Slater P E, Addiss D G, Cohen A, Leventhal A, Chassis G, Zehavi H, Bashari A, Costin C
Department of Epidemiology, Ministry of Health, Jerusalem, Israel.
Int J Epidemiol. 1989 Sep;18(3):693-6. doi: 10.1093/ije/18.3.693.
We report an outbreak of fishborne botulism caused by type E Clostridium botulinum. The eight cases, six in Israel and two in New York City, resulted from the consumption of ribbetz or kapchunka, a freshwater whitefish soaked in brine and air-dried, that was processed commercially in New York. Half the cases were males; the age range was 9 to 77 years. Five of the victims were hospitalized; the oldest died, and two others required ventilatory assistance. Laboratory confirmation of botulism was obtained in three cases. Prolonged lack of refrigeration during transatlantic flight and packaging contributing to an anaerobic environment were felt to be contributing environmental factors in the Israeli cases. Rapid communication and full cooperation between Israeli and US health authorities limited the extent of the outbreak. Despite adequate understanding of how foodborne botulism may be avoided, outbreaks still occur, particularly among people consuming certain high-risk or ethnic foods.
我们报告了一起由E型肉毒梭菌引起的食源性肉毒中毒疫情。这八例病例中，六例在以色列，两例在纽约市，是由于食用了ribbetz或kapchunka导致的，ribbetz或kapchunka是一种用盐水浸泡后风干的淡水白鱼，在纽约进行商业加工。病例中有一半为男性；年龄范围在9岁至77岁之间。五名受害者住院治疗；年龄最大的患者死亡，另外两名患者需要通气辅助。三例病例获得了肉毒中毒的实验室确诊。跨大西洋飞行期间长时间缺乏冷藏以及包装营造了厌氧环境，被认为是以色列病例中的环境促成因素。以色列和美国卫生当局之间的迅速沟通与充分合作限制了疫情的蔓延。尽管人们充分了解如何避免食源性肉毒中毒，但疫情仍有发生，尤其是在食用某些高风险或民族特色食品的人群中。
