An Outbreak of Scombroid Fish Poisoning Associated with Consumption of Yellowtail Fish in Seoul, Korea.
10.3346/jkms.2018.33.e235
- Author:
Cho Ryok KANG
1
;
Young Yun KIM
;
Jae In LEE
;
Hyun Don JOO
;
Sun Wha JUNG
;
Sung Il CHO
Author Information
1. Environmental Health Division, Seoul Metropolitan Government, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Scombroid Fish Poisoning;
Histamine;
Food Poisoning;
Foodborne Outbreak;
Seoul Metropolitan Government
- MeSH:
Case-Control Studies;
Flushing;
Food Safety;
Foodborne Diseases;
Headache;
Histamine;
Humans;
Korea*;
Lunch;
Poisoning*;
Seoul*
- From:Journal of Korean Medical Science
2018;33(38):e235-
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: In November 2016, an outbreak of scombroid fish poisoning occurred among elementary school students in Seoul, Korea. An epidemiological investigation was conducted to identify the cause and source of the illness. METHODS: A case-control study was conducted among school members who had eaten lunch in the school. The histamine level in the suspect food item (yellowtail steak) was measured. RESULTS: Fifty-five (5.4%) of 1,017 school members who consumed fish for lunch fell ill. The principal symptoms were flushing (100%) and headache (72.7%); the median incubation period was 40 minutes. All had consumed yellowtail steak (odds ratio, 9.24; 95% confidence interval, 1.22–69.91). Leftover steak had an elevated histamine level (293 mg/kg), higher than the allowed 200 mg/kg. CONCLUSION: An outbreak of scombroid fish poisoning was confirmed; this is the first such report in Korea. Detailed food safety guidelines must be established.
