2000
DOI: 10.1016/s0168-1605(00)00382-2
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Ciguatera: recent advances but the risk remains

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Cited by 390 publications
(393 citation statements)
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References 106 publications
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“…Warmer seas may contribute to increased cases of human shellfish and reef-fish poisoning (ciguatera) in tropical regions and a poleward expansion of the disease (14)(15)(16)(17). However, there is little new evidence that climate change significantly alters the prevalence of these diseases.…”
Section: Climate Change and Food Securitymentioning
confidence: 99%
“…Warmer seas may contribute to increased cases of human shellfish and reef-fish poisoning (ciguatera) in tropical regions and a poleward expansion of the disease (14)(15)(16)(17). However, there is little new evidence that climate change significantly alters the prevalence of these diseases.…”
Section: Climate Change and Food Securitymentioning
confidence: 99%
“…Given this population's substantial reliance on marine resources, we suspected that ciguatera fish poisoning might be a significant health threat. Ciguatera poisoning is the most common form of fish poisoning and afflicts populations dependent on marine resources throughout the tropics Lehane & Lewis (2000). Ciguatera toxins are produced by a marine dinoflagellate associated with macroalgae and accumulate up the food chain, most commonly achieving dangerous levels in large, often predatory, fishes Hokama & Yoshikawa-Ebesu (2001).…”
Section: Fijian Food Taboosmentioning
confidence: 99%
“…In some cases, the disease progresses with prolonged neurological symptoms including chronic fatigue, weakness and depression. A chronic phase of CFP lasting many years has also been reported in up to 20% of those acutely exposed [1,6,12,13] but CFP sometimes causes death (case fatality rate, 0.1-20%, depending on the area of impact). Sometimes, cardiovascular symptoms appear such as palpitations.…”
Section: Ciguatera Poisoningmentioning
confidence: 99%
“…Sometimes, cardiovascular symptoms appear such as palpitations. Stress, excessive alcohol consumption, and ingestion of non-toxic fish may induce a recurrence of symptoms [13]. Treatment of ciguatera is only symptomatic by the use of antiemetic, antidiarrheic, antihistaminic, analgesic and vitaminotherapy.…”
Section: Ciguatera Poisoningmentioning
confidence: 99%