To Pee, or Not to Pee: A Review on Envenomation and Treatment in European Jellyfish Species

There is a growing cause for concern on envenoming European species because of jellyfish blooms, climate change and globalization displacing species. Treatment of envenomation involves the prevention of further nematocyst release and relieving local and systemic symptoms. Many anecdotal treatments are available but species-specific first aid response is essential for effective treatment. However, species identification is difficult in most cases. There is evidence that oral analgesics, seawater, baking soda slurry and 42–45 °C hot water are effective against nematocyst inhibition and giving pain relief. The application of topical vinegar for 30 s is effective on stings of specific species. Treatments, which produce osmotic or pressure changes can exacerbate the initial sting and aggravate symptoms, common among many anecdotal treatments. Most available therapies are based on weak evidence and thus it is strongly recommended that randomized clinical trials are undertaken. We recommend a vital increase in directed research on the effect of environmental factors on envenoming mechanisms and to establish a species-specific treatment. Adequate signage on jellyfish stings and standardized first aid protocols with emphasis on protective equipment and avoidance of jellyfish to minimize cases should be implemented in areas at risk.

Oceans and Human Health (OHH): a European perspective from the Marine Board of the European Science Foundation (Marine Board-ESF)

The oceans and coastal seas provide mankind with many benefits including food for around a third of the global population, the air that we breathe and our climate system which enables habitation of much of the planet. However, the converse is that generation of natural events (such as hurricanes, severe storms and tsunamis) can have devastating impacts on coastal populations, while pollution of the seas by pathogens and toxic waste can cause illness and death in humans and animals. Harmful effects from biogenic toxins produced by algal blooms (HABs) and from the pathogens associated with microbial pollution are also a health hazard in seafood and from direct contact with water. The overall global burden of human disease caused by sewage pollution of coastal waters has been estimated at 4 million lost person-years annually. Finally, the impacts of all of these issues will be exacerbated by climate change. A holistic systems approach is needed. It must consider whole ecosystems, and their sustainability, such as integrated coastal zone management, is necessary to address the highly interconnected scientific challenges of increased human population pressure, pollution and over-exploitation of food (and other) resources as drivers of adverse ecological, social and economic impacts. There is also an urgent and critical requirement for effective and integrated public health solutions to be developed through the formulation of politically and environmentally meaningful policies. The research community required to address "Oceans & Human Health" in Europe is currently very fragmented, and recognition by policy makers of some of the problems, outlined in the list of challenges above, is limited. Nevertheless, relevant key policy issues for governments worldwide include the reduction of the burden of disease (including the early detection of emerging pathogens and other threats) and improving the quality of the global environment. Failure to effectively address these issues will impact adversely on efforts to alleviate poverty, sustain the availability of environmental goods and services and improve health and social and economic stability; and thus, will impinge on many policy decisions, both nationally and internationally. Knowledge exchange (KE) will be a key element of any ensuing research. KE will facilitate the integration of biological, medical, epidemiological, social and economic disciplines, as well as the emergence of synergies between seemingly unconnected areas of science and socio-economic issues, and will help to leverage knowledge transfer across the European Union (EU) and beyond. An integrated interdisciplinary systems approach is an effective way to bring together the appropriate groups of scientists, social scientists, economists, industry and other stakeholders with the policy formulators in order to address the complexities of interfacial problems in the area of environment and human health. The Marine Board of the European Science Foundation Working Group on "Oceans and Human Health" has been charged with developing a position paper on this topic with a view to identifying the scientific, social and economic challenges and making recommendations to the EU on policy-relevant research and development activities in this arena. This paper includes the background to health-related issues linked to the coastal environment and highlights the main arguments for an ecosystem-based whole systems approach.

An evaluation of beached bird monitoring approaches

Oil-pollution monitoring at sea through beach bird surveying would undoubtedly benefit from a further standardisation of methods, enhancing the efficiency of data collection. In order to come up with useful recommendations, we evaluated various approaches of beached bird collection at the Belgian coast during seven winters (1993-1999). Data received in a passive way by one major rehabilitation centre were compared to the results of targeted beach surveys carried out at different scales by trained ornithologists: 'weekly' surveys - with a mean interval of 9 days - restricted to a fixed 16.7 km beach stretch, 'monthly' surveys over the entire coastline (62.1 km) and an annual 'international' survey in Belgium over the same distance at the end of February. Data collected through Belgian rehabilitation centres concern injured, living birds collected in a non-systematical way. Oil rates derived from these centres appear to be strongly biased to oiled auks and inshore bird species, and are hence of little use in assessing the extent of oil pollution at sea. The major asset of rehabilitation centres in terms of data collection seems to be their continuous warning function for events of mass mortality. Weekly surveys on a representative and large enough section rendered reliable data on oil rates, estimates of total number of bird victims, representation of various taxonomic groups and species-richness and were most sensitive in detecting events quickly (wrecks, oil-slicks, severe winter mortality, etc.). Monthly surveys gave comparable results, although they overlooked some important beaching events and demonstrated slightly higher oil rates, probably due to the higher chance to miss short-lasting wrecks of auks. Since the monthly surveys in Belgium were carried out by a network of volunteers and were spread over a larger beach section, they should be considered as best performing. Single 'international beached bird surveys' in February gave reliable data on total victim number (once the mean ratio between numbers in various months is known) and oil rate (provided a sufficiently large sample can be collected), but failed in tracking events. It is a particularly attractive approach because of its long tradition, resulting in invaluable long-term databases, and the uniformity in which these surveys are organised on a large scale. The minimal distance for a monthly survey amounts to 25-30 km (40-50% of Belgian coastline) up to 40 km (65%) in order to attain sound figures for oil rate and species-richness, respectively. These distances are primarily determined by the number of bird corpses that may be collected and are hence a function of beaching intensity and corpse detection rate.