Ciguatera Fish Poisoning: treatment, prevention and management

Ciguatera Fish Poisoning (CFP) is the most frequently reported seafood-toxin illness in the world, and it causes substantial physical and functional impact. It produces a myriad of gastrointestinal, neurologic and/or cardiovascular symptoms which last days to weeks, or even months. Although there are reports of symptom amelioration with some interventions (e.g. IV mannitol), the appropriate treatment for CFP remains unclear to many physicians. We review the literature on the treatments for CFP, including randomized controlled studies and anecdotal reports. The article is intended to clarify treatment options, and provide information about management and prevention of CFP, for emergency room physicians, poison control information providers, other health care providers, and patients.

Conserving oyster reef habitat by switching from dredging and tonging to diver-harvesting

A major cause of the steep declines of American oyster (Crassostrea virginica) fisheries is the loss of oyster habitat through the use of dredges that have mined the reef substrata during a century of intense harvest. Experiments comparing the efficiency and habitat impacts of three alternative gears for harvesting oysters revealed differences among gear types that might be used to help improve the sustainability of commercial oyster fisheries. Hand harvesting by divers produced 25−32% more oysters per unit of time of fishing than traditional dredging and tonging, although the dive operation required two fishermen, rather than one. Per capita returns for dive operations may nonetheless be competitive with returns for other gears even in the short term if one person culling on deck can serve two or three divers. Dredging reduced the height of reef habitat by 34%, significantly more than the 23% reduction caused by tonging, both of which were greater than the 6% reduction induced by diver hand-harvesting. Thus, conservation of the essential habitat and sustainability of the subtidal oyster fishery can be enhanced by switching to diver hand-harvesting. Management schemes must intervene to drive the change in harvest methods because fishermen will face relatively high costs in making the switch and will not necessarily realize the long-term ecological benefits.