The Palm Island mystery disease, also known as hepatoenteritis and hepato-enteritis, was an outbreak of a hepatitis-like illness on Great Palm Island, Queensland, reported in 1979. [1] Associated in many cases with dehydration and bloody diarrhoea, 148 people (138 children and 10 adults) of Aboriginal and Torres Strait Islander descent were affected. [2]
The cause of the outbreak was determined to be the addition of excessive doses of copper sulfate to the water supply of Solomon Dam, which had been added to target a cyanobacteria bloom of Cylindrospermopsis raciborskii . The excessive dosing was following the use of least-cost contractors to control the algae, who were unqualified in the field. [3]
Toxins from the cyanobacteria itself had also been described as a possible cause. [4] [5]
Early suggestions included toxocariasis. [6] [7] [8]
Symptoms of hepatoenteritis included diarrhoea, vomiting attacks, loss of balance and disorientation. [9]
The perinatal effects of cyanobacteria contamination of drinking water include prematurity, low birth weight and congenital defects detected at birth. In 1996 there were 63 deaths attributed to drinking water contamination in Caruaru, Brazil. [10]
Atracidae is a family of mygalomorph spiders, commonly known as Australian funnel-web spiders or atracids. It has been included as a subfamily of the Hexathelidae, but is now recognised as a separate family. All members of the family are native to Australia. Atracidae consists of three genera: Atrax, Hadronyche, and Illawarra, comprising 35 species. Some members of the family produce venom that is dangerous to humans, and bites by spiders of six of the species have caused severe injuries to victims. The bites of the Sydney funnel-web spider and northern tree-dwelling funnel-web spider are potentially deadly, but no fatalities have occurred since the introduction of modern first-aid techniques and antivenom.
Ciguatera fish poisoning (CFP), also known as ciguatera, is a foodborne illness caused by eating reef fish contaminated with ciguatoxins. Such individual fish are said to be ciguatoxic. Symptoms may include diarrhea, vomiting, numbness, itchiness, sensitivity to hot and cold, dizziness, and weakness. The onset of symptoms varies with the amount of toxin eaten. If a lot of toxins are consumed symptoms may appear within half an hour. If a low amount of toxins are consumed symptoms make take a few days to appear. Diarrhea may last up to four days. Symptoms may last a few weeks to a few months. Heart problems such as slow heart rate and low blood pressure may occur.
Irukandji syndrome is a condition that results from envenomation by certain box jellyfish. In rare instances the sting may result in cardiac arrest and death. The most common jellyfish involved is the Carukia barnesi, a species of Irukandji jellyfish. Those stung may experience severe or even excruciating pain.
Cyanotoxins are toxins produced by cyanobacteria. Cyanobacteria are found almost everywhere, but particularly in lakes and in the ocean where, under high concentration of phosphorus conditions, they reproduce exponentially to form blooms. Blooming cyanobacteria can produce cyanotoxins in such concentrations that they can poison and even kill animals and humans. Cyanotoxins can also accumulate in other animals such as fish and shellfish, and cause poisonings such as shellfish poisoning.
Saxitoxin (STX) is a potent neurotoxin and the best-known paralytic shellfish toxin. Ingestion of saxitoxin by humans, usually by consumption of shellfish contaminated by toxic algal blooms, is responsible for the illness known as paralytic shellfish poisoning (PSP).
In humans, Erysipelothrix rhusiopathiae infections most commonly present in a mild cutaneous form known as erysipeloid or fish poisoning. E. rhusiopathiae can cause an indolent cellulitis, more commonly in individuals who handle fish and raw meat. Erysipelothrix rhusiopathiae also causes Swine Erysipelas. It is common in domestic pigs and can be transmitted to humans who work with swine. It gains entry typically by abrasions in the hand. Bacteremia and endocarditis are uncommon but serious sequelae. Due to the rarity of reported human cases, E. rhusiopathiae infections are frequently misidentified at presentation.
White-tailed spiders are spiders native to southern and eastern Australia, and so named because of the whitish tips at the end of their abdomens. The body size is up to 18 mm, with a leg-span of 28 mm. Common species are Lampona cylindrata and Lampona murina. Both these species have been introduced into New Zealand.
Anatoxin-a, also known as Very Fast Death Factor (VFDF), is a secondary, bicyclic amine alkaloid and cyanotoxin with acute neurotoxicity. It was first discovered in the early 1960s in Canada, and was isolated in 1972. The toxin is produced by multiple genera of cyanobacteria and has been reported in North America, South America, Central America, Europe, Africa, Asia, and Oceania. Symptoms of anatoxin-a toxicity include loss of coordination, muscular fasciculations, convulsions and death by respiratory paralysis. Its mode of action is through the nicotinic acetylcholine receptor (nAchR) where it mimics the binding of the receptor's natural ligand, acetylcholine. As such, anatoxin-a has been used for medicinal purposes to investigate diseases characterized by low acetylcholine levels. Due to its high toxicity and potential presence in drinking water, anatoxin-a poses a threat to animals, including humans. While methods for detection and water treatment exist, scientists have called for more research to improve reliability and efficacy. Anatoxin-a is not to be confused with guanitoxin, another potent cyanotoxin that has a similar mechanism of action to that of anatoxin-a and is produced by many of the same cyanobacteria genera, but is structurally unrelated.
Cylindrospermopsin is a cyanotoxin produced by a variety of freshwater cyanobacteria. CYN is a polycyclic uracil derivative containing guanidino and sulfate groups. It is also zwitterionic, making it highly water soluble. CYN is toxic to liver and kidney tissue and is thought to inhibit protein synthesis and to covalently modify DNA and/or RNA. It is not known whether cylindrospermopsin is a carcinogen, but it appears to have no tumour initiating activity in mice.
Barcoo fever is an illness once common in the Australian outback that is now virtually unknown. It was characterised by nausea and vomiting exacerbated by the sight or smell of food and, unlike the usual gastro-intestinal infections, by constipation rather than diarrhoea. Fever and myalgia were also symptoms. Some additional symptoms of Barcoo fever include diarrhea, dyspepsia, liver failure, abdominal pain, prolonged enteritis, weight loss, lethargy, and malaise. Severe cases developed inanition and even death. It was seen in travelers in the outback rather than in cities or towns, but occasionally entire settlements were affected, such as occurred in Toowoomba in 1903. The aboriginal population knew to avoid the ailment by not drinking from certain water sources and by taking water from soaks or pits dug in the dry sandy bed of a stream.
Copper toxicity is a type of metal poisoning caused by an excess of copper in the body. Copperiedus could occur from consuming excess copper salts, but most commonly it is the result of the genetic condition Wilson's disease and Menke's disease, which are associated with mismanaged transport and storage of copper ions. Copper is essential to human health as it is a component of many proteins. But hypercupremia can lead to copper toxicity if it persists and rises high enough.
Planktothrix is a diverse genus of filamentous cyanobacteria observed to amass in algal blooms in water ecosystems across the globe. Like all Oscillatoriales, Planktothrix species have no heterocysts and no akinetes. Planktothrix are unique because they have trichomes and contain gas vacuoles unlike typical planktonic organisms. Previously, some species of the taxon were grouped within the genus Oscillatoria, but recent work has defined Planktothrix as its own genus. A tremendous body of work on Planktothrix ecology and physiology has been done by Anthony E. Walsby, and the 55.6 kb microcystin synthetase gene which gives these organisms the ability to synthesize toxins has been sequenced. P. agardhii is an example of a type species of the genus. P. agardhii and P. rubescens are commonly observed in lakes of the Northern Hemisphere where they are known producers of potent hepatotoxins called microcystins.
Microcystis aeruginosa is a species of freshwater cyanobacteria that can form harmful algal blooms of economic and ecological importance. They are the most common toxic cyanobacterial bloom in eutrophic fresh water. Cyanobacteria produce neurotoxins and peptide hepatotoxins, such as microcystin and cyanopeptolin. Microcystis aeruginosa produces numerous congeners of microcystin, with microcystin-LR being the most common. Microcystis blooms have been reported in at least 108 countries, with the production of microcystin noted in at least 79.
Raphidiopsis raciborskii is a freshwater cyanobacterium.
Avian vacuolar myelinopathy (AVM) is a fatal neurological disease that affects various waterbirds and raptors. It is most common in the bald eagle and American coot, and it is known in the killdeer, bufflehead, northern shoveler, American wigeon, Canada goose, great horned owl, mallard, and ring-necked duck. Avian vacuolar myelinopathy is a newly discovered disease that was first identified in the field in 1994 when dead bald eagles were found near DeGray Lake in Arkansas in the United States. Since then, it has spread to four more states and infested multiple aquatic systems including 10 reservoirs. The cause of death is lesions on the brain and spinal cord. A neurotoxin called aetokthonotoxin produced by cyanobacteria causes the disease.
Creswell John Eastman is the Clinical Professor of Medicine at Sydney University Medical School, Principal of the Sydney Thyroid Clinic and Consultant Emeritus to the Westmead Hospital. Eastman is an endocrinologist and has directed or conducted research and public health projects into elimination of iodine deficiency disorders (IDD) in Malaysia, Indonesia, Laos, Cambodia, Thailand, several Pacific Islands, Hong Kong, China and Tibet and Australia. For his work in remote areas of China, he has been dubbed the "man who saved a million brains".
John Handyside (Jack) Barnes MBE (1922–1985) was a physician and toxinologist in Queensland, Australia. Born in Charleville he is known for his research on the box jellyfish.
Susanna Wood is a New Zealand scientist whose research focuses on understanding, protecting and restoring New Zealand's freshwater environments. One of her particular areas of expertise is the ecology, toxin production, and impacts of toxic freshwater cyanobacteria in lakes and rivers. Wood is active in advocating for the incorporation of DNA-based tools such as metabarcoding, genomics and metagenomics for characterising and understanding aquatic ecosystems and investigating the climate and anthropogenic drivers of water quality change in New Zealand lakes. She has consulted for government departments and regional authorities and co-leads a nationwide programme Lakes380 that aims to obtain an overview of the health of New Zealand's lakes using paleoenvironmental reconstructions. Wood is a senior scientist at the Cawthron Institute. She has represented New Zealand internationally in cycling.
Aphanizomenon ovalisporum is a filamentous cyanobacteria present in many algal blooms.
Aetokthonotoxin (AETX), colloquially known as eagle toxin, is a chemical compound that was identified in 2021 as the cyanobacterial neurotoxin causing vacuolar myelinopathy (VM) in eagles in North America. As the biosynthesis of aetokthonotoxin depends on the availability of bromide ions in freshwater systems and requires an interplay between the toxin-producing cyanobacterium Aetokthonos hydrillicola and the host plant it requires to live, it took more than 25 years to identify aetokthonotoxin as the VM-inducing toxin after the disease has first been diagnosed in bald eagles in 1994. The toxin cascades through the food-chain: Among other animals, it builds up in fish and waterfowl such as coots or ducks which feed on hydrilla colonized with the cyanobacterium. Aetokthonotoxin is transmitted to raptors, such as the bald eagle, as they prey on AETX poisoned animals. The total synthesis of AETX was achieved in 2021, the enzymatic functions of the 5 enzymes involved in AETX biosynthesis were described in 2022.