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Publications > Détail
Francine Baumann, Marie Blanche Bourrat? Serge Pauillac( Institut Pasteur de Nouvelle Calédonie) (2009)
    PREVALENCE, SYMPTOMS AND CHRONICITY OF CIGUATERA IN NEW CALEDONIA.RESULTS FROM AN ADULT POPULATION SURVEY CONDUCTED IN NOUMEA DURING 2005


    Résumé :
      Ciguatera is a widespread ichthyosarcotoxism which causes gastrointestinal. neurological amI cardiovasculardisturbances. Investigations conducted by ORSTOM in 1992 highlighted a prevalence of 25% in the adult population of Noumea, New Caledonia. The main objective of our study was to estimate the prevalence of ciguatera and the persistence of symptoms by sex anti by ethnicity among adu patients ofa nurse clinic in Noumea in 2005. Investigations were conducted from I stJanuary ta lSth June 2005. During this period, 559 patients were included: 165 males and 394 females. Among them, 37.8% were poisoned at Ieast once in their life. This rate,was independent of gender and ethnicity. but was signifi cantly higher in age groups above 40 years. Neurological signs were more frequent (>80%) than gastrointestinal (<50%) and cardiac signs (<15%). Symptoms presented no difference between ethnic or gender groups. even for subjective signs. Most of paisonings were due to carnivorous fishes, butquiteall species living in the Iagoonwerequoted. Symptoms persisted more than one year for 34% 0f the population, in both Melanesians and Caucasians. This study shows a significant increase of ciguatera prevalence, and its chronicity for 1/5 of European cases.

    Mots-Clés :
      Ciguatera, Prevalence, Chronicity, New Caledonia, Ethnicity, Investigations, Fish poisoning, Symptoms

    Source :
      Toxicon ,2009
 
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