1921
Volume 85, Issue 3
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

Recurrent outbreaks of marine pufferfish poisoning in Bangladesh highlight the need to understand the context in which the outbreaks occurred. In a recent outbreak investigation, a multidisciplinary team conducted a mixed-method study to identify the demography and clinical manifestation of the victims and to explore different uses of pufferfish, and local buying, selling, and processing practices. The outbreak primarily affected a low income household where an elderly woman collected and cooked pufferfish egg curry. Nine persons consumed the curry, and symptoms developed in 6 (67%) of these persons. Symptoms included vomiting, diarrhea, paresis, and tingling sensation; 2 (22%) persons died. The unstable income of the affected family, food crisis, and the public disposal of unsafe pufferfish byproducts all contributed to the outbreak. A multi-level intervention should be developed and disseminated with the participation of target communities to discourage unsafe discarding of pufferfish scraps and to improve the community knowledge about the risk of consuming pufferfish.

Loading

Article metrics loading...

/content/journals/10.4269/ajtmh.2011.10-0629
2011-09-01
2017-09-25
Loading full text...

Full text loading...

/deliver/fulltext/14761645/85/3/498.html?itemId=/content/journals/10.4269/ajtmh.2011.10-0629&mimeType=html&fmt=ahah

References

  1. Diener M, Christian B, Ahmed MS, Luckas B, , 2007. Determination of tetrodotoxin and its analogs in the puffer fish Takifugu oblongus from Bangladesh by hydrophilic interaction chromatography and mass-spectrometric detection. Anal Bioanal Chem 389: 19972002.[Crossref]
  2. Lee MJ, Jeong DY, Kim WS, Kim HD, Kim CH, Park WW, Park YH, Kim KS, Kim HM, Kim DS, , 2000. A tetrodotoxin-producing Vibrio strain, LM-1, from the puffer fish Fugu vermicularis radiatus . Appl Environ Microbiol 66: 16981701.[Crossref]
  3. Ahmed S, , 2006. Puffer fish tragedy in Bangladesh: an incident of Takifugu oblongus poisoning in Degholia, Khulna. Afr J Mar Sci 28: 457458.[Crossref]
  4. Mahmud Y, Tanu MB, Noguchi T, , 1999. First occurrence of a food poisoning incident due to ingestion of Takifugu oblongus, along with a toxicological report on three marine puffer species in Bangladesh. J Food Hyg Soc Japan 40: 473480.[Crossref]
  5. Islam QT, Razzak MA, Islam MA, Bari MI, Basher A, Chowdhury FR, Sayeduzzaman AB, Ahasan HA, Faiz MA, Arakawa O, Yotsu-Yamashita M, Kuch U, Mebs D, , 2010. Puffer fish poisoning in Bangladesh: clinical and toxicological results from large outbreaks in 2008. Trans R Soc Trop Med Hyg 105: 7480.[Crossref]
  6. Chowdhury FR, Ahasan HA, Rashid AK, Mamun AA, Khaliduzzaman SM, , 2007. Tetrodotoxin poisoning: a clinical analysis, role of neostigmine and short-term outcome of 53 cases. Singapore Med J 48: 830833.
  7. Arakawa O, Hwang D-F, Tanyama S, Takatani T, Ishimatsu A, Lie H-J, , 2010. Toxins of pufferfish that cause human intoxications. , eds. Coastal Environmental and Ecosystem Issues of the East China Sea. Nagasaki: TERRAPUB and Nagasaki University, 227244.
  8. Ahasan HA, Mamun AA, Karim SR, Bakar MA, Gazi EA, Bala CS, , 2004. Paralytic complications of puffer fish (tetrodotoxin) poisoning. Singapore Med J 45: 7374.
  9. Noguchi T, Ebesu JSM, , 2001. Puffer poisoning: epidemiology and treatment. Toxin Revs 20: 110.
  10. Benzer TI, , 2009. Tetrodotoxin Toxicity. Medscape from WebMD. Available at: http://emedicine.medscape.com/article/818763-overview. Accessed June 10, 2011.
  11. Chew SK, Goh CH, Wang KW, Mah PK, Tan BY, , 1983. Puffer fish (tetrodotoxin) poisoning: clinical report and role of anti-cholinesterase drugs in therapy. Singapore Med J 24: 168171.
  12. Homaira N, Rahman M, Luby SP, Haider MS, Faruque LI, Khan D, Parveen S, Gurley ES, , 2010. Multiple outbreaks of puffer fish intoxication in Bangladesh, 2008. Am J Trop Med Hyg 83: 440444.[Crossref]
  13. Parveen S, , 2008. A Qualitative Investigation Report of Exploration of Trade and Knowledge about Puffer Fish Poisoning at Cox's Bazaar in Bangladesh. Dhaka: Institute of Epidemiology Diseases Control and Research, and International Centre for Diarrheal Disease Research, Bandladesh.
  14. The Daily Star, September 22, 2007. Eight Die after Eating Puffer Fish. Dhaka: The Daily Star.
  15. Ahasan HA, Al Mamun A, Rasul CH, Roy PK, , 2005. Puffer fish poisoning (tetrodotoxin) in Bangladesh: clinical profile and role of anticholinesterase drugs. Trop Doct 35: 235236.[Crossref]
  16. Chowdhury FR, Ahasan HA, Al Mamun A, Rashid AK, Al Mahboob A, , 2007. Puffer fish (tetrodotoxin) poisoning: an analysis and outcome of six cases. Trop Doct 37: 263264.[Crossref]
  17. Chowdhury FR, Nazmul Ahasan HA, Mamunur Rashid AK, Al Mamun A, Khaliduzzaman SM, , 2007. Tetrodotoxin poisoning: a clinical analysis, role of neostigmine and short-term outcome of 53 cases. Singapore Med J 48: 830833.
  18. McMichael AJ, , 1999. Prisoners of the proximate: loosening the constraints on epidemiology in an age of change. Am J Epidemiol 149: 887897.[Crossref]
  19. Ali SH, , 2004. A socio-ecological autopsy of the E. coli O157:H7 outbreak in Walkerton, Ontario, Canada. Soc Sci Med 58: 26012612.[Crossref]
  20. Anonymous, 2008. Guidance Document for the Sexual Violence Prevention and Education. Atlanta: Department of Health and Human Services, Public Service, Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Violence Prevention.
  21. Dahlberg LL, Krug EG, , 2002. Violence: A Global Public Health Problem. World Report on Violence and Health. Geneva: World Health Organization.
  22. Stokols D, , 1996. Translating social ecological theory into guidelines for community health promotion. Am J Health Promot 10: 282298.[Crossref]
  23. Boivin MJ, , 1997. An ecological paradigm for a health behavior analysis of “konzo”, a paralytic disease of Zaire from toxic cassava. Soc Sci Med 45: 18531862.[Crossref]
  24. Stokols D, , 2000. Social ecology and behavioral medicine: implications for training, practice, and policy. Behav Med 26: 129138.[Crossref]
  25. Hussain MM, Uddin MH, , 1995. Quality Control and Marketing of Fish and Fish Products: Needs for Infrastructure and Legal Support. National Workshop on Fisheries Resources Development and Management in Bangladesh. Ministry of Fisheries and Livestock: Food and Agricultural Organization.
  26. Bangladesh Bureau of Statistics, 2007. Population Statistics: Census Results by Upazila. Population statistics. Dhaka: Bangladesh Bureau of Statistics, 3.
  27. Bangladesh Bureau of Statistics, 2010. Dhaka: Bangladesh Bureau of Statistics.
  28. Ryan GW, Bernard HR, , 2003. Techniques to identify themes. Field Methods 15: 85109.[Crossref]
  29. Banerjee SC, Islam S, , 2003. Shraddha. , ed. Banglapedia—the National Encyclopedia of Bangladesh. Dhaka: Asiatic Society of Bangladesh.
  30. Islam MS, , 2003. Perspectives of the coastal and marine fisheries of the Bay of Bengal, Bangladesh. Ocean Coastal Management 46: 763796.[Crossref]
  31. Kanchanapongkul J, , 2001. Puffer fish poisoning: clinical features and management experience in 25 cases. J Med Assoc Thai 84: 385389.
  32. Hossain MM, Heinonen V, Islam KM, , 2008. Consumption of foods and foodstuffs processed with hazardous chemicals: a case study of Bangladesh. Int J Consum Stud 32: 588595.[Crossref]
  33. Baier S, Clements M, Griffiths C, Ihrig J, , 2009. Biofuels Impact on Crop and Food Prices: Using an Interactive Spreadsheet. Washington, DC: Board of Governors of the Federal Reserve System.
  34. Fang C, Breen J, Badjeck B, Sheinkman M, McHarris J, , 2008. FAO/WFP Crop and Food Supply Assesment Mission to Bangladesh. Rome: Food and Agriculture Organization of the United Nations and World Food Programme.
  35. Bangladesh Household Food Security and Nutrition Assessment Report 2009. Institute of Public Health Nutrition MoHaFW. Dhaka: Government of the People's Republic of Bangladesh, World Food Programme.
  36. Gurley ES, Rahman M, Hossain MJ, Nahar N, Faiz MA, Islam N, Sultana R, Khatun S, Uddin MZ, Haider MS, Islam MS, Ahmed BA, Rahman MW, Mondal UK, Luby SP, , 2010. Fatal outbreak from consuming Xanthium strumarium seedlings during time of food scarcity in northeastern Bangladesh. PLose One 5: e9756.[Crossref]
  37. NIPORT, 2007. Bangladesh Demographic and Health Survey 2007. Dhaka, Bangladesh and Calverton, MD: National Institute of Population Research and Training, Mitra and Associates.
  38. NIPORT, 2004. Bangladesh Demographic and Health Survey 2004. Dhaka, Bangladesh and Calverton, MD: National Institute of Population Research and Training, Mitra and Associates.
  39. NIPORT, 2000. Bangladesh Demographic and Health Survey 2000. Dhaka, Bangladesh and Calverton, MD: National Institute of Population Research and Training, Mitra and Associates.
  40. ICDDRB, 2008. Outbreaks of tetrodotoxin poisoning following consumption of puffer fish in Bangladesh, 2008. Health Sci Bull 6: 611.
http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.2011.10-0629
Loading
/content/journals/10.4269/ajtmh.2011.10-0629
Loading

Data & Media loading...

  • Received : 04 Nov 2010
  • Accepted : 17 May 2011

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