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The Epidemiology and Surveillance of Ciguatera Fish Poisoning in the Turks and Caicos Islands

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dc.contributor.advisor Morrison, Karen E Schneider, Evan 2012-09-11T18:05:05Z 2012-09-11T18:05:05Z 2012-09 2012-08-16 2012-09-11
dc.description.abstract Innovative ways to conduct disease surveillance are required to address the complexity of Ciguatera Fish Poisoning (CFP). Mixed methods were employed to explore CFP epidemiology and interdisciplinary approaches to its surveillance in the Turks and Caicos Islands (TCI). Quantitative analyses of cross-sectional data collected by the TCI’s National Epidemiology and Research Unit in 2010 demonstrated that a low percentage of residents reported lifetime histories of illness following fish consumption (3.9%). Furthermore, gender, age, island, and home remedy use were significantly associated with reported clinic visitation by ill individuals. Next, a multisectoral CFP surveillance model was conceptualized. A qualitative exploration of the model’s hypothetical integration into TCI’s health system revealed that several systemic and contextual factors could influence the future uptake of interdisciplinary CFP surveillance. Targeted interventions are recommended to improve national CFP surveillance and to facilitate the growth of interdisciplinary networks between stakeholders from TCI’s health, fisheries and environment sectors. en_US
dc.description.sponsorship Canadian Institutes of Health Research, Ontario Veterinary College, University of Guelph, Ministry of Health and Human Resources of the Turks and Caicos en_US
dc.language.iso en en_US
dc.rights.uri *
dc.subject Ciguatera Fish Poisoning en_US
dc.subject Disease surveillance en_US
dc.subject Epidemiology en_US
dc.subject Health system intervention en_US
dc.subject Health-seeking behaviour en_US
dc.subject Turks and Caicos Islands en_US
dc.subject Seafood safety en_US
dc.subject Multisectoral approach en_US
dc.subject Logistic regression en_US
dc.subject Cross-sectional study en_US
dc.subject Explorative study en_US
dc.subject Framework analysis en_US
dc.title The Epidemiology and Surveillance of Ciguatera Fish Poisoning in the Turks and Caicos Islands en_US
dc.type Thesis en_US Population Medicine en_US Master of Science en_US Population Medicine en_US
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