Change of https://www.gov.uk/government/publications/botulism-reporting-questionnaires

Change description : 2025-10-27 10:10:00: Updated versions of the first 3 questionnaires. [Guidance and regulation]

Showing diff : 2025-08-07 16:23:00.301707577 +00:00..2025-10-27 10:11:07.835749155 +00:00

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
3027 JulyOctober 2025 — See all updates

Documents

Wound botulism questionnaire

MS Word Document, 121114 KB

This file may not be suitable for users of assistive technology.

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email publications@phe.gov.ukpublications@ukhsa.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Adult foodborne botulism questionnaire

PDF,MS 870Word KBDocument, 25246 pagesKB

This file may not be suitable for users of assistive technology.

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email publications@phe.gov.ukpublications@ukhsa.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Infant botulism questionnaire

PDF,MS 923Word KBDocument, 9107 pagesKB

This file may not be suitable for users of assistive technology.

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email publications@phe.gov.ukpublications@ukhsa.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Iatrogenic botulism questionnaire

MS Word Document, 184 KB

This file may not be suitable for users of assistive technology.

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email publications@phe.gov.ukpublications@ukhsa.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

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

The reporting questionnaires are for:

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

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

Updates to this page

Published 10 December 2013
Last updated 3027 JulyOctober 2025 + show all updates

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

Sign up for emails or print this page

Update history

2025-12-12 16:06
Uploaded new version of infant botulism questionnaire.

2025-10-27 10:10
Updated versions of the first 3 questionnaires.

2025-07-30 16:53
Updated word versions of the iatrogenic botulism and wound botulism forms added.

2025-07-17 15:20
Added Iatrogenic botulism questionnaire.