Abstract
Foodborne botulism occurred among inmates at 2 prisons in California in 2004 and 2005. In the first outbreak, 4 inmates were hospitalized, 2 of whom required intubation. In the second event, 1 inmate required intubation. Pruno, an alcoholic drink made illicitly in prisons, was the novel vehicle for these cases.
Highlights
Foodborne botulism occurred among inmates at 2 prisons in California in 2004 and 2005
Foodborne botulism is a rare paralytic disease caused by ingestion of preformed botulinum toxin in food contaminated with Clostridium botulinum, an anaerobic, spore-forming bacterium that is ubiquitous in the environment
The other 2 main categories of botulism are infant botulism caused by intestinal colonization with C. botulinum and wound botulism caused by wound contamination with C. botulinum
Summary
In July 2004, the Riverside County Department of Public Health and the Division of Communicable Disease Control (DCDC), California Department of Health Services (CDHS), investigated 4 suspected cases of botulism, all in male inmates from a California state prison in Riverside County. In May 2005, DCDC and the Monterey County Health Agency investigated suspected botulism in another male inmate from another California state prison. The Investigations On July 1, 2004, the 4 inmates from the California state prison in Riverside County were hospitalized with signs and symptoms consistent with clinical botulism, including blurry vision, dysarthria, dysphagia, shortness of breath, and generalized muscle weakness.
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