Paralytic Shellfish Poisoning
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Nationally notifiable since 2007
1.0 National Notification
Only confirmed cases of disease should be notified.
2.0 Type of Surveillance
Routine case-by-case notification to the federal level
3.0 Case Classification
3.1 Confirmed case
Clinical illness and:
- detection of saxitoxin in epidemiologically
related, ingested shellfish
OR
- detection of high levels of dinoflagellates
associated with shellfish poisoning in water
from which epidemiologically related
shellfish were gathered
3.2 Probable case
Clinical illness within 12 hours of
consumption of bivalve mollusk shellfish
(e.g. oysters, clams, mussels)
4.0 Laboratory Comments
5.0 Clinical Evidence
Clinical illness is characterized by neurological
symptoms such as paresthesia and/or paralysis
involving the mouth and extremities, which may be
accompanied by gastrointestinal symptoms.
6.0 ICD Code(s)
6.1 ICD-10 Code(s)
- T61
- Toxic effect of noxious substances eaten
as seafood
- T61.2
- Other fish and shellfish poisoning
6.2 ICD-9/ICD-9CM Code(s)
- 988
- Toxic effect of noxious substances eaten
as food
- 988.0
- Fish and shellfish
7.0 Type of International Reporting
8.0 Comments
Probable case definitions are provided as guidelines
to assist with case finding and public health
management, and are not for national notification
purposes.
9.0 References
Date of Last Revision/Review:
May 2008
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