Characteristic Features and Contributory Factors in Fatal Ciguatera Fish Poisoning-Implications for Prevention and Public Education
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AbstractIn this review, the main objective was to describe the characteristic features of fatal ciguatera fish poisoning and identify contributory factors,. with a view to promote prevention and public education. Ciguatera-related deaths, although rare, have been reported from the Pacific, Caribbean, and Indian Ocean regions. The clinical features were generally dominated by convulsions and coma, with various focal neurological signs. Several contributory factors could be identified, including consumption of ciguatoxin (CTX)-rich fish parts (viscera and head) in larger amounts, the most ciguatoxic fish species (e.g., Gymnothorax flavimarginatus) and reef fish collected after storms and individuals' susceptibility. Mass ciguatera fish poisoning with mortalities also occurred when G. flavimarginatus and other ciguatoxic fish species were shared in gatherings and parties. The characteristic features of fatal ciguatera fish poisoning must be recognized early. The public should be repeatedly reminded to avoid eating the most ciguatoxic fish species and the CTX-rich parts of reef fish. To prevent mass poisoning in gatherings and parties, the most ciguatoxic fish species and potentially toxic fish species must be avoided. Particularly after hits by disastrous storms, it is important to monitor the toxicity of reef fish and the incidence rates of ciguatera.
All Author(s) ListChan TYK
Journal nameAmerican Journal of Tropical Medicine and Hygiene
Year2016
Month4
Day1
Volume Number94
Issue Number4
PublisherAMER SOC TROP MED & HYGIENE
Pages704 - 709
ISSN0002-9637
eISSN1476-1645
LanguagesEnglish-United Kingdom
Web of Science Subject CategoriesPublic, Environmental & Occupational Health; Tropical Medicine

Last updated on 2020-03-07 at 01:24