title: Foodborne botulism in Poland in 2013.
abstract: OBJECTIVE
  The aim of the study is to assess the epidemiology of foodborne botulism in Poland in 2013.
  
  
  METHODS
  We reviewed surveillance data published in the annual bulletin "Infectious diseases and poisonings in Poland in 2013" and in previous publications, and botulism case reports for 2013 sent to the Department of Epidemiology NIPH-NIH by Sanitary-Epidemiological Stations.
  
  
  RESULTS
  In 2013, a total of 24 foodborne botulism cases (including 8 laboratory confirmed cases) was reported, corresponding to the lowest annual incidence rate (0.06 per 100,000 population) since the introduction of botulism as mandatory notifiable disease. The highest incidence in the country was reported in Kujawsko-Pomorskie (0.19). Incidence in rural areas (0.09 per 100,000 population) was more than 2-fold higher than the incidence in urban areas (0.04). Men, had more than 3 times higher incidence than women; the highest incidence rate (0.29 per 100,000 population) was observed among men in the age group of 40-49 years. Most cases were associated with consumption of different types of commercially canned meat. Commercially canned fish was also a common vehicle. All cases were hospitalized. No deaths related to the disease were reported.
  
  
  CONCLUSIONS
  In 2013, in Poland a downward trend in the incidence of foodborne botulism was maintained. Insufficient laboratory capacity remains a major weakness in national surveillance resulting in disproportionate reporting of cases meeting only clinical criteria and an epidemiological link. This situation clearly speaks for the need to improve laboratory capacity for surveillance.
authors.affiliation: Department of Epidemiology, National Institute of Public Health - National Institute of Hygiene in Warsaw.
authors.forename: Michał
authors.initials: M
authors.lastname: Czerwiński
authors.affiliation: Department of Epidemiology, National Institute of Public Health - National Institute of Hygiene in Warsaw.
authors.forename: Mirosław P
authors.initials: MP
authors.lastname: Czarkowski
authors.affiliation: Department of Epidemiology, National Institute of Public Health - National Institute of Hygiene in Warsaw.
authors.forename: Barbara
authors.initials: B
authors.lastname: Kondej
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D001906:Botulism / Q000175:diagnosis* / Q000453:epidemiology* / Q000382:microbiology; D004196:Disease Outbreaks / Q000706:statistics & numerical data*; D005260:Female; D005516:Food Microbiology; D006801:Humans; D015994:Incidence; D008297:Male; D008461:Meat Products / Q000382:microbiology* / Q000506:poisoning; D008875:Middle Aged; D011044:Poland / Q000453:epidemiology; D012042:Registries / Q000706:statistics & numerical data*; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data; D017678:Sex Distribution; D014505:Urban Population / Q000706:statistics & numerical data; D055815:Young Adult