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Home
What is botulism?
Why does Alaska have more botulism?
What are the symptoms?
What causes botulism?
Who can get botulism?
What treatment is available?
How can you protect your family from getting botulism?
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How can you prevent getting botulism?
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How can you protect your family from botulism?
By following five food safety tips you can protect yourself and your family from getting botulism when you prepare Native foods.

Photo of Gina Carpenter, RN
Gina Carpenter, RN
Nurse, Kanakanak Hospital
Dillingham, Alaska



"We know that people get botulism 
from fermented foods such as stinky heads and stinky beaver tail. There 
are many lessons that we can learn
from the helping hands of the elders.
Its been shown that older, traditional methods of making fermented food 
are less likely to make the botulism poison than the newer methods of
using plastic."


1. Wash your hands, your containers, and your food
      before you start preparing your food.
Photo of person washing hands By washing your hands with soap and water, you wash away germs that you get from touching a contaminated surface. Also, clean the containers and areas where food will be placed. Wash your food before preparing it.  This  reduces the germs, but does not remove all of them.  These tips are
also important steps in preventing other diseases you can get from food.


2.Use proper methods when you
      prepare your Native foods.
Photo of fish in ground Eating fermented food has some risk of botulism. To reduce your risk of botulism, ferment food by using the traditional  method of a grass-lined hole in the ground. Use methods that allow the air to circulate. 
Photo of fermenting fish and a skull Because botulism grows better when fresh air is not moving around, do NOT use plastic or glass containers. Even a plastic container without a lid may allow the botulism germ to grow in the bottom of the container.
Use salt when drying fish. Salt is a natural preservative and reduces the chance that botulism poison will grow.

"My personal opinion, after 35 years in Alaska, is that the increase in botulism is directly related to the 
use of glass jars and plastic buckets, to store and to ferment fish. The old traditional methods, although not foolproof, are safer than the current methods of storing and preparing
the fish products. In the past, there were more open air containers. They used grass baskets versus plastic buckets. The foods were put into the ground rather than stored in glass 
jars in warm rooms."

Photo of Dan O'Connell, MD
Dan O'Connell, MD
Physician, Kanakanak Hospital
Dillingham, Alaska


Photo of Sacally
Sacally

Botulism survivor

"Older people used grass 
and moss. They put them [the fermented fish] under the 
ground and left them there, 
not in plastic."


3. Ferment food at a cold temperature.
Photo of grass on fish

 

Keep food cold by fermenting it in the ground and away from the sun. 

 


Ideally, the temperature of the food should be below  37 degrees Fahrenheit.  It might take longer to ferment the food, but it may be safer because if you keep food cold, you prevent botulism poison from developing.

Photo of thermometer below 37 degrees

"We have to hide
them from the sun
to keep them 
cold down there."

Photo of Elia
Elia
Botulism survivor

Photo of Karen Atakitlig
Karen Atakitlig
Community Health Practitioner Togiak, Alaska

"I think people are learning. I have seen people making fermented fish heads underground. They keep it well-ventilated and in a dark cold place instead of covering it with a bucket cover so it would not be so tight."




"Follow the traditional ways of preparing food. Do not use any short cuts to get them ready faster. Do not use plastic containers."

Photo of Marie
Marie
Botulism survivor



4. Boil your food before eating it?\.
Photo of fish boiling

Botulism toxin is destroyed by high heat. Boiling fermented food for 10 minutes can destroy the botulism poison. It might change the taste from what you are used to, but it is one way to protect you and your family from botulism.

If fermented foods are stored in plastic or glass containers before they are eaten, they should be boiled because the botulism poison cannot be seen, smelled, or tasted. Boiling will kill the poison that is in the food.


 5. When in doubt, throw it out.
It is much better to throw out food that might be contaminated than to eat it and get sick or lose the life of a loved one. Be sure to throw out contaminated food where it cannot be eaten by children or pets.

In addition, know how the food you 

Photof person throwing out food
eat is made.  If you are not sure, then don't eat it. Botulism poison is so strong that even a small taste can cause serious problems. 

Barbara Riley, MD
Barbara Riley, MD  
Physician,  
Kanakanak Hospital  
Dillingham, Alaska   

"We know how important our traditional Native foods are, but we must be very careful in how we prepare our foods. If people want to continue eating their fermented heads they need to not use any plastic to ferment them. Using the traditional hole in the ground is better but there is still always the possibility that botulism can infect that head. I would recommend that people boil their foods for a minimum of 10 minutes. People need to be very, very careful when theyre eating their fermented Native foods. If they have any symptoms at all, they need to see a health care provider very quickly, not wait at home or in their village."


Remember
bullet Wash your hands, containers, and food before you start preparing food.
bullet Eating fermented food has some risk of botulism. To reduce your risk, ferment food by using the traditional method of a grass-lined hole in the ground. Use methods that allow the air to circulate.
bullet Do NOT use plastic or glass containers.
bullet Salt your food before drying it.
bullet Keep food cold by fermenting it in the ground, away from the sun.
bullet Consider boiling your fermented food for 10 minutes before you eat it. This will destroy the poison and protect you from botulism.
bullet When in doubt, throw it out!

By following these simple tips, you can give a helping hand and keep your family safe from botulism


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This page last reviewed: October 24, 2001
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