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France - 15 cases of botulism, including 10 hospitalized and 1 death, linked to visiting a restaurant in Bordeaux

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  • France - 15 cases of botulism, including 10 hospitalized and 1 death, linked to visiting a restaurant in Bordeaux

    Translation Google

    Emergency Serious food poisoning: 10 cases of botulism, including 8 hospitalized and 1 death, linked to visiting a restaurant in Bordeaux

    The health authorities, in conjunction with Public Health France and the National Reference Center for Botulism (Institut Pasteur) recommend that people who have visited the Bordeaux establishment Tchin Tchin Wine Bar (3 Rue Emile Duployé, 33000 Bordeaux) between Monday 4 and Sunday September 10, 2023 to consult a doctor urgently or to contact 15, mentioning cases of botulism, in the event of symptoms appearing after this attendance.

    Published on September 13, 2023

    Contacts presse

    Public Health France
    presse@santepubliquefrance.fr
    Marie Delibéros: 01 41 79 69 61
    Stéphanie Champion: 01 41 79 67 48
    Cynthia Bessarion: 01 71 80 15 66
    Charlène Charbuy: 01 41 79 68 64



    The people concerned all frequented the same restaurant-bar in Bordeaux, the Tchin Tchin Wine Bar, over the last week. The suspected foods are at this stage canned sardines in oil homemade by the restaurateur and served between September 4 and 10, 2023 in this Bordeaux restaurant.

    Botulism is a serious disease (fatal in 5 to 10% of cases) whose incubation time can range from a few hours to a few days.

    Symptoms include, to varying degrees: early digestive signs which may be fleeting (abdominal pain, nausea, vomiting and diarrhea), eye damage (failure to accommodate, blurred or double vision), dry mouth accompanied by a lack of swallowing or even speech, or neurological symptoms (wrong paths, more or less severe paralysis of the muscles). There is usually no fever.

    If you have symptoms, consult a doctor urgently or contact 15, mentioning cases of botulism.

    What are the possible sources of contamination?

    Botulism is a serious neurological condition caused by a very potent toxin produced by the bacteria Clostridium botulinum. It develops particularly in poorly preserved foods. In France, the majority of cases of botulism correspond to food poisoning, by ingestion of the toxin produced by C. botulinum in preserved foods that have not undergone an extensive sterilization process: cured meats, cold meats or even family-made preserves. or artisanal.
    It is the extremely powerful toxin that it synthesizes that is responsible for the disease.


    Treatment and prevention

    The treatment of botulism is essentially symptomatic and requires, in severe forms, intensive respiratory care with assisted ventilation. Administration of anti-botulinum toxin in the hours or first days after the onset of symptoms can shorten the hospitalization time.

    The vast majority of patients treated without delay recover without after-effects, but the duration of treatment and convalescence can last several months.
    ...

    https://www.santepubliquefrance.fr/p...ant-a-bordeaux




    "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
    -Nelson Mandela

  • #2
    September 13, 2023​
    By News Desk

    Ten probable cases of foodborne botulism have been reported in France, according to regional health authorities.

    An American is believed to be among those affected and one person has died.

    The Nouvelle Aquitaine Regional Health Authority (ARS) reported that six people are being treated at Bordeaux University Hospital for various neurological or digestive symptoms. They will be given an antitoxin. ...

    Ten probable cases of foodborne botulism have been reported in France, according to regional health authorities. An American is believed to be among those

    Comment


    • #3
      Translation Google

      Cases of botulism in Bordeaux: a global alert launched to find potential victims

      A woman died and twelve other people were poisoned after eating canned homemade sardines in a restaurant in Bordeaux (Gironde), between Monday September 4 and Sunday September 10, 2023. But at least 25 other customers could have been contaminated . The health authorities are in a real race against time.

      West France
      Published on09/14/2023 at 10:56 a.m.

      Twelve cases of botulism were recorded this week in France when there are usually around thirty per year. A common point is that all those affected consumed canned homemade sardines in the same Bordeaux restaurant, the Tchin Tchin Wine Bar, between Monday September 4 and Sunday September 10, 2023.


      One death, eight hospitalizations

      Of these twelve cases identified, one person died. This is a 32-year-old woman who was passing through Bordeaux with her partner. She had mild symptoms that did not trigger a diagnosis until her condition suddenly worsened.

      She died at her home in the Paris region after being in the emergency room of a hospital facility. Her companion was hospitalized in intensive care in Île-de-France, said the Regional Health Agency (ARS).

      Eight people remain hospitalized in Bordeaux and Île-de-France, seven of whom are placed in intensive care or a continuous monitoring unit. Another case was reported in Barcelona (Spain), “whose days are not in danger”.

      Up to 25 people sought​

      But the list could grow. Up to 25 people in total may have consumed nine jars, containing three or four sardines each, served at the table.

      The health authorities have therefore been trying since the beginning of this week to find these customers who also passed through the Tchin Tchin Wine Bar. The health authorities recommend that people who visited the restaurant on the same dates and present symptoms (diarrhea, vomiting, vision or speech problems) “ see a doctor urgently or contact 15, warns the Parisian Nathalie Jourdan-Da Silva, doctor-epidemiologist at Public Health France, botulism referent. It's a race against time. »

      Public Health France reports that the incubation period for foodborne botulism varies between 12 and 72 hours depending on the quantity and type of toxin ingested. There is usually no fever. The vast majority of patients treated without delay recover without after-effects, but the duration of treatment and convalescence can last several months.

      Payment receipts peeled

      The DDPP (Departmental Directorate for Population Protection) recovered the payment receipts and telephone numbers of customers potentially infected with botulism. But this list is not necessarily complete. “Someone who has not reserved their table and paid in cash, we have no way of finding them,” recognizes Benoît Elleboode, general director of ARS Nouvelle-Aquitaine, on BFM-TV .

      The Ministry of Health sent a message to concerned health professionals and health establishments in France to “warn them of these cases of botulism. As soon as they see a patient who has symptoms, they must be asked if they have been through Bordeaux and in this restaurant.”​

      A global alert launched

      To make matters worse, the Tchin Tchin Wine Bar was very popular with the Anglo-Saxon clientele, who are even more numerous at the moment with the Rugby World Cup. Most of the people hospitalized in Bordeaux are of foreign nationality: Canadian, American, German.

      An international alert was therefore launched. “The ministry alerted, via a European network and a global network maintained by the WHO, all the countries […] so that they can warn all of their nationals who have returned,” indicates Benoît Elleboode, while by emphasizing an “extremely efficient” alert system .


      "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
      -Nelson Mandela

      Comment


      • #4
        Translation Google
        Cases of food botulism in Bordeaux: 15 cases recorded, including 10 hospitalized and 1 death. Situation update as of September 14, 2023.

        Following the reporting of several cases of botulism linked to the consumption of artisanal sardines in a restaurant in Bordeaux, Public Health France is recalling the emergency measures to be adopted for all people who have frequented this establishment.

        Published on September 15, 2023

        As of September 14, 2023, 15 suspected cases of botulism have been identified, of which 10 are hospitalized. One person died. These people come from several countries (USA, Canada, Ireland, Great Britain, Spain, Germany, Greece). They all frequented the same restaurant-bar in Bordeaux, the Tchin Tchin Wine Bar, over the last week. The foods involved are jars of sardines in oil homemade by the restaurateur and served between September 4 and 10, 2023 in this Bordeaux restaurant.

        Type B botulism was confirmed by the National Reference Center in several of these cases and the bacteria in question was found in the suspected foods.
        Investigations are continuing to find all the people who may have consumed these sardines and Public Health France is, in this context, in contact with the national public health agencies of the other countries concerned.

        The health authorities, in conjunction with Public Health France and the National Reference Center (CNR) for Botulism (Institut Pasteur) recommend that people who have frequented the Bordeaux establishment Tchin Tchin Wine Bar (3 Rue Emile Duployé, 33000 Bordeaux), between Monday 4 and Sunday 10 September 2023, to consult a doctor urgently or to contact the 15th, mentioning cases of botulism, in the event of symptoms appearing after this attendance .

        The French health authorities, in collaboration with Santé publique France and the National Reference Center for Botulism (Institut Pasteur), advise anyone who attended the Tchin Tchin Wine Bar in Bordeaux (3 Rue Emile Duployé, 33000 Bordeaux) between Monday 4 and Sunday 10 September 2023 to urgently consult a doctor or contact emergency number 15, mentioning cases of botulism, if they present symptoms since attending the restaurant .



        ...

        https://www.santepubliquefrance.fr/l...septembre-2023
        "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
        -Nelson Mandela

        Comment


        • #5
          Botulism - France

          20 September 2023

          Situation at a glance

          On 12 September 2023, local public health authorities in France identified a cluster of 10 cases with suspected botulism, including one death. As of 14 September 2023, the National IHR Focal Point for France has notified WHO of a total of 15 cases of suspected botulism, including one death, reported in Bordeaux and Ile-de-France.

          The epidemiological investigations indicated that the source of infection is the consumption of homemade preserved sardines , on different dates, at the same restaurant in Bordeaux during the week of 4–10 September 2023. The food item was made at the restaurant for consumption on premises.

          Due to the incubation period of up to eight days and the restaurant attracting international visitors during the Rugby World Cup, there is a possibility that additional cases among international visitors may be reported in France, or possibly outside France as travellers returned home, until 18 September.

          Description of the situation

          On 12 September 2023, local public health authorities in France identified a cluster of 10 cases with suspected botulism, including one death.

          As of 14 September 2023, the National IHR Focal Point for France has notified a total of 15 cases of suspected botulism, including one death, reported in Bordeaux and Ile-de-France. Of these 15 cases, 10 have been hospitalised, with eight patients being admitted to an Intensive Care Unit. Fourteen out of the 15 cases are reported among foreign citizens identified from six countries in addition to France. These include Canada, Germany, Greece, Ireland, the United Kingdom of Great Britain and Northern Ireland, and the United States of America. All suspected cases consumed the same product (sardines in jars) on different dates at the same restaurant in Bordeaux during the week of 4–10 September 2023. The epidemiological investigations indicated that the source of infection is the consumption of homemade preserved sardines. The food item was produced and served at the restaurant.

          Epidemiology of the Botulism

          Botulism is a serious neurological condition caused by a very potent toxin produced by the bacterium Clostridium botulinum . It develops particularly in poorly preserved foods. Human botulism may refer to foodborne botulism, infant botulism, wound botulism, and inhalation botulism or other types of intoxication.

          Foodborne botulism is a serious, potentially fatal disease. It is an intoxication caused by ingestion of potent neurotoxins—the botulinum toxins—formed in contaminated foods. Person-to-person transmission of botulism does not occur. The manifestations, or symptoms, of intoxication can vary, and is characterized by descending, flaccid paralysis that can cause respiratory failure. Early symptoms include marked fatigue, weakness and vertigo, usually followed by blurred vision, dry mouth and difficulty in swallowing and speaking. Vomiting, diarrhoea, constipation and abdominal swelling may also occur. The disease can progress to weakness in the neck and arms, after which the respiratory muscles and muscles of the lower body are affected. There is no fever and no loss of consciousness. Symptoms usually appear from several hours up to 8 days following consumption of contaminated food.

          Although botulism outbreaks are relatively rare, they are considered public health emergencies that require rapid recognition to identify the disease source, distinguish outbreak types (between natural, accidental or deliberate), prevent additional cases and effectively administer treatment to affected patients. Successful treatment depends significantly on early diagnosis and the rapid administration of the botulinum antitoxin and intensive respiratory care.

          Incidence of botulism is low, but the mortality rate is high if prompt diagnosis and appropriate, immediate treatment is not given. The disease can be fatal in 5% to 10% of cases.

          Public health response
          • On 11 September, food and serum samples were shipped to the French National Reference Center for Anaerobic Bacteria and Botulism, Institute Pasteur, Paris , and botulinum toxin was confirmed in serum samples and in a food sample (sardines) on 14 September 2023.
          • The local health authorities inspected the restaurant and all products prepared by the restaurant have been recalled. On 13 September, the local health authorities held a press conference and informed the local healthcare professionals.
          • The national health authorities have issued risk communication advice to sensitize the health care workers about the symptomatology and treatment.
          • Information on cases reported among citizens from foreign countries have been shared with the relevant health authorities in those countries.
          WHO risk assessment


          Local investigations have identified an estimated 25 persons through credit card receipts who have been exposed (i.e., who likely consumed the suspect food item). The exposure occurred at local level and measures have been implemented to eliminate the source of infection including the removal of the suspected food item, which was not distributed outside the venue. However, given the ranging incubation period of botulism—up to eight days—and that not all customers of the restaurant in Bordeaux may have been identified despite efforts, further cases linked to this event may still occur. This outbreak has occurred at the same time as the Rugby World Cup held from the week of 4 September 2023 attracting followers and rugby teams from all over the world.

          Due to the incubation period up to eight days and the restaurant attracting international visitors, there is a possibility that additional cases among international visitors may be reported either from France or outside of France until 18 September.


          WHO advice


          Prevention of foodborne botulism is based on good practice in food preparation particularly during heating/sterilization and hygiene. Foodborne botulism may be prevented by the inactivation of the bacterium and its spores in heat-sterilized (for example, retorted) or canned products, or by inhibiting bacterial growth and toxin production in other products. The vegetative forms of bacteria can be destroyed by boiling, but the spores can remain viable after boiling even for several hours. However, the spores can be killed by very high temperature treatments such as (commercial) canning.

          Commercial heat pasteurization (including vacuum packed pasteurized products and hot smoked products) may not be sufficient to kill all spores and therefore the safety of these products must be based on preventing bacterial growth and toxin production. Refrigeration temperatures combined with salt content and/or acidic conditions will prevent the growth of the bacteria and formation of toxin.

          The neurotoxins themselves are heat-labile and will be destroyed within minutes at temperatures above 80°C; consequently, only foods improperly processed in which the bacteria or the spores survive, pose a risk.

          The WHO five keys to safer food serve as the basis for educational programmes to train food handlers and educate the consumers. They are especially important in preventing food poisoning.

          The five keys are:
          • keep clean
          • separate raw and cooked
          • cook thoroughly
          • keep food at safe temperatures
          • use safe water and raw materials.
          Further information


          - WHO Health topics: Botulism

          - WHO Food safety

          - WHO Five Keys to Safer Food

          - FAO/WHO International Food Safety Authorities Network (INFOSAN)

          - Santé Publique France. Press conference

          - Prefet de la Gironde. Press conference

          - ECDC Surveillance Atlas of Infectious Diseases

          - The General Directorate of Health (DGS). The Operational Center for Regulation and Response to Health and Social Emergencies (CORRUSS)

          - European Centre for Disease Prevention and Control. Facts about botulism

          - Food borne illness. PAHO

          - WHO Fact sheets. Food safety

          ...
          On 12 September 2023, local public health authorities in France identified a cluster of 10 cases with suspected botulism, including one death. As of 14 September 2023, the National IHR Focal Point for France has notified WHO of a total of 15 cases of suspected botulism, including one death, reported in Bordeaux and Ile-de-France. The epidemiological investigations indicated that the source of infection is the consumption of homemade preserved sardines , on different dates, at the same restaurant in Bordeaux during the week of 4–10 September 2023. The food item was made at the restaurant for consumption on premises. Due to the incubation period of up to eight days and the restaurant attracting international visitors during the Rugby World Cup, there is a possibility that additional cases among international visitors may be reported in France, or possibly outside France as travellers returned home, until 18 September.
          "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
          -Nelson Mandela

          Comment


          • #6
            BOTULISM IN BORDEAUX: WHERE IS THE INVESTIGATION AFTER THE 15 CONTAMINATIONS INCLUDING ONE FATAL

            Vincent Vantighem with Glenn Gillet
            THE09/19/2023 at 3:20 p.m. | UPDATE on 09/20/2023 at 8:18
            ...

            Fifteen cases identified, analyzes in progress

            According to a judicial source, intoxication caused, at the last census, fifteen victims. Apart from Marie G. who died, the fourteen other victims saw their condition stabilize over the days. Eleven of them are still hospitalized, including six in the intensive care unit. The people who consumed the sardines suspected of being the source are still under surveillance.

            “The provisional autopsy report of Marie G. concludes that death by asphyxiation could be due to botulinic acid poisoning. However, toxicological analyzes are in progress and could definitively confirm this analysis,” indicated, Monday, the Bordeaux public prosecutor's office.

            Questions about hospital care

            In addition to the bar where the sardines were consumed, Marie G.'s husband intends to take responsibility for the hospitals where his wife was treated. According to the complaint which was filed and which BFMTV was able to consult, the chronology of the events between the arrival at the bar which served the sardines and the observation of the death of Marie G. is as follows.

            Friday September 8, Cathal M. and Marie G. go to Bordeaux for the weekend. When they arrive, they go to the Tchin Tchin Wine Bar with a friend. They eat sardines there. The young woman felt bad the next day. After a trip to the emergency room, they finally returned to the Paris region and went to a second hospital. The couple returned home, where Marie G. died on Tuesday September 12.
            ...
            Le parquet de Bordeaux a ouvert un enquête concernant les 15 cas de botulisme, dont un mortel, répertoriés chez des personnes qui avaient consommé des sardines au même bar de Bordeaux. Deux plaintes ont été déposées contre l'établissement, dont le gérant doit être entendu par les enquêteurs.


            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
            -Nelson Mandela

            Comment


            • #7
              Translation Google

              Case of botulism in Bordeaux: How the “antidote”, under the control of the army, is made available to hospitals

              BIOTERRORISM The stock of this antidote to botulism, used during the collective poisoning in Bordeaux, being under the supervision of the army, the protocol to make it accessible is done on a case by case basis, under the aegis of Santé Publique France


              Elsa Provenzano
              Published on 09/26/23 at 5:38 p.m.
              ...
              Around fifteen cases of botulism , including one death, were recorded in connection with the consumption, between September 4 and 10, of poorly sterilized canned sardines in the “Tchin Tchin Wine bar” restaurant in Bordeaux. We have few tools to combat this extremely rare poisoning which generates on average 15 to 20 cases per year in France. Botulinum antitoxin can “help shorten hospitalization time”, cautiously specifies the Ministry of Health . But, to use it, the protocol is very regulated.

              A potential biological weapon
              “The risk of bioterrorism by botulinum toxin exists, so it is the army which is responsible for the stock of anti-toxin, located in Marseille”, specified on September 13 Benjamin Clouzeau, resuscitation doctor and head of division in the medicine department. intensive care unit (MIR) of Bordeaux University Hospital, during a press conference on collective poisoning. The “Bichat Recommendations on the clinical management of patients with botulism linked or not to an act of bioterrorism” were written in 2004 by experts meeting in a task force on biological and chemical threats and intended for the European Commission. We can read that “in aerosolized form, botulinum toxin could be used as a biological weapon”.

              In this report, the specialists specify that in the early 1990s, the Japanese sect Aum Shinrikyo tried three times to spread it in this form in Tokyo without succeeding, finally opting for sarin gas. “It is likely that several countries have developed and possess weapons containing botulinum toxin,” says this task force. However, she concludes that although the production of the toxin has been reported in several countries “its use has never been proven”.

              An exceptional “medicine”
              In view of the collective poisoning that occurred in the Gironde capital, a prepositioning of the antidote was carried out at the Bordeaux University Hospital, under the leadership of Santé Publique France, the national public health agency under the supervision of the Ministry of Health. No pharmacy, city or hospital, has its own stock, everything is centralized in Marseille and it is the pharmaceutical establishment of Public Health France which manages, for the State, the stock of botulinum antitoxin.

              “Authorization to inject botulinum antitoxin is given by the national medicines safety agency (ANSM) requested for each patient in order to verify the conformity of the request,” explains the communication department of Santé Publique France to 20 Minutes . This is a request for compassionate access authorization (AAC) because there is no marketing authorization (AMM) for botulinum antitoxins. » We understand that outside of this normal marketing authorization circuit, the protocol is very rigorous to secure the use of this antitoxin.

              It is crucial to administer the antidote as quickly as possible after symptoms appear. “Public Health France organizes mobilization and transport to the health establishment in times of less than 12 hours between request and delivery throughout the national territory as was done recently to the Bordeaux University Hospital. » Sending by air makes it possible to meet this deadline “in all territories, even the most distant (Overseas and Corsica) thanks to punctual prepositioning of these treatments”, specifies the agency.

              Neither the army nor the Bordeaux University Hospital pharmacy, contacted by 20 Minutes , wanted to answer our questions, for reasons of confidentiality.


              Le stock de cet antidote au botulisme, utilisé lors de l’intoxication collective de Bordeaux, étant sous supervision de l’armée, le protocole pour le rendre accessible se fait au cas par cas, sous l’égide de Santé Publique France
              "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
              -Nelson Mandela

              Comment


              • #8
                Translation Google


                “HE CAN NEITHER SEE NOR SPEAK”: AN AMERICAN INFECTED WITH BOTULISM IN BORDEAUX STILL IN INTENSIVE CARE

                Hugo Septier
                THE 09/26/2023 at 10:20

                The 41-year-old architect went with his wife to the Tchin Tchin Wine Bar in Bordeaux where they consumed the contaminated sardines. According to her, the fish "tastes normal", and it was the next day that the first symptoms appeared.

                “The road to recovery will be long.” In early September, fifteen cases of botulism were detected in France after patients consumed canned sardines in a Bordeaux restaurant, the Tchin Tchin Wine Bar . The Directorate General of Health announced the death of a 32-year-old woman who had visited Bordeaux with her partner before returning to her home in the Paris region. She was one of these fifteen cases.

                Among the fourteen remaining cases, eleven were hospitalized, including eight in France. Among these eight, six are in intensive care at Bordeaux University Hospital. It is among these that Matthew, a 41-year-old American architect, was on vacation in Gironde at the time of the events.

                “They tasted normal.”
                In an interview with Le Parisien , Kristy, his wife, who was also infected but less seriously, gives news of her husband and recounts the hours of ordeal which preceded Matthew's hospitalization.

                It all starts on Monday September 4. The couple wants to discover local culinary specialties and goes to Tchin Tchin Wine Bar, “especially for its natural wine.” “We tasted several and we also enjoyed cold meats and sardines as an aperitif,” she recalls.

                While the owner of the establishment admitted to throwing away jars of sardines that smelled bad, Kristy assures him, the fish they ate that day seemed perfectly edible.

                "As I don't eat much, I took very few, maybe one and Matthew, two. They tasted normal. They weren't the best sardines of my life but they weren't bad" , she says.

                It was the next morning, during a wine tour, that Matthew's condition suddenly deteriorated. “We were cycling through the vineyards when he started seeing double and feeling dizzy. He could no longer drive and the tour organizers had to come and pick us up in a van,” she rewinds from the Ile-de-France daily newspaper.

                The forty-year-old decides to take a shower and go to bed while Kristy goes back for a three-hour walk. When she returned, her partner's health deteriorated further.

                "When I pushed the door, he was in very bad shape. His mouth was very dry, his tongue was numb and he couldn't swallow. I panicked, I thought he was having a stroke . I called 112. He was transferred to Saint-André hospital,” explains the 40-year-old American.

                “To communicate, he writes on a slate”
                Despite his admission to hospital, doctors did not immediately detect the case of botulism, a disease which remains rare. “The brain scan and blood tests showed nothing,” Kristy explains to Le Parisien, while the symptoms continue to get worse.

                "The next day, September 6, he could no longer speak. [...] Matthew was admitted to intensive care, then to intensive care. He needed oxygen. With his finger, he drew the letters 'Breathe ' (breathe). He couldn't do it anymore. He's a very courageous person mentally but he was scared. The doctors decided to intubate him. He couldn't even open his eyes," she said.

                It was then that the hypothesis of botulism surfaced for the first time in the mouths of doctors. However, tests whose results could not be known for five days were necessary. At the same time, the American also fell ill with the same symptoms, less severe, and was not hospitalized.

                “Finally, on September 10, they asked me if I had eaten at the Tchin Tchin Wine Bar because there were other cases of poisoning. It was botulism! Matthew and I then received an antidote” , recalls the one who says she does not blame the doctors for their delay. “It’s such a rare disease that we can’t imagine catching it.”

                However, Matthew's condition remains extremely worrying, but stable. "He is still intubated in intensive care. He cannot see or speak. To communicate, he writes on a slate. I hope he will be able to walk again. And we don't know when we will return home," she concludes.
                ...

                L'architecte de 41 ans s'est rendu avec son épouse au Tchin Tchin Wine Bar de Bordeaux où ils ont consommé les sardines contaminées. Selon elle, les poissons "avaient un goût normal", et c'est le lendemain que les premiers symptômes sont apparus.
                "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                -Nelson Mandela

                Comment


                • #9
                  Translation Google

                  THE RESEARCH JOURNAL

                  FOOD BOTULISM: A LOOK BACK AT THE HEALTH CRISIS



                  NEWS 02.10.2023

                  Research

                  At the beginning of September 2023, several people were poisoned after consuming homemade canned sardines in a Bordeaux bar. As of September 14, 2023, this poisoning caused the death of one person and the hospitalization of 10 others. A look back at the precise chronology of events and the role of the Institut Pasteur in the management of this health crisis.

                  On September 11, 2023, the Nouvelle-Aquitaine Regional Health Agency (ARS) received reports of several probable cases of botulism. Seven people treated at the Bordeaux University Hospital present neurological or digestive disorders. They all frequented the same Bordeaux bar the previous week, where they ate homemade canned sardines. The symptoms and epidemiology suggest foodborne botulism, caused by the bacteria Clostridium botulinum . “This is a bacteria which, when the sterilization of a can is done incorrectly, can multiply and produce a toxin. People become contaminated at the time of ingestion,” explains Gauthier Delvallez, deputy head of the national reference center (CNR) for anaerobic bacteria and botulism.

                  Confirmation of botulism by the Pasteur Institute

                  The investigation then begins concretely. These suspected cases lead the Departmental Directorate for Population Protection (DDPP) of Gironde to take food samples to look for the presence of botulinum toxin in the suspected canned goods. The next day, September 12, the toll worsened: one person died and seven were in the intensive care unit. As of September 14, 15 suspected cases of botulism have been identified, 10 of which are hospitalized. If the signs suggestive of botulism become clearer, the biological diagnosis must still be made with certainty. It is the CNR of anaerobic bacteria and botulism of the Institut Pasteur which will remove the last doubts.

                  Appropriate care, as soon as possible, in hospital

                  We have few tools to combat this extremely rare poisoning which generates on average 15 to 20 cases per year in France. Treatment of botulism requires, in severe forms, intensive respiratory care with assisted ventilation.

                  If botulism is suspected, administering an anti-botulinum toxin in the first 24 to 48 hours after the onset of symptoms can shorten the hospitalization time. The vast majority of patients treated immediately recover without after-effects, but treatment and convalescence can last several months.

                  CNRs, sentinels against pathogens

                  The close collaboration between national and regional health authorities and the CNR anaerobic bacteria and botulism of the Institut Pasteur made it possible to quickly and definitively identify the bacteria at the origin of this health crisis, the most serious to date in France. linked to food botulism. An essential step for optimal care of people contaminated or likely to be contaminated.

                  ...

                  https://www.pasteur.fr/fr/journal-re...se%20sanitaire.
                  "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                  -Nelson Mandela

                  Comment

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