An Updated Review of Ciguatera Fish Poisoning: Clinical, Epidemiological, Environmental, and Public Health Management
Year: 2017
Type: review
Abstract: Ciguatera Fish Poisoning (CFP) is the most frequently reported seafood-toxin illness in the world. It causes substantial human health, social, and economic impacts. The illness produces a complex array of gastrointestinal, neurological and neuropsychological, and cardiovascular symptoms, which may last days, weeks, or months. This paper is a general review of CFP including the human health effects of exposure to ciguatoxins (CTXs), diagnosis, human pathophysiology of CFP, treatment, detection of CTXs in fish, epidemiology of the illness, global dimensions, prevention, future directions, and recommendations for clinicians and patients. It updates and expands upon the previous review of CFP published by Friedman et al. (2008) and addresses new insights and relevant emerging global themes such as climate and environmental change, international market issues, and socioeconomic impacts of CFP. It also provides a proposed universal case definition for CFP designed to account for the variability in symptom presentation across different geographic regions. Information that is important but unchanged since the previous review has been reiterated. This article is intended for a broad audience, including resource and fishery managers, commercial and recreational fishers, public health officials, medical professionals, and other interested parties.
Source: Marine Drugs
DOI: 10.3390/md15030072
Authors: Melissa Friedman, Mercedes Fernandez, Lorraine Backer, Robert Dickey, Jeffrey Bernstein, Kathleen Schrank, Steven Kibler, Wendy Stephan, Matthew Gribble, Paul Bienfang, Robert Bowen, Stacey Degrasse, Harold Flores Quintana, Christopher Loeffler, Richard Weisman, Donna Blythe, Elisa Berdalet, Ram Ayyar, Danielle Clarkson-Townsend, Karen Swajian, Ronald Benner, Tom Brewer, Lora Fleming
Institutions: Mount Sinai Medical Center, Nova Southeastern University, Centers for Disease Control and Prevention, National Center for Environmental Health, University of Texas at Austin Marine Science Institute, The University of Texas at Austin, University of Miami, Jackson Memorial Hospital, National Oceanic and Atmospheric Administration, NOAA National Ocean Service, Emory University, University of Hawaiʻi at Mānoa, University of Hawaii System, University of Massachusetts Boston, United States Food and Drug Administration, Institut de Ciències del Mar, Australian Institute of Marine Science, Charles Darwin University, University of Exeter
Language: English
Subfield: Environmental Chemistry
Field: Environmental Science
Domain: Physical Sciences
Open Access status: gold
Estimated APC paid: $3,499
Funders: National Science Foundation, University of Southern California, London School of Hygiene and Tropical Medicine, National Institute for Health Research Health Protection Research Unit, Research Councils UK, University of Exeter, University College London, Met Office, Public Health England, National Institutes of Health, Medical Research Council, Natural Environment Research Council, National Institute of Environmental Health Sciences
OpenAlex ID: W2595134151