This rare disease may be difficult to trace, since the spores may survive for a long time in the environment. It is clear that about 10 percent of commercial honey contains botulism spores, and occasionally light and dark corn syrup also harbors the bacteria. For this reason, parents are advised not to feed either food to infants under a year of age. The illness is found in all races, in North and South America, in Asia and Europe. In 1993 there were only 65 reported cases in the United States.

Although an infected baby will excrete toxin for weeks in feces, the baby cannot pass on the infection to others.

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