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  • 1
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    In:  melissafried@yahoo.com | http://aquaticcommons.org/id/eprint/14904 | 403 | 2014-03-10 20:01:43 | 14904 | United States National Ocean Service
    Publication Date: 2021-06-28
    Description: Ciguatera Fish Poisoning (CFP) is the most frequently reported seafood-toxin illness in the world, and it causes substantial physical and functional impact. It produces a myriad of gastrointestinal, neurologic and/or cardiovascular symptoms which last days to weeks, or even months. Although there are reports of symptom amelioration with some interventions (e.g. IV mannitol), the appropriate treatment for CFP remains unclear to many physicians. We review the literature on the treatments for CFP, including randomized controlled studies and anecdotal reports. The article is intended to clarify treatment options, and provide information about management and prevention of CFP, for emergency room physicians, poison control information providers, other health care providers, and patients.
    Keywords: Chemistry ; Health ; Management
    Repository Name: AquaDocs
    Type: article , TRUE
    Format: application/pdf
    Format: application/pdf
    Format: 456-479
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  • 2
    Publication Date: 2022-05-25
    Description: Presented at CERF 2015: Grand Challenges in Coastal & Estuarine Science, Portland, Oregon, November 8 - 12, 2015 and at the Eighth Symposium on Harmful Algae in the U.S., Long Beach, California, November 15 – 19, 2015
    Description: A growing concern for coastal management is the choice of appropriate public or private responses to HABs as a natural hazard. Considerable efforts have been devoted to understanding the scientific aspects of HABs, including their distributions in space and time, their ecological roles, and the nature of their toxic effects, among others. Much energy also has been directed at exploring socio-economic impacts and identifying potential management actions, including actions to prevent, control, or mitigate blooms. Using blooms of Florida red tide (Karenia brevis) as a case study, we develop an approach to the choice of policy responses to K. brevis blooms. Importantly, several new types of public health, environmental, and socio-economic impacts now are beginning to be revealed, including human gastrointestinal and potential neurological illnesses; morbidities and mortalities of protected species, including manatees, cetaceans, and sea turtles; increased numbers of hospital emergency room visits for the elderly; increased respiratory morbidities in workers, such as beach lifeguards; and potential reduced K- 12 school attendance. Optimal policy responses to this hazard are likely to depend critically upon why and where a bloom occurs, its spatial and temporal scales and toxicity, and the nature of its impacts. In the face of significant ongoing scientific uncertainties, and given estimates of impacts, we find that policies to expand and stabilize scientific research programs and environmental monitoring efforts, to develop and implement education programs for both residents and tourists, and to communicate the physical aspects of blooms to the public in a timely fashion are likely optimal.
    Description: This research was sponsored by the National Science Foundation under NSF/CNH Grant No. 1009106.
    Keywords: Coupled human-nature systems ; CHANS ; HAB ; Harmful algae bloom
    Repository Name: Woods Hole Open Access Server
    Type: Presentation
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  • 3
    Publication Date: 2022-05-25
    Description: Presented at the Eighth Symposium on Harmful Algae in the U.S., Long Beach, California, November 15 – 19, 2015
    Description: Coupled human-nature systems (CHANS) involve dynamic interactions between humans and nature, often influenced by and affecting the distinct dynamic characteristics of each component. We present an overview of an ongoing interdisciplinary research program focused on a specific type of systems that couple expanding and fluctuating human coastal populations to episodic blooms of toxic marine algae, drawing examples primarily from human interactions with blooms of the toxic dinoflagellate Karenia brevis from the eastern Gulf of Mexico (“Florida red tides”). We introduce a set of HAB Symposium “speed” presentations and associated posters based on multi-disciplinary research. Using extant, but extraordinary, data to specify empirical models, this program of research has focused on characterizing the influence of anthropogenic sources on K. brevis blooms, assessing the public health and economic impacts of these blooms in an exposure-response framework, and defining the choice of appropriate human policy responses to the hazard. We present examples of the generic aspects of CHANS systems in the context of Florida red tides, and we discuss also some of the challenges involved in compiling and analyzing the relevant data to support our positive and normative analytical efforts.
    Description: NSF/CNH NO.1009106
    Keywords: Coupled human-nature systems ; CHANS ; HAB ; Harmful algae bloom
    Repository Name: Woods Hole Open Access Server
    Type: Presentation
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  • 4
    Publication Date: 2022-05-25
    Description: This paper is not subject to U.S. copyright. The definitive version was published in Environmental Health Perspectives 117 (2009): 1239–1243, doi:10.1289/ehp.0900645.
    Description: Algal blooms of Karenia brevis, a harmful marine algae, occur almost annually off the west coast of Florida. At high concentrations, K. brevis blooms can cause harm through the release of potent toxins, known as brevetoxins, to the atmosphere. Epidemiologic studies suggest that aerosolized brevetoxins are linked to respiratory illnesses in humans. We hypothesized a relationship between K. brevis blooms and respiratory illness visits to hospital emergency departments (EDs) while controlling for environmental factors, disease, and tourism. We sought to use this relationship to estimate the costs of illness associated with aerosolized brevetoxins. We developed a statistical exposure–response model to express hypotheses about the relationship between respiratory illnesses and bloom events. We estimated the model with data on ED visits, K. brevis cell densities, and measures of pollen, pollutants, respiratory disease, and intra-annual population changes. We found that lagged K. brevis cell counts, low air temperatures, influenza outbreaks, high pollen counts, and tourist visits helped explain the number of respiratory-specific ED diagnoses. The capitalized estimated marginal costs of illness for ED respiratory illnesses associated with K. brevis blooms in Sarasota County, Florida, alone ranged from $0.5 to $4 million, depending on bloom severity. Blooms of K. brevis lead to significant economic impacts. The costs of illness of ED visits are a conservative estimate of the total economic impacts. It will become increasingly necessary to understand the scale of the economic losses associated with K. brevis blooms to make rational choices about appropriate mitigation.
    Description: Sponsored by the Florida Fish & Wildlife Conservation Commission (07182) and the Departments of Environmental Protection and Health ; the U.S. Centers for Disease Control and Prevention ; the Center for Oceans and Human Health at the Woods Hole Oceanographic Institution [National Science Foundation (NSF) OCE-0430724 ; National Institute of Environmental Health Sciences (NIEHS) P50 ES012742] ; the Ocean and Human Health Center at the University of Miami Rosenstiel School (NSF 0CE0432368 ; NIEHS 1 P50 ES12736) ; and the NIEHS (PO1 ES 10594) .
    Keywords: Cost of illness ; Emergency department (ED) ; Harmful algal bloom (HAB) ; Economic impact ; Natural hazard
    Repository Name: Woods Hole Open Access Server
    Type: Article
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  • 5
    Publication Date: 2022-05-25
    Description: Presented at the Seventh Symposium on Harmful Algae in the U.S., Sarasota, FL, 27-31 October 2013.
    Description: Coupled nature-human (CNH) systems are now the focus of a growing number of inter-disciplinary research programs worldwide. As implied by the term “coupled,” these systems in-volve interactions between humans and nature, often affecting the dynamic characteristics of each component. Both natural and social scientists are engaged in developing a deeper un-derstanding of these dynamics, focusing on the linkages and feedbacks affecting the trajectories of coupled system behavior. Several researchers have begun to identify the generic aspects of nature-human couplings. Many of these aspects have been adapted from the field of ecology, where the dynamic characteristics of ecological systems have been studied for decades. These aspects include system heterogeneity, time lags, reciprocal feedbacks, thresholds, surprises, legacies, and resilience. The presence of such aspects has implications for the stability and persistence of particular ecosystem states, leading potentially to further implications for human heath and welfare. This talk reviews a specific type of natural hazard-human coupling that relates to coastal blooms of toxic marine algae, drawing examples primarily from human interactions with blooms of the toxic dinoflagellate Karenia brevis from the eastern Gulf of Mexico. This talk introduces a set of HAB Symposium “speed” presentations relating to different aspects of an ongoing multi-institutional and inter-disciplinary research project that examines Florida red tides as a type of CNH system. We present examples of the generic aspects of CNH systems in the context of Florida red tides, and we discuss also some of the challenges involved in compiling relevant data to support our analytical efforts.
    Keywords: CHANS ; Coupled nature-human system ; Red tide ; HAB ; Harmful algae bloom
    Repository Name: Woods Hole Open Access Server
    Type: Presentation
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  • 6
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    Florida Fish and Wildlife Conservation Commission, Fish and Wildlife Research Institute | St. Petersburg, FL
    In:  http://aquaticcommons.org/id/eprint/26035 | 425 | 2018-11-06 20:18:25 | 26035 | Florida Fish and Wildlife Conservation Commission
    Publication Date: 2021-07-24
    Description: Florida Department of Health
    Description: Florida Fish and Wildlife Conservation Commission
    Description: Florida Department of Health Grant Award, U50-CCU423360-01
    Description: U.S. Centers for Disease Control and Prevention
    Keywords: Conservation ; Health ; Pollution ; Harmful algal blooms ; HAB ; Karenia brevis ; Cyanobacteria ; Florida
    Repository Name: AquaDocs
    Type: monograph
    Format: application/pdf
    Format: application/pdf
    Format: 132
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  • 7
    Publication Date: 2022-05-26
    Description: Author Posting. © The Author(s), 2014. This is the author's version of the work. It is posted here by permission of Elsevier for personal use, not for redistribution. The definitive version was published in Environment International 68 (2014): 144-153, doi:10.1016/j.envint.2014.03.016.
    Description: Human respiratory and digestive illnesses can be caused by exposures to brevetoxins from blooms of the marine alga Karenia brevis, also known as Florida red tide (FRT). K. brevis requires macro-nutrients to grow; although the sources of these nutrients have not been resolved completely, they are thought to originate both naturally and anthropogenically. The latter sources comprise atmospheric depositions, industrial effluents, land runoffs, or submerged groundwater discharges. To date, there has been only limited research on the extent of human health risks and economic impacts due to FRT. We hypothesized that FRT blooms were associated with increases in the numbers of emergency room visits and hospital inpatient admissions for both respiratory and digestive illnesses. We sought to estimate these relationships and to calculate the costs of associated adverse health impacts. We developed environmental exposure-response models to test the effects of FRT blooms on human health, using data from diverse sources. We estimated the FRT bloom-associated illness costs, using extant data and parameters from the literature. When controlling for resident population, a proxy for tourism, and seasonal and annual effects, we found that increases in respiratory and digestive illnesses can be explained by FRT blooms. Specifically, FRT blooms were associated with human health and economic effects in older cohorts (≥ 55 years of age) in six southwest Florida counties. Annual costs of illness ranged from $60,000 to $700,000 annually, but these costs could exceed $1.0 million per year for severe, long-lasting FRT blooms, such as the one that occurred during 2005. Assuming that the average annual illness costs of FRT blooms persist into the future, using a discount rate of 3%, the capitalized costs of future illnesses would range between $2-24 million.
    Description: This research was sponsored by the National Science Foundation under NSF/CNH Grant No. 1009106.L.E. Fleming acknowledges support from the European Regional Development Fund and the European Social Fund Convergence Programme for Cornwall and the Isles of Scilly.
    Repository Name: Woods Hole Open Access Server
    Type: Preprint
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  • 8
    Publication Date: 2022-05-26
    Description: Author Posting. © The Author(s), 2014. This is the author's version of the work. It is posted here by permission of Elsevier for personal use, not for redistribution. The definitive version was published in Science of The Total Environment 493 (2014): 898-909, doi:10.1016/j.scitotenv.2014.06.083.
    Description: To mitigate the damages of natural hazards, policy responses can be beneficial only if they are effective. Using a self-administered survey approach, this paper focuses on the adherence to local fertilizer ordinances (i.e., county or municipal rules regulating the application of fertilizer to private lawns or facilities such as golf courses) implemented in jurisdictions along the southwest Florida coast in response to hazardous blooms of Florida red tides (Karenia brevis). These ordinances play a role in the context of evolving programs of water pollution control at federal, state, water basin, and local levels. With respect to policy effectiveness, while the strength of physical linkages is of critical importance, the extent to which humans affected are aware of and adhere to the relevant rules, is equally critical. We sought to understand the public’s depth of understanding about the rationales for local fertilizer ordinances. Respondents in Sarasota, Florida, were asked about their fertilizer practices in an area that has experienced several major blooms of Florida red tides over the past two decades. A highly educated, older population of 305 residents and “snowbirds” reported relatively little knowledge about a local fertilizer ordinance, its purpose, or whether it would change the frequency, size, or duration of red tides. This finding held true even among subpopulations that were expected to have more interest in or to be more knowledgeable about harmful algal blooms. In the face of uncertain science and environmental outcomes, and with individual motivations at odds with evolving public policies, the effectiveness of local community efforts to decrease the impacts of red tides may be compromised. Targeted social-science research on human perceptions about the risks of Florida red tides and education about the rationales for potential policy responses is warranted.
    Description: This work was funded under sponsorship of the National Science Foundation (NSF), awards #1009106 and #1004181and the National Institute for Environmental Health Sciences (NIEHS), award # R21ES017413-01A2. Fleming received support from the European Regional Development Fund and European Social Fund (European Centre for Environment and Human Health, University of Exeter Medical School).
    Keywords: Florida red tide ; Karenia brevis ; Harmful algal bloom (HAB) ; Total maximum daily load (TMDL) ; Fertilizer ordinance
    Repository Name: Woods Hole Open Access Server
    Type: Preprint
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  • 9
    Publication Date: 2014-07-01
    Print ISSN: 0160-4120
    Topics: Energy, Environment Protection, Nuclear Power Engineering
    Published by Elsevier
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  • 10
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