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An Updated Review of Ciguatera Fish Poisoning: Clinical, Epidemiological, Environmental, and Public Health Management

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dc.contributor Australian Institute Of Marine Science
dc.contributor Jackson Mem Med Ctr
dc.contributor Australian Inst Marine Sci
dc.contributor Us Food & Drug Administration (fda)
dc.contributor University Of Texas System
dc.contributor Ctr Coastal Fisheries & Habitat Res
dc.contributor Dept Environm Hlth
dc.contributor Csic - Instituto De Ciencias Del Mar (icm)
dc.contributor Rollins School Public Health
dc.contributor Northern Inst
dc.contributor Univ Texas Austin
dc.contributor Natl Ctr Environm Hlth
dc.contributor Dept Neurol
dc.contributor Sch Med
dc.contributor Dept Psychol & Neurosci
dc.contributor Univ Exeter
dc.contributor Mt Sinai Med Ctr
dc.contributor University Of Texas Austin
dc.contributor Centers For Disease Control & Prevention - Usa
dc.contributor Florida Poison Informat Ctr
dc.contributor Univ Hawaii
dc.contributor Rollins Sch Publ Hlth
dc.contributor Miller Sch Med
dc.contributor Univ Massachusetts Boston
dc.contributor Natl Ocean Serv
dc.contributor Univ Miami
dc.contributor University Of Hawaii System
dc.contributor Nova Southeastern Univ
dc.contributor Inst Marine Sci
dc.contributor Emory Univ
dc.contributor Sch Environm
dc.contributor Food & Drug Adm
dc.contributor Charles Darwin Univ
dc.contributor Csic
dc.contributor European Ctr Environm & Human Hlth
dc.contributor Dept Med
dc.contributor Charles Darwin University
dc.contributor National Oceanic Atmospheric Admin (noaa) - Usa
dc.contributor Inst Ciencias Mar
dc.contributor University Of Exeter
dc.contributor Nova Southeastern University
dc.contributor Dept Oceanog
dc.contributor Mount Sinai Medical Center
dc.contributor Ctr Dis Control & Prevent
dc.contributor Noaa
dc.contributor Consejo Superior De Investigaciones Cientificas (csic)
dc.contributor University Of Massachusetts System
dc.contributor Emory University
dc.contributor University Of Miami
dc.contributor University Of Massachusetts Boston
dc.contributor.author STEPHAN, WENDY
dc.contributor.author BOWEN, ROBERT E.
dc.contributor.author DEGRASSE, STACEY
dc.contributor.author LOEFFLER, CHRISTOPHER R.
dc.contributor.author WEISMAN, RICHARD
dc.contributor.author BERDALET, ELISA
dc.contributor.author CLARKSON-TOWNSEND, DANIELLE
dc.contributor.author SWAJIAN, KAREN
dc.contributor.author BREWER, TOM
dc.contributor.author FERNANDEZ, MERCEDES
dc.contributor.author DICKEY, ROBERT W.
dc.contributor.author KIBLER, STEVEN
dc.contributor.author BIENFANG, PAUL
dc.contributor.author QUINTANA, HAROLD A. FLORES
dc.contributor.author BLYTHE, DONNA
dc.contributor.author AYYAR, RAM
dc.contributor.author BENNER, RONALD
dc.contributor.author FLEMING, LORA E.
dc.contributor.author GRIBBLE, MATTHEW O.
dc.contributor.author FRIEDMAN, MELISSA A.
dc.contributor.author BACKER, LORRAINE C.
dc.contributor.author BERNSTEIN, JEFFREY
dc.contributor.author SCHRANK, KATHLEEN
dc.date.accessioned 2017-04-24T03:22:36Z
dc.date.accessioned 2017-04-24T03:22:36Z
dc.date.accessioned 2019-05-09T01:06:42Z
dc.date.available 2017-04-24T03:22:36Z
dc.date.available 2017-04-24T03:22:36Z
dc.date.available 2019-05-09T01:06:42Z
dc.date.issued 2017-03-01
dc.identifier.citation Friedman MA, Fernandez M, Backer LC, Dickey RW, Bernstein J, Schrank K, Kibler S, Stephan W, Gribble MO, Bienfang P, Bowen RE, Degrasse S, Quintana HAF, Loeffler CR, Weisman R, Blythe D, Berdalet E, Ayyar R, Clarkson-Townsend D, Swajian K, Benner R, Brewer T, Fleming LE (2017) An Updated Review of Ciguatera Fish Poisoning: Clinical, Epidemiological, Environmental, and Public Health Management. MARINE DRUGS - vol 15
dc.identifier.issn 1660-3397
dc.identifier.uri http://epubs.aims.gov.au/11068/1401
dc.description.abstract Ciguatera Fish Poisoning (CFP) is the most frequently reported seafood-toxin illness in the world. It causes substantial human health, social, and economic impacts. The illness produces a complex array of gastrointestinal, neurological and neuropsychological, and cardiovascular symptoms, which may last days, weeks, or months. This paper is a general review of CFP including the human health effects of exposure to ciguatoxins (CTXs), diagnosis, human pathophysiology of CFP, treatment, detection of CTXs in fish, epidemiology of the illness, global dimensions, prevention, future directions, and recommendations for clinicians and patients. It updates and expands upon the previous review of CFP published by Friedman et al. (2008) and addresses new insights and relevant emerging global themes such as climate and environmental change, international market issues, and socioeconomic impacts of CFP. It also provides a proposed universal case definition for CFP designed to account for the variability in symptom presentation across different geographic regions. Information that is important but unchanged since the previous review has been reiterated. This article is intended for a broad audience, including resource and fishery managers, commercial and recreational fishers, public health officials, medical professionals, and other interested parties.
dc.description.sponsorship This work was funded in part by the National Institutes of Health (NIH) training grant at University of Southern California (T32 ES013678) and by an NIH center grant at Emory University (P30 ES019776). Funding was also provided by The National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Environmental Change and Health at the London School of Hygiene and Tropical Medicine in partnership with Public Health England (PHE), and in collaboration with the University of Exeter, University College London, and the Met Office; the UK Medical Research Council and the UK Natural Environment Research Council (NERC). In addition, this study contributes to the implementation of the objectives of the GlobalHAB project, supported by NSF grant OCE-1243377 to SCOR, and by the IOC/UNESCO.
dc.language English
dc.subject Gambierdiscus
dc.subject Environmental Change
dc.subject Dinoflagellate Gambierdiscus-toxicus
dc.subject Ciguatoxin Extraction Method
dc.subject Ciguatoxin
dc.subject Sw Indian-ocean
dc.subject Neurotoxin
dc.subject Harmful Algal Blooms
dc.subject Ciguatera Fish Poisoning
dc.subject Common-source Outbreak
dc.subject Human Health
dc.subject Pharmacology & Pharmacy
dc.subject Gulf-of-mexico
dc.subject Us Virgin-islands
dc.subject Neuropsychology
dc.subject Seafood Poisoning
dc.subject Natural Toxins
dc.subject Receptor-binding Assay
dc.subject Algae
dc.subject Neurology
dc.subject Frog Myelinated Axons
dc.subject Treatment
dc.subject Harmful Algal Bloom
dc.subject Sea-surface Temperatures
dc.subject Food Poisoning
dc.subject Diagnosis
dc.subject Climate Change
dc.subject Chemistry, Medicinal
dc.title An Updated Review of Ciguatera Fish Poisoning: Clinical, Epidemiological, Environmental, and Public Health Management
dc.type journal article
dc.identifier.doi 10.3390/md15030072
dc.identifier.wos WOS:000398720300021


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