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Public Health Experts Warn of Botulism Risks Linked to Unauthorized Cosmetic Injections in UK

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Public health experts are warning cosmetic treatment seekers after 38 botulism cases were reported in the UK, linked to unlicensed botulinum-like injections. The UK Health Security Agency (UKHSA) stated on Friday that cases first emerged in northeast England, later spreading to the East of England and East Midlands. All cases were reported between June 4 and July 14, 2025.

“Investigations are ongoing, but evidence so far points to the use of an unlicensed botulinum-like product,” UKHSA noted. Affected patients showed symptoms such as difficulty swallowing, slurred speech, and breathing problems, with some requiring respiratory support.

According to the NHS, botulism is caused by toxins produced by Clostridium botulinum, which attack the nervous system. Purified forms of these toxins are the active ingredients in botulinum toxin and similar products, commonly used for cosmetic purposes like reducing the appearance of wrinkles.

Health officials urge anyone who has received recent cosmetic injections and develops related symptoms to seek immediate medical help. They also advise choosing licensed products and qualified practitioners to avoid such risks.

The outbreak highlights growing concerns over unregulated cosmetic treatments, as unauthorized products may contain harmful levels of toxins or impurities, posing life-threatening risks to users.