Grattan Lynn M, Holobaugh Sailor, Morris J Glenn
Department of Neurology: Division of Neuropsychology, University of Maryland School of Medicine, 110 S. Paca St. 3 Floor, Baltimore, MD 21201,
Department of Medicine, College of Medicine, Emerging Pathogens Institute, University of Florida, 2055 Mowry Road; Box 100009, Gainesville, FL 32610,
Harmful Algae. 2016 Jul;57(B):2-8. doi: 10.1016/j.hal.2016.05.003.
The five most commonly recognized Harmful Algal Bloom related illnesses include Ciguatera poisoning, Paralytic Shellfish poisoning, Neurotoxin Shellfish poisoning, Diarrheic Shellfish Poisoning and Amnesic Shellfish poisoning. Although they are each the product of different toxins, toxin assemblages or HAB precursors these clinical syndromes have much in common. Exposure occurs through the consumption of fish or shellfish; routine clinical tests are not available for diagnosis; there is no known antidote for exposure; and the risk of these illnesses can negatively impact local fishing and tourism industries. Thus, illness prevention is of paramount importance to minimize human and public health risks. To accomplish this, close communication and collaboration is needed among HAB scientists, public health researchers and local, state and tribal health departments at academic, community outreach, and policy levels.
与有害藻华相关的五种最常见疾病包括雪卡毒素中毒、麻痹性贝类中毒、神经性贝类中毒、腹泻性贝类中毒和失忆性贝类中毒。尽管它们分别是由不同毒素、毒素组合或有害藻华前体产生的,但这些临床综合征有许多共同之处。通过食用鱼类或贝类会发生接触;常规临床检测无法用于诊断;对于接触没有已知的解毒剂;并且这些疾病的风险会对当地渔业和旅游业产生负面影响。因此,疾病预防对于将人类和公共健康风险降至最低至关重要。要做到这一点,有害藻华科学家、公共卫生研究人员以及学术、社区推广和政策层面的地方、州和部落卫生部门之间需要密切沟通与合作。