Food with the toxin. This happens if it is not packaged or heated properly. This is rare.
Symptoms from an attack would start within 12 to 72 hours. A food attack could start problems within 2 hours or as long as 8 days after eating the toxin. The seriousness of the illness depends on how much gets into the body.
Botulism: biological terrorism. Centers for Disease Control and Prevention website. Available at: https://www.cdc.gov/botulism/bioterrorism/index.html. Accessed September 21, 2021.
Botulism. Centers for Disease Control and Prevention website. Available at: https://www.cdc.gov/botulism. Accessed September 21, 2021.
Botulism. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/botulism. Accessed September 21, 2021.
Botulinum toxin. Johns Hopkins Center for Health Security website. Available at: https://www.centerforhealthsecurity.org/our-work/publications/botulinum-toxin-botulism-fact-sheet. Accessed September 21, 2021.
Watson AK, Ellington S, et al. Preparing for biological threats: addressing the needs of pregnant women. Birth Defects Res. 2017;109(5):391-398.
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