Paralytic Shellfish Poisoning
When a phytoplankton bloom turns the water red or brown, the event is commonly referred to as a "red tide." Toxic and non-toxic species have caused red tides around the world, although red tides are typically synonymous with toxic species. Additionally, multiple toxic species are associated with red tide in the United States. The confusion surrounding the term "red tide" can cause concerns about water quality and local seafood, miscommunications about public health issues, and economic losses due to reductions in recreational activities and tourism.
New England red tide is caused by the dinoflagellate Alexandrium. Alexandrium produces a potent neurotoxin called saxitoxin. Paralytic shellfish poisoning (PSP) is the syndrome associated with the consumption of shellfish contaminated with saxitoxin. PSP symptoms may include, tingling, numbness, burning in the extremities or mouth, lack of coordination, drowsiness, nausea/vomiting, diarrhea, fever, and rash. In extreme cases, PSP symptoms can include respiratory arrest and death if not provided supportive care at a hospital. New England red tide is naturally occurring and has been documented for hundreds of years. Native Americans even developed a method for identifying when shellfish were not safe to consume before the cause of shellfish poisonings was known.
New England red tide has become predictable, with extensive monitoring occurring from March to October. While northern New England states such as Maine began to have annual PSP closures in the 1970's, southern New England states such as Connecticut and Rhode Island, as well as New York historically had sporadic, smaller-scale closures. Despite Alexandrium's documented presence in New York since the 1980's, extensive, near-annual closures did not occur until 2006. Although Alexandrium has been documented in Connecticut since the 1980's, shellfish beds in Groton, CT have only experienced closures in 1985, 1992, 2003, 2020, and 2023.
Similar to how plants produce hardy seeds that can germinate the following spring, Alexandrium produce hardy cysts that lay dormant in the sea sediment. Once conditions become ideal, typically in the spring, Alexandrium emerge from their cysts and can potentially form toxic blooms as planktonic (free-swimming) cells. There have been no PSP-related illnesses in Connecticut.