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HEALTHY LIVING
Deadly Poisonous: Hidden Risks in Fish and Shellfish - P2/2  
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	Halo concerned viewers 
and welcome 
to Healthy Living. 
Today we present part two 
in our two-part series 
on seafood poisoning, 
which is caused by 
consuming fish 
or shellfish 
tainted with toxins. 
  
In the US seafood poisoning is 
the primary cause of 
foodborne illness. 
Typical symptoms of 
the condition 
include nausea, vomiting, 
gastroenteritis, 
muscle aches, and in the 
most serious cases, death.
With globalization 
making it possible for 
contaminated marine life 
to be sold in markets 
around the world, no one 
who consumes seafood 
is free from 
this dangerous threat.
  
Last week 
we covered a number of 
well-known types of 
seafood poisoning, 
including ciguatera, 
the most common form 
of fish poisoning 
in the world.
  
Ciguatoxins are resistant 
to heat and cold, 
so cooking, smoking, 
refrigerating, freezing 
and/or curing the 
 contaminated fish cannot 
protect a consumer from 
becoming sickened. 
It is also undetectable 
as the toxin is 
odorless and tasteless.
  
With something
 like ciguatera, one of 
the things that people 
do need to understand is 
that it’s a mobile toxin. 
It’s taken up by fish; 
those fish can travel 
long distances and they 
can travel long distances 
by swimming or being 
put on a ship or a plane 
and being transported 
elsewhere. 
The barriers are 
breaking down and 
seafood is being moved 
around the world 
at an extraordinary rate. 
  
In the last 200 years, 
scientists worldwide have 
identified five or six types 
of ciguatoxin, which 
accounts for only half 
of the various types 
of ciguatoxin.  
The constituents of 
the rest 
still can’t be analyzed 
by modern technology. 
From this you know that 
ciguatoxins are very 
mysterious and complex. 
There are still 
some toxins that 
we do not know about. 
  
Some of these toxins 
are water-soluble, 
and some fat-soluble. 
They are mainly found 
in the coral reefs. 
The toxins may originate 
from bacteria, algae, 
or plankton algae 
in the coral reefs. 
The macroalgae residing 
in the coral reefs are 
eaten by the fish and 
the toxins thus stay inside 
the bodies of herbivore 
and carnivore fish 
and are subsequently 
consumed by humans.  
  
Ciguatera poisoning 
cases that occur 
in China or Hong Kong 
are always very serious, 
because the fish are 
usually the bigger ones 
weighing about 
100 kilograms each. 
In Hong Kong, the 
restaurants usually buy 
the whole fish and serve 
it all at the same time to 
about 50 to 100 people. 
So, all these people 
would suffer from 
the poisoning at once.
  
Some sea species 
self-produce toxins 
for protection. 
For example, the skin and 
organs of the Pufferfish 
are extremely dangerous 
as they have tetrodotoxin, 
a substance which is 
10,000 times more potent 
than cyanide.  
Consequently handling 
or eating a Pufferfish 
can be fatal. 
Fishing is another 
activity that can lead to 
death as physical contact 
with hazardous marine 
species is a possibility.
  
The toxins of some 
marine animals 
are not only fatal 
through ingestion, 
but also by contact. 
As there are poisonous 
snakes on land, there are 
poisonous snakes 
in the sea and
they are just as deadly. 
In addition to
poisonous snakes, 
lots of animals in the sea 
are very poisonous. 
  
It is common knowledge 
in Formosa (Taiwan) that 
the Stingrays are the 
most deadly, followed by 
the Striped Eel Catfish. 
The third most poisonous 
is a kind of squid called 
Rockfish, and 
the fourth kind is what we 
call “Stink Belly Fish,” 
which is in the north 
and in the south we have 
the Spotted Scat Fish. 
  
These are the five main 
kinds of poisonous fish 
in Formosa (Taiwan). 
If stung by the first two 
or three kinds, 
it could be fatal because 
their toxins are the same 
as poisonous snakes. 
They could kill you by 
dissolving your 
hemoglobin, resulting to 
hemolytic symptoms.
  
A bacteria called 
vibrio parahemolyticus is 
found worldwide in areas 
with brackish saltwater 
and is from 
the same bacterial family 
that causes cholera. 
If one eats seafood 
contaminated with 
vibrio parahemolyticus, 
gastroenteritis may occur.  
These bacteria can enter 
the body by touching 
marine life as well.  
  
People who fish for Elops 
(ladyfish) can get stung 
by the fish, 
and their hands 
would swell terribly.  
The records of 
the Mackay Memorial 
Hospital show that they 
have treated more than 
a dozen such victims and 
five or six of them died. 
However, their death 
was not caused 
by the fish toxin. 
Scientists discovered that 
it was due to a kind of 
bacteria called 
vibrio parahemolyticus 
in the sea. 
  
The symptoms of 
this kind of infection 
resemble that of tetanus. 
Together with 
the fish toxin, the 
bacteria enter the blood 
and then the muscles, 
and then the brain, 
causing meningitis. 
The victims would die 
in two or three days.
At present there is 
no antibiotic available 
for the treatment of 
vibrio parahemolyticus. 
Once infected, 
the victim would die 
in two to three days. 
So we must be 
very careful.  
Don’t take a fish sting 
lightly.
  
Some take fish liver oil 
supplements, thinking
it is good for the eyes.  
This is 
an incorrect notion, 
as the supposed 
vision-improving 
properties of the oil 
have not been 
scientifically proven. 
  
About fish liver oil, 
at our clinic, 
many parents ask us 
if they should feed their 
children fish liver oil to 
help improve the health 
of their eyes, 
as fish liver oil 
contains vitamin A. 
Why don’t we 
recommend eating fish? 
It’s because our entire 
ocean is polluted now, 
including 
our fresh waterways. 
  
The pollution is 
very severe. 
There is a lot of mercury 
and environmental 
hormones in the water, 
so all the fish have 
accumulated a lot of 
heavy metal pollutants 
and environmental 
hormones.
  
In fact the belief that 
eating fish is good 
for our eyes 
has no scientific basis. 
  
If we want our children 
or ourselves to have 
good eyes, we can get 
the necessary nutrients 
from plants.  
These food sources are 
safer because they have 
less contaminants. 
This is what we 
recommend for eye care.
  
Usually, 
the most poisonous fish 
are the bigger ones, 
weighing more than 
three or five kilograms. 
The toxin is usually 
in the liver. 
They could also be 
carrying a concentrated 
amount of vitamin A, 
such as in the case of 
tuna or muraeninae fish, 
and thus capable of 
causing vitamin A 
poisoning. 
  
Actually, plants are 
very rich in vitamin A. 
The vitamin A in veggies 
is in the form of 
beta carotene, which 
can be transformed to 
vitamin A by our body. 
So, if we eat veggies that 
contain beta-carotene 
and let the body transform 
it into vitamin A, 
this is a safer way to get 
this vitamin. Why so? 
If we get vitamin A 
directly from foods, 
the excessive amount will 
accumulate in our bodies, 
because vitamin A is 
a fat-soluble vitamin. 
When we accumulate 
too much, it will cause 
symptoms of poisoning.
  
Most consumers are not 
aware that they have 
been poisoned, so they 
don’t go to see a doctor. 
The symptoms are similar 
to influenza, 
so doctors often misjudge 
and treat it as influenza. 
Usually it takes a week 
for doctors and patients 
to figure out that 
it is vitamin A poisoning 
caused by eating fish liver
when rashes appear 
and the skin starts to peel.
  
Some consume fish oil 
supplements, which are 
derived from the tissues 
of oily fish, 
in the mistaken belief 
that they are beneficial 
to the heart 
as the oil contains 
omega-3 fatty acids. 
  
Several experiments, 
including the DART-2 
(Diet and Reinfarction 
Trial) study in the US 
have shown that 
those who take such 
supplements actually 
fare worse in terms of 
heart health as compared 
to those who do not 
take such products. 
Dr. Liu Teng-Chieh says 
that plant-based sources 
are superior to fish oil 
for acquiring DHA 
(docosahexaenoic acid),  
an omega-3 fatty acid. 
  
We can also get DHA 
from seaweed. 
Actually, our bodies 
can make DHA. 
For example, if we 
consume alpha-linolenic 
acid (ALA), which is 
an essential fatty acid, 
our bodies can convert it 
into DHA. 
What kinds of food 
are rich in ALA?  
  
Examples of ALA-rich 
foods include soybeans 
and nuts such as 
cashews and walnuts, etc. 
Flaxseeds also contain 
a lot of essential 
fatty acid ALA, which can 
be transformed into DHA 
by our bodies. 
So, if you want 
your children to have
better eyes and strong 
and healthy bodies, you 
can feed them seaweed, 
nuts, soybeans, etc. 
  
Dioxins are 
toxic substances 
that cause reproductive 
and developmental 
disorders, cancers and 
immune-system damage 
in humans. 
The World Health 
Organization says 
more than 90% of dioxin 
exposure in humans 
comes from consuming 
animal products, 
including eggs, 
fish and shellfish.
  
Dioxin pollution 
can be found on land 
and in the ocean and
it happens all over
the world, not just 
in Formosa (Taiwan). 
Similarly, dioxins 
can contaminate fish 
through bioaccumulation. 
Dioxins can stay in our 
bodies for a long time. 
They stay in a fish’s body 
for almost all of its life. 
So once we humans 
or fish consume dioxins, 
they stay in the body. 
  
Dioxins are a primary 
cancer hazard. 
They can cause cancer 
and immune system 
disorders. 
One of the most famous 
cases regarding dioxin 
contamination happened 
a few years ago. 
It was found that 
farmed salmon contained 
especially high levels 
of dioxins. 
Only a few cases like that 
have been exposed  and 
there may be others that 
have not been exposed.
  
To conclude today’s 
program, 
we feature someone 
who experienced 
shellfish poisoning who 
shares how the event 
totally changed her life.
  
About 10 years ago 
I had an allergic reaction 
to eating oysters 
and my face became 
swollen and red. 
I sought treatment 
from doctors at various 
hospitals: China Medical 
University Hospital, 
Jen-Ai Hospital, Kuang 
Tien General Hospital, 
and Tungs’ Taichung 
MetroHarbor Hospital… 
I also tried small clinics 
but my condition 
didn’t improve. 
For more than one year 
I went to different places, 
for two or three months 
each, but nothing 
helped me. 
  
Finally, 
after some thinking, 
I prayed to the Buddha. 
I said, “From now on, 
I am not going to 
take any medicine 
or apply any ointment. 
Please help me and
let my face recover. 
I will begin to be 
a full vegetarian.” 
  
Indeed, after I embarked 
on the vegetarian diet 
the redness on my face 
vanished. 
I have been 
a full vegetarian 
for 10 years now. 
My skin is fine and
my health is good. 
I feel very light and nice.
  
We sincerely thank 
Doctors Lyndon Llewellyn, 
Hwang Deng-Fwu, 
Yang Chen-Chang, 
and Liu Teng-Chieh 
for sharing their expert 
opinions on the issue 
of seafood poisoning 
and the toxins hidden 
in marine animals. 
To avoid the health 
conditions we’ve covered 
in our two-part series, 
please embrace the 
healthful, organic vegan 
diet which provides 
all the necessary nutrients 
needed for lifelong 
strength and vitality.
  
For more details 
on the experts featured 
on our program, 
please visit 
the following websites 
Dr. Hwang Deng-Fwu
www.Toxin.NTOU.edu.tw 
Dr. Liu Teng-Chieh	
www.PULIVH.gov.tw 
Dr. Lyndon Llewellyn
www.AIMS.gov.au 
Dr. Yang Chen-Chang
www.VGHTPE.gov.tw
  
Thank you for joining us 
on today’s episode of 
Healthy Living. 
Coming up next is 
Science and Spirituality, 
after Noteworthy News. 
May we always enjoy 
the highest of spirits and 
everlasting well-being.       
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