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Surveillance for Possible Estuary-Associated SyndromeSix States, 1998-1999
JAMA. 2000;283:3062-3063.
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MMWR. 2000;49:372-374
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Pfiesteria piscicida (Pp) is an alga that has been associated with fish kills in estuaries (where fresh water mixes with salty seawater) along the eastern seaboard and possibly with human health effects.1-2 Since June 1, 1998, surveillance for possible estuary-associated syndrome (PEAS), including possible Pp-related human illness, has been conducted in Delaware, Florida, Maryland, North Carolina, South Carolina, and Virginia. This report summarizes passive surveillance for PEAS during June 1, 1998-December 31, 1999, which indicated no persons had illnesses that met PEAS criteria.
The PEAS surveillance system collects information about possible human health problems that may occur after exposure to estuarine water (such as sounds or coastal river mouths or in laboratories or aquaculture facilities). For surveillance purposes, persons are considered to have PEAS if (1) they report developing symptoms within 2 weeks after confirmed exposure to estuarine water; (2) they report memory loss or . . . [Full Text of this Article]
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