Botulism in Italy, 1986 to 2015

F. Anniballi, B. Auricchio, A. Fiore, D. Lonati, C.A. Locatelli, F. Lista, S. Fillo, G. Mandarino, D. de Medici

Research output: Contribution to journalArticlepeer-review


Botulism is a rare but severe neuroparalytic disease caused by botulinum toxins. Because of its high potential impact on public health, botulism is a closely monitored communicable disease in Europe. In Italy, which has one of the highest incidence rates in Europe (0.03 cases per 100,000 population), botulism is monitored through a case-based passive surveillance system: the front-line physician who diagnoses a suspected case must notify the Local Health Units immediately, and the Ministry of Health’s office within 12 hours. From 1986 to 2015, 466 confirmed cases of botulism were recorded in Italy (of 1,257 suspected cases). Of these, 421 were food-borne (the most frequently seen form of botulism due to the consumption of improperly home-canned foods), 36 were infant botulism, which accounts for ca 50% of all these types of cases registered in Europe, six were wound-related and three were due to adult intestinal colonisation. This scenario suggests that stronger efforts should be made towards raising public awareness of the risk of food-borne botulism, especially with respect to homepreserved foods, as well as improving the training of front-line medical personnel, to ensure that a quick and accurate diagnosis of botulism can be made. © 2017, European Centre for Disease Prevention and Control (ECDC). All rights reserved.
Original languageEnglish
Issue number24
Publication statusPublished - 2017


  • botulinum antiserum
  • botulinum toxin A
  • botulinum toxin B
  • botulinum toxin
  • adult
  • Article
  • bacterial transmission
  • botulism
  • canned food
  • Clostridium botulinum
  • disease surveillance
  • female
  • food poisoning
  • hospitalization
  • human
  • incidence
  • infant
  • infant botulism
  • intestinal toxaemia botulism
  • Italy
  • laboratory diagnosis
  • major clinical study
  • male
  • seasonal variation
  • symptom
  • wound botulism
  • age distribution
  • disease notification
  • health survey
  • isolation and purification
  • preserved food
  • procedures
  • public health
  • sex ratio
  • Adult
  • Age Distribution
  • Botulinum Toxins
  • Botulism
  • Disease Notification
  • Food, Preserved
  • Foodborne Diseases
  • Humans
  • Incidence
  • Infant
  • Male
  • Population Surveillance
  • Public Health
  • Sex Distribution


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