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First cross-border outbreak of foodborne botulism in the European Union associated with the consumption of commercial dried roach (Rutilus rutilus)

Bibliographic Data

ID22083499
AuthorsDavid Hendrickx (0000-0001-5647-684X, Landesgesundheitsamt Baden-Württemberg), Carmen Varela Martínez (0000-0001-7754-4020, Instituto de Salud Carlos III), Matthias Contzen (0000-0001-9377-0378, Chemisches und Veterinäruntersuchungsamt Stuttgart), Christiane Wagner-Wiening (0000-0002-9397-3498, Landesgesundheitsamt Baden-Württemberg), Karl-Heinz Janke (Landesgesundheitsamt Baden-Württemberg), Pablo Hernando Jiménez (Chemisches und Veterinäruntersuchungsamt Karlsruhe), Susanne Massing, Jeanette Pichler (Gesundheitsamt), Petra Tichaczek-Dischinger (Chemisches und Veterinäruntersuchungsamt Stuttgart), Florian Burckhardt (Landesuntersuchungsamt Rheinland-Pfalz), Klaus Stark (0000-0003-1367-9625, Robert Koch Institute), Katharina Katz (Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit), Annette Jurke (0000-0001-5245-8628, Landeszentrum Gesundheit Nordrhein-Westfalen), Sebastian Thole, Rosa Carbó (0000-0003-1413-466X), Mariam Pascual del Pobil Ferré, Milagros Nieto (National Centre for Technology and Food Safety), María Jesús Zamora (National Centre for Technology and Food Safety), Ana Sisó (National Centre for Technology and Food Safety), Pilar Pallares García (Instituto de Salud Carlos III), Sylvia Valdezate (0000-0002-3931-2162, Instituto de Salud Carlos III), Lars Schaade (0000-0001-6577-5139, Robert Koch Institute), Sylvia Worbs (Robert Koch Institute), Brigitte G Dorner (0000-0002-5100-2546, Robert Koch Institute), Christina Frank (0000-0001-6776-8450, Landesuntersuchungsamt Rheinland-Pfalz), Martin B Dorner (0000-0002-8176-797X, Robert Koch Institute, corresponding author)
Year2023
Volume10
Pages1039770-1039770
Publication date2023-01-04
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.1039770
PMID36684858
OpenAlexW4313584292
LanguageEN
Citations received1
References cited59

Botulism outbreaks due to commercial products are extremely rare in the European Union. Here we report on the first international outbreak of foodborne botulism caused by commercial salt-cured, dried roach ( Rutilus rutilus ). Between November and December 2016, an outbreak of six foodborne botulism type E cases from five unrelated households was documented in Germany and Spain. The outbreak involved persons of Russian and Kazakh backgrounds, all consumed unheated salt-cured, dried roach—a snack particularly favored in Easter-European countries. The implicated food batches had been distributed by an international wholesaler and were recalled from Europe-wide outlets of a supermarket chain and other independent retailers. Of interest, and very unlike to other foodborne disease outbreaks which usually involves a single strain or virus variant, different Clostridium botulinum strains and toxin variants could be identified even from a single patient's sample. Foodborne botulism is a rare but potentially life-threatening disease and almost exclusively involves home-made or artisan products and thus, outbreaks are limited to individual or few cases. As a consequence, international outbreaks are the absolute exception and this is the first one within the European Union. Additional cases were likely prevented by a broad product recall, underscoring the importance of timely public health action. Challenges and difficulties on the diagnostic and epidemiological level encountered in the outbreak are highlighted

Biology · Botulism · Business · Environmental health · European union · Fish · Fishery · Food poisoning · Food safety · International trade · Outbreak · Pathology · Public health · Rutilus · Veterinary medicine · Botulinum Toxin and Related Neurological Disorders · Diphtheria, Corynebacterium, and Tetanus · Medicine · Streptococcal Infections and Treatments · Microbiology · Virology

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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