California health officials say the cases, which occurred from November 2024 to June 2025, have not been connected to the current outbreak.
All 31 patients have required hospitalization.
All 23 cases involve hospitalization.
Nashville also reported its first measles case in 20 years.
Infants in 10 states have been sickened, and all required hospitalization.
Last month, unusual psittacosis case rises were reported from five European countries.
Nine people were hospitalized, and 4 were treated with botulinum antitoxin over concerns that botulinum could spread beyond the injection site.
As of yesterday, 2 of the 8 patients seen at Bordeaux University Hospital were still on mechanical ventilation, outlining how serious the disease can be.
Ecuador's environment minister said the country will deploy all available resources to minimize the impact on the Galapagos' unique ecosystem.
All told, 53 cases in Turkey, 12 in Germany, and 1 each in Austria and Switzerland have been linked to botulism neurotoxin injections at 2 hospitals in Turkey.
