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Ciguatera: a review.

J H Gollop1, E W Pon

  • 1State of Hawaii Department of Health Tuberculosis Branch, Honolulu 96813.

Hawaii Medical Journal
|April 1, 1992
PubMed
Summary
This summary is machine-generated.

Ciguatera poisoning in Hawaii affected 462 individuals between 1984-1988, with an average annual incidence of 8.7 per 100,000. Jack, surgeonfish, and fork-tailed snapper were the most common sources of this fishborne illness.

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Area of Science:

  • Epidemiology
  • Marine Biology
  • Toxicology

Background:

  • Ciguatera poisoning is a significant public health concern in tropical and subtropical regions.
  • Understanding the epidemiology of ciguatera poisoning is crucial for effective prevention and management.

Purpose of the Study:

  • To analyze the incidence and characteristics of ciguatera poisoning in Hawaii from 1984 to 1988.
  • To identify the most frequently implicated fish species and geographic locations associated with ciguatera poisoning.

Main Methods:

  • Review of Hawaii State Department of Health epidemiological records from January 1984 to December 1988.
  • Data collection included ciguatera poisoning incidents, case numbers, onset dates, individual demographics, fish catch location, commercial vs. sportfishing origin, and fish parts consumed.

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Main Results:

  • A total of 150 ciguatera incidents involving 462 individuals were recorded, yielding an average annual incidence rate of 8.7 per 100,000 population.
  • The most frequently implicated fish species were Carangoides spp. (jack), Ctenochaetus strigosus (surgeonfish), and Aphareus furcatus (fork-tailed snapper), though over 50 species caused outbreaks.
  • The Kona coast and South Point of the island of Hawaii, and the Napali coast of Kauai were the most implicated fishing areas. 21% of outbreaks were linked to commercially caught fish.

Conclusions:

  • Ciguatera poisoning represents a notable public health issue in Hawaii, with specific fish species and locations posing higher risks.
  • Both commercial and sportfishing activities contribute to ciguatera poisoning incidents, highlighting the need for broad public awareness and targeted interventions.