FN Archimer Export Format PT J TI Human Shellfish Poisoning: Implementation of a National Surveillance Program in France BT AF Sinno-Tellier, Sandra ABADIE, Eric Guillotin, Sophie Bossée, Anne Nicolas, Marina Delcourt, Nicolas AS 1:1;2:2;3:3;4:4;5:5;6:3,6; FF 1:;2:PDG-RBE-BIODIVENV;3:;4:;5:;6:; C1 ANSES (French Agency for Food, Environmental and Ocupational Health and Safety, Maisons Alfort, France French Research Institute for Exploitation of the Sea (IFREMER), Biodivenv, Le Robert, France Poison Control Centre, Toulouse University Hospital, Toulouse, France Chemical, Biological, Radiological and Nuclear (CBRN) Defence, Analytical Chemistry Department, French Defense Procurement Agency (DGA), Vert-le-Petit, France Laboratory for Food Safety, ANSES (French Agency for Food, Environmental and Occupational Health and Safety), Maisons-Alfort, France INSERM UMR 1214, Toulouse NeuroImaging Center, Toulouse, France C2 ANSES, FRANCE IFREMER, FRANCE CHU TOULOUSE, FRANCE CBRN DEFENCE, FRANCE ANSES, FRANCE INSERM, FRANCE SI MARTINIQUE SE PDG-RBE-BIODIVENV IN WOS Ifremer UPR DOAJ copubli-france IF 3.7 TC 3 UR https://archimer.ifremer.fr/doc/00812/92426/98604.pdf https://archimer.ifremer.fr/doc/00812/92426/99065.docx LA English DT Article DE ;shellfish poisoning;monitoring program;human exposure;harmful algae;phycotoxin AB oxic algae and their toxins represent an emerging public health issue, particularly due to global warming. The toxicological mechanisms of neurotoxic phycotoxins and their human health effects have been widely described (paralytic, neurological, amnesic, and ciguateric toxins). Food poisoning by bivalve shellfish (mussels, oysters...) can cause serious or even fatal neurological disorders, due to the accumulation in their flesh of natural toxins that develop in the water that surrounds them. However, retrospective study of human shellfish poisoning highlighted the difficulties in identifying cases related to neurotoxic phycotoxins by gathering clinical and biological diagnostic confirmations on the one hand, as well as environmental contaminations on the other. To improve the collection of shellfish poisoning data, the French Agency for Food, Environmental and Occupational Health and Safety (ANSES), French Poison Control Centers (PCCs), the French Research Institute for Exploitation of the Sea (Ifremer) and the French Defense Procurement Agency (DGA)have developed a prospective surveillance of neurotoxins from algal origin that combines monitoring of poisoning cases (clinical monitoring), of harmful algae and their toxins in shellfish production areas (environmental monitoring), as well as of toxins levels in seafood leftovers and in biological samples from poisoned subjects. This original clinical and environmental monitoring will allow us to have a more complete view of phycotoxin human exposures that are underreported, and to implement measures to protect consumers. PY 2023 PD JAN SO Frontiers In Marine Science SN 2296-7745 PU Frontiers Media VL 9 UT 000920086800001 DI 10.3389/fmars.2022.1089585 ID 92426 ER EF