1921
Volume 93, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

Ciguatera is the most commonly reported marine food-borne illness worldwide. Because there is a biological plausibility that ciguatera may be impacted by long-term climate variability and Florida is on the northern border of the geographic distribution of ciguatera, it is important to update our understanding of its epidemiology in Florida. We performed an analysis of 291 reports in Florida from 2000 to 2011 and an e-mail survey of 5,352 recreational fishers to estimate incidence and underreporting and identify high risk demographic groups, fish types, and catch locations. Incidence was 5.6 per 100,000 adjusted for underreporting. Hispanics had the highest incidence rate (relative risk [RR] = 3.4) and were more likely to eat barracuda than non-Hispanics. The most common catch locations for ciguatera-causing fish were the Bahamas and Florida Keys. Cases caused by fish from northern Florida were infrequent. These results indicate that ciguatera incidence is higher than estimated from public health reports alone. There is little evidence that incidence or geographic range has increased because of increased seawater temperatures since earlier studies.

Loading

Article metrics loading...

The graphs shown below represent data from March 2017
/content/journals/10.4269/ajtmh.14-0400
2015-08-05
2019-11-12
Loading full text...

Full text loading...

/deliver/fulltext/14761645/93/2/425.html?itemId=/content/journals/10.4269/ajtmh.14-0400&mimeType=html&fmt=ahah

References

  1. Bagnis R, Chanteau S, Chungue E, Hurtel JM, Yasumoto T, Inoue A, , 1980. Origins of ciguatera fish poisoning: a new dinoflagellate, Gambierdiscus toxicus Adachi and Fukuyo, definitively involved as a causal agent. Toxicon 18: 199208.[Crossref] [Google Scholar]
  2. Friedman MA, Fleming LE, Fernandez M, Bienfang P, Schrank K, Dickey R, Bottein MY, Backer L, Ayyar R, Weisman R, Watkins S, Granade R, Reich A, , 2008. Ciguatera fish poisoning: treatment, prevention and management. Mar Drugs 6: 456479.[Crossref] [Google Scholar]
  3. Lewis RJ, Ruff TA, , 1993. Ciguatera—ecological, clinical, and socioeconomic perspectives. Crit Rev Environ Sci Technol 23: 137156.[Crossref] [Google Scholar]
  4. Dickey RW, Plakas SM, , 2010. Ciguatera: a public health perspective. Toxicon 56: 123136.[Crossref] [Google Scholar]
  5. Lewis RJ, , 2001. The changing face of ciguatera. Toxicon 39: 97106.[Crossref] [Google Scholar]
  6. Llewellyn LE, , 2010. Revisiting the association between sea surface temperature and the epidemiology of fish poisoning in the South Pacific: reassessing the link between ciguatera and climate change. Toxicon 56: 691697.[Crossref] [Google Scholar]
  7. Fleming LE, Baden DG, Bean JA, Weisman R, Blythe DG, Reguera B, Blanco J, Fernandez ML, Wyatt T, , 1998. Marine seafood toxin diseases: issues in epidemiology and community outreach. , eds. Harmful Algae. Galicia, Spain: Xunta de Galicia and Intergovernmental Commission of UNESCO, 245248. [Google Scholar]
  8. Skinner MP, Brewer TD, Johnstone R, Fleming LE, Lewis RJ, , 2011. Ciguatera fish poisoning in the Pacific islands (1998 to 2008). PLoS Negl Trop Dis 5: e1416.[Crossref] [Google Scholar]
  9. Tester PA, Feldman RL, Nau AW, Kibler SR, Wayne Litaker R, , 2010. Ciguatera fish poisoning and sea surface temperatures in the Caribbean Sea and the West Indies. Toxicon 56: 698710.[Crossref] [Google Scholar]
  10. Azziz-Baumgartner E, Luber G, Conklin L, Tosteson TR, Granade HR, Dickey RW, Backer LC, , 2012. Assessing the incidence of ciguatera fish poisoning with two surveys conducted in Culebra, Puerto Rico, during 2005 and 2006. Environ Health Perspect 120: 526529.[Crossref] [Google Scholar]
  11. Radke EG, Grattan LM, Cook RL, Smith TB, Anderson DM, Morris JG, , 2013. Ciguatera incidence in the U.S. Virgin Islands has not increased over a 30 year time period despite rising seawater temperatures. Am J Trop Med Hyg 88: 908913.[Crossref] [Google Scholar]
  12. Hales S, Weinstein P, Woodward A, , 1999. Ciguatera (fish poisoning), el Nino, and Pacific sea surface temperatures. Ecosyst Health 5: 2025.[Crossref] [Google Scholar]
  13. Chateau-Degat ML, Chinain M, Cerf N, Gingras S, Hubert B, Dewailly E, , 2005. Seawater temperature, Gambierdiscus spp. variability and incidence of ciguatera poisoning in French Polynesia. Harmful Algae 4: 10531062.[Crossref] [Google Scholar]
  14. Moore SK, Trainer VL, Mantua NJ, Parker MS, Laws EA, Backer LC, Fleming LE, , 2008. Impact of climate variability and future climate change on harmful algal blooms and human health. Environ Health 7: S4.[Crossref] [Google Scholar]
  15. Gingold DB, Strickland MJ, Hess JJ, , 2014. Ciguatera fish poisoning and climate change: analysis of national poison center data in the United States, 2001–2011. Environ Health Perspect 122: 580586. [Google Scholar]
  16. Lawrence DN, Enriquez MB, Lumish RM, Maceo A, , 1980. Ciguatera fish poisoning in Miami. JAMA 244: 254258.[Crossref] [Google Scholar]
  17. de Sylva DP, , 1994. Distribution and ecology of ciguatera fish poisoning in Florida, with emphasis on the Florida Keys. Bull Mar Sci 54: 944954. [Google Scholar]
  18. Begier EM, Backer LC, Weisman RS, Hammond RM, Fleming LE, Blythe D, , 2006. Outbreak bias in illness reporting and case confirmation in ciguatera fish poisoning surveillance in south Florida. Public Health Rep 121: 658665. [Google Scholar]
  19. United States Census Bureau, 2010. Census Summary File 1. Available at: http://factfinder.census.gov/faces/nav/jsf/pages/index.xhtml. [Google Scholar]
  20. Rupp I, Triemstra M, Boshuizen HC, Jacobi CE, Dinant HJ, van den Bos GAM, , 2002. Selection bias due to non-response in a health survey among patients with rheumatoid arthritis. Eur J Public Health 12: 131135.[Crossref] [Google Scholar]
  21. National Marine Fisheries Service, Fisheries Statistics Division. Commercial and Recreational Finfish Landings. Available at: http://www.st.nmfs.noaa.gov/index. Accessed 2013. [Google Scholar]
  22. Bomber J, Guillard R, Nelson W, , 1988. Roles of temperature, salinity, and light in seasonality, growth, and toxicity of ciguatera-causing Gambierdiscus toxicus Adachi et Fukuyo. J Exp Mar Biol Ecol 115: 5365.[Crossref] [Google Scholar]
  23. McKee DB, Fleming LE, Tamer R, Weisman R, Blythe D, , 2000. Physician diagnosis and reporting of ciguatera fish poisoning in an endemic area. Harmful Algal Blooms. 451453. [Google Scholar]
  24. Chateau-Degat M, Huin-Blondey M, Chinain M, Darius T, Legrand A, Nguyen NL, Laudon F, Chansin R, Dewailly E, , 2007. Prevalence of chronic symptoms of ciguatera disease in French Polynesian adults. Am J Trop Med Hyg 77: 842846. [Google Scholar]
  25. Florida Fish and Wildlife Conservation Commission. Exemptions—Do I Need a License or Permit? Recreational Hunting and Fishing License and Permit. Available at: http://myfwc.com/license/recreational/do-i-need-a-license/. Accessed 2013. [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.14-0400
Loading
/content/journals/10.4269/ajtmh.14-0400
Loading

Data & Media loading...

  • Received : 29 Jun 2014
  • Accepted : 15 May 2015
  • Published online : 05 Aug 2015

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error