Three clusters of ciguatera poisoning: clinical manifestations and public health implications.

@article{Karalis2000ThreeCO,
  title={Three clusters of ciguatera poisoning: clinical manifestations and public health implications.},
  author={T Karalis and Leena K Gupta and Min J Chu and B A Campbell and Maurizio Capra and Patrick Maywood},
  journal={The Medical journal of Australia},
  year={2000},
  volume={172 4},
  pages={160-2}
}
Between July 1997 and August 1998 we investigated three clusters (26 cases) of ciguatera poisoning in the inner Sydney area. Tropical reef fish were implicated in each cluster. Most of those affected had musculoskeletal, neurological and gastrointestinal symptoms. The clusters raise questions about the need for rapid diagnosis and enhanced surveillance mechanisms, the regulation of fish supply, and the lack of testing facilities for ciguatera toxin.