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Global epidemiology of paralytic shellfish poisoning: a systematic search literature review

Nature and the biosphere | Food, nutrition and fresh water

Published August 2025

  • Date (DD-MM-YYYY)

    07-09-2025 to 07-09-2026

    Available on-demand until 7th September 2026

  • Cost

    Free

  • Education type

    Article

  • CPD subtype

    On-demand

Description

We are in the midst of the UN Decade of Ocean Science for Sustainable Development (2021–30), which provides a timely opportunity for the epidemiological community to assess the global burden of thalassogenic diseases such as paralytic shellfish poisoning (PSP). In this epidemiological review, we used systematic search tools to summarise 152 peer-reviewed articles describing human PSP cases. Our analysis revealed that PSP cases have been reported from every inhabited continent; symptoms reported by patients might differ by continent; and exposure sources are not limited to the eponymic shellfish. Furthermore, most cases described lacked demographic details that could aid in a more comprehensive understanding of PSP epidemiology. Overall, this Review highlights PSP as a true global health concern; however, the overall poor quality of available data underscores the need for greater epidemiological attention as an understudied global health challenge.

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