Assessment of Human Health Impacts from Invasive Pufferfish (Attacks, Poisonings and Fatalities) across the Eastern Mediterranean.

The silver-cheeked toadfish Lagocephalus sceleratus (Gmelin 1789), and to a lesser degree the orange spotted toadfish Torquigener hypselogeneion (Bleeker, 1852), pose threats to human health from physical attacks and poisonings in the Eastern Mediterranean Sea. This study reviewed human health-related impacts resulting from these pufferfish, compiling and assessing records from online sources, the peer-reviewed literature, medical records, personal interviews, and observations across the Eastern Mediterranean in the years 2004 to 2023. A total of 198 events impacting human health were documented: 28 records of physical attacks, at least 144 non-lethal poisoning episodes, and 27 human fatalities resulting from consumption. The majority of the reported incidences occurred in Syria, Türkiye, and Lebanon. Most physical attacks occurred in summer, while most poisoning events occurred during winter. The number of recorded incidents greatly increased after 2019, especially with regard to poisonings, yet whether this is related to greater media attention, or to increased fish abundance is unclear. This is the first comprehensive study to collate findings on attacks, poisonings and fatalities caused by these pufferfish in the Mediterranean Sea, and may help in improving national health policies. We urge the continuation of national campaigns to caution residents and tourists of these species' high toxicities and potential aggressiveness.

Freshwater fishes of Syria: a revised and updated annotated checklist-2023.

The current status of the freshwater fishes of Syria is revised, and an updated checklist is presented. The confirmed freshwater fishes of Syria comprise 108 species belonging to 15 orders, 25 families, and 51 genera. Among these, 11 species (10.2%) are alien, and six species (5.6%) are considered endemic to Syria. The orders with the largest numbers of species in the ichthyofauna of Syria are Cypriniformes (68 species), followed by Siluriformes and (nine species), Cichliformes (eight species), Mugiliformes (seven species), Cyprinodontiformes (six species), and others represent one species in each. At the family level, Cyprinidae has the greatest number of species (30 species; 27.8% of the total species), followed by Leuciscidae (21 species), Nemacheilidae (11 species), Cichlidae (eight species), and Mugilidae (seven species). According to IUCN Red List criteria, among 97 naturally distributed species (alien species not included), Tristramella sacra extinct (EX) and 24 species (26.5%) are categorized as threatened extinctions, CR, EN, and VU (eight species in each). A total of 17 species previously reported from Syria have been excluded from the checklist, either in the present study or in previous studies.