Ciguatera fish poisoning in the Pacific Islands (1998 to 2008).

<h4>Background</h4>Ciguatera is a type of fish poisoning that occurs throughout the tropics, particularly in vulnerable island communities such as the developing Pacific Island Countries and Territories (PICTs). After consuming ciguatoxin-contaminated fish, people report a range of acute...

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Autores principales:	Mark P Skinner, Tom D Brewer, Ron Johnstone, Lora E Fleming, Richard J Lewis
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2011
Materias:	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/aa10f6b13515425bbe9c0ffda3f9cbd9
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spelling	oai:doaj.org-article:aa10f6b13515425bbe9c0ffda3f9cbd92021-11-18T09:14:38ZCiguatera fish poisoning in the Pacific Islands (1998 to 2008).1935-27271935-273510.1371/journal.pntd.0001416https://doaj.org/article/aa10f6b13515425bbe9c0ffda3f9cbd92011-12-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22180797/pdf/?tool=EBIhttps://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735<h4>Background</h4>Ciguatera is a type of fish poisoning that occurs throughout the tropics, particularly in vulnerable island communities such as the developing Pacific Island Countries and Territories (PICTs). After consuming ciguatoxin-contaminated fish, people report a range of acute neurologic, gastrointestinal, and cardiac symptoms, with some experiencing chronic neurologic symptoms lasting weeks to months. Unfortunately, the true extent of illness and its impact on human communities and ecosystem health are still poorly understood.<h4>Methods</h4>A questionnaire was emailed to the Health and Fisheries Authorities of the PICTs to quantify the extent of ciguatera. The data were analyzed using t-test, incidence rate ratios, ranked correlation, and regression analysis.<h4>Results</h4>There were 39,677 reported cases from 17 PICTs, with a mean annual incidence of 194 cases per 100,000 people across the region from 1998-2008 compared to the reported annual incidence of 104/100,000 from 1973-1983. There has been a 60% increase in the annual incidence of ciguatera between the two time periods based on PICTs that reported for both time periods. Taking into account under-reporting, in the last 35 years an estimated 500,000 Pacific islanders might have suffered from ciguatera.<h4>Conclusions</h4>This level of incidence exceeds prior ciguatera estimates locally and globally, and raises the status of ciguatera to an acute and chronic illness with major public health significance. To address this significant public health problem, which is expected to increase in parallel with environmental change, well-funded multidisciplinary research teams are needed to translate research advances into practical management solutions.Mark P SkinnerTom D BrewerRon JohnstoneLora E FlemingRichard J LewisPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 5, Iss 12, p e1416 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
spellingShingle	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Mark P Skinner Tom D Brewer Ron Johnstone Lora E Fleming Richard J Lewis Ciguatera fish poisoning in the Pacific Islands (1998 to 2008).
description	<h4>Background</h4>Ciguatera is a type of fish poisoning that occurs throughout the tropics, particularly in vulnerable island communities such as the developing Pacific Island Countries and Territories (PICTs). After consuming ciguatoxin-contaminated fish, people report a range of acute neurologic, gastrointestinal, and cardiac symptoms, with some experiencing chronic neurologic symptoms lasting weeks to months. Unfortunately, the true extent of illness and its impact on human communities and ecosystem health are still poorly understood.<h4>Methods</h4>A questionnaire was emailed to the Health and Fisheries Authorities of the PICTs to quantify the extent of ciguatera. The data were analyzed using t-test, incidence rate ratios, ranked correlation, and regression analysis.<h4>Results</h4>There were 39,677 reported cases from 17 PICTs, with a mean annual incidence of 194 cases per 100,000 people across the region from 1998-2008 compared to the reported annual incidence of 104/100,000 from 1973-1983. There has been a 60% increase in the annual incidence of ciguatera between the two time periods based on PICTs that reported for both time periods. Taking into account under-reporting, in the last 35 years an estimated 500,000 Pacific islanders might have suffered from ciguatera.<h4>Conclusions</h4>This level of incidence exceeds prior ciguatera estimates locally and globally, and raises the status of ciguatera to an acute and chronic illness with major public health significance. To address this significant public health problem, which is expected to increase in parallel with environmental change, well-funded multidisciplinary research teams are needed to translate research advances into practical management solutions.
format	article
author	Mark P Skinner Tom D Brewer Ron Johnstone Lora E Fleming Richard J Lewis
author_facet	Mark P Skinner Tom D Brewer Ron Johnstone Lora E Fleming Richard J Lewis
author_sort	Mark P Skinner
title	Ciguatera fish poisoning in the Pacific Islands (1998 to 2008).
title_short	Ciguatera fish poisoning in the Pacific Islands (1998 to 2008).
title_full	Ciguatera fish poisoning in the Pacific Islands (1998 to 2008).
title_fullStr	Ciguatera fish poisoning in the Pacific Islands (1998 to 2008).
title_full_unstemmed	Ciguatera fish poisoning in the Pacific Islands (1998 to 2008).
title_sort	ciguatera fish poisoning in the pacific islands (1998 to 2008).
publisher	Public Library of Science (PLoS)
publishDate	2011
url	https://doaj.org/article/aa10f6b13515425bbe9c0ffda3f9cbd9
work_keys_str_mv	AT markpskinner ciguaterafishpoisoninginthepacificislands1998to2008 AT tomdbrewer ciguaterafishpoisoninginthepacificislands1998to2008 AT ronjohnstone ciguaterafishpoisoninginthepacificislands1998to2008 AT loraefleming ciguaterafishpoisoninginthepacificislands1998to2008 AT richardjlewis ciguaterafishpoisoninginthepacificislands1998to2008
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Ciguatera fish poisoning in the Pacific Islands (1998 to 2008).

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