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CIGUATERA POISONING IN VANUATU

Ciguatera poisoning is endemic in many tropical and subtropical countries. We conducted a retrospective study of admissions to two hospitals on the islands of Vanuatu in the southwestern Pacific region. We estimated the annual hospital admission rate for fish poisoning to be 65 (95% confidence interval [CI] = 55–75)/100,000 population on the island of Santo and 29 (95% CI = 19–43)/100,000 population on the island of Ambae. Hospital admission was more common in males 20–29 years old. Death was a rare complication. In the face of increases in both tourism and in the global trade in tropical and exotic fish, physicians in both endemic and non-endemic areas should be familiar with the epidemiology and clinical features of this important condition.

Received February 10, 2002. Accepted for publication August 22, 2002.

Acknowledgments: We thank the staff of the Northern District and Lolowi Hospitals for their help with this study, and Dr. Tim Vocor for his encouragement and support.

Financial support: Anna Goodman was supported by funds from the University of London. Thomas N. Williams and Kathryn Maitland were supported by the Wellcome Trust.

Disclaimer: None of the authors have any conflicts of interests.

Authors’ addresses: Anna Goodman, 13 Ringley Drive, Whitefield, Manchester M45 7DR, United Kingdom. Thomas N. Williams, Department of Paediatrics, St. Mary’s Hospital, Imperial College, London W2 1NY, United Kingdom. Kathryn Maitland, Kenya Medical Research Institute, PO Box 230, Kilifi, Kenya, Fax: 254-1-252-2390, E-mail: kmaitland{at}kilifi.mimcom.net.

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