Ackee Fruit Poisoning: An Outbreak Investigation in Haiti 2000–2001, and Review of the Literature

Renée Joskow Centers for Disease Control and Prevention, National Center for Environmental Health, Environmental Hazards Health Effects/Health Studies Branch, Chamblee, GA, USA

, M.P.H. , D.D.S.,

Martin Belson Centers for Disease Control and Prevention, National Center for Environmental Health, Environmental Hazards Health Effects/Health Studies Branch, Chamblee, GA, USA

, M.D.,

Hubert Vesper Centers for Disease Control and Prevention, National Center for Environmental Health, Division of Laboratory Sciences, Chamblee, GA, USA

, Ph.D.,

Lorraine Backer Centers for Disease Control and Prevention, National Center for Environmental Health, Environmental Hazards Health Effects/Health Studies Branch, Chamblee, GA, USA

, M.P.H. , Ph.D. &

Carol Rubin Centers for Disease Control and Prevention, National Center for Environmental Health, Environmental Hazards Health Effects/Health Studies Branch, Chamblee, GA, USA

, M.P.H. , D.V.M.

Abstract

The Centers for Disease Control and Prevention (CDC) provided technical assistance to the Ministry of Health of Haiti during an outbreak of over 100 cases of acute illness and death in the northern region of Haiti during a 4-month period beginning in November 2000. The epidemiologic, clinical, and laboratory findings in this investigation indicated the ingestion of unripe ackee fruit as the most likely cause of this outbreak. This report describes the CDC field investigation in Haiti and gives a brief overview of the current state of knowledge about ackee poisoning.

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