This disease comes from an infection caused by dirty works, dirty skin or dirty drugs. Most patients have used black tar heroin. Beginning symptoms are drooping eyelids, blurred or double vision, sore throat or trouble swallowing. This can progress to complete paralysis and death. There is no cure.
Treatment is to keep the patient alive with a respirator until they get better.
Not injecting drugs will prevent you from getting this disease. If you continue to inject be sure your works and skin are clean. Don't use black tar heroin. It is not possible to kill wound botulism by cooking or cleaning the dope. Don't share-needles, syringes, filters, cookers, or water.