{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:30:04Z","timestamp":1791401404397,"version":"4.3.3"},"reference-count":29,"publisher":"American Chemical Society (ACS)","issue":"6","license":[{"start":{"date-parts":[[2017,12,29]],"date-time":"2017-12-29T00:00:00Z","timestamp":1514505600000},"content-version":"vor","delay-in-days":1389,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background: Warm sea surface temperatures (SSTs) are positively related to incidence of ciguatera fish poisoning (CFP). Increased severe storm frequency may create more habitat for ciguatoxic organisms. Although climate change could expand the endemic range of CFP, the relationship between CFP incidence and specific environmental conditions is unknown.<\/jats:p>\n                  <jats:p>Objectives: We estimated associations between monthly CFP incidence in the contiguous United States and SST and storm frequency in the Caribbean basin.<\/jats:p>\n                  <jats:p>Methods: We obtained information on 1,102 CFP-related calls to U.S. poison control centers during 2001\u20132011 from the National Poison Data System. We performed a time-series analysis using Poisson regression to relate monthly CFP call incidence to SST and tropical storms. We investigated associations across a range of plausible lag structures.<\/jats:p>\n                  <jats:p>Results: Results showed associations between monthly CFP calls and both warmer SSTs and increased tropical storm frequency. The SST variable with the strongest association linked current monthly CFP calls to the peak August SST of the previous year. The lag period with the strongest association for storms was 18 months. If climate change increases SST in the Caribbean 2.5\u20133.5\u00b0C over the coming century as projected, this model implies that CFP incidence in the United States is likely to increase 200\u2013400%.<\/jats:p>\n                  <jats:p>Conclusions: Using CFP calls as a marker of CFP incidence, these results clarify associations between climate variability and CFP incidence and suggest that, all other things equal, climate change could increase the burden of CFP. These findings have implications for disease prediction, surveillance, and public health preparedness for climate change.<\/jats:p>\n                  <jats:p>Citation: Gingold DB, Strickland MJ, Hess JJ. 2014. Ciguatera fish poisoning and climate change: analysis of National Poison Center data in the United States, 2001\u20132011. Environ Health Perspect 122:580\u2013586;\u2002http:\/\/dx.doi.org\/10.1289\/ehp.1307196<\/jats:p>","DOI":"10.1289\/ehp.1307196","type":"journal-article","created":{"date-parts":[[2014,3,19]],"date-time":"2014-03-19T09:56:43Z","timestamp":1395223003000},"page":"580-586","source":"Crossref","is-referenced-by-count":68,"title":["Ciguatera Fish Poisoning and Climate Change: Analysis of National Poison Center Data in the United States, 2001\u20132011"],"prefix":"10.1021","volume":"122","author":[{"given":"Daniel B.","family":"Gingold","sequence":"first","affiliation":[{"name":"Department of Epidemiology, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Strickland","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, and"},{"name":"Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy J.","family":"Hess","sequence":"additional","affiliation":[{"name":"Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA"},{"name":"Department of Emergency Medicine, School of Medicine, Emory University, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"316","published-online":{"date-parts":[[2014,3,11]]},"reference":[{"issue":"4","key":"2026080603023329900_micit1","doi-asserted-by":"publisher","first-page":"526","DOI":"10.1289\/ehp.1104003","article-title":"Assessing the incidence of ciguatera fish poisoning with two surveys conducted in Culebra, Puerto Rico, during 2005 and 2006.","volume":"120","author":"Azziz-Baumgartner","year":"2012","journal-title":"Environ Health Perspect"},{"key":"2026080603023329900_micit2","article-title":"Regional Climate Projections","author":"Christensen JH, Hewitson B, Busuioc A, Gao CX, Held I, Jones R, et al.","year":"2007"},{"issue":"2","key":"2026080603023329900_micit3","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.toxicon.2009.09.008","article-title":"Ciguatera: a public health perspective.","volume":"56","author":"Dickey","year":"2010","journal-title":"Toxicon"},{"key":"2026080603023329900_micit4","unstructured":"Food and Agriculture Organization of the United Nations.\n          \n          2012. 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