Outbreak of Type A Foodborne Botulism in a Boarding School – Uganda, 2008
Autor: | Carolina Lúquez, Ryan Fagan, M. A. Viray, E. Ddumba, Matthew Biggerstaff, Robert Downing, William B. Mbabazi, Susan E. Maslanka, J. Nakibuuka, J. B. Kirenga, David L. Swerdlow, Joseph F. Wamala, M. Malimbo |
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Jazyk: | angličtina |
Rok vydání: | 2014 |
Předmět: |
Male
medicine.medical_specialty Veterinary medicine Adolescent Epidemiology Food Contamination Risk Assessment Article Disease Outbreaks Cohort Studies Environmental health medicine Humans Botulism Uganda Botulinum Toxins Type A Child Students Developing Countries Retrospective Studies School Health Services Food poisoning business.industry Public health Incidence Clostridium botulinum type A Outbreak medicine.disease Botulinum toxin Survival Rate Infectious Diseases Foodborne Botulism Female business Food contaminant medicine.drug Cohort study |
Popis: | SUMMARYBotulism has rarely been reported in Africa. In October 2008, botulism was reported in three Ugandan boarding-school students. All were hospitalized and one died. A cohort study was performed to assess food exposures among students, and clinical specimens and available food samples were tested for botulinum toxin. Three case-patients were identified; a homemade, oil-based condiment was eaten by all three. In the cohort study, no foods were significantly associated with illness. Botulinum toxin type A was confirmed in clinical samples. This is the first confirmed outbreak of foodborne botulism in Uganda. A homemade, oil-based condiment was the probable source. Consumption of homemade oil-based condiments is widespread in Ugandan schools, putting children at risk. Clinicians and public health authorities in Uganda should consider botulism when clusters of acute flaccid paralysis are seen. Additionally, schools should be warned of the hazard of homemade oil-based condiments, and take steps to prevent their use. |
Databáze: | OpenAIRE |
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