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[Poisoning by paralytic molluscan toxins in Oaxaca].

Toxic Red Tides are caused by marine dinoflagellates which synthesize neurotoxins that accumulate in bivalve mollusks. Upon ingestion, these shellfish can cause paralysis and death. During the month of December, 1989, 99 cases of Paralytic Shellfish Poisoning in the areas of Salina Cruz and Huatulco, Oaxaca, were reported; three of which died. The majority of the cases involved the ingestion of oysters and clams. A short time later, the Red Tide was reported appearing. One hundred and fifteen seafood samples were analyzed through a biologic test in mice to determine the quantity of saxitoxin. Oysters and clams showed levels reaching 4 000 U.R. Laboratory analysis of seawater found very high quantities of Gimnodinium catenatum and Gonyaulax catenella. The control measures consisted of the prohibition of the harvest and sale of all bivalve mollusks as well as a public warning to avoid the consumption of such shellfish.

Animals↗

Nutritional composition of fats in seafoods.

Public interest in the health benefits of seafood lipids, or of fish oils, is a most unusual phenomenon because for once the recommendations of health authorities to "eat more fish" are in accord with newer and popular attitudes. Media exploitation of the more sensational health aspects is also generally in favor of more consumption of seafood. The public is however still confused by the multitude of species of fish and shellfish available, and in a quandary over whether fatty fish are risky in terms of calories or cholesterol, or of more benefit than lean fish in terms of omega-3 fatty acids. Most direct questions on how much omega-3 fatty acids are useful in the diet of an average individual may never be answerable until long term studies with humans are carried out. It does appear that marine fish can be broken down into four convenient categories: lean (including shellfish), low fat, medium fat and high fat; and in this review it is suggested that these could contribute, per 100 grams, respectively about 250, 750, 1000 and 2000 mg of total C20 + C22 omega-3 fatty acids. This intake can compare favorably with the alternative of commonly available fish oil capsules. Moreover this survey shows that at present the composite of total omega-3 fatty acids in fish and shellfish may contain roughly equal proportions of the functionally effective eicosapentaenoic acid, and of docosahexaenoic acid with its as yet unknown long-term biochemical effects, or be biased in favor of more of the latter. To assist the public, nutritionists, dietitians, and researchers this review discusses the distribution of fat in edible fish muscle, the classes of lipids encountered, and the major fatty acids of health interest. Included are limited numbers of analyses from parts of the world other than North America.

Animals↗

[Contamination of seafood by Vibrio parahaemolyticus in Taiwan].

From October 1984 to September 1985, a total of 770 seafood samples, collected from the retail markets of 8 coastal cities in Taiwan, were tested for the contamination of Vibrio parahaemolyticus. The results showed that 352 samples (45.7%) were contaminated by V. parahaemolyticus. The detection frequencies of various samples were as follows: 40.0% fish samples, 22.3% fish fillets, 44.4% shrimps and 47.8% crabs of the crustacea group, 68.7% bivalve shellfish and 31.9% non-bivalve shellfish of the mollusca group. Bivalve shellfish samples showed the highest detection frequency and counts. By the analysis of variance, cities and sample items affected the detection frequency and counts of V. parahaemolyticus. Positive statistical correlation was found between the counts of V. parahaemolyticus and temperature variation in some cities, whereas the detection frequency of V. parahaemolyticus was not relative to the temperature variation in each city. 182 isolates from different types of seafood reacted with K antisera. Of those serotypes, K17 showed the highest detection frequency in the serological test. All of our isolates showed negative reaction for the Kanagawa test.

Animals↗

Comprehensive evaluation of fatty acids in foods.

Based on production volume and value and on per capita consumption, shellfish are an important food group in the United States. The nutrient composition of shellfish indicates that this food group is low in fat and relatively high in protein. Tabulated data on fatty acids in the different edible portions of seven species of crustaceans and over twenty species of mollusks are presented. The proportionately high level of polyunsaturated fatty acids is shown by the polyunsaturation index calculated for some important species of shellfish.

Animals↗

[The concentrations of 60Co and stable cobalt in the coastal marine organisms (author's transl)].

The concentration of 60Co and stable cobalt in the shellfishes and seaweeds which were collected from the coast around Japan were obtained by low background beta counting for 60Co and spectrometric determination of stable cobalt. The results obtained were as follows: (1) The 60Co was found in the shellfishes which were enriched in the stable cobalt. (2) The correlation between 60Co and stable cobalt was rather good in the shellfishes. (3) The activities of 60Co was found in the seaweeds taken from seashore near the nuclear power plant. (4) There was great differences in the specific activities between samples collected from contaminated and not contaminated area.

Cobalt↗

Food hypersensitivity among adult patients: epidemiological and clinical aspects.

Food hypersensitivity (FH) is lesser frequent among adult patients than in childhood. Foods implicated in hypersensitivity reactions vary with sociocultural and diet habits from a geographic place to other. We studied 142 adult patients sensitized to foods, among 7698 patients visited at our Outpatient Clinic. Hundred and twenty patients referred clinical symptoms after consumption of one or more foods consistently. From the latest, 107 patients (89.2%) were atopics (92 of them sensitizes to dust mites) and 54 (45%) referred atopic familiar background. Most frequent recorded symptoms were: urticaria/angioedema 84 cases (70%), oral syndrome 65 (54%), asthma 48 (37%) and anaphylaxis 33 patients (27.5%). Shellfish sensitization occurred in 50 patients, fresh fruits in 33 and nuts in 29 cases. Shrimp (48 patients), squid (33), kiwi (14), papaya (14), avocado (13) and banana (12 cases) were the most frequent causes of FH. Significant statistical association between foods and inhalants was observed for fresh fruits and latex (p < 0.001), fresh fruits and pollens (p < 0.01), and shellfish and Blatta germanica (p < 0.001). Prevalence of FH among patients at our Area is around 1.6%. Tropical fruits, as other kind of fruits, seem to share common IgE-epitopes to pollens. High prevalence of shellfish and cockroach hypersensitivity could be more easily developed by previous domestic mites sensitization.

Adult↗

[Diseases of bivalve mollusks: risk and prevention].

The farming of shellfish, based on fishing and rearing in a natural environment, has developed considerably in recent years, particularly as a result of production of spat and juveniles in hatcheries and nurseries. The growing demand for trade in products, facilitated by modern means of transport, has increased the risks of disease spread. Using examples, the author analyses the risks incurred by shellfish farming methods and the risks linked to the present state of knowledge. Recommendations are made on prevention and the need for regulations, and difficulties encountered in this area are discussed. Finally, proposals are made to overcome the existing antagonism between marked demands and the need to protect shellfish farming.

Animals↗

Thermal treatment and infectivity of hepatitis A virus in human feces.

The susceptibility of white-lipped marmoset monkeys (Saguinus sp) to human hepatitis A virus (HAV) provides a system for evaluation of thermal inactivation of HAV in feces and contaminated shellfish. Intramuscular or oral administration of HAV derived from feces of four patients with acute hepatitis A induced hepatitis in 28--100% of the inoculated marmosets. A 10% (w/v) fecal pool (GBG-BM) prepared from two patients (GBG and GBM) induced hepatitis in marmosets (2/4 with 1 ml; 2/2 with 3 ml) when given orally as a 1 : 3 dilution. A HAV-baby food raw oyster mixture fed to fasted marmosets induced hepatitis in 1/4 and seroconversion in 2/4 animals. Two groups of oysters were injected with HAV (concentrated 3 : 1 by centrifugation of the GBG-BM pool); one group was treated at 140 degrees F for 19 minutes and the other served as an untreated control. In animals fed the untreated inoculum, 4/6 developed hepatitis and 6/6 seroconverted, whereas of those fed the heat-treated inoculum 1/7 developed hepatitis and 2/7 seroconverted. These data suggest that pasteurization methods could be developed that would eliminate shellfish-associated hepatitis A and retain the palatability of the shellfish.

Animals↗

An incident of elevated levels of unsaturated free fatty acids in mussels from Nova Scotia and their toxic effect in mice after intraperitoneal injection.

Methanol extracts of the hepatopancreas of mussels (Mytilus edulis) harvested at two locations (Ship Harbour and Wine Harbour) in eastern Nova Scotia, Canada, were found to be toxic to mice after intraperitoneal injection. The commonly known toxins, such as those associated with diarrhetic shellfish poison (DSP), paralytic shellfish poison, and domoic acid, were not present in the extracts. However, they were found to contain elevated levels of free fatty acids. Using a modified DSP extraction procedure the quantities of free fatty acids determined (by latroscan TLC/FID) in the hepatopancreases of mussels were 2.9 mg/g (Ship Harbour 1), 2.2 mg/g (Ship Harbour 2), 1.2 mg/g (Wine Harbour), and 0.15 mg/g (Prince Edward Island, control). After further investigation it was determined that certain unsaturated fatty acids were mainly responsible for the toxicity. These included palmitoleic, linoleic, linolenic, octadecatetraenoic, and eicosapentenoic acids. Artificial mixtures of pure standards of these acids prepared in the same concentrations as found in the shellfish samples were also toxic to mice. These results indicate that elevated levels of free fatty acids in mussel hepatopancreas from locations in eastern Canada can lead to mouse deaths when using the DSP mouse bioassay procedure.

Animals↗

Kinetics of Alexandrium minutum Halim toxin accumulation in mussels and clams.

Mussels (Mytilus edulis) and clams (Ruditapes philippinarum) were contaminated experimentally using cultures of Alexandrium minutum, a toxic dinoflagellate isolated from French coastal waters. Experiments were carried out in continually flushed and open-circuit systems using Alexandrium densities of 100 to 700 cells/ml delivered to tanks containing the shellfish. All experiments indicated an inversion of the relative proportions of gonyautoxins (GTX2 and GTX3) in shellfish meat during decontamination, whereas saxitoxin (STX) only accumulated during mussel depuration. However, in mussels a density as low as 100 cells/ml led within 10 days to bioaccumulation of paralytic shellfish poisoning (PSP) toxins above the public health threshold. Similar results were observed in clams subjected to fivefold higher cell densities, indicating a less effective assimilation of the dinoflagellate than by mussel. Decontamination experiments on PSP toxin-contaminated mussels (360 micrograms STX eq./100 g or lower uptake) fed two nontoxic diets (1,000 and 10,000 cells/ml of Tetraselmis suesica) showed an appreciable reduction in the time needed to decrease toxin concentration below the accepted threshold for human consumption. We suggest that a simple relation can be established between initial toxicity, the concentration of nontoxic alga available, and the time required for depuration once decontamination kinetics becomes linear and corresponds to the inverse of contamination kinetics.

Animals↗

Overview of key phytoplankton toxins and their recent occurrence in the North and Baltic Seas.

The frequency and intensity of harmful algal blooms (HABs) appear to be on the rise globally. There is also evidence of the geographic spreading of toxic strains of these algae. Consequently, methods had to be established and new ones are still needed for the evaluation of possible hazards caused by increased algal toxin production in the marine food chain. Different clinical effects of algae-related poisoning have attracted scientific attention; paralytic shellfish poisoning, diarrhetic shellfish poisoning, and amnesic shellfish poisoning are among the most common. Additionally, cyanobacteria (blue-green algae) in brackish waters often produce neurotoxic and hepatotoxic substances. Bioassays with mice or rats are common methods to determine algal and cyanobacterial toxins. However, biological tests are not really satisfactory because of their low sensitivity. In addition, there is growing public opposition to animal testing. Therefore, there has been increasing effort to determine algal toxins by chemical methods. Plankton samples from different European marine and brackish waters were taken during research cruises and analyzed on board directly. The ship routes covered marine areas in the northwest Atlantic, Orkney Islands, east coast of Scotland, and the North and Baltic seas. The first results on the occurrence and frequency of harmful algal species were obtained in 1997 and 1998. During the 2000 cruise an HPLC/MS coupling was established on board, and algal toxins were measured directly after extraction of the plankton samples. In contrast to earlier cruises, the sampling areas were changed in 2000 to focusing on coastal zones. The occurrence of toxic algae in these areas was compared to toxin formation during HABs in the open sea. It was found that the toxicity of the algal blooms depended on the prevailing local conditions. This observation was also confirmed by monitoring cyanobacterial blooms in the Baltic Sea. Optimal weather conditions, for example, during the summers of 1997 and 2003, favored blooms of cyanobacteria in all regions of the Baltic. The dominant species regarding the HABs in the Baltic was Nodularia spumigena. However, in addition to high concentrations of Nodularia spumigena in coastal zones, other blue-green algae are involved in bloom formation, with changes in plankton communities influencing both toxin profiles and toxicity.

Cyanobacteria↗

Assessment of exposure to inorganic arsenic following ingestion of marine organisms by volunteers.

A study was undertaken to assess whether the consumption of fish and shellfish containing a high concentration (> 1500 micrograms/kg) of organoarsenical compounds was associated with the release of a significant amount of inorganic arsenic (Asi) in vivo. Volunteers were given a known quantity of seafood (ray, cod, plaice, mussel) whose content in total arsenic (As), Asi, monomethylarsonic acid (MMA), and dimethylarsinic acid (DMA) was determined. In addition to the total amount of As excreted within 48 hours, that of Asi and its methylated metabolites (MMA, DMA) was also monitored and compared with that expected on the basis of the results of our previous studies on the toxicokinetics of Asi, MMA, and DMA in humans. Ingestion of ray, cod, or plaice does not seem to be associated with a significant release of Asi in vivo. Following consumption of mussels, however, the amount of DMA excreted in urine is significantly higher than that expected on the basis of the amount of Asi and its methylated derivatives already present in the shellfish. It was also noted that among the different marine organisms analyzed (ray, cod, plaice, sole, sea-bream, mussel), the highest proportion of Asi (on the average 3% of the total) was found in mussels. Further metabolic studies are justified to assess the risk of exposure to Asi associated with the consumption of shellfish. In view of the possible release of dimethylarsenic acid from some organoarsenicals, biological monitoring of occupational exposure to Asi by the measurement of its methylated metabolites can provide misleading results if the workers have consumed some marine organisms within 48 hr before urine collection.

Adolescent↗

An overview of health control in Croatian aquaculture.

Aquaculture is an important segment of Croatian fishing industry with long tradition of carp and rainbow trout farming as well as marine aquaculture represented by shellfish (flat oyster and mussels), sea bass and sea bream cultivation and Atlantic bluefin tuna fattening. The fish and shellfish diseases survey is regulated by "Decree on the measures of animal health protection against infectious and parasite diseases" issued yearly by Ministry of Agriculture. This report derives from systematic clinical, parasitological, pathoanatomical, histopathological, bacteriological and virological monitoring of cultivated fish and shellfish on larger part of production during last several years. Among pathological conditions recognised on our farms, some specific viruses, bacteria and parasites represent frequently established causative nosologic agents. The overview of the main diseases with economic impact to the cultivation will be discussed in this paper.

Animals↗

Enterotoxigenic Escherichia coli and Staphylococcus aureus in fish and seafood from the southern region of Brazil.

An investigation to evaluate the microbiological condition and safety of fish and seafood commonly harvested at the coast of Santa Catarina State and sold in Florianópolis was undertaken. One hundred and seventy-five samples of fish and fish fillets (Cynoscion leiarchus), shrimp tails (Peneaus paulensis), shellfish-meat (Anomalocardia brasiliensis and Metilus edulis), and crab-meat (Callinectes sapidus) were collected from markets and examined within 4 h of purchase. For isolation and enumeration of Escherichia coli the methods used were those of Speck et al. (1975) (Method 1) and Fishbein et al. (1976) (Method 2); for S. aureus, methods recommended by the U.S. Food and Drug Administration were used including biochemical identification of the strains. E. coli was more frequently detected with Method 1 than Method 2. Of 317 E. coli strains tested for STG and LT II toxins, only one (isolated from shellfish-meat) produced ST and none produced LT II toxin. S. aureus was isolated from 20% of 175 samples examined, including 60% of samples of shellfish-meat. Only nine of 109 S. aureus strains produced enterotoxins, including enterotoxin A (4), D (1) and AB (4). It is concluded that greater care must be taken to reduce contamination of fish and seafood during harvesting and post-harvest handling.

Animals↗

Biotechnological significance of toxic marine dinoflagellates.

Dinoflagellates are microalgae that are associated with the production of many marine toxins. These toxins poison fish, other wildlife and humans. Dinoflagellate-associated human poisonings include paralytic shellfish poisoning, diarrhetic shellfish poisoning, neurotoxic shellfish poisoning, and ciguatera fish poisoning. Dinoflagellate toxins and bioactives are of increasing interest because of their commercial impact, influence on safety of seafood, and potential medical and other applications. This review discusses biotechnological methods of identifying toxic dinoflagellates and detecting their toxins. Potential applications of the toxins are discussed. A lack of sufficient quantities of toxins for investigational purposes remains a significant limitation. Producing quantities of dinoflagellate bioactives requires an ability to mass culture them. Considerations relating to bioreactor culture of generally fragile and slow-growing dinoflagellates are discussed. Production and processing of dinoflagellates to extract bioactives, require attention to biosafety considerations as outlined in this review.

Animals↗

Rapid determination of polyether marine toxins using liquid chromatography-multiple tandem mass spectrometry.

The diarrhetic shellfish poisoning (DSP) toxins, okadaic acid (OA), dinophysistoxins (DTX); pectenotoxin-2 (PTX2) and pectenotoxin-2 seco acids, were determined in marine phytoplankton, Dinophysis acuta, and mussels (Mytilus edulis) collected along the southwest coast of Ireland. Liquid chromatography-multiple tandem mass spectrometry (LC-MS/MS) was employed for the simultaneous determination of a series of marine toxins with large polarity differences. Separation of five DSP toxins was achieved on a C18 column (Luna-2, 150 mm x 2.1 mm, 5 microm) using an acetonitrile-water gradient with ammonium acetate as an eluent modifier. Electrospray ionisation (ESI) in negative mode, was used to generate the molecule related ion, [M-H]-, for each toxin. To develop a multiple reaction monitoring (MRM) method, fragmentation studies were performed to determine the optimum precursor-product ion combinations: OA (803/255), DTX2 (803/255), DTX1 (817/255), PTX2SAs (875/137) and PTX2 (857/137). This highly sensitive method had detection limits better than 1 pg (on-column). Linear calibrations were obtained for shellfish extracts that were spiked with toxins, OA, 0.007-1.00 microg/ml (r2 = 0.9993, N = 3) and DTX2, 0.054-8.5 microg/ml (r2 = 0.9992, N = 3). Good reproducibility data were also achieved with %RSD values (N = 3) ranging from 3.15% (0.56 microg DTX2/ml) to 5.71% (0.14 microg DTX2/ml), for shellfish extracts. The method was sufficiently sensitive to permit the determination of DSP toxins in small numbers of picked phytoplankton cells (N = 12-40). In one sample of D. acuta the average toxin composition per cell was: OA (7.0 pg), DTX2 (11 pg) and PTX2 (7.2 pg).

Chromatography, High Pressure Liquid↗

Ecological and toxicological effects of inorganic nitrogen pollution in aquatic ecosystems: A global assessment.

We provide a global assessment, with detailed multi-scale data, of the ecological and toxicological effects generated by inorganic nitrogen pollution in aquatic ecosystems. Our synthesis of the published scientific literature shows three major environmental problems: (1) it can increase the concentration of hydrogen ions in freshwater ecosystems without much acid-neutralizing capacity, resulting in acidification of those systems; (2) it can stimulate or enhance the development, maintenance and proliferation of primary producers, resulting in eutrophication of aquatic ecosystems; (3) it can reach toxic levels that impair the ability of aquatic animals to survive, grow and reproduce. Inorganic nitrogen pollution of ground and surface waters can also induce adverse effects on human health and economy. Because reductions in SO2 emissions have reduced the atmospheric deposition of H2SO4 across large portions of North America and Europe, while emissions of NOx have gone unchecked, HNO3 is now playing an increasing role in the acidification of freshwater ecosystems. This acidification process has caused several adverse effects on primary and secondary producers, with significant biotic impoverishments, particularly concerning invertebrates and fishes, in many atmospherically acidified lakes and streams. The cultural eutrophication of freshwater, estuarine, and coastal marine ecosystems can cause ecological and toxicological effects that are either directly or indirectly related to the proliferation of primary producers. Extensive kills of both invertebrates and fishes are probably the most dramatic manifestation of hypoxia (or anoxia) in eutrophic and hypereutrophic aquatic ecosystems with low water turnover rates. The decline in dissolved oxygen concentrations can also promote the formation of reduced compounds, such as hydrogen sulphide, resulting in higher adverse (toxic) effects on aquatic animals. Additionally, the occurrence of toxic algae can significantly contribute to the extensive kills of aquatic animals. Cyanobacteria, dinoflagellates and diatoms appear to be major responsible that may be stimulated by inorganic nitrogen pollution. Among the different inorganic nitrogenous compounds (NH4+, NH3, NO2-, HNO2NO3-) that aquatic animals can take up directly from the ambient water, unionized ammonia is the most toxic, while ammonium and nitrate ions are the least toxic. In general, seawater animals seem to be more tolerant to the toxicity of inorganic nitrogenous compounds than freshwater animals, probably because of the ameliorating effect of water salinity (sodium, chloride, calcium and other ions) on the tolerance of aquatic animals. Ingested nitrites and nitrates from polluted drinking waters can induce methemoglobinemia in humans, particularly in young infants, by blocking the oxygen-carrying capacity of hemoglobin. Ingested nitrites and nitrates also have a potential role in developing cancers of the digestive tract through their contribution to the formation of nitrosamines. In addition, some scientific evidences suggest that ingested nitrites and nitrates might result in mutagenicity, teratogenicity and birth defects, contribute to the risks of non-Hodgkin's lymphoma and bladder and ovarian cancers, play a role in the etiology of insulin-dependent diabetes mellitus and in the development of thyroid hypertrophy, or cause spontaneous abortions and respiratory tract infections. Indirect health hazards can occur as a consequence of algal toxins, causing nausea, vomiting, diarrhoea, pneumonia, gastroenteritis, hepatoenteritis, muscular cramps, and several poisoning syndromes (paralytic shellfish poisoning, neurotoxic shellfish poisoning, amnesic shellfish poisoning). Other indirect health hazards can also come from the potential relationship between inorganic nitrogen pollution and human infectious diseases (malaria, cholera). Human sickness and death, extensive kills of aquatic animals, and other negative effects, can have elevated costs on human economy, with the recreation and tourism industry suffering the most important economic impacts, at least locally. It is concluded that levels of total nitrogen lower than 0.5-1.0 mg TN/L could prevent aquatic ecosystems (excluding those ecosystems with naturally high N levels) from developing acidification and eutrophication, at least by inorganic nitrogen pollution. Those relatively low TN levels could also protect aquatic animals against the toxicity of inorganic nitrogenous compounds since, in the absence of eutrophication, surface waters usually present relatively high concentrations of dissolved oxygen, most inorganic reactive nitrogen being in the form of nitrate. Additionally, human health and economy would be safer from the adverse effects of inorganic nitrogen pollution.

Acid Rain↗

Gender and snow crab occupational asthma in Newfoundland and Labrador, Canada.

Fish and shellfish processing employs many thousands of people globally, with shellfish processing becoming more important in recent years. Shellfish processing is associated with multiple occupational health and safety (OHS) risks. Snow crab occupational asthma (OA) is work-related asthma associated with processing snow crab. We present a gender analysis of findings from a 3-year multifaceted study of snow crab OA in Newfoundland and Labrador, Canada. The study was carried out in four snow crab processing communities between 2001 and 2004. An anonymous survey questionnaire on knowledge, beliefs, and concerns related to processing snow crab administered to 158 workers attending community meetings at the start of the research found that women were significantly more likely than men to associate certain health problems, especially chest tightness, difficulty breathing, and cough, with crab processing (P<0.001). Worker health assessments carried out with 215 processing workers (187 current/28 former; 120 female/95 male) found that female participants were more likely to be diagnosed as almost certain/highly probable snow crab OA and allergy (P=0.001) and to be sensitized to snow crab (P=0.01) than male participants. Work histories from the health assessments were used to classify processing jobs as male or female. Allergen sampling (211 allergen samples: 115 area, 96 personal breathing zone) indicated that the plant areas where these male jobs were concentrated were associated with lower levels of aerosolized crab allergens (the agents responsible for OA to snow crab) than areas associated with female jobs. This difference was statistically significant in the two plants with poor ventilation (p<0.001 and P=0.017 for these plants). A gender analysis of work history data showed that female health assessment participants were likely to have worked longer processing snow crab than males (5 years versus 3.5 years, respectively). Cross-referencing of work history results with allergen sampling data for male and female job areas showed a gender difference in median cumulative exposures (duration of exposure x level of exposures) for health assessment participants. Health assessment participants with estimated higher median cumulative exposures were more likely to receive a diagnosis of almost certain/highly probable OA and allergy. Semistructured interviews with 27 health assessment participants (24 female/ 3 male) with a diagnosis of almost certain/highly probable or possible snow crab OA indicated that these workers can experience substantial quality of life impacts while working and that they seek to reduce the economic impact of their illness by remaining at their jobs as long as possible. Indications of selection bias and other study limitations point to the need for more research exploring the relationship between the gender division of labor and knowledge, beliefs, and concerns about snow crab processing, as well as gender differences in prevalence, quality of life, and socioeconomic impact.

Animals↗