Ciguatera is endemic in subtropical and tropical regions of the western Indian and Pacific Ocean regions and in the Caribbean Sea (Lehane and Lewis, 2000).

Where is ciguatera found?

Because fish are shipped around the world, you can get ciguatera anywhere. The risk is highest in fish from the Caribbean Sea and the Pacific and Indian Oceans. As many as 3 of every 100 travelers to these areas get ciguatera. The eastern Mediterranean and the western Gulf of Mexico are also areas of risk.

Where is ciguatera most common?

Ciguatera Fish Poisoning commonly occurs in tropical and subtropical areas, particularly in the Pacific Ocean, the Indian Ocean, and the Caribbean Sea.