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Am J Trop Med Hyg. 2011 Sep;85(3):498-503. doi: 10.4269/ajtmh.2011.10-0629.

Social ecological analysis of an outbreak of pufferfish egg poisoning in a coastal area of Bangladesh.

Author information

  • 1International Centre for Diarrheal Disease Research, Bangladesh, Dhaka, Bangladesh. saiful@icddrb.org

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.

PMID:
21896811
[PubMed - indexed for MEDLINE]
PMCID:
PMC3163873
Free PMC Article

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