Botulism among Alaska natives in the Bristol Bay area of southwest Alaska: a survey of knowledge, attitudes, and practices related to fermented foods known to cause botulism

Chiou, Lisa A.; Hennessy, Thomas W.; Horn, Andrea B.; Carter, Gary; Butler, Jay C.

doi:10.3402/ijch.v61i1.17405

Cited by 23 publications

(14 citation statements)

References 7 publications

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“…[21][22][23][24][25][26][27] The PEMDP analysis identified several novel results: focus group participants often struggled to understand differences between categories of agents, for example, between infectious and noninfectious agents or between radiological and nonradiological agents. Urban groups appeared more knowledgeable than did rural groups.…”

Section: Pre-event Knowledgementioning

confidence: 99%

Communicating With the Public About Emerging Health Threats: Lessons From the Pre-Event Message Development Project

et al. 2008

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Objectives. We sought to better understand the challenges of communicating with the public about emerging health threats, particularly threats involving toxic chemicals, biological agents, and radioactive materials. Methods. At the request of the Centers for Disease Control and Prevention, we formed an interdisciplinary consortium of investigative teams from 4 schools of public health. Over 2 years, the investigative teams conducted 79 focus group interviews with 884 participants and individual cognitive response interviews with 129 respondents, for a total sample of 1013 individuals. The investigative teams systematically compared their results with other published research in public health, risk communication, and emergency preparedness. Results. We found limited public understanding of emerging biological, chemical, and radioactive materials threats and of the differences between them; demand for concrete, accurate, and consistent information about actions needed for protection of self and family; active information seeking from media, local authorities, and selected national sources; and areas in which current emergency messaging can be improved. Conclusions. The public will respond to a threat situation by seeking protective information and taking self-protective action, underlining the critical role of effective communication in public health emergencies.

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Section: Pre-event Knowledgementioning

confidence: 99%

Communicating With the Public About Emerging Health Threats: Lessons From the Pre-Event Message Development Project

et al. 2008

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“…Epidemiology studies dating back as far as 1919 in Arctic Canada and Alaska clearly show type E to be the most common type of botulism (9)(10)(11)(12)(13)(14)(15)(16)(17)(18). The case fatality ratio was high, but about one-half of victims survived without specific treatment, even prior to the availability of antitoxin in 1960 (9,11,14).…”

Section: Was It Lead Poisoning or Botulism?mentioning

confidence: 99%

Polar Poisons: Did Botulism Doom the Franklin Expedition?

Horowitz

2003

Journal of Toxicology: Clinical Toxicology

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In 1845 the Franklin expedition left London with 2 ships and 134 men on board in an attempt to find the route through the Northwest Passage. The ships were built with state-of-the-art technology for their day, but provisioned with supplies from the lowest bidder. After taking on fresh provisions in the Whalefish Islands, off the coast of Greenland, the entire crew was never heard from again. Graves found on remote Beechey Island indicate that three able-bodied seamen died during the first winter. A note written on a ship's log, later found in a cairn, indicate that the expedition's leader, Sir John Franklin, died during the second winter entrapped on the ice, by which time 24 men had also perished. The remaining crew failed in their attempt to walk out of the Arctic by an overland route. In 1981 Owen Beattie, from the University of Alberta, exhumed the remains of the sailors from the three graves on Beechey Island. Elevated lead levels were found in all three sailors. While lead poisoning has been a leading theory of the cause of the crew's deaths, blamed on the crudely tinned provisions the ships carried with them from England, chronic lead exposure may only have weakened the crew, not necessarily killed them. One of three exhumed sailors also had in his intestine the spores of an unspecified Clostridium species. The theory put forth by this article is that Botulism, type E, which is endemic in the Arctic, may have been responsible for their deaths.

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“…The main dietary source of vitamin K is green leafy vegetables, which contain VK1 and may only be intermittently available to circumpolar populations that still rely on traditional foods for much of their diet and/or who lack access to affordable and regularly available commercial sources of green vegetables. Fermented foods are consumed by indigenous circumpolar populations and can be an additional source of vitamin K (as menaquinones). However, these may not be eaten regularly in these communities and so also may not be a reliable source of this vitamin.…”

Section: Introductionmentioning

confidence: 99%

Dietary Vitamin K and Association with Hepatic Vitamin K Status in a Yup'ik Study Population from Southwestern Alaska

Ryman

Rettie

et al. 2017

Molecular Nutrition Food Res

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Botulism among Alaska natives in the Bristol Bay area of southwest Alaska: a survey of knowledge, attitudes, and practices related to fermented foods known to cause botulism

Cited by 23 publications

References 7 publications

Communicating With the Public About Emerging Health Threats: Lessons From the Pre-Event Message Development Project

Communicating With the Public About Emerging Health Threats: Lessons From the Pre-Event Message Development Project

Polar Poisons: Did Botulism Doom the Franklin Expedition?

Dietary Vitamin K and Association with Hepatic Vitamin K Status in a Yup'ik Study Population from Southwestern Alaska

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