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Ciguatera fish poisoning in East Asia and southeast Asia.
Mar Drugs. 2015 Jun 02; 13(6):3466-78.MD

Abstract

In the coastal countries of East Asia and Southeast Asia, ciguatera should be common because of the extensive tropical and subtropical coral reefs along the coasts and in the neighboring seas with ciguatoxic fishes. An extensive search of journal databases, the Internet and the government websites was performed to identify all reports of ciguatera from the regions. Based on the official data and large published case series, the incidence of ciguatera was higher in the coastal cities (Hong Kong, Foshan, Zhongshan) of southern China than in Japan (Okinawa Prefecture). In Singapore, ciguatera appeared to be almost unknown. In other countries, only isolated cases or small case series were reported, but under-reporting was assumed to be common. Ciguatera may cause severe acute illness and prolonged neurological symptoms. Ciguatera represents an important public health issue for endemic regions, with significant socio-economic impact. Coordinated strategies to improve risk assessment, risk management and risk communication are required. The systematic collection of accurate data on the incidence and epidemiology of ciguatera should enable better assessment and management of its risk. Much more work needs to be done to define the size threshold for important coral reef fish species from different regions, above which the risk of ciguatera significantly increases.

Authors+Show Affiliations

Division of Clinical Pharmacology and Drug and Poisons Information Bureau, Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, China. tykchan@cuhk.edu.hk. Centre for Food and Drug Safety, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China . tykchan@cuhk.edu.hk.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

26042615

Citation

Chan, Thomas Y K.. "Ciguatera Fish Poisoning in East Asia and Southeast Asia." Marine Drugs, vol. 13, no. 6, 2015, pp. 3466-78.
Chan TY. Ciguatera fish poisoning in East Asia and southeast Asia. Mar Drugs. 2015;13(6):3466-78.
Chan, T. Y. (2015). Ciguatera fish poisoning in East Asia and southeast Asia. Marine Drugs, 13(6), 3466-78. https://doi.org/10.3390/md13063466
Chan TY. Ciguatera Fish Poisoning in East Asia and Southeast Asia. Mar Drugs. 2015 Jun 2;13(6):3466-78. PubMed PMID: 26042615.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ciguatera fish poisoning in East Asia and southeast Asia. A1 - Chan,Thomas Y K, Y1 - 2015/06/02/ PY - 2015/03/26/received PY - 2015/05/20/revised PY - 2015/05/21/accepted PY - 2015/6/5/entrez PY - 2015/6/5/pubmed PY - 2016/3/5/medline KW - East Asia KW - Southeast Asia KW - ciguatera KW - ciguatoxins SP - 3466 EP - 78 JF - Marine drugs JO - Mar Drugs VL - 13 IS - 6 N2 - In the coastal countries of East Asia and Southeast Asia, ciguatera should be common because of the extensive tropical and subtropical coral reefs along the coasts and in the neighboring seas with ciguatoxic fishes. An extensive search of journal databases, the Internet and the government websites was performed to identify all reports of ciguatera from the regions. Based on the official data and large published case series, the incidence of ciguatera was higher in the coastal cities (Hong Kong, Foshan, Zhongshan) of southern China than in Japan (Okinawa Prefecture). In Singapore, ciguatera appeared to be almost unknown. In other countries, only isolated cases or small case series were reported, but under-reporting was assumed to be common. Ciguatera may cause severe acute illness and prolonged neurological symptoms. Ciguatera represents an important public health issue for endemic regions, with significant socio-economic impact. Coordinated strategies to improve risk assessment, risk management and risk communication are required. The systematic collection of accurate data on the incidence and epidemiology of ciguatera should enable better assessment and management of its risk. Much more work needs to be done to define the size threshold for important coral reef fish species from different regions, above which the risk of ciguatera significantly increases. SN - 1660-3397 UR - https://www.unboundmedicine.com/medline/citation/26042615/full_citation L2 - http://www.mdpi.com/resolver?pii=md13063466 DB - PRIME DP - Unbound Medicine ER -