Fleming LE, Baden DG, Bean JA, Weisman R, Blythe DG, 1998. Seafood Toxin Diseases: Issues in Epidemiology and Community Outreach. In: Reguera B, Blanco J, Fernandez ML, Wyatt T, editors. Harmful Algae. Xunta de Galicia and Intergovernmental Oceanographic Commission of UNESCO; Galicia: 245ā248.
Lehane L, Lewis RJ, 2000. Ciguatera: recent advances but the risk remains. Int J Food Microbiol 61: 91ā125.
Dickey RW, Plakas SM, 2010. Ciguatera: a public health perspective. Toxicon 56: 123ā136.
Hales S, Weinstein P, Woodward A, 1999. Ciguatera (fish poisoning), El Nino, and Pacific sea surface temperatures. Ecosyst Health 5: 20ā25.
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: 1053ā1062.
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: 691ā697.
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: 698ā710.
Morris JG, Lewin P, Smith CW, Blake PA, Schneider R, 1982. Ciguatera fish poisoning epidemiology of the disease on St. Thomas, U.S. Virgin Islands. Am J Trop Med Hyg 31: 574ā578.
Morris JG, Blake PA, Feldman RA, Bennett JV, 1980. Ciguatera Fish Poisoning, St. Thomas, Virgin Islands. EPI-80-63-2. Atlanta, GA: Centers for Disease Control and Prevention.
Morril WT, Romansky NM, 1980. The Incidence of Ciguatera Poisoning in St. Thomas, V.I. Report under NOAA Contract 28-79 (Task 3). Washington, DC: National Oceanic and Atmospheric Administration.
US Census Bureau, 2000. Census SF1: 100% Data. Washington, DC: US Department of Commerce.
McMillan JP, Granade HR, 1980. Ciguatera fish poisoning in the United States Virgin Islands: preliminary studies. J College Virgin Islands 6: 84ā107.
NOAA/OAR/ESRL/PSD, 2011. NOAA Extended Reconstructed Sea Surface Temperature V3b. Washington, DC: National Oceanic and Atmospheric Administration.
AAPOR, 2010. American Association for Public Opinion Research Response Rate Calculator V3.1. Deerfield, IL: American Association for Public Opinion Research.
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: 526ā529.
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.
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: 53ā65.
Morton S, Norris D, 1992. Effect of temperature, salinity, and light intensity on the growth and seasonality of toxic dinoflagellates associated with ciguatera. J Exp Mar Biol Ecol 157: 79ā90.
Rongo T, van Woesik R, 2011. Ciguatera poisoning in Rarotonga, southern Cook islands. Harmful Algae 10: 345ā355.
Lewis ND, 1986. Epidemiology and impact of ciguatera in the Pacific: a review. Mar Fish Rev 48: 6ā13.
Lewis RJ, Tilman AR, 1993. Ciguatera: ecological, clinical, and socioeconomic perspectives. Crit Rev Environ Sci Technol 23: 137ā156.
Bagnis R, Kuberski T, Laugier S, 1979. Clinical observations on 3009 cases of ciguatera (fish poisoning) in the south-Pacific. Am J Trop Med Hyg 28: 1067ā1073.
Glaziou P, Martin PMV, 1993. Study of factors that influence the clinical-response to ciguatera fish poisoning. Toxicon 31: 1151ā1154.
Gillespie N, 1987. Possible origins of ciguatera. Toxic Plants & Animals; a Guide for Australia, 170ā179.
Bagnis R, 1994. Natural versus anthropogenic disturbances to coral reefs: Comparison in epidemiological patterns of ciguatera. Memoirs of the Queensland Museum 34: 455ā460.
Ruff TA, 1989. Ciguatera in the pacificāa link with military activities. Lancet 1: 201ā205.
Keeter S, Kennedy C, Dimock M, Best J, Craighill P, 2006. Gauging the impact of growing nonresponse on estimates from a national RDD telephone survey. Public Opin Q 70: 759ā779.
Lee S, Brown ER, Grant D, Belin TR, Brick JM, 2009. Exploring nonresponse bias in a health survey using neighborhood characteristics. Am J Public Health 99: 1811ā1817.
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Ciguatera fish poisoning is the most common marine food poisoning worldwide. It has been hypothesized that increasing seawater temperature will result in increasing ciguatera incidence. In St. Thomas, US Virgin Islands, we performed an island-wide telephone survey (N = 807) and a medical record review of diagnosed ciguatera cases at the emergency department of the sole hospital and compared these data with comparable data sources collected in 1980. Annual incidence from both recent data sources remained high (12 per 1,000 among adults in the telephone survey). However, the combined data sources suggest that incidence has declined by 20% or more or remained stable over 30 years, whereas seawater temperatures were increasing. Illness was associated with lower education levels, higher levels of fish consumption, and having previous episodes of ciguatera; population shifts from 1980 to 2010 in these factors could explain an incidence decline of approximately 3 per 1,000, obscuring effects from rising seawater temperature.
Financial support: Funding for this project was provided by the Centers for Disease Control and Prevention. Partial funding for D.M.A. was also provided by National Oceanic and Atmospheric Administration Grant NA11NOS4780060 through the ECOHAB program.
Authors' addresses: Elizabeth G. Radke, Robert L. Cook, and J. Glenn Morris Jr., Department of Epidemiology and Emerging Pathogens Institute, University of Florida, Gainesville, FL, E-mails: bethradke@epi.ufl.edu, cookrl@phhp.ufl.edu, and jgmorris@epi.ufl.edu. Lynn M. Grattan, University of Maryland School of Medicine, Baltimore, MD, E-mail: LGrattan@som.umaryland.edu. Tyler B. Smith, University of the Virgin Islands, St. Thomas, US Virgin Islands, E-mail: tsmith@live.uvi.edu. Donald M. Anderson, Woods Hole Oceanographic Institution, Woods Hole, MA, E-mail: danderson@whoi.edu.
Fleming LE, Baden DG, Bean JA, Weisman R, Blythe DG, 1998. Seafood Toxin Diseases: Issues in Epidemiology and Community Outreach. In: Reguera B, Blanco J, Fernandez ML, Wyatt T, editors. Harmful Algae. Xunta de Galicia and Intergovernmental Oceanographic Commission of UNESCO; Galicia: 245ā248.
Lehane L, Lewis RJ, 2000. Ciguatera: recent advances but the risk remains. Int J Food Microbiol 61: 91ā125.
Dickey RW, Plakas SM, 2010. Ciguatera: a public health perspective. Toxicon 56: 123ā136.
Hales S, Weinstein P, Woodward A, 1999. Ciguatera (fish poisoning), El Nino, and Pacific sea surface temperatures. Ecosyst Health 5: 20ā25.
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: 1053ā1062.
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: 691ā697.
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: 698ā710.
Morris JG, Lewin P, Smith CW, Blake PA, Schneider R, 1982. Ciguatera fish poisoning epidemiology of the disease on St. Thomas, U.S. Virgin Islands. Am J Trop Med Hyg 31: 574ā578.
Morris JG, Blake PA, Feldman RA, Bennett JV, 1980. Ciguatera Fish Poisoning, St. Thomas, Virgin Islands. EPI-80-63-2. Atlanta, GA: Centers for Disease Control and Prevention.
Morril WT, Romansky NM, 1980. The Incidence of Ciguatera Poisoning in St. Thomas, V.I. Report under NOAA Contract 28-79 (Task 3). Washington, DC: National Oceanic and Atmospheric Administration.
US Census Bureau, 2000. Census SF1: 100% Data. Washington, DC: US Department of Commerce.
McMillan JP, Granade HR, 1980. Ciguatera fish poisoning in the United States Virgin Islands: preliminary studies. J College Virgin Islands 6: 84ā107.
NOAA/OAR/ESRL/PSD, 2011. NOAA Extended Reconstructed Sea Surface Temperature V3b. Washington, DC: National Oceanic and Atmospheric Administration.
AAPOR, 2010. American Association for Public Opinion Research Response Rate Calculator V3.1. Deerfield, IL: American Association for Public Opinion Research.
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: 526ā529.
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.
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: 53ā65.
Morton S, Norris D, 1992. Effect of temperature, salinity, and light intensity on the growth and seasonality of toxic dinoflagellates associated with ciguatera. J Exp Mar Biol Ecol 157: 79ā90.
Rongo T, van Woesik R, 2011. Ciguatera poisoning in Rarotonga, southern Cook islands. Harmful Algae 10: 345ā355.
Lewis ND, 1986. Epidemiology and impact of ciguatera in the Pacific: a review. Mar Fish Rev 48: 6ā13.
Lewis RJ, Tilman AR, 1993. Ciguatera: ecological, clinical, and socioeconomic perspectives. Crit Rev Environ Sci Technol 23: 137ā156.
Bagnis R, Kuberski T, Laugier S, 1979. Clinical observations on 3009 cases of ciguatera (fish poisoning) in the south-Pacific. Am J Trop Med Hyg 28: 1067ā1073.
Glaziou P, Martin PMV, 1993. Study of factors that influence the clinical-response to ciguatera fish poisoning. Toxicon 31: 1151ā1154.
Gillespie N, 1987. Possible origins of ciguatera. Toxic Plants & Animals; a Guide for Australia, 170ā179.
Bagnis R, 1994. Natural versus anthropogenic disturbances to coral reefs: Comparison in epidemiological patterns of ciguatera. Memoirs of the Queensland Museum 34: 455ā460.
Ruff TA, 1989. Ciguatera in the pacificāa link with military activities. Lancet 1: 201ā205.
Keeter S, Kennedy C, Dimock M, Best J, Craighill P, 2006. Gauging the impact of growing nonresponse on estimates from a national RDD telephone survey. Public Opin Q 70: 759ā779.
Lee S, Brown ER, Grant D, Belin TR, Brick JM, 2009. Exploring nonresponse bias in a health survey using neighborhood characteristics. Am J Public Health 99: 1811ā1817.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 24 | 24 | 6 |
Full Text Views | 341 | 116 | 0 |
PDF Downloads | 104 | 29 | 0 |