It is very rare. It is estimated that more than u003ca href=u0022https://www.aafp.org/afp/2002/0401/p1388.htmlu0022 target=u0022_blanku0022 rel=u0022noreferrer noopeneru0022u003e250 cases u003c/au003eoccur in the United States each year due to education and parents being informed of the risk. (It can also occur from u003ca href=u0022https://www.mayoclinic.org/diseases-conditions/botulism/symptoms-causes/syc-20370262u0022 target=u0022_blanku0022 rel=u0022noreferrer noopeneru0022u003eexposure to soil u003c/au003ewith the bacteria.)