== Swedish Smittskyddsinstitut info on Botulism == 

 http://www.smittskyddsinstitutet.se/sjukdomar/botulism/ 

 From SMI The Swedish Institute for Communicable Disease Control (Smittskyddsinstitutet) 

 Kommentarer 
 Sedan 1969 har ett drygt tiotal inhemskt smittade fall av botulism rapporterats i Sverige. I fyra fall har kryddsill angetts som smittkälla, fyra personer har smittats av rökt lax och tre personer av gravad fisk. 

 Since 1969 just over ten cases of botulism from Swedish food sources have been reported in Sweden. In four of these cases, kryddsill (Swedish pickled herring) was given as the source of he disease (the Swedish says "infection"), four people had botulism from  smoked salmon and three from "gravad fisk" cured fish.  
 (This is usually salmon (lax) cured with salt and sugar only in the refrigerator, or store-bought) 

 En kvinna som ett dygn efter att ha ätit varmrökt lax insjuknade med illamående, svimningskänsla och senare dubbelseende, muntorrhet och talsvårigheter. Toxin kunde påvisas i prov från såväl kvinna som fisk. Det var ytterligare sju personer som hade ätit av fisken och två personer till fick symtom, om än betydligt lindrigare. Utredning visade att fisken förvarats vid för hög temperatur. 

 One woman who a day after having eaten warm smoked salmon fell sick with nausea, dizzyness and later double vision, dryness in the mouth and speech difficulties. Presence of the toxin proved positive in samples from the woman as well as from the fish. There where seven other people in addition to the woman why had eaten the fish and two of these presented symptoms, if significantly milder ones. Investigation showed that the fish had been kept at a temperature that was too high. 

  
 I andra länder har utbrott med C. botulinum uppträtt efter förtäring av t.ex. vitlök i olja, yoghurt med nötmassa och mjuka dessertostar. 

 In other countries outbreaks of C. botulinum have occurred after eating e.g. garlic preserved in oil, yoghurt with nut paste and soft dessert cheeses. 

 Spädbarnsbotulism har varit relativt ovanligt i Sverige. Sedan 1969 har fyra inhemskt smittade spädbarn rapporterats. Ett av dessa har troligen smittats av honung de övriga tre fallen har troligen smittats på grund av grävarebeten i närheten av där de vistats. Ett utbrott finns beskrivet från USA där fyra barn boende i samma geografiska område insjuknade med, spädbarnsbotulism under en tidsperiod av ett år. Den troliga smittkällan var kontakt/inandning av jord med sporer av C. botulinum. I närheten av de fyra barnens bostäder hade grävarbeten skett dagarna före insjuknandet. 
 Fall av sårbotulism finns rapporterat hos iv-missbrukare. 

 Infant botulism has been relatively rare in Sweden. Since 1969 four cases of where the source of infection (sic) deriving from Swedish sources have been reported. One of these was probably derived from honey and the other three cases because of work involving digging in the vicinity where they were residing. One case from the USA is described where four children in the same geographical area became ill with infant botulism during a period of one year. The probable source of the disease was contact with or inhaling earth wth spores of C. botulinum. In the vicinity of the four childrens' residences digging work had been under way prior to them falling sick. 

 Cases of wound botulism have been reported among intravenous substance abusers. 
 My translation to English