Palm Beach County's top health official urged people not to take anti-wrinkle injections after investigators said four people were paralysed by raw botulism marketed as a cheap alternative to Botox.
Federal investigators say 51 vials of botulinum toxin worth US$53,000 ($77,000) were shipped by an Arizona supplier to 13 South Florida customers last year.
Their investigation is continuing.
Americans paralysed by anti-wrinkle injections
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