Citation

Islam MS, Luby SP, Rahman M, Parveen S, Homaira N, Begum NH, Dawlat Khan AK, Sultana R, Akhter S, Gurley ES. Am. J. Trop. Med. Hyg. 2011; 85(3): 498-503.

Affiliation

International Centre for Diarrheal Disease Research, Bangladesh, Dhaka, Bangladesh; Institute of Epidemiology Disease Control and Research, Dhaka, Bangladesh; Centers for Disease Control and Prevention, Atlanta, Georgia.

Copyright

(Copyright © 2011, American Society of Tropical Medicine and Hygiene, Publisher American Society of Tropical Medicine)

DOI

10.4269/ajtmh.2011.10-0629

PMID

21896811

PMCID

PMC3163873

Abstract

Recurrent outbreaks of marine pufferfish poisoning in Bangladesh highlight the need to understand the context in which the outbreaks occurred. In a recent outbreak investigation, a multidisciplinary team conducted a mixed-method study to identify the demography and clinical manifestation of the victims and to explore different uses of pufferfish, and local buying, selling, and processing practices. The outbreak primarily affected a low income household where an elderly woman collected and cooked pufferfish egg curry. Nine persons consumed the curry, and symptoms developed in 6 (67%) of these persons. Symptoms included vomiting, diarrhea, paresis, and tingling sensation; 2 (22%) persons died. The unstable income of the affected family, food crisis, and the public disposal of unsafe pufferfish byproducts all contributed to the outbreak. A multi-level intervention should be developed and disseminated with the participation of target communities to discourage unsafe discarding of pufferfish scraps and to improve the community knowledge about the risk of consuming pufferfish.

Language: en