Foodborne botulism in Poland in 2017

Abstract

The aim of this study is to assess the epidemiological situation of foodborne botulism in Poland in 2017 compared to previous years. The assessment is based on national surveillance data on foodborne botulism cases available in the annual bulletin “Infectious diseases and poisonings in Poland in 2017” and in previous publications, as well as data from botulism case reports for 2017 submitted by Sanitary-Epidemiological Stations to the Department of Epidemiology of Infectious Diseases and Surveillance NIPH-NIH. In 2017, a total of 24 foodborne botulism cases have been reported including 14 with laboratory confirmation of botulism intoxication. The annual incidence rate (0.06 per 100,000 population) was one the lowest since the introduction of mandatory reporting of the disease in Poland. The highest incidence in the country was noted in Podlaskie (0.34). The incidence rate among rural residents (0.10 per 100,000 population) was more than twice as high as in urban areas (0.04). The incidence in men was 49% higher than in women. The disease was most common in middle-aged and elderly people; the highest incidence was noted in age group of 40-49 years (0.13) and 50-59 years (0.14). The most common sources of the toxin were homemade canned pork products as well as mixed or unknown types of canned meats. All patients were hospitalized. Four deaths related to the disease were reported. In 2017, the overall number of reported cases continues to decrease. Limited number of laboratories performing laboratory diagnostics of botulism is still an issue. Additionally a priority remains to conduct health education with regard to safe food preservation, storage and consumption.