Guidance

Botulism: reporting questionnaires

Questionnaires for local health protection teams (HPTs) when a suspected case of botulism is reported in a patient in hospital.

• From: UK Health Security Agency
• Published: 10 December 2013
• Last updated: 30 July 2025 — See all updates

Documents

Wound botulism questionnaire

MS Word Document, 121 KB

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Adult foodborne botulism questionnaire

PDF, 870 KB, 25 pages

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Infant botulism questionnaire

PDF, 923 KB, 9 pages

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Iatrogenic botulism questionnaire

MS Word Document, 184 KB

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Details

This content was originally produced by Public Health England (PHE). This content is now owned and managed by the UK Health Security Agency (UKHSA)

The reporting questionnaires are for:

• wound botulism in people who injected drugs
• food related botulism in adults
• infant botulism *iatrogenic botulism

The data collected is used to monitor the number of cases and establish risk factors associated with wound botulism.

Published 10 December 2013

Last updated 30 July 2025 + show all updates

1. 30 July 2025

   Updated word versions of the iatrogenic botulism and wound botulism forms added.

2. 17 July 2025

   Added Iatrogenic botulism questionnaire.

3. 10 December 2013

   First published.