Gunn R A
Rev Infect Dis. 1979 Jul-Aug;1(4):642-6. doi: 10.1093/clinids/1.4.642.
Between January 1, 1975, and July 31, 1978, 81 cases (47 type A, 34 type B) of infant botulism were reported to the Center for Disease Control (CDC), Atlanta, Georgia. Most cases occurred in the western states, with the majority in California and Utah, where active surveillance is in progress. Most of the cases reported have occurred in the fall months, but this pattern may be attributable to a reporting artifact. The median age at onset of illness was 10 weeks, with a range of three to 35 weeks. The case-fatality ratio was 3.7% (3 of 81). CDC has developed a reporting form for case investigation and has encouraged private physicians and state and territorial epidemiologists and laboratory directors to keep active surveillance of cases of infant botulism. State health departments and CDC are available for consultation regarding suspected cases of the illness.
1975年1月1日至1978年7月31日期间,佐治亚州亚特兰大疾病控制中心(CDC)共收到81例婴儿肉毒中毒报告(A型47例,B型34例)。大多数病例发生在西部各州,其中大部分在加利福尼亚州和犹他州,这两个州正在进行主动监测。报告的大多数病例发生在秋季,但这种模式可能是报告偏差所致。发病的中位年龄为10周,范围为3至35周。病死率为3.7%(81例中有3例)。疾病预防控制中心已制定了病例调查报告表,并鼓励私人医生、州和地区流行病学家以及实验室主任对婴儿肉毒中毒病例进行主动监测。州卫生部门和疾病预防控制中心可就疑似病例提供咨询。