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Consumption of barracuda in the Caribbean Sea linked to ciguatera fish poisoning among Filipino seafarers.
Western Pac Surveill Response J. 2018 Oct-Dec; 9(4):12-15.WP

Abstract

Introduction

Ciguatera fish poisoning (CFP) is common in tropical and subtropical waters. On 13 November 2015, eight Filipino seafarers from a cargo ship sailing in the Caribbean Sea experienced a range of symptoms after consuming a barracuda. Upon their return to the Philippines, an investigation was conducted to describe the cases.

Methods

A case-series was conducted. A CFP case was defined as a previously well individual on the ship who developed at least one gastrointestinal symptom and at least one neurologic manifestation after eating barracuda on 13 November 2015. All cases were admitted to hospital in Manila, Philippines and were interviewed using a standard questionnaire. Urine and serum samples of cases were collected for ciguatoxin (CTX) testing by radiological and receptor-binding assay.

Results

Eight of the 25 seafarers on the ship ate the barracuda; all eight met the CFP case definition. The age of cases ranged from 37 to 58 years (median: 47 years) and all were males. Onset of symptoms ranged from 1 to 3 hours (median: 2 hours) from the time of ingestion of the barracuda. All cases experienced gastrointestinal (nausea, vomiting, diarrhoea) and neurologic (temperature allodynia, itchiness) symptoms but no cardiovascular manifestations. Urine and serum specimens of all eight cases showed CTX below the detection limit.

Discussion

The Philippines Epidemiology Bureau recommended that the Philippine Maritime Authority include CTX poisoning and its health risks in seafarers' training to prevent future cases of CFP. The Event-based Surveillance and Response system will continue to provide a mechanism for the reporting and appropriate management of CFP cases.

Authors+Show Affiliations

FETP-Philippines, Philippines.Department of Health, Philippines.Department of Health, Philippines.FETP-Philippines, Philippines.FETP-Philippines, Philippines.Department of Health, Philippines.Department of Health, Philippines.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30766742

Citation

Rebato, Niño, et al. "Consumption of Barracuda in the Caribbean Sea Linked to Ciguatera Fish Poisoning Among Filipino Seafarers." Western Pacific Surveillance and Response Journal : WPSAR, vol. 9, no. 4, 2018, pp. 12-15.
Rebato N, de Los Reyes VC, Sucaldito MN, et al. Consumption of barracuda in the Caribbean Sea linked to ciguatera fish poisoning among Filipino seafarers. Western Pac Surveill Response J. 2018;9(4):12-15.
Rebato, N., de Los Reyes, V. C., Sucaldito, M. N., Gallardo, F. D., Ballera, J. E., Asuncion, I., & Hartigan-Go, K. (2018). Consumption of barracuda in the Caribbean Sea linked to ciguatera fish poisoning among Filipino seafarers. Western Pacific Surveillance and Response Journal : WPSAR, 9(4), 12-15. https://doi.org/10.5365/wpsar.2016.7.2.004
Rebato N, et al. Consumption of Barracuda in the Caribbean Sea Linked to Ciguatera Fish Poisoning Among Filipino Seafarers. Western Pac Surveill Response J. 2018 Oct-Dec;9(4):12-15. PubMed PMID: 30766742.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Consumption of barracuda in the Caribbean Sea linked to ciguatera fish poisoning among Filipino seafarers. AU - Rebato,Niño, AU - de Los Reyes,Vikki Carr, AU - Sucaldito,Ma Nemia, AU - Gallardo,Flor D'Lynn, AU - Ballera,Julius Erving, AU - Asuncion,Irma, AU - Hartigan-Go,Kenneth, Y1 - 2018/11/13/ PY - 2019/2/16/entrez PY - 2019/2/16/pubmed PY - 2019/2/28/medline SP - 12 EP - 15 JF - Western Pacific surveillance and response journal : WPSAR JO - Western Pac Surveill Response J VL - 9 IS - 4 N2 - Introduction: Ciguatera fish poisoning (CFP) is common in tropical and subtropical waters. On 13 November 2015, eight Filipino seafarers from a cargo ship sailing in the Caribbean Sea experienced a range of symptoms after consuming a barracuda. Upon their return to the Philippines, an investigation was conducted to describe the cases. Methods: A case-series was conducted. A CFP case was defined as a previously well individual on the ship who developed at least one gastrointestinal symptom and at least one neurologic manifestation after eating barracuda on 13 November 2015. All cases were admitted to hospital in Manila, Philippines and were interviewed using a standard questionnaire. Urine and serum samples of cases were collected for ciguatoxin (CTX) testing by radiological and receptor-binding assay. Results: Eight of the 25 seafarers on the ship ate the barracuda; all eight met the CFP case definition. The age of cases ranged from 37 to 58 years (median: 47 years) and all were males. Onset of symptoms ranged from 1 to 3 hours (median: 2 hours) from the time of ingestion of the barracuda. All cases experienced gastrointestinal (nausea, vomiting, diarrhoea) and neurologic (temperature allodynia, itchiness) symptoms but no cardiovascular manifestations. Urine and serum specimens of all eight cases showed CTX below the detection limit. Discussion: The Philippines Epidemiology Bureau recommended that the Philippine Maritime Authority include CTX poisoning and its health risks in seafarers' training to prevent future cases of CFP. The Event-based Surveillance and Response system will continue to provide a mechanism for the reporting and appropriate management of CFP cases. SN - 2094-7313 UR - https://www.unboundmedicine.com/medline/citation/30766742/Consumption_of_barracuda_in_the_Caribbean_Sea_linked_to_ciguatera_fish_poisoning_among_Filipino_seafarers_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/30766742/ DB - PRIME DP - Unbound Medicine ER -