In all cases, illness is caused by the botulinum toxin produced by the bacterium C. botulinum in anaerobic conditions and not by the bacterium itself. The pattern of damage occurs because the toxin affects nerves that fire (depolarise) at a higher frequency first.
BMT (Bachelor of Music Therapy) Voice majors in this degree often have music skills and an interest in the science and medicine. Future vocal music majors are often the top singers in their high schools. It is not unusual for talented teens to sing a variety of vocal styles in high school.
The Juilliard School College Division programs are all full-time degree or diploma programs. Juilliard does have a Saturday Pre-College program for advanced students from ages 8-18 and an Evening Division for adult students who wish to take a courses in the evening.