Temporal trends and epidemiological aspects of ciguatera in French Polynesia: a 10-year analysis.

Publication Type  Journal Article
Year of Publication  2007
Authors  Chateau-Degat, M. L.; Dewailly, E.; Cerf, N.; Nguyen, N. L.; Huin-Blondey, M. O.; Hubert, B.; Laudon, F.; Chansin, R.
Journal Title  Trop Med Int Health
Volume  12
Issue  4
Pages  485-92
Journal Date  2007
Abstract  

The purpose of this study was to report the temporal trends of the incidence of ciguatera poisoning from 1992 to 2001 in French Polynesia. METHODS: This retrospective study analysed 7842 cases of ciguatera disease recorded over a period of 10 years. RESULTS: The annual incidence varied from 26.3 to 41.9 per 10,000 person-years. An analysis of cases grouped by archipelago revealed differences in incidences (P < 0.0001) with the most remote archipelagos having the highest incidences. A detailed analysis on a sub-sample of recorded cases for which clinical information was available (n = 1824) confirmed the neurological and gastrointestinal nature of this seafood poisoning. CONCLUSION: The incidence of ciguatera poisoning appeared relatively stable during the 10 years of the study period. However, the gradient of remoteness observed suggests an adaptation of management of ciguatera disease to each archipelago.

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