Botulism outbreak in Russia connected to readymade salads

Abstract

On 15 June 2024, open-source intelligence from EPIWATCH® detected signals of a botulism outbreak in the Russian Federation caused by the Clostridium botulinum neurotoxin. Initial reporting suggested a foodborne outbreak connected to a brand of fish. Further epidemiological investigations identified an additional ready-made salad from a food delivery company. The first report identified 10 cases that were all in intensive care, and by 16 July 2024, 417 cases were reported across 11 regions. Two fatalities were recorded in the outbreak. At least 172 cases were hospitalised, and 43 required mechanical ventilation. Although the outbreak affected 11 regions, the true extent of the outbreak may never be known. Recent reports from the Russian Federation found that 60 per cent of products failed to meet food safety standards. Furthermore, the ongoing Russia-Ukraine war will contribute to food insecurity and rising prices, forcing people to turn to cheaper and lower-quality products. The food service company was shut down because of the outbreak, and the investigative committee opened a criminal case against the implicated company. The Russian Federation is no stranger to these outbreaks. Whilst food producers who may be regulated but are going unchecked continue to operate, there is an ongoing risk of future large-scale outbreaks.