Evidence map›Paper›PMID 40818483›Full record

SynthesisThe Lancet. Planetary health2025

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

Matthew O Gribble, Baylin J Bennett, Jahred M Liddie, William Borchert, Brigitte A Pfluger, Jackson S Segars, Jacob M Keast, Avneet Hans, Nidhi S Kikkeri, Caitlin Shin and 11 more

Abstract readSystematic Review
In one paragraph

Synthesis in The Lancet. Planetary health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Saxiphilin is a broad-spectrum toxin sponge for C13-modified saxitoxins.bioRxiv : the preprint server for biology · 2026
    Article
  5. Review
  6. Clinical Features of Paralytic Shellfish Poisoning: a Case Series from the 2024 Oregon Outbreak.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Matthew O GribbleDivision of Occupational, Environmental, and Climate Medicine, Department of Medicine, University of California, San Francisco, CA, USA.
Baylin J BennettDivision of Occupational, Environmental, and Climate Medicine, Department of Medicine, University of California, San Francisco, CA, USA. Electronic address: Baylin.Bennett@UCSF.edu.
Jahred M LiddieHarvard T.H. Chan School of Public Health, Boston, MA, USA.
William BorchertHarvard T.H. Chan School of Public Health, Boston, MA, USA.
Brigitte A PflugerNutrition and Health Sciences, Laney Graduate School, Emory University, Atlanta, GA, USA.
Jackson S SegarsDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA.
Jacob M KeastUniversity of Exeter Medical School, St. Luke's Campus, Exeter, Devon, UK.
Avneet HansHeersink School of Medicine, Birmingham, AL, USA.
Nidhi S KikkeriHeersink School of Medicine, Birmingham, AL, USA.
Caitlin ShinCalifornia University of Science and Medicine, Colton, CA, USA.
Hugh B RolandDepartment of Health Policy and Organization, University of Alabama at Birmingham, Birmingham, AL, USA.
Sneha HoysalaRollins School of Public Health, Atlanta, GA, USA.
Jacob KohlhoffSitka Tribe of Alaska, Sitka, AK, USA.
Barrak AlahmadHarvard T.H. Chan School of Public Health, Boston, MA, USA.
Shivaraj NagalliShelby Baptist Medical Center, Alabaster, AL, USA.
William RushtonHeersink School of Medicine, Birmingham, AL, USA.
Henrik EnevoldsenIntergovernmental Oceanographic Commission Science and Communication Centre on Harmful Algae, IOC UNESCO, Copenhagen, Denmark.
Megan BellUniversity of Alabama at Birmingham Libraries, Birmingham, AL, USA.
Damiana FortenberryUniversity of Alabama at Birmingham Libraries, Birmingham, AL, USA.
John R HarleyAlaska Coastal Rainforest Center, University of Alaska Southeast, Juneau, AK, USA.
Andrea L C SchneiderDepartment of Neurology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.

Funding

Training Program in Environmental EpidemiologyT32ES007069 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI LADEN, FRANCINE · 1985 to 2024
$13.9M
UAB Cancer Prevention and Control Training Program (T32)T32CA047888 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Ritu Aneja, Ellen Mary Lavoie Smith · 2018 to 2026
$3.2M
Toxicity of saxitoxin congener mixtures in shellfish from Southeast AlaskaP01ES035551 · NIEHS · SITKA TRIBE OF ALASKA · PI Jeff Feldpausch, Matthew O. Gribble · 2024 to 2026
$2.3M
Prevention of Paralytic Shellfish Poisoning in Subsistence Shellfish Harvest Communities of Southeast AlaskaR01ES029165 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRIBBLE, MATTHEW O. · 2019 to 2024
$2.1M
NCI NIH HHS T32 CA047888NIEHS NIH HHS P01 ES035551NIEHS NIH HHS R01 ES029165NIEHS NIH HHS T32 ES007069
6 · The paper itself

Abstract

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.

Indexed as

Global HealthShellfish PoisoningAnimalsHumans

Identifiers

PMID40818483
PMCPMC12476144

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.