Its Navratre time and people start eating Vrata flours like kuttu and singhara. The same can cause food poisoning if the last years left over flour is eaten.

Food poisoning is common. One in five episodes of diarrhea is likely to be due to a food poisoning. Each person on average has diarrhea once or twice per year. An average person will have a food poisoning once every three to four years.

Always consider a food borne illness when a patient presents with a mixture of gastrointestinal symptoms: nausea, vomiting, abdominal pain, diarrhea and fever.

Botulism and some types of shellfish poisoning can present with paralysis, ciguatera fish poisoning or scombroid with headaches and tingling, amnesic shellfish poisoning with amnesia, hepatitis A or E with hepatitis and Listeria monocytogenes with meningitis or spontaneous abortion.

More than 200 known agents are capable of food poisoning (microbial causes, chemicals and other agents). Five organisms account for 90 percent of the deaths, most notably Salmonella spp.

1.2% persons have complications such as intestinal perforation or invasive illness.  Listeriosis, Shiga toxin producing E. coli and non typhoidal Salmonella are particularly associated with severe morbidity.