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Emergence and Epidemiology of Ciguatera in the Coastal Cities of Southern China

In the present review of 23 published case studies, the main objective is to report the emergence and epidemiology of ciguatera in the coastal cities of southern China. There was a sudden surge in ciguatera outbreaks in 2004. Ciguatera mostly occurred in the Guangdong Province. In Shenzhen, the inci...

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Autor principal: Chan, Thomas Y. K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4377978/
https://www.ncbi.nlm.nih.gov/pubmed/25738329
http://dx.doi.org/10.3390/md13031175
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author Chan, Thomas Y. K.
author_facet Chan, Thomas Y. K.
author_sort Chan, Thomas Y. K.
collection PubMed
description In the present review of 23 published case studies, the main objective is to report the emergence and epidemiology of ciguatera in the coastal cities of southern China. There was a sudden surge in ciguatera outbreaks in 2004. Ciguatera mostly occurred in the Guangdong Province. In Shenzhen, the incidence of ciguatera in 2004 was estimated to be over 7.5 per million people. In Foshan and Zhongshan, three large outbreaks each affecting over 100–200 subjects (caused by tiger grouper served at banquets) accounted for the much higher incidence of ciguatera in 2004 (>48.7 and >129.9 per million people). Humphead wrasse and areolated coral grouper were the other important ciguatoxic fish. In some subjects, risk factors for increased likelihood of (severe) ciguatera were present, namely concomitant alcohol consumption and ingestion of large reef fishes and CTX-rich fish parts. To prevent large outbreaks and severe illness, large apex predators from coral reefs should never be served at banquets and the public should realize the increased risk of severe symptoms due to ingestion of CTX-rich fish parts with alcohol. The systematic collection of accurate details, implementation of risk assessment process and continuing education for the public on prevention are of obvious importance.
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spelling pubmed-43779782015-04-27 Emergence and Epidemiology of Ciguatera in the Coastal Cities of Southern China Chan, Thomas Y. K. Mar Drugs Review In the present review of 23 published case studies, the main objective is to report the emergence and epidemiology of ciguatera in the coastal cities of southern China. There was a sudden surge in ciguatera outbreaks in 2004. Ciguatera mostly occurred in the Guangdong Province. In Shenzhen, the incidence of ciguatera in 2004 was estimated to be over 7.5 per million people. In Foshan and Zhongshan, three large outbreaks each affecting over 100–200 subjects (caused by tiger grouper served at banquets) accounted for the much higher incidence of ciguatera in 2004 (>48.7 and >129.9 per million people). Humphead wrasse and areolated coral grouper were the other important ciguatoxic fish. In some subjects, risk factors for increased likelihood of (severe) ciguatera were present, namely concomitant alcohol consumption and ingestion of large reef fishes and CTX-rich fish parts. To prevent large outbreaks and severe illness, large apex predators from coral reefs should never be served at banquets and the public should realize the increased risk of severe symptoms due to ingestion of CTX-rich fish parts with alcohol. The systematic collection of accurate details, implementation of risk assessment process and continuing education for the public on prevention are of obvious importance. MDPI 2015-03-02 /pmc/articles/PMC4377978/ /pubmed/25738329 http://dx.doi.org/10.3390/md13031175 Text en © 2015 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Chan, Thomas Y. K.
Emergence and Epidemiology of Ciguatera in the Coastal Cities of Southern China
title Emergence and Epidemiology of Ciguatera in the Coastal Cities of Southern China
title_full Emergence and Epidemiology of Ciguatera in the Coastal Cities of Southern China
title_fullStr Emergence and Epidemiology of Ciguatera in the Coastal Cities of Southern China
title_full_unstemmed Emergence and Epidemiology of Ciguatera in the Coastal Cities of Southern China
title_short Emergence and Epidemiology of Ciguatera in the Coastal Cities of Southern China
title_sort emergence and epidemiology of ciguatera in the coastal cities of southern china
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4377978/
https://www.ncbi.nlm.nih.gov/pubmed/25738329
http://dx.doi.org/10.3390/md13031175
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