N. CARY ENGLEBERG, M.D.; J. GLENN MORRIS, 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.
ENGLEBERG NC, MORRIS JG, LEWIS J, McMILLAN JP, POLLARD RA, BLAKE PA. Ciguatera Fish Poisoning: A Major Common-Source Outbreak in the U.S. Virgin Islands. Ann Intern Med. 1983;98:336-337. doi: 10.7326/0003-4819-98-3-336
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Published: Ann Intern Med. 1983;98(3):336-337.
Ciguatera 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 <
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