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Monitoring poisonings linked to
the consumption of shellfish from the St. Lawrence
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IN TUNE |
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Eating mussels from the
St. Lawrence: a well-established monitoring system
to reduce the public health risks from shellfish
consumption.
A program to monitor
the St. Lawrence ecosystem has been established
under Phase III of SLV 2000. Eighteen
scientifically valid indicators have been selected;
these are measurements or statistics that provide
information on characteristics of the St. Lawrence.
The Alma-Jonquière ZIP
Committee is working to restore the Bédard River,
which flows across the lowlands around Saint-Bruno
and Hébertville-Station. Its expertise is being
used abroad. |
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Gathering
shellfish is a traditional activity for many people living along
the Estuary and Gulf of St. Lawrence. Despite the existence
of programs to monitor toxic algae and shellfish, poisonings
linked to the consumption of shellfish are reported every year
in Quebec. As part of the Health component of St. Lawrence
Vision 2000 (SLV 2000), the public health research unit
of the Quebec City hospital "Centre hospitalier universitaire
de Québec (CHUQ)" has implemented a project to detect cases
of poisoning and reduce the health risks for those eating shellfish.
Shellfish
are harvested along both shores of the St. Lawrence, beginning
near Île aux Coudres on the north shore and Saint-Roch-des-Aulnaies
on the south shore, as well as in Chaleur Bay and the Magdalen
Islands (PDF map).
Because the activity is unregulated, it is difficult to provide
an accurate picture of the number of people involved or the
most popular areas. However, in the Baie-Comeau region alone,
it is estimated that more than a thousand people engage in shellfish
gathering.
(See summary of the
report (PDF format)
Analysis
of chemical and microbiological risks related to the consumption
of shellfish harvested in the region of Baie-Comeau.)

You dont
harvest shellfish just anywhere!
Today, areas where
people can gather shellfish that are fit for consumption are
very rare. For example, in the summer of 1999, harvesting
was prohibited in 439 of the approximately 525 shellfish
areas surveyed in Quebec, while 56 areas were open and
another 20 were open under certain conditions.
(Information
on shellfish harvesting areas.) Hyperlink at the bottom
of the page. Information from Fisheries and Oceans Canada.
This situation is
largely attributable to bacteriological contamination of the
waters of the Estuary and the Gulf. It is also the result of
the presence of toxic microscopic algae that appear in certain
areas of the St. Lawrence between June and September. Shellfish
filter and accumulate these toxins, thus becoming unfit for
consumption.
Red tide in
the St. Lawrence River

Alexandrium tamarense, a microscopic
toxic alga
On occasion, toxic algae concentrations become high enough to
turn the water red.

A
well-established monitoring system
Environment
Canada is responsible for assessing the bacteriological quality
of the waters of the St. Lawrence. On the basis of its recommendations,
the federal Department of Fisheries and Oceans (DFO) classifies
shellfish areas as open, conditionally open or closed.
In the areas classified as open
or conditionally open, three agencies are responsible for monitoring
marine toxins in algae and shellfish. The Quebec Department
of Agriculture, Fisheries and Food (ministère de l'Agriculture,
des Pêcheries et de l'Alimentation du Québec
MAPAQ ) is responsible for toxicological analysis of shellfish
handled in processing plants and businesses in Quebec. The Canadian
Food Inspection Agency (CFIA) monitors toxic shellfish in Canadian
waters and in processing plants that sell their products outside
the province. Finally, DFOs Maurice Lamontagne Institute
uses a network of coastal stations to monitor the natural appearance
of toxic algae in the waters of the St. Lawrence.
When marine toxins
are detected by the CFIA, DFO immediately prohibits harvesting
in the shellfish area(s) concerned. However, despite all the
measures taken to ensure the safety of marine products, shellfish
poisonings are reported every year.
(Description
of the Shellfish Water Quality Protection
Program. See below.)

Some disturbing
illnesses
The most common type
of poisoning resulting from the consumption of contaminated
shellfish from the Estuary and Gulf of St. Lawrence is
paralytic shellfish poisoning (PSP). Its primary victims are
those who eat mussels and softshell clams. The symptoms of PSP
include tingling or numbness in various parts of the body, headaches,
nausea, dizziness, loss of coordination and general weakness.
In cases of fatal poisoning, death occurs as a result of respiratory
failure.
There is no antidote
to the toxins responsible for this form of poisoning. In addition,
while PSP is the primary threat, other types of poisoning associated
with the consumption of shellfish from the St. Lawrence
pose potential threats to public health, including amnesic shellfish
poisoning (ASP) and diarrhetic shellfish poisoning (DSP).
Since 1880, the St. Lawrence
has had the highest incidence of PSP in Canada, with more than
215 reported cases and 25 deaths.

Greater participation
by the health network
A study conducted
by the CHUQ Public Health Research Unit in 1999 indicated that
there is no tool currently in existence that can be used for
accurately recording and identifying all cases of marine toxin-induced
poisoning in Quebec. While poisonings linked to shellfish consumption
are among the diseases that physicians and laboratories are
required to report, some cases are apparently not reported.
This may be because of a low detection rate on the part of physicians,
who are not always familiar with the symptoms produced by shellfish
poisonings. Cases of shellfish poisoning may also be confused
with other diseases.
As Jean-François Duchesne
explains, the public health research unit feels that increased
participation by the health network in the existing monitoring
system could improve the situation. "This is why we set
up a monitoring system in 1999 to record and characterize
cases of marine toxin poisoning linked to the consumption of
shellfish or other marine organisms collected in the Estuary
and Gulf of St. Lawrence. Thanks to this monitoring program,
doctors from the emergency units of 18 "sentinel"
establishments have participated in awareness sessions designed
to help them recognize cases of poisoning. Active monitoring
could also permit earlier detection of the effects of new and
as yet unknown toxins." All the other hospitals and CLSCs
of the regions covered by the project (Quebec City, the Lower
St. Lawrence, the North Shore and the Gaspé) have been
invited to participate in this monitoring program as well.
As a result, poisonings
linked to shellfish or other marine products will be reported
rapidly to the regional public health branches, which can then
contact the victim to obtain information on a number of factors,
including the source of the products (where they were harvested
or purchased), the number of persons known to have eaten them,
etc. This information will permit an improved response on the
part of MAPAQ and the CFIA.
"The contacts
established between the health network and the different government
agencies responsible for monitoring marine toxins will make
it possible to improve the efficiency of the response to a single
poisoning or even an outbreak, and thus reduce further risks
to the public from the consumption of contaminated shellfish
or other marine products," Duchesne noted. "In addition,
if we find that the public health problems associated with the
consumption of contaminated shellfish are greater than originally
believed, corrective measures will be proposed to the agencies
responsible for environmental monitoring of toxic algae and
shellfish."

For information:
Jean-François Duchesne
Research Officer
Public Health Research Unit, CHUQ
2400 Estimauville
Beauport, QC G1E 7G9
Telephone: (418) 666-7000, extension 205
Fax: (418) 666-2776
E-mail: JFDuchesne@cspq.qc.ca
Source:
DUCHESNE, J.-F., T. TREMBLAY, M. RHAINDS
and É. DEWAILLY. 1999. Présence des toxines marines
dans les estuaires et le golfe du Saint-Laurent et implications
pour la santé humaine. Unité de recherche en santé publique
du Centre hospitalier universitaire de Québec, 41 p.

Information
on Fisheries and Oceans Canada shellfish harvesting areas:
From Île aux Coudres
to Baie-Trinité:
1-800-463-8558
From Saint-Roch-des-Aulnaies
to Cap-Gaspé:
1-800-463-0607
From Baie-Trinité
to Blanc-Sablon:
1-800-463-1736
From Cap-Gaspé to
the Matapédia River:
1-800-463-4204
Magdalen Islands:
1-418-986-3882
(This poster
identifies a sector close to shellfish gathering.)
(Back)

Information
on Environment Canadas Shellfish Water Quality Protection
Program:
Jacques Sénéchal
Environmental Protection Branch
Aquatic Environment Protection
St. Lawrence Centre
Telephone: (514) 283-0190
Fax: (514) 283-4423
Shellfish Water
Quality Protection Program
A wide selection of
seafood delicacies is one of the great attractions of Canada's
maritime regions. Contamination from many sources including
human and industrial waste pose a threat to Quebecs shellfish
resources. This is a matter of increasing concern among health
and environmental agencies, the shellfish aquaculture industry
and consumers alike.
Through the Shellfish
Water Quality Protection Program, Environment Canada fulfills
its responsibility for monitoring bacterial water quality in
shellfish areas. The surveys conducted under this program require
a substantial commitment of effort and resources in order to
carefully assess the nearly 25,000 km of Atlantic coastline.
Water quality surveys are used to classify coastal waters with
respect to their suitability for shellfish harvesting activities.
They involve analysing the sanitary and bacteriological water
quality conditions in the area.
The Shellfish Water
Quality Protection Program also promotes pollution prevention
and the remediation and restoration of shellfish harvesting
areas. The programs efforts to eliminate and control pollution
sources help to protect the health of both the shellfish industry
and the marine environment, and enable health officials to open
more shoreline areas to shellfish harvesting. (Back)
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