Emergence and epidemiology of ciguatera in the coastal cities of southern China.
Emergence and epidemiology of ciguatera in the coastal cities of southern China.
复制标题
DOI：
10.3390/md13031175
复制
发表时间：
2015-03-02
期刊：
影响因子：
5.4
通讯作者：
Chan TY
中科院分区：
文献类型：
--
作者：
Chan TY
在对23个已发表的病例研究的综述中，主要目的是报告南部沿海城市中国的雪卡特拉的出现和流行病学。2004年，雪卡病毒暴发突然激增。雪卡多发生在广东省。在深圳，2004年雪卡毒素的发病率估计超过每百万人7.5人。在佛山和中山，三次大暴发分别影响了100-200人(由宴会上的虎斑鱼引起)，这是2004年雪卡特拉发病率高得多的原因(每百万人中分别有48.7%和129.9%)。黑头鱼和珊瑚石斑鱼是另一种重要的雪卡毒素鱼。在一些受试者中，存在增加(严重)雪卡毒素可能性的风险因素，即伴随饮酒和摄入大型珊瑚鱼和富含CTX的鱼类部分。为了防止大规模暴发和严重疾病，永远不应该在宴会上招待来自珊瑚礁的大型顶端捕食者，公众应该意识到由于酒精摄入富含CTX的鱼类部分而增加了出现严重症状的风险。有系统地收集准确的细节，实施风险评估程序，以及对公众进行预防方面的持续教育，显然是重要的。
In the present review of 23 published case studies, the main objective is to report the emergence and epidemiology of ciguatera in the coastal cities of southern China. There was a sudden surge in ciguatera outbreaks in 2004. Ciguatera mostly occurred in the Guangdong Province. In Shenzhen, the incidence of ciguatera in 2004 was estimated to be over 7.5 per million people. In Foshan and Zhongshan, three large outbreaks each affecting over 100–200 subjects (caused by tiger grouper served at banquets) accounted for the much higher incidence of ciguatera in 2004 (>48.7 and >129.9 per million people). Humphead wrasse and areolated coral grouper were the other important ciguatoxic fish. In some subjects, risk factors for increased likelihood of (severe) ciguatera were present, namely concomitant alcohol consumption and ingestion of large reef fishes and CTX-rich fish parts. To prevent large outbreaks and severe illness, large apex predators from coral reefs should never be served at banquets and the public should realize the increased risk of severe symptoms due to ingestion of CTX-rich fish parts with alcohol. The systematic collection of accurate details, implementation of risk assessment process and continuing education for the public on prevention are of obvious importance.
登录
查看更多内容
影响因子：
2.8
作者：
Dickey, Robert W.;Plakas, Steven M.
通讯作者：
Plakas, Steven M.
影响因子：
2.8
作者：
Litaker, R. Wayne;Vandersea, Mark W.;Tester, Patricia A.
通讯作者：
Tester, Patricia A.
影响因子：
4.2
作者：
Chan TY
通讯作者：
Chan TY
影响因子：
2.8
作者：
Lewis, Richard J.
通讯作者：
Lewis, Richard J.