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crispos:I never said Ciguatera was from food hygiene or cold or hot buffets. Please reread my post. I said it was much worse than poor food hygiene.
Ciguatera poisoning comes from the neurotoxins produced by microorganisms such as dinoflagellates that accumulate in molluscs and ultimately end up concentrated in the flesh of larger predatory fish such as black grouper and barracuda.
Most reported group cases are of seaman getting hungry and shooting a few big pelagic fish when they are out to sea. The symptoms are extreme fatigue, nausea, paraesthesia, and in the case I mentioned, skin rash and swelling. It eventually goes away but there can be long-term neurological damage.
It is not a problem for most local restaurants because over the years they know what fish to avoid and don't serve them.
ggunn:I have seen deck hands cut open freshly caught barracuda to find the liver, to which they touch a finger, and then touch the finger to their tongue. They told me that if it tastes peppery, the fish is bad to eat. As best I can tell from their broken English and my even worse Español, it has to do with what the barracuda had been eating.
Says in this report - http://vm.cfsan.fda.gov/~mow/chap36.html that it starts with the algae, then accumulates in the predators if they have been eating animals that had been eating the algae. If the cuda, grouper, whatever had been consuming fish that had been eating plankton, they'd be cleaner of the poison. The cuda's liver could have a concentration of the poison - enough to actually taste perhaps, as the liver does a lot of filtering.