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RESEARCH REPORT
2015
Bacteriological and Bio-toxin
sampling 2015
L.E. RUTLAND
2
Contents
1. Introduction Page3
2.0 Requirement under Regulation 854/2004 Page 4
2.1 Microbiological testing Page 4 -Sanitary Survey -Classification of production areas 2.2 Bio-toxin testing Page 7
-What is Shellfish poisoning and what are the toxic affects? 2.3 Amnesic shellfish poisoning (ASP) Page 9 -Causes -Clinical symptoms
2.4 Diarrhetic shellfish poisoning (DSP) Page 10 -Causes
-Clinical symptoms
2.5 Paralytic shellfish poisoning (PSP) Page 11 -Causes
-Clinical symptoms
3.0 Methods Page 12 -Collection and Processing of Live bivalve mollusc samples
-Method used to quantify Amnesic Shellfish Poison in Shellfish -Methods used to collect and analyse water samples for toxin-producing phytoplankton species -Collection of water samples -Processing of water samples
4.0 Results of the 2014/2015 monitoring programme Page 18 -E.coli flesh results -Bio-toxin results -Water sample test results -Flesh sample test results
5.0 Discussion Page 22
6.0 References Page 23
3
1. Introduction
Shellfish form a major component of the landings
within our district. Within the Wash, Cockles and
Mussels are the main targets of fishermen with
cockles alone providing an average first sale
value of over one million pounds per year
(Jessop, 2014). Before shellfish can be harvested
and sold, bivalve production areas must be
classified to determine whether the shellfish
harvested from these areas are fit for human
consumption, this is a requirement under EC Regulation 854/2004.
It is well known that bivalves are responsible for a number of human diseases and this is largely due
to the nature of their feeding mechanism. Bivalves are filter feeders; they remove particles from
suspension by pumping water over their ctenidia. Particles are then selected and transported to the
mouth and latter digested (Ward, 1993). This feeding mechanism enables bivalve molluscs to
concentrate and retain bacterial and viral pathogens and contaminants found in there surrounding
waters; this can be common where shellfish beds are located close to point sources of pollution.
The Local authority is tasked with ensuring a sampling
regime is put in place so that periodic monitoring of the
shellfish production areas is achieved in order to check for
microbiological contamination, marine biotoxins and
chemical contamination.
Eastern IFCA collects both shellfish and water samples for bacteriological and biotoxin analysis on a
monthly basis on behalf of the local authority’s. The next section will outline the classification and
monitoring requirements for shellfish production areas.
Figure 1. Harvested Cockles from the Wash
Figure 2. Mytilus edulis
4
2.0 EU Requirement under Regulation 854/2004 to monitor shellfish
production areas
2.1 Microbiological testing
When an application is submitted for the establishment of a new shellfish production area the area
must first be classified. The classification process involves a number of steps which are outlined
below and detailed in the following section:
Sanitary survey
Classification of the production area
Establishment of a monitoring program
Bio-toxin monitoring
Sanitary Survey
A sanitary survey is carried out in order to evaluate the risk of microbiological contamination to
shellfish within the proposed production area and is carried out before a provisional classification
can be awarded. The survey considers the following information (Also summarised in figure 3).
location and extent of the bivalve mollusc fishery
Type of shellfishery (species, method of harvest, seasonality of harvest)
Location, type and volume of sewage discharges
Location of river inputs and other potentially contaminated water courses
Location of harbours and marinas
Hydrographic and hydrometric data
Existing microbiological data from water quality or shellfish monitoring undertaken in the
same area or adjacent areas.
Once the sanitary survey has been completed provisional classification of the harvesting area can be
made. The results of the sanitary survey provides the basis of the sampling plan and enables
Representative monitoring points (RMP) to be identified. RMP’s reflect the locations at which a
5
pollution event is most likely and thus routine monitoring of these sites should ensure detection of
such an event.
Figure 3. Requirements for the classification of shellfish harvesting areas
6
Classification of production areas The classification given to a production area determines the treatment that is required before the
shellfish may be marketed. For a provisional classification to be made a minimum of 10 samples
must be taken from the RMP over a 3 month period. Sampling is then continued on a monthly basis.
Once monthly monitoring has been continued for 1 year full classification may be awarded to the
production area. There are three classes within this classification system, Class A, B and C (Figure 4).
Figure 4. Classifications of shellfish production areas
For a Class A classification Live bivalve molluscs collected within the production area must contain less than 230 E.coli per 100g of flesh and intra-valvular liquid.
In production areas with a Class A classification, live bivalve molluscs may be collected for direct human consumption and require no further processing.
For a Class B classification Live bivalve molluscs collected within the production area must not exceed the limits of a five-tube, three dilution Most Probable Number (MPN) test of 4 600 E.coli
per 100 g of flesh and intra-valvular liquid. In production areas with a Class B classification, live bivalve molluscs may be placed on the
market only after treatment in a purification centre or after relaying.
For a Class C classification Live bivalve molluscs collected within the production area must not exceed the limits of a five-tube, three dilution MPN test of 46 000 E.coli per 100 g of flesh and
intra-valvular liquid so as to meet the health standards required. In production areas with a Class C classification, live bivalve molluscs may be placed on the
market only after relaying over a long period so as to meet the health standards required
7
Adapted from (Nordsieck, 2011)
2.2 Bio-toxin testing
As well as analysing flesh samples for E.coli, flesh and water samples are also taken to look for toxin-
producing plankton and bio-toxins. The major toxin groups tested for during bio-toxin sampling are
Paralytic shellfish poisoning (PSP), Amnesic shellfish poisoning (ASP) and Lipophilic toxin responsible
for Diarrhetic shellfish poisoning (DSP). Table 2 highlights the permitted levels for each toxin tested.
What is Shellfish poisoning and what are the toxic affects?
Bivalves are suspension feeders that filter food from the
water column. Food enters the mantel cavity where
particles are captured by ciliated feeding structures.
Filtration is regulated to select particles based on size,
shape, nutritive value and chemical composition. (Arapov,
2010). The bivalve diet consists of phytoplankton, which
forms the primary food source, bacteria, detritus and
zooplankton and thus bivalves are important in the nutrient flux between benthic and pelagic
communities and are an important part of the marine food web.
Bivalve molluscs accumulate naturally occurring bio-toxins produced by marine algae and act as a
host for a wide range of parasites, these parasites have little or no effect within the bivalve host and
are transmitted to their definitive host (Humans and other vertebrates) by the consumption of raw
or undercooked shellfish where they can have serious effects on human health (Ben-Horin, 2015).
Toxin Annreviation Permitted levels of biotoxins
Paralytic shellfish poison PSP 800 micrograms/kilogram
Amnesic shellfish poison ASP 20 milligrams of domoic acid/kilogram
Diarrhetic shellfish poison DSP Must not be presant
Okadaic acid/Dinophysis toxins/Pectenotoxin OA/DTXs/PTXs 160 micrograms of Okadaic acid equivalents/kilagram
Yessotoxin YTXs 3.75 milligram of yessotoxin equivalent/killogram
Azaspiracid AZAs 160 micrograms of a zaspiracid equivalents/kilogram
Table 2. Permitted level of biotoxins
8
The major health conditions caused by Ingestion of
contaminated shellfish are Paralytic shellfish poisoning (PSP),
Amnesic shellfish poisoning (ASP) and Diarrhetic shellfish
poisoning (DSP). These are all caused as a result of ingestion
of shellfish contaminated with bio toxins produced by the
phytoplankton species which they consume.
These three major health conditions, there causes and clinical symptoms are discussed in the next
section.
9
2.3 Amnesic shellfish poisoning (ASP)
Cause
Amnesic shellfish poisoning (ASP) is caused as a result of consuming shellfish contaminated with
Domoic acid. Domoic acid is a neurotoxin which acts as a glutamate agonist and causes the up
regulation of glutamate production. In the body the over production of Glutamate results in the
excessive stimulation of neurons by action potentials which can result in the damage or apoptosis of
cells ultimately leading to permanent short term memory loss, and in some cases, death.
Domoic acid is produced by a number of species of marine diatoms of the genus Pseudo-nitzschia
and is thought to be a mechanism used to eliminate excess photosynthetic energy when it is no
longer required by cells (Mos, 2001). Shellfish become contaminated following direct filtration of the
plankton or by feeding directly on contaminated organisms (Jeffery, 2004). Human contamination
results from the consumption of affected shellfish.
Clinical symptoms Within 24 to 48 hours of consuming contaminated shellfish the following symptoms can be expected:
Serious cases may result in seizures, coma or death (Todd, 1993).
Pseudo-nitzschia (Baker, 2012) Chemical structure of Domoic acid (Wikipedia, 2009)
• Headaches • Dizziness • Confusion
• Memory loss
• Vomiting
• Diarrhoea
• Nausea
• Abdominal cramps • Disorientation
10
2.4 Diarrhetic shellfish poisoning (DSP)
Cause
Diarrhetic shellfish poisoning (DSP) is caused as a result of Okadaic acid which is a naturally occurring
biotoxin produced by the dinoflagellate’s Dinophsis and Prorocentrum lima. Okadaic acid increases
the permeability of the intestinal epithelia which is thought to contribute to the diarrhoea caused by
shellfish poisoning (Tripuraneni, 1997).
In a similar way to Amnesic shellfish poisoning, shellfish can accumulate Okadaic acid resulting in
contamination. Subsequent consumption of the infected shellfish can result in Diarrhetic shellfish
poisoning.
Clinical symptoms
Shortly after the consumption of contaminated Shellfish the following symptoms may be observed:
(Alexander, 2008)
Diarrhoea
Nausea
Vomiting
Abdominal pain
Prorocentrum Lima
Ninophysis Spp Images from: (Hayashi,K et al, 2007)
Chemical structure of Okadaic acid Image from: (Wikipedia, 2006)
11
2.5 Paralytic shellfish poisoning (PSP)
Cause
The dinoflagellate responsible for PSP is Alexandrium Spp. They produce a complex of 12
neurotoxins including carbamate toxins, neosaxitoxin and gonyautoxins (Arapov et al, 2010). These
toxins are able to block the voltage-gated sodium channels which are involved in the propagation of
action potentials and so affect the central nervous system. During algal blooms feeding Shellfish
filter the dinoflagellates which upon digestion release PSP that become concentrated in the digestive
organs and become unsafe for human consumption.
Clinical symptoms
Tingling sensation
Numbness around lips
Prickly sensation in the fingertips and
toes
Headaches
Dizziness,
Nausea,
Vomiting and
Diarrhoea
Temporary blindness
Giddiness
Incoherent speech
Respiratory difficulties
Tightness around the throat
Muscular paralysis
Death through respiratory paralysis
Taken from (Van Egmond et al, 2004)
Alexandrium Spp Images from: (Hayashi, 2007)
Chemical structure of PSP toxin (Van Egmond et al, 2004)
12
3.0 Methods Collection and Processing of Live bivalve mollusc samples
As is evident from the descriptions above, shellfish poisoning is a serious human health hazard and
must be taken seriously. This is why we are required to carry out monthly monitoring of shellfish
production areas on behalf of the local authority.
The monthly monitoring is in place to check the microbiological content of live bivalve molluscs from
each production area and to monitor the levels of toxin-producing plankton in the waters of the
production areas. If values fall outside set thresholds then it is the responsibility of the competent
authority to close the production area so that live bivalve molluscs cannot be harvested in order to
prevent risk to human health.
The required number of shellfish are collected from the relevant RMP (See table 3 and figure ) and
then rinsed using freshwater of potable quality to remove most of the mud and sediment. These are
then allowed to drain and are placed into polythene bag which is labelled with the relevant sampling
information and securely tied. This is then placed into a cool box along with the sample sheet and a
temperature logger. Samples must reach the testing lab within 48h and must not have exceeded a
temperature of 10°C.
SITE Food Authority Bed Classification Sample species and quantity requred
Ouse Mouth Borough council of Kings Lynn and west Norfolk Pending Mussels 35
Ouse Mouth Borough council of Kings Lynn and west Norfolk B-LT Cockles 50
Nene Mouth Fenland District Council B-LT Cockles
Black Buoy Boston Borough Council B-LT Cockles
North Lays Boston Borough Council B-LT Cockles
Toft Boston Borough Council B-LT Mussels 35 and 1 ltr Water
Welland Wall Boston Borough Council B-LT Mussels 35
Stubborn Sands Borough council of Kings Lynn and west Norfolk B-LT 1 ltr Water
LT- long term classification
Table 3. Table showing the sampling locations, bed classifications and sampled species within the Wash
13
The methods used to process flesh samples are explained bellow.
Figure 5. Chart showing the location of the Representative monitoring points within the Wash and the species sampled
14
Toxin group tested Methods employed
ASP liquid chromatography (LC) with Ultra-violet (UV)
PSP liquid chromatography (LC) with fluorescence (FLD) detection
Lipophilic toxins liquid chromatography (LC) with tandem mass spectrometry (MS/MS)
Method used to quantify Amnesic Shellfish Poison in Shellfish
The specific methods used to test for each of the toxins can be found in the Food standard’s agency
protocols. The table below details each of the techniques.
An outline of the procedure used to analyse shellfish toxins is shown in figure and uses the example
of ASP. In order to determine whether shellfish contain toxic concentrations high enough to cause
Amnesic Shellfish Poison in humans the level of domoic acid in shellfish tissue is quantified. This is
achieved using an extraction method followed by anion exchange before analysis using HPLC.
Table 4. methods used for routine toxin analysis
15
Figure 6. Procedure for the analysis of ASP in shellfish
16
Methods used to collect and analyse water samples for toxin-producing
phytoplankton species
As phytoplankton form an important food source for shellfish it is important to ensure that the
water surrounding production areas does not contain toxic species in concentrations above a certain
trigger level. Currently the following species are recorded when observed in water samples:
Alexandrium species11
Dinophysis species
Pseudo-nitzschia species
Prorocentrum lima
Prorocentrum minimum
Lingulodinium polyedrum
Protoceratium reticulatum
Protoperidinium crassipes / curtipes
Collection of water samples
Water samples are collected on a monthly basis and are taken close to the location of the shellfish
sampling site. Ideally water samples are taken at high tide and are collected using a bucket which
must be rinsed three times prior to taking a sample. If using a bucket, surface water is taken
however if possible a Tube sampler may be used in order to obtain water samples from a depth
greater than 2 meters.
Following collection of the water sample a 500 ml subsample is taken and placed into a brown
Nalgene bottle which is also rinsed three times. 2.5ml of Lugol’s Iodine is then added to the sample
bottle and agitated to ensure even mixing before the bottle is sealed and sent to Cefas for analysis
where samples are stored at room temperature until they are processed.
17
Toxin Toxin producing algae (trigger Level)
ASP Pseudo-nitzschia spp (150,000 cells/L)
LTsDinophysiaceae (100 cells/L)
Prorocentrum lima (100 cells/L)
PSP Alexandrium spp (Presence)
Processing of water samples
Analysis of the water samples follows the standard operating procedures drawn up by the UK
national reference laboratory for marine bio-toxins. For each toxin measured a Trigger‘ level in terms
of cell concentrations is used which identifies weather further action is required. Table 5 below
shows these trigger levels and figure 7 outlines the process used to analyse the water samples.
Table 4. Trigger levels for toxin producing algae
Figure 7. Procedure for the analysis of water samples
18
Sample location Sample type Number of samples collected
Black Buoy Flesh 11
Nene Mouth Flesh 9
North Lays Flesh 10
Ouse Mouth Flesh 8
River Ouse Flesh 2
Stubborn Sand Water 10
Toft Water 10
Toft Flesh 9
Welland Wall Flesh 12
4.0 Results of the 2014/2015 monitoring programme
This section will outline the results of the bacteriological and the bio-toxin monitoring carried out in
2015. The table below shows the sampling statistics for all sampling conducted between January and
December 2015 . In total 81 samples including both water samples and flesh samples were collected
during 2015 with 15 samples missed due to poor weather or issues with vessels. Three additional
water samples were requested as levels of phytoplankton in the samples were beyond trigger levels.
All other samples were within limits and did not require further action to be taken.
E.coli flesh results
The graphs below shows the E.coli flesh results for each sample location visited during 2015. A large
amount of variability was observed in the E.coli levels at each site and a large amount of variability
between sites.
All sites showed clear peaks in the levels of E.coli however these picks were not comparable
between sites in terms of both extent and timing.
The largest values for E.coli, in the range of 3300-4600 E.coli per 100g of flesh, were observed at
Ouse mouth, Nene mouth and Welland wall. These three sites are located closest to river mouths
and as such are closer to the pollution source. Toft, North lays and Black Buoy are located further
from the river mouths and have E.coli values in the range of 18-1000 E.coli per 100g of flesh. These
sites may experience a dilution effect as you move away from the pollution source which may
account for the lower values.
Table 5. breakdown of all results fom 2015
19
78 20 18
45 78
170
20
130
230
780
0
100
200
300
400
500
600
700
800
E.co
li p
er 1
00
g
North Lays
690
130
490 490
170
230 230
20
690
0
100
200
300
400
500
600
700
E.co
li p
er
10
0g
Toft
330
780
1300
1100
780 690
490
780
130
330
780
0
200
400
600
800
1000
1200
E.co
li p
er 1
00
g
Black Buoy
20
1700
450
490 330
490
2200
490
780
330
780
490
3300
0
500
1000
1500
2000
2500
3000
E.co
li p
er 1
00
g
Welland Wall
3300
1300
130 110 330
230
4600
780 0
500
1000
1500
2000
2500
3000
3500
4000
4500
E.co
li p
er
10
0g
Ouse Mouth
230
780
3300
780
110
780
2300
490 690
0
500
1000
1500
2000
2500
3000
E.co
li p
er 1
00
g
Nene Mouth
21
Bio-toxin results
Water sample test results
Table 6 shows the results of the bio-toxin analysis. As with the E.coli results no
thresholds were reached whereby further action was required. Of the 21 samples
analysed for bio-toxins, 9 samples contained phytoplankton species at a
detectable level. The species identified were Pseudo-nitzschia spp and Dinophysis
spp both of which are abundant and widespread species.
Sampling Point
Date Sample Collected
Alexandrium spp (cells
L-1)
Dinophysis spp (cells L-
1)
Prorocentrum lima (cells L-1)
Pseudo-nitzschia spp (cells L-
1)
Lingulodinium polyedrum (cells L-1)
Protoceratium reticulatum (cells L-1)
Prorocentrum Cordatum (cells L-1)
Stubborn Sand
20/01/2015 Not present Not present
Not present Not present
Not present
Not present
Not present
Stubborn Sand
24/03/2015 Not present Not present
Not present Not present
Not present
Not present
Not present
Stubborn Sand
21/04/2015 UNABLE TO ANALYSE TOO MUCH SEDIMENT
Stubborn Sand
19/05/2015 Not present Not present
Not present 4400 Not present
Not present
Not present
Stubborn Sand
16/06/2015 Not present Not present
Not present Not present
Not present
Not present
Not present
Stubborn Sand
19/08/2015 Not present Not present
Not present Not present
Not present
Not present
Not present
Stubborn Sand
14/09/2015 Not present Not present
Not present 1500 Not present
Not present
Not present
Stubborn Sand
12/10/2015 Not present Not present
Not present 1600 Not present
Not present
Not present
Stubborn Sand
17/11/2015 Not present 200 Not present 1200 Not present
Not present
Not present
Stubborn Sand
15/12/2015 Not present 200 Not present Not present
Not present
Not present
Not present
Toft 19/01/2015 Not present Not present
Not present Not present
Not present
Not present
Not present
Toft 25/02/2015 Not present Not present
Not present Not present
Not present
Not present
Not present
Toft 23/03/2015 Not present Not present
Not present 1600 Not present
Not present
Not present
Toft 20/04/2015 Not present Not present
Not present 500 Not present
Not present
Not present
Toft 19/05/2015 Not present Not present
Not present 5200 Not present
Not present
Not present
Toft 15/06/2015 Not present Not present
Not present Not present
Not present
Not present
Not present
Toft 17/08/2015 Not present Not present
Not present Not present
Not present
Not present
Not present
Toft 14/09/2015 Not present 40 Not present 160 Not present
Not present
Not present
Toft 07/12/2015 Not present 40 Not present Not present
Not present
Not present
Not present
Toft 14/12/2015 Not present Not present
Not present Not present
Not present
Not present
Not present
22
Flesh sample test results
The flesh sampling returned values that were at the reporting Limit or the Limit
of quantitation and therefore did not require further action.
5.0 Discussion
Throughout 2015 133 samples including both water and flesh samples were
collected and processed. Of these samples 3 produced results that required an
additional sample to be taken, however no further action was required.
The action levels for toxins in shellfish flesh were not exceeded and therefore no
closures were put in place throughout 2015.
Missed samples are an area of concern as failure to collect samples can ultimately
result in closure and therefor every effort should be made to ensure that all
samples are collected on a monthly basis to enable rapid detection of a pollution
event and to ensure that fisheries remain in open to harvesting.
23
6.0 References
Arapov, J., Ezgeta-Balić, D., Peharda, M., Ninčević Gladan, Ž. (2010) Bivalve feeding-How and what
they eat? Croatian Journal of Fisheries. 68 (3), 105 - 116.
Baker, A. L. (2012) Phycokey - an image based key to Algae (PS Protista), Cyanobacteria, and other
aquatic objects. University of New Hampshire Center for Freshwater Biology. /phycokey.htm 25 Jan
2016. . Available from: http://cfb.unh.edu/phycokey .
Ben-Horin, T., Bidegain, G., Huey, L., Narvaez, D. A. & Bushek, D. (2015) Parasite transmission
through suspension feeding. Journal of Invertebrate Pathology. 131155-176.
Bricelj, V. M. , Lee, J. H. , Cembella, A. and Anderson, D. M. (1990) Uptake kinetics of paralytic
shellfish toxins from the dinoflagellate Alexandrium fundyense in the mussel Mytilus edulis. Marine
Ecology-Progress Series. 63177-188.
Buck, J. (2012) Sewage Outlet at Penrhyn Bay. Available from: <div
xmlns:cc="http://creativecommons.org/ns#" xmlns:dct="http://purl.org/dc/terms/"
about="http://s0.geograph.org.uk/geophotos/03/05/71/3057127_f7eb2b5b.jpg"><span
property="dct:title">Sewage Outlet at Penrhyn Bay</span> (<a rel="cc:attributionURL"
property="cc:attributionName" href="http://www.geograph.org.uk/profile/12987">Jeff Buck</a>) /
<a rel="license" href="http://creativecommons.org/licenses/by-sa/2.0/">CC BY-SA 2.0</a></div> .
Cefas. (2015) Sanitary surveys. Available from: https://www.cefas.co.uk/cefas-data-hub/food-
safety/sanitary-surveys/ .
Hayashi, K., Jacox, J., Glanz, J., Alvarado, N., Kudela, R., Rosen, B. & Coale, S. (2007) phytoplankton
identification. Available from: http://oceandatacenter.ucsc.edu/PhytoGallery .
Jan Alexander, Guðjón Atli Auðunsson, Diane Benford, Andrew Cockburn, Jean-Pierre Cravedi,
Eugenia Dogliotti, Alessandro Di Domenico, María Luisa Fernández-Cruz, Johanna Fink-Gremmels,
Peter Fürst, Corrado Galli, Philippe Grandjean, Jadwiga Gzyl, Gerhard Heinemeyer, Niklas Johansson,
24
Antonio Mutti, Josef Schlatter, Rolaf van Leeuwen, Carlos Van Peteghem, Philippe Verger. (2008)
Opinion of the Scientific Panel on Contaminants in the Food chain on a request from the European
Commission on marine biotoxins in shellfish – okadaic acid and analogues. The EFSA Journal. 5891-
62.
Jeffery, B., Barlow, T., Moizer, K., Paul, S. & Boyle, C. (2004) Amnesic shellfish poison. Food and
Chemical Toxicology. 42 (4), 545-557.
Mos, L. (2001) Domoic acid: a fascinating marine toxin. Environmental Toxicology and Pharmacology.
9 (3), 79-85.
Nordsieck, R. (2011) The homepage on gastropods, bivalves and other molluscs. Available from:
http://www.molluscs.at/bivalvia/ .
Todd, E. C. (1993) Domoic acid and amnesic shellfish poisoning-a review. Journal of Food Protection.
56 (1), 69-83.
Tripuraneni, J., Koutsouris, A., Pestic, L., De Lanerolle, P. & Hecht, G. (1997) The toxin of diarrheic
shellfish poisoning, okadaic acid, increases intestinal epithelial paracellular permeability.
Gastroenterology. 112 (1), 100.
Van Egmond, H. P., Van Apeldoorn, M. E. & Speijers, G. J. A. (2004) Marine biotoxins. Rome, Food
and agriculture organization of the United Nations. FAO Food and nutrition, Paper 80.
Ward, J. E., MacDonald, B. A., Thompson, R. J. & Beninger, P. G. (1993) Mechanisms of suspension
feeding in bivalves: Resolution of current controversies by means of endoscopy. Limnology and
Oceanography. 38 (2), 265-272.
Wikipedia. (2009) Domoinic Acid Structural Formulae. Available from:
https://en.wikipedia.org/wiki/Domoic_acid#/media/File:Domoinic_Acid_Structural_Formulae.png .
Wikipedia. (2006) Structure of Okadaic acid. Available from:
https://en.wikipedia.org/wiki/Okadaic_acid#/media/File:Okadaic_acid.svg .