
    > A ProMED-mail post
    > <http://www.promedmail.org>
    > ProMED-mail is a program of the
    > International Society for Infectious Diseases
    > <http://www.isid.org>
    >
    > Date: Tue 12 Dec 2006
    > From: ProMED-mail <promed@promedmail.org>
    > Source: News agency "Regnum.ru", [translated by Mod.NP; edited]
    > <http://www.regnum.ru/news/753635.html>
    >
    >
    > The 1st death from a botulism in 2006 has been registered in Buryatiya. The
    > press-service of the Territorial Management of Federal Services for
    > Protection of Consumers' Rights and Human Well-being [Rospotrebnadzor] has
    > announced that a 66 year old inhabitant of the Zaigraevskiy district of
    > Buryatiya died before arrival of an ambulance after eating salted omul fish.
    >
    > Noncommercial production has been found in Ulan-Ude [capital of Buryatiya -
    > Mod.NP] in the settlement of Vostichniy. Eight individuals have suffered
    > from botulism in Buryatiya since the beginning of 2006. Over the last 5
    > years, more than 400 cases of botulism have been registered in Buryatiya,
    > including 27 fatalities. All cases are connected to the use of salted or
    > smoked omul, prepared in domestic conditions or obtained from unknown
    > persons in places of non-authorized trade.
    >
    > - --
    > ProMED-mail
    > <promed@promedmail.org>
    >
    > [Buryatiya is located in the southern part of Eastern Siberia, to the south
    > and to the east of Lake Baikal. The total area of the republic is 351.3
    > square kilometers, which is about the size of Germany. It is bounded by
    > Irkutsk and Chita regions, the Republic of Tuva, and in the south with
    > Mongolian National Republic. Fish dishes from omul (fried, salted, or
    > smoked) are traditional Baikal delicacies. - Mod.NP
    >
    > The Omul or Arctic cisco, _Coregonus autumnalis migratorius_, is a
    > salmon-like fish found only in the waters of Lake Baikal in Siberia,
    > Russia. It is a vital food fish for the Baikal region and, for the rural
    > population, is often necessary for survival. Its caviar is considered a
    > delicacy. Apart from local consumption, export to the west of Russia is
    > important, though difficult due to the region's remoteness. Obtaining
    > smoked omul (and possible botulism) is a highlight (the former, not the
    > latter) for many travelers on the Trans-Siberian railway. A picture of the
    > fish can be found at:
    > <http://upload.wikimedia.org/wikipedia/it/thumb/d/d4/Omul.jpg/350px-Omul.jpg>
    > A map of the republic can be found at:
    > <http://personal.telefonica.terra.es/web/vexicat/rusmap_buryatia.gif>
    >
    > ProMED-mail has posted reports of botulism from Buryatiya in past years and
    > always linked to fish.
    >
    > The method of diagnosis of botulism is not stated here. Individual cases of
    > the paralysis can be confused with other diseases, but a cluster of such
    > cases is certainly likely to be botulism. Type E botulism is the type
    > frequently associated with fish products (1) so it is likely here.
    >
    > Classically, botulism is a foodborne disease caused by the ingestion of
    > preformed toxin, although there also exists wound botulism (in which _C.
    > botulinum_ spores germinate in a wound) and infant botulism (in which the
    > spores germinate in the intestinal tract).
    >
    > Types A, B, and E of human botulism are the most common. Although each type
    > has a similar symptom complex, Hughes and colleagues report that type E is
    > much more likely to produce initial lethargic mental status and more
    > autonomic dysfunction (2).
    >
    > 1. Weber JT, Hibbs RG, Darwish A, et al. A massive outbreak of type E
    > botulism associated with traditional salted fish in Cairo. J Infect Dis
    > 1993; 167: 451-4.
    > 2. Hughes JM, Hatheway CL, Ostroff SM: Botulism. In: Scheld WM, Whitley RJ,
    > Durack DT, editors. Infections of the central nervous system. 2nd edition.
    > Philadelphia: Lippincott-Raven, 1997, 615-28. - Mod.LL]
    >
    >

    -- 
    Liz Brown
    Assistant Professor
    Alaska Sea Grant Marine Advisory Program
    School of Fisheries and Ocean Sciences
    University of Alaska Fairbanks
    PO Box 1549
    Dillingham, Alaska 99576
    907-842-1265
    fax 907-842-3202
    http://seagrant.uaf.edu/map
    



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