Epidemiology and Clinical Features of Ciguatera Fish Poisoning in Hong Kong
Publication in refereed journal


Times Cited
Web of Science13WOS source URL (as at 10/05/2021) Click here for the latest count
Altmetrics Information
.

Other information
AbstractIn the present review, the main objective was to describe the epidemiology and clinical features of ciguatera fish poisoning in Hong Kong. From 1989 to 2008, the annual incidence of ciguatera varied between 3.3 and 64.9 (median 10.2) per million people. The groupers have replaced the snappers as the most important cause of ciguatera. Pacific-ciguatoxins (CTX) are most commonly present in reef fish samples implicated in ciguatera outbreaks. In affected subjects, the gastrointestinal symptoms often subside within days, whereas the neurological symptoms can persist for weeks or even months. Bradycardia and hypotension, which can be life-threatening, are common. Treatment of ciguatera is primarily supportive and symptomatic. Intravenous mannitol (1 g/kg) has also been suggested. To prevent ciguatera outbreaks, the public should be educated to avoid eating large coral reef fishes, especially the CTX-rich parts. A Code of Practice on Import and Sale of Live Marine Fish for Human Consumption for Prevention and Control of Ciguatera Fish Poisoning was introduced from 2004 to 2013. The Food Safety Ordinance with a tracing mechanism came into full effect in February 2012. The Government would be able to trace the sources of the fishes more effectively and take prompt action when dealing with ciguatera incidents.
All Author(s) ListChan TYK
Journal nameToxins
Year2014
Month10
Day1
Volume Number6
Issue Number10
PublisherMDPI
Pages2989 - 2997
ISSN2072-6651
LanguagesEnglish-United Kingdom
Keywordsciguatera; ciguatoxins; groupers; Hong Kong
Web of Science Subject CategoriesToxicology

Last updated on 2021-11-05 at 00:28