دورية أكاديمية
Lethal paralytic shellfish poisoning from consumption of green mussel broth, Western Samar, Philippines, August 2013.
| العنوان: | Lethal paralytic shellfish poisoning from consumption of green mussel broth, Western Samar, Philippines, August 2013. |
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| المؤلفون: | Ching PK; Field Epidemiology Training Program, National Epidemiology Center, Department of Health, Sta Cruz, Manila, Philippines . ; Department of Health, Sta Cruz, Manila, Philippines ., Ramos RA; Field Epidemiology Training Program, National Epidemiology Center, Department of Health, Sta Cruz, Manila, Philippines . ; Department of Health, Sta Cruz, Manila, Philippines ., de los Reyes VC; Department of Health, Sta Cruz, Manila, Philippines ., Sucaldito MN; Department of Health, Sta Cruz, Manila, Philippines ., Tayag E; Department of Health, Sta Cruz, Manila, Philippines . |
| المصدر: | Western Pacific surveillance and response journal : WPSAR [Western Pac Surveill Response J] 2015 May 08; Vol. 6 (2), pp. 22-6. Date of Electronic Publication: 2015 May 08 (Print Publication: 2015). |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: World Health Organization, Regional Office for the Western Pacific Country of Publication: Philippines NLM ID: 101558993 Publication Model: eCollection Cited Medium: Internet ISSN: 2094-7313 (Electronic) Linking ISSN: 20947321 NLM ISO Abbreviation: Western Pac Surveill Response J Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Manila, Philippines : World Health Organization, Regional Office for the Western Pacific, c2010- |
| مواضيع طبية MeSH: | Bivalvia*, Saxitoxin/*poisoning , Shellfish Poisoning/*etiology, Adolescent ; Adult ; Animals ; Case-Control Studies ; Child ; Child, Preschool ; Chromatography, High Pressure Liquid/methods ; Dinoflagellida/isolation & purification ; Disease Outbreaks ; Female ; Humans ; Male ; Middle Aged ; Philippines/epidemiology ; Saxitoxin/analysis ; Seawater/parasitology ; Young Adult |
| مستخلص: | Background: In July 2013, the Philippines' Event-Based Surveillance & Response Unit received a paralytic shellfish poisoning (PSP) report from Tarangnan, Western Samar. A team from the Department of Health conducted an outbreak investigation to identify the implicated source and risk factors in coastal villages known for green mussel production and exportation. Methods: A case was defined as a previously well individual from Tarangan, Western Samar who developed gastrointestinal symptoms and any motor and/or sensory symptoms after consumption of shellfish from 29 June to 4 July 2013 in the absence of any known cause. The team reviewed medical records, conducted active case finding and a case-control study. Relatives of cases who died were interviewed. Sera and urine specimens, green mussel and seawater samples were tested for saxitoxin levels using high performance liquid chromatography. Results: Thirty-one cases and two deaths were identified. Consumption of > 1 cup of green mussel broth was associated with being a case. Seawater sample was positive for Pyrodinium bahamense var. compressum and green mussel samples were positive for saxitoxin. Inspection revealed villagers practice open defecation and improper garbage disposal. Conclusion: This PSP outbreak was caused by the consumption of the green mussel broth contaminated by saxitoxin. As a result of this outbreak, dinoflagellate and saxitoxin surveillance was established, and since the outbreak, there have been no harmful algal blooms event or PSP case reported since. A "Save Cambatutay Bay" movement, focusing on proper waste disposal practice and clean-up drives has been mobilized. |
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| المشرفين على المادة: | 35523-89-8 (Saxitoxin) |
| تواريخ الأحداث: | Date Created: 20150826 Date Completed: 20160505 Latest Revision: 20181113 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC4542482 |
| DOI: | 10.5365/WPSAR.2015.6.1.004 |
| PMID: | 26306212 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2094-7313 |
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| DOI: | 10.5365/WPSAR.2015.6.1.004 |