21. Doctors identify botulism from the pattern of paralysis and symptoms. 22. After the smoked whitefish episode, I investigated other outbreaks of botulism . 23. Untreated botulism can cause paralysis, respiratory failure and death. 24. The United States averages 110 cases of botulism a year. 25. Some studies have linked a rare disease called baby botulism with honey. 26. Other strips are made for plague, botulism and other biological hazards. 27. Those concerns include diseases like botulism , plague, tularemia and smallpox. 28. Among them are smallpox, botulism , tularemia, plague and anthrax. 29. The outbreak of botulism coincides with their widespread colonization of the lake. 30. Clearly these inspectors are concerned more about protectionism than botulism .