Ciguatera Fish Poisoning: A Major Common-Source Outbreak in the U.S. Virgin Islands
Authors: N. CARY ENGLEBERG
Journal: Annals of Internal Medicine (1983)

Brief Reports1 March 1983Ciguatera Fish Poisoning: A Major Common-Source Outbreak in the U.S. Virgin IslandsN. CARY ENGLEBERG, M.D., J. GLENN MORRIS Jr., M.D., M.P.H.&T.M., JOHN LEWIS, M.D., JOSEPH P. McMILLAN, Ph.D., ROBERT A. POLLARD, M.A., PAUL A. BLAKE, M.D., M.P.H.N. CARY ENGLEBERG, M.D., J. GLENN MORRIS Jr., M.D., M.P.H.&T.M., JOHN LEWIS, M.D., JOSEPH P. McMILLAN, Ph.D., ROBERT A. POLLARD, M.A., PAUL A. BLAKE, M.D., M.P.H.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-98-3-336 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptCiguatera poisoning accounts for more than half of all foodborne outbreaks related to fish in the United States (1). Most clinical and epidemiologic descriptions of this toxicity are based on studies of cases defined by clinical criteria (2-5). We report the effects of ciguatera poisoning in a population defined by exposure to toxic fish during a large common-source outbreak.The outbreak, which occurred in St. Croix in March 1981, was associated with toxic snapper. (Eighty-six percentof cases occurring in March, but only 16% of cases that occurred during the preceding 9 months were associated with consumption of snapper (p<...References1. . Foodborne Disease Outbreaks Annual Summary 1978. Atlanta, Georgia: Centers for Disease Control; 1981. Google Scholar2. MORRIS J, LEWIN P, SMITH C, POLLARD R, BLAKE P, and SCHNEIDER R. Ciguatera fish poisoning: epidemiology of the disease on St. Thomas, U.S. Virgin Islands. Am J Trop Med Hyg. 1982;31:574-8. CrossrefMedlineGoogle Scholar3. LAWRENCE D, ENRIQUEZ M, LUMISH R, and MACEO A. Ciguatera fish poisoning in Miami. JAMA. 1980;244:254-8. CrossrefMedlineGoogle Scholar4. BAGNIS R, KUBERSKI T, and LAUGIER S. Clinical observations on 3,009 cases of ciguatera (fish poisoning) in the South Pacific. Am J Trop Med Hyg. 1979;28:1067-73. CrossrefMedlineGoogle Scholar5. HUGHES J and MERSON M. Fish and shellfish poisoning. N Engl J Med. 1976;295:1117-20. CrossrefMedlineGoogle Scholar6. MCMILLAN J, GRANADE H, and HOFFMAN P. Ciguatera fish poisoning in the United States Virgin Islands: preliminary studies. J College Virgin Islands. 1980;6:84-107. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: N. CARY ENGLEBERG, M.D.; J. GLENN MORRISJr., M.D., M.P.H.&T.M.; JOHN LEWIS, M.D.; JOSEPH P. McMILLAN, Ph.D.; ROBERT A. POLLARD, M.A.; PAUL A. BLAKE, M.D., M.P.H.Affiliations: Centers for Disease Control Atlanta, Georgia Department of Health Virgin Islands of the United States, Charlotte Amalie, St. Thomas. Ciguatera Research Project College of the Virgin Islands Charlotte Amalie, St. Thomas PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAn Updated Review of Ciguatera Fish Poisoning: Clinical, Epidemiological, Environmental, and Public Health ManagementA Veterinary Guide to the Fish Gastrointestinal TractPfiesteria piscicida and Human HealthAssociation of Cardiac Disease and Alcohol Use with the Development of Severe CiguateraFoodborne DiseaseMarine ToxinsCiguatera Fish Poisoning: Treatment, Prevention and ManagementSeafood ToxidromesToxic Marine LifeCiguatera Fish PoisoningMarine neurotoxins: Ingestible toxinsA pilot study of the cognitive and psychological correlates of chronic ciguatera poisoningLes toxines marines : problèmes de santé en émergenceCiguatera Fish Poisoning in the Caribbean Islands and Western AtlanticCIGUATERA FISH POISONING: A FOODBORNE DISEASEMild ciguatera poisoning: Case reports with neurophysiological evaluationsBIOLOGICAL NEUROTOXINSH ARMFUL A LGAL B LOOMS : An Emerging Public Health Problem with Possible Links to Human Stress on the EnvironmentFoodborne illness — chemical fish and shellfish poisoningPOISONINGSCiguatera: Ecological, clinical, and socioeconomic perspectivesCiguatera Fish Poisoning: Treatment with Intravenous MannitolFoodborne Toxins of Marine Origin: CiguateraNaturally Occurring Seafood ToxinsPolyneuropathy secondary to ciguatoxin poisoningCiguatera fish poisoningTreatment of Ciguatera Fish Poisoning with Amttriptyline and NifedipineCiguatera Poisoning: Clinical and Immunological AspectsCiguatoxin from the flesh and viscera of the barracuda, Sphyraena jelloAn Analysis of Poison Control Center Reports of Ciguatera Toxicity in Puerto Rico for One Year 1 March 1983Volume 98, Issue 3Page: 336-337KeywordsClinical epidemiologyToxicity ePublished: 1 December 2008 Issue Published: 1 March 1983 PDF downloadLoading ...