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Volume 19, Number 6—June 2013

CME ACTIVITY

Foodborne Botulism in Canada, 1985–2005

Earning CME Credit

To obtain credit, you should first read the journal article. After reading the article, you should be able to answer the following, related, multiple-choice questions. To complete the questions (with a minimum 70% passing score) and earn continuing medical education (CME) credit, please go to www.medscape.org/journal/eid. Credit cannot be obtained for tests completed on paper, although you may use the worksheet below to keep a record of your answers. You must be a registered user on Medscape.org. If you are not registered on Medscape.org, please click on the New Users: Free Registration link on the left hand side of the website to register. Only one answer is correct for each question. Once you successfully answer all post-test questions you will be able to view and/or print your certificate. For questions regarding the content of this activity, contact the accredited provider, CME@medscape.net. For technical assistance, contact CME@webmd.net. American Medical Association’s Physician’s Recognition Award (AMA PRA) credits are accepted in the US as evidence of participation in CME activities. For further information on this award, please refer to http://www.ama-assn.org/ama/pub/category/2922.html. The AMA has determined that physicians not licensed in the US who participate in this CME activity are eligible for AMA PRA Category 1 Credits™. Through agreements that the AMA has made with agencies in some countries, AMA PRA credit may be acceptable as evidence of participation in CME activities. If you are not licensed in the US, please complete the questions online, print the certificate and present it to your national medical association for review.

Article Title:
Foodborne Botulism in Canada, 1985–2005

CME Questions

1. You are an infectious disease consultant to a public health department in Canada regarding the likelihood of botulism outbreaks. Based on the laboratory database study by Dr. Leclair and colleagues, which of the following statements about the incidence of laboratory-confirmed outbreaks of foodborne botulism occurring between 1985 and 2005 in Canada is most likely to appear in your report?

A. There were 91 laboratory-confirmed outbreaks of foodborne botulism, involving 205 cases

B. The annual rate of confirmed outbreaks throughout Canada was significantly lower than that reported for 1971–1984

C. About half of the outbreaks occurred in native communities

D. Outbreaks are less likely among the Nunavut than in Canada as a whole

2. Based on the laboratory database study by Dr. Leclair and colleagues, which of the following statements about pathogens and sources of laboratory-confirmed outbreaks of foodborne botulism occurring between 1985 and 2005 in Canada is most likely to appear in your report?

A. Clostridium botulinum type B was the most common pathogen

B. Commercial ready-to-eat meat products were the most common source

C. None of the outbreaks involved food served in restaurants

D. Continuous consumer education is needed on the potential risks of botulism from home-prepared foods, use of a pressure canner, and proper food storage temperatures

3. Based on the laboratory database study by Dr. Leclair and colleagues, which of the following statements about outcomes of laboratory-confirmed outbreaks of foodborne botulism occurring between 1985 and 2005 in Canada would most likely be correct?

A. No change in case identification from the period before 1985 resulted in no change in the case fatality rate

B. Of the 205 reported cases, 11 died

C. Of 3 cases in pregnant women, 1 resulted in stillbirth

D. Antitoxin administration was not associated with reduction in hospital length of stay in type E cases

Activity Evaluation

1. The activity supported the learning objectives.

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2. The material was organized clearly for learning to occur.

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3. The content learned from this activity will impact my practice.

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4. The activity was presented objectively and free of commercial bias.

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