In French Polynesia, the estimated incidence of Ciguatera Fish Poisoning (CFP) in 2007 was 2,2 cases/1.000 inhabitants. Even if local fishermen are generally aware of localities or of fish species with high CFP-risk, the development of local fisheries is strongly impeded and exportation of fish products remains very risky. Despite significant under-reporting of CFP cases, good epidemiological data remain essential to help identify areas of potential interest for monitoring programs.
Since 2004, the Louis Malardé Institute has engaged in large-scale risk assessment programs in various islands of French Polynesia (Moruroa, Tubuai, Nuku Hiva, Raivavae) to help reduce CFP risk for local populations. They consist of the monitoring of both Gambierdiscus populations and fish species from various trophic levels, believed to be the best strategy to evaluate the toxicity status of a lagoon.
In the process, the receptor binding assay (RBA) proved to be a very valuable, suitable and sensitive tool for detecting ciguatoxins in all stages of the trophic chain of ciguatera, as our findings regarding potentially toxic areas and fish were consistent with the knowledge of local populations.
The potential application of RBA for new biological matrix, i.e., marine cyanobacteria recently identified as potential CFP-toxins producers with transfer of toxins to giant clams, will also be discussed.
Managing CFP risk is a very complex issue due to the absence of an international reference assay, a clear clinically effective dose harmful to humans and international or local legislation.

Workshop international Ciguatéra et biotoxines associées (Nouméa, 27-31 octobre 2008)