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Botulism outbreak linked to food trucks in Italy
Two deaths and multiple hospitalizations as authorities investigate food vendors and suppliers

A botulism outbreak in southern Italy tied to a street vendor sandwich has claimed two lives and sparked investigations.
Italy confronts botulism outbreak linked to food trucks
Two people have died in a botulism outbreak in Italy. The latest victim is 45 year old Tamara D Acunto, who died after eating a sausage and turnip top sandwich sold from a Diamante street vendor. The first fatality was 52 year old Luigi Di Sarno. Authorities say both illnesses were linked to food from a mobile vendor on the Tyrrhenian coast near Cosenza. The authorities report 17 hospitalizations and 10 more people under investigation as investigators examine the actions of two food truck operators and two supplying companies. Italy recorded 36 botulism cases in 2023, the highest in Europe, underscoring the ongoing risk to public health.
Autopsies and medical reviews are underway. A doctor involved in Di Sarno’s treatment is among the professionals under scrutiny. The case has drawn attention to street food safety rules and the speed at which symptoms can worsen from nausea to breathing trouble. Health officials say botulism toxins are often found in vacuum packed foods or improperly stored products and emphasize safe preparation and storage. The broader context shows how Europe compares with the United States, where botulism diagnoses are more common but deaths are rare.
Key Takeaways
"It should be noted that the foods at risk of botulinum toxin are homemade preserves prepared vacuum-packed, in oil, or in water"
official guidance on risk foods
"On the highway between Scalea and Lago Negro, he was suffocating"
di sarno's final moments as described by a friend
"They told me he was drunk"
a friend recounting the treatment
"Two food truck operators and wholesalers are under investigation"
investigative status of the case
The outbreak tests how well local health systems can trace food chains and protect consumers. Street vendors are popular but they operate in a gray zone of licensing and inspections, and a single misstep can trigger a national safety scare. The incident also raises questions about how quickly authorities warn the public and isolate risky foods to prevent spread.
Policy implications may include tighter licensing, clearer food safety guidance, and faster communication channels. The story highlights the importance of clinician awareness for botulism symptoms and of robust traceback systems so investigations do not stall. In the end, the episode tests Italy's willingness to tackle small vendors with big consequences and to protect consumers without stifling livelihoods.
Highlights
- Two lives lost over a sandwich reveal gaps in safety
- It should be noted that the foods at risk of botulinum toxin are homemade preserves prepared vacuum packed in oil or in water
- This outbreak tests the balance between street commerce and public health
- Trust in street food takes another hit as authorities chase clues
Public health risk from botulism outbreak linked to food trucks
The deaths and ongoing investigations highlight vulnerable points in the food supply chain and the risk of street vendors operating without robust oversight. The episode could provoke policy reviews and public pressure.
Public health officials will need clear, fast action to restore trust in street food.
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