Ciguatera And Seafood Toxins

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Introduction:

Ciguatera is the most frequently reported illness caused by a seafood toxin worldwide. (Arena, 2004). Ciguatoxin, a family of organic toxins, causes a variety of symptoms that vary from gastrointestinal, cardiovascular and neurological. Symptoms of ciguatera fish poisoning, or CFP, typically occur within 1-6 hours of the consumption of ciguatoxin tainted fish and the duration of symptoms varies from days, months or even years (Kipping, Eastcott, Sarangi, 2006).
Ciguatoxin originates from dinoflagellate algae and most commonly from the coral reef species of algae called Gambierodiscus toxicus primarily in tropical and subtropical regions (Kipping, Eastcott, Sarangi, 2006). The algae are eaten by herbivorous fishes that absorb the toxin without any significant observable effect (Kipping, Eastcott, Sarangi, 2006). The toxins remain in all parts of the fish flesh but there are higher concentrations of toxin in the viscera, liver and gonads. Bioaccumulation occurs as ciguatoxin progresses up the food chain. The species of fish with the highest quantity of ciguatoxin are the larger predators, primarily sharks and barracouda (Dickey, Plakas, 2010). The process of digestion itself appears to potentiate the toxicity (Kipping, Eastcott, Sarangi, 2006). The toxin is odorless and tasteless. Contaminated fish have no distinct taste and are undetectable (Bavastrelli, Bertucci, Midulla, Giardini, & Sanguigni, n.d.). The ciguatera toxins are heat stable and thus are not destroyed by cooking, freezing or acid (Kipping, Eastcott, Sarangi, 2006). Pre-market testing for the presence of CTX is currently not possible due to a lack of existing rapid field testing methods (Report, 2013).
The globalization and expansion of trade in fishe...

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...moray eels-especially avoiding their organs and viscera.
Evidence proves that education about CFP is effective as CFP cases have had a reported decrease in Florida which was most likely attributable to improved public awareness of CFP. Outreach may prove effective in NYC as there was an increase of reported cases in 2013, which may reflect changing sources of fish products and the increasing diversity of fish species that are available for sale.
The increasing decay of marine ecosystems combined with limited treatment options for CFP highlight the public health importance of continued active reporting, surveillance and preventive measures. Additionally, with expansion of global trade and increased international travel it is likely that CFP will be less and less localized to the current endemic regions.

*increased mandated reporting and heightened surveillance

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