“…In the latter case, foodborne exposure is associated with Neurotoxic Shellfish Poisoning (NSP) which is characterized by a range of both gastrointestinal and neurological symptoms (Watkins et al, 2008), whereas aerosolized PbTx has been largely linked to respiratory distress and related symptomology (e.g., burning of eyes and throat; Kirkpatrick et al, 2006). Blooms of PbTx-producing K. brevis are, however, most frequently associated with adverse effects on marine animal populations including mass mortality of fish (i.e., "fish kills"), and marine mammals including dolphins and manatees (Landsberg, 2002;Fire et al, 2015;Driggers et al, 2016), and numerous studies have, indeed, documented toxicity to fish (Rein et al, 1994;Kimm-Brinson and Ramsdell, 2001;Lu and Tomchik, 2002;Colman and Ramsdell, 2003;Choich et al, 2004;Bourdelais et al, 2005;Salierno et al, 2006;Bakke and Horsberg, 2007;Nam et al, 2010;Tian et al, 2011;Dorantes-Aranda et al, 2015;Lydon et al, 2020). Accordingly, fish (and other marine animals) represent potential "sentinel species" for understanding the role of PbTx toxicity in these ecosystems (i.e., risk assessment), as well as environmental monitoring strategies.…”