Ciguatera in the Colombian Caribbean: history and Characteristics 2010-2014
DOI:
https://doi.org/10.33610/01229907.2019v1n2a3Keywords:
Ciguatera poisoning, Ciguatoxins, Dinoflagellates, Incidence, Foodborne diseasesAbstract
Introduction: ciguatera is a disease caused by the consumption of some fish living in tropical and subtropical regions that contain toxins produced by dinoflagellates; these enter the food chain, with humans being the final stage, causing the disease. Every year, between 25 000 and 500 000 people are affected worldwide, causing an impact on health and the economy.
Objective: to conduct an analysis of the disease in the Colombian Caribbean, describe cases, outbreaks (two or more related cases) and determine the incidence between 2010 and 2014 in San Andres and Providencia.
Materials y methods: a systematic literature review of ciguatera cases identified in the country and a descriptive study of cases and outbreaks reported to the Public Health Surveillance System for San Andres and Providencia during 2010 to 2014 were carried out.
Results: according to the literature, more than 80 cases of ciguatera were reported in the Colombian Caribbean between 1968 and 2007, with no deaths. Between 2010 to 2014, 101 cases and 22 outbreaks were reported from San Andres and Providencia, with no associated mortalities and an incidence of 17,4 per 100 000 inhabitants. The main associated fish species were barracuda and jack mackerel; mainly gastrointestinal and neurological signs and symptoms were reported.
Conclusions: cases of ciguatera reported in the public health surveillance system were identified. The incidence in San Andres and Providencia is similar to that of the Cayman Islands and exceeds that of other Caribbean countries such as Cuba, Jamaica, Belize and Bermuda, among others. The fish species identified are consistent with the main species involved in other countries. It is recommended to train territorial health entities on seaweed toxin intoxications for the Caribbean zone in order to strengthen the reporting of the event and the quality of the data.
References
Rey JR. La ciguatera. Servicio de Extensión Cooperativa de la Florida. Instituto de Alimentos y Ciencias Agrícolas, Universidad de la Florida (UF/IUFAS). Departamento de Entomología y Nematología, [Internet] 2007. Disponible en: https:// journals.flvc.org/edis/article/view/117060/115203.
Riesco MB. ¿Qué será? Será… ¿ciguatera?. Sea Grant – Datos Marinos. Universidad de Puerto Rico. [internet] No- viembre 2014 [citado 5 Agosto 2015]. Disponible en: https://seagrantpr.org/wp-content/uploads/2014/11/cigua- tera.pdf
Lyndon E, Llewellyn. Revisiting the association between sea surface temperature and the epidemiology of fish poisoning in the South Pacific: Reassessing the link between ciguatera and climate change, Toxicon (2009), doi:10.1016/j.toxi - con.2009.08.011
Valiente C, Corral J, Corral E, Castañeda J, Pérez.I, Hernández LP. Ciguatera. Avances. [Internet] 2011 [citado 2015 marzo 2]. 23 (8):21-32. Disponible en: https://biblat.unam.mx/pt/revista/avances/articulo/ciguatera.
Segarra E. Evita la ciguatera en Semana Santa. Departamento de Salud de Puerto Rico. Boletín epidemiológico. 2005; 1:1.
Ricourt R. La Ciguatera: Intoxicación por biotoxinas marinas. Anal. Real Acad. Farm. 2000; 66:1- 16.
Gascón J, Macia M, Oliveira I, Corachán M. Intoxicación por ciguatoxina en viajeros. Med Clin (Barc) 2003; 120(20):777-9.
Laurent D, Yeeting B, Labrosse P, Gaudechoux JP. Ciguatera: a field reference guide. Secretariat of the Pacific Community. 2005.
Stinn JF, De Sylva DP, Fleming LE, Hack E. 1998. Geographical Information Systems (GIS) and ciguatera fish poisoning in the tropical western Atlantic region. 223-233. En: Williams RC, Howie M. M, Lee C. V, Henriques W. D. (Eds.) Proc. 1998 Geogr. Inform. Syst. Public Health, Third National Conference, San Diego, EE.UU. 662 p.
Tosteson TR. The diversity and origins of toxins in ciguatera fish poisoning. P R Health Sci. J., 1995; 14 (2): 117-129.
Celis JS, Mancera JE. Análisis histórico de la incidencia de ciguatera en las islas del caribe durante 31 años: 1980 – 2010. Boletín de Investigaciones Marinas y Costeras. 2015. 44 (1).
Halstead BW. Results of a field survey on fish poisoning in the Virgin and Leeward Islands, FAO Dep. Fish. 7 -18 Enero 1970. Roma; 1970. 1-16.
Bagnis R. Report of the Mission to the Antilles and Easter Island August 15 -September 25, 1978. Institute of Medical Research, Papeete, Tahití. 1978; 1-58.
Olsen D, Nellis W, Richard S, Wood S. Ciguatera in the Eastern Caribbean. Mar. Fish. Rev. 1984; 46: 1-4.
República de Colombia, Ministerio de Salud. Ley 23 de 1981, Normas de Ética Médica, 27 de febrero 1981.
República de Colombia, Ministerio de Salud. Resolución 8430 de 1993, Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Bogotá. 1981
Asociación Médica Mundial, Declaración de Helsinki, 1964. [Citado julio de 2013]. Disponible en: http://www.inb.unam. mx/bioetica/documentos/declaracion_helsinki.pdf.
Álvarez R. Ictiotoxicosis ocasionada por Sphyraena barracuda (Walbaum) en el Caribe Colombiano. Acta Médica Cartagena No. 1. 1993; 4, Año 4. 45
Martínez A. Ictiosarcotoxicosis: una intoxicación potencialmente frecuente. Revista UIS. 1997; 7: 1-94.
Gaitán JD. Ictiotoxismo por consumo de barracuda (Sphyraena barracuda) y morena manchada (Gymnothorax moringa) en la comunidad de pescadores artesanales de Tasajera, Caribe colombiano. Universidad del Magdalena. 2007. Duazary ISSN: 1794-5992. Ed: Gente Nueva v.4 fasc.2 p.160 – 167.
Carreño LA, Mera E. Intoxicación Alimentaria. En: Taller regional científico de la COI sobre floraciones de algas nocivas en IOCARIBE-ANCA-IV. San Andrés Islas 22-27 de mayo de 2007. San Andrés Islas: Universidad Nacional de Colombia - Sede Caribe. 2007; p. 31-32.
Borbón ME. Informe epidemiológico de la vigilancia de las intoxicaciones por toxinas marinas, año 2013. 2014. Dirección de Vigilancia y Análisis del Riesgo en Salud Pública. Instituto Nacional de Salud.
How to Cite
Downloads
Downloads
Published
Issue
Section
License
Copyright (c) 2019 Reporte Epidemiológico Nacional
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
