Abstract

In October and November 2013, four cases of wound botulism were confirmed in people who inject drugs (PWID) in Norway. Two additional cases are suspected. Because of the international distribution pathways for heroin – the likely source of the outbreak – healthcare workers and public health authorities in other countries should remain vigilant for wound botulism in PWID. This outbreak serves as a reminder that countries should ensure access to botulinum antitoxin in case of outbreak situations.

Highlights

  • Article submitted on 28 October 2013 / published on 07 November 2013 In October and November 2013, four cases of wound botulism were confirmed in people who inject drugs (PWID) in Norway

  • Because of the international distribution pathways for heroin – the likely source of the outbreak – healthcare workers and public health authorities in other countries should remain vigilant for wound botulism in PWID

  • Contaminated heroin is suspected as the source of infection in this cluster of cases of wound botulism

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Summary

Introduction

Article submitted on 28 October 2013 / published on 07 November 2013 In October and November 2013, four cases of wound botulism were confirmed in people who inject drugs (PWID) in Norway. On 18 October 2013, the Norwegian Institute of Public Health (NIPH) was notified by the Department of Public Health of the Municipality of Oslo of a suspected case of wound botulism.

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