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This article is part of the supplement: Proceedings of the Centers for Oceans and Human Health Investigators Meeting

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Impacts of climate variability and future climate change on harmful algal blooms and human health

Stephanie K Moore12*, Vera L Trainer2, Nathan J Mantua3, Micaela S Parker4, Edward A Laws5, Lorraine C Backer6 and Lora E Fleming7

Author Affiliations

1 School of Oceanography, University of Washington, Box 355351, Seattle, Washington 98195-5351, USA

2 NOAA, Northwest Fisheries Science Center, West Coast Center for Oceans and Human Health, 2725 Montlake Blvd. E., Seattle, Washington 98112-2013, USA

3 Climate Impacts Group and School of Aquatic and Fishery Sciences, University of Washington, Box 355020, Seattle, Washington 98195-5020, USA

4 Pacific Northwest Center for Human Health and Ocean Studies, University of Washington, Box 357940, Seattle, Washington 98195-7940, USA

5 School of the Coast and Environment, 1002 K Energy, Coast and Environment Building, Louisiana State University, Baton Rouge, Louisiana 70803-4110, USA

6 National Center for Environmental Health, Centers for Disease Control and Prevention, 4770 Buford Highway NE MS F-46, Chamblee, Georgia 30341-3717, USA

7 Department of Epidemiology and Public Health and Department of Marine Biology and Fisheries, University of Miami School of Medicine and Rosenstiel School of Marine and Atmospheric Sciences, 1120 NW 14th Street, Miami, Florida 33136-2107, USA

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Environmental Health 2008, 7(Suppl 2):S4  doi:10.1186/1476-069X-7-S2-S4

The electronic version of this article is the complete one and can be found online at: http://www.ehjournal.net/content/7/S2/S4


Published:7 November 2008

© 2008 Moore et al; licensee BioMed Central Ltd.

This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Anthropogenically-derived increases in atmospheric greenhouse gas concentrations have been implicated in recent climate change, and are projected to substantially impact the climate on a global scale in the future. For marine and freshwater systems, increasing concentrations of greenhouse gases are expected to increase surface temperatures, lower pH, and cause changes to vertical mixing, upwelling, precipitation, and evaporation patterns. The potential consequences of these changes for harmful algal blooms (HABs) have received relatively little attention and are not well understood. Given the apparent increase in HABs around the world and the potential for greater problems as a result of climate change and ocean acidification, substantial research is needed to evaluate the direct and indirect associations between HABs, climate change, ocean acidification, and human health. This research will require a multidisciplinary approach utilizing expertise in climatology, oceanography, biology, epidemiology, and other disciplines. We review the interactions between selected patterns of large-scale climate variability and climate change, oceanic conditions, and harmful algae.

Introduction

Global atmospheric concentrations of carbon dioxide, methane, and nitrous oxides have increased markedly as a result of human activities since 1750, and now far exceed pre-industrial values determined from ice cores spanning many hundreds of thousands of years. Carbon dioxide (CO2) concentrations have increased from roughly 280 ppmv in pre-industrial times to present day levels of ~380 ppmv, mostly due to fossil fuel burning and deforestation [1]. The direct and indirect impacts of these increases in greenhouse gas concentrations on the oceans will include increasing temperatures, acidification, changes to the density structure of the upper ocean which will alter vertical mixing of waters, intensification/weakening of upwelling winds, and changes to the timing and volume of freshwater runoff into coastal marine waters, to name a few. Indeed, evidence is emerging to suggest that some of these changes are already underway [2].

The predicted changes in our oceans are likely to impact both directly and indirectly the interactions between humans and the oceans. Recent studies have reviewed general oceanic responses to future climate change, while acknowledging the impacts that these changes will have on human societies [3-5]. Likewise, over the past decade, several studies have suggested possible relationships between climate and the magnitude, frequency, and duration of harmful algal blooms (HABs) [6-11].

The term "harmful" has been used to describe blooms of algae that can cause a range of deleterious physiological and environmental effects [12]. Some harmful algae (HA) produce potent natural toxins that are bioconcentrated by some filter feeding shellfish and finfish, and passed along the food chain causing illness or death if consumed by humans or other organisms. Other HA are non-toxic, but attain high biomass resulting in substantial reductions in biodiversity of the phytoplankton community structure and the amount of light reaching the benthos [13]. The decomposition of senescent blooms can lead to serious reductions in dissolved oxygen concentrations. Because of the ecological and physiological diversities among HA species (discussed below), their responses to the same changes in climate will vary.

Few studies have used comprehensive datasets together with rigorous statistical analyses to confirm linkages between climate and HABs. Even fewer have attempted to include epidemiological information on HAB-related illnesses. The aim of this paper is to provide a synopsis of the current state of knowledge of climate impacts on HABs and their known and potential consequences for human health, particularly as it relates to the main research themes of the NSF/NIEHS and NOAA Centers for Oceans and Human Health.

We use the term "climate" here to refer to large-scale and low frequency patterns of climate variability, such as the El Niño/Southern Oscillation, as well as anthropogenic climate change. This is opposed to "weather" events that occur over much shorter timescales (i.e., days to weeks). It has been said of infectious disease that climate constrains the range and weather determines the timing and intensity of outbreaks [14]. This is also likely applicable to HABs. In this review, we summarize established climate impacts on the oceans and toxin-producing HA species, and discuss the implications for human health. Finally, directions for future research are provided.

This paper does not aim to prove that anthropogenic climate change is responsible for the global outbreak of HABs [15]. Few examples in the literature have quantitatively demonstrated this potential link; primarily because it is extremely difficult to separate the influence of climate change (natural and anthropogenic) from other anthropogenic impacts that are known to contribute to HABs using the limited datasets that are currently available. Nevertheless, evidence that climate change has influenced the frequency, duration, and geographical range of HABs is emerging as monitoring data temporally and spatially accumulates. Given the potential impact it is recommended that the influence of climate be considered and incorporated into future HAB research and monitoring efforts.

Discussion

Climate impacts on HABs

HA species comprise only a small component of the phytoplankton community, and their individual responses to climate variation and change can differ from that of the phytoplankton community as a whole. In the ocean, the most important HA and their poisoning syndromes (in parentheses) are diatoms from the genus Pseudo-nitzschia (amnesic shellfish poisoning), and species of dinoflagellates from the genera Alexandrium, Pyrodinium, and Gymnodinium (paralytic shellfish poisoning), Karenia (neurotoxic shellfish poisoning, and aerosolized Florida red tide respiratory syndrome), Dinophysis and Prorocentrum (diarrhetic shellfish poisoning), and Gambierdiscus (ciguatera fish poisoning). In freshwater, the most important HABs are caused by certain species of cyanobacteria (blue green algae) from the genera Anabaena, Microcystis, and Aphanizomenon (cyanobacterial poisoning) [16]. In both marine and freshwater systems, for humans and other animals, exposure to HA toxins results from eating contaminated fish or shellfish, drinking contaminated water, inhaling contaminated aerosol, or by contacting contaminated water.

It is generally accepted that HABs are increasing in frequency, intensity, and duration in all aquatic environments on a global scale [17,18], and some of this may be due to changes in climate. However, relatively little work has been done to characterize this link, and it is poorly understood [19-21]; primarily due to difficulty in separating the influence of climate change (natural and anthropogenic) from other anthropogenic impacts (such as eutrophication and ballast water introduction) that are known to contribute to the occurrence of some HABs. As time series of monitoring data lengthen, our ability to quantitatively determine climate change impacts on HABs will improve; but presently we are limited to relying on only a small number of studies.

The ocean is a core component of the climate system, such that perturbations to climate regimes can cause dramatic shifts in the structure and function of marine ecosystems [22-24]. This is demonstrated by examining the ecosystem responses to phase shifts of large-scale patterns of climate variability, such as the El Niño/Southern Oscillation and the Pacific Decadal Oscillation (ENSO and PDO, respectively). Both ENSO and PDO have warm and cool phases that typically last for 6 to 18 months and 20 to 30 years, respectively [25]. During warm phases, sea surface temperatures in the eastern and equatorial Pacific Ocean are anomalously warm, stratification is enhanced, and upwelling of nutrient-rich water along the eastern Pacific coast is reduced [26,27]. Given that phytoplankton growth is strongly determined by temperature, light, and the availability of nutrients, it is not surprising that these climate-ocean interactions result in changes to the phytoplankton community, and can influence HAB occurrence/development e.g. [28].

Ecosystem responses to these large-scale patterns of climate variability are not always consistent. For example, in the tropical Pacific Ocean the ecosystem response depends in part on whether the PDO and ENSO are in phase [29]. Nevertheless, reviewing the observed and modeled responses of ocean conditions and phytoplankton to the warm phases of large-scale climate variations is useful when trying to predict the likely impacts of future climate change. These studies suggest that the warmer upper ocean temperatures predicted under future climate scenarios will increase stratification of the water column and differentially influence phytoplankton growth in the global oceans [23,30-34]. In the thermally stratified oceans of the tropics and mid-latitudes, increased stratification and reduced vertical mixing decreases the nutrient supply to the surface, causing reductions in overall phytoplankton growth and biomass [23]. In these regions, organisms with lower nutrient requirements, or those having the ability to vertically migrate to nutrient-rich regions, will be favored [35]. At higher latitudes (in the polar and sub-polar salt-stratified oceans), phytoplankton growth and biomass are expected to increase. In these regions, nutrients are relatively abundant and phytoplankton growth is typically limited by light. Increased stratification due to the warming and freshening of the surface layer at high latitudes from melting ice will reduce vertical mixing and favor the retention of phytoplankton in the illuminated upper water column [31].

Phytoplankton need to remain close to the ocean's surface in order to capture sunlight for photosynthesis. If the surface becomes depleted of nutrients required for growth, certain types of phytoplankton will be favored. For example, most marine HABs are dinoflagellates, which are distinguished by the presence of two flagella used for swimming. Other phytoplankton groups, such as the diatoms, do not possess this swimming ability, and therefore do not have the potential to forage for nutrients deeper in the water column. Nutrients in the surface layer of the water column can become limiting by the combination of uptake by phytoplankton and the decrease in upward mixing of nutrients under stratified water column conditions. The swimming ability of dinoflagellates allows them to swim below the upper stratified layer of the water column to utilize nutrients in the deeper layer that other phytoplankton cannot access [36]. Dinoflagellates are therefore expected to be favored over other phytoplankton in marine environments under future climate scenarios. Assuming that dinoflagellate HA are favored by a more thermally-stratified ocean in the same way as other dinoflagellates, it is likely that the frequency of marine dinoflagellate HABs will increase as a result of climate change. However, more research is required to ascertain the response of dinoflagellate HA species to thermal stratification.

Warmer temperatures may result in expanded ranges of warm water HA species. For example, the tropical marine dinoflagellate, Gambierdiscus toxicus, is associated with ciguatera fish poisoning and primarily occurs as an epiphyte on some macroalgae. The abundance of G. toxicus correlates positively with elevated sea surface temperature during the warm (El Niño) phases of the ENSO cycle [37,38], and its range may extend to higher latitudes as temperatures rise due to climate change [39]. Indirect impacts of climate change may also cause incidents of ciguatera fish poisoning to become more frequent and more geographically widespread. For example, perturbations to coral reefs, such as hurricanes or bleaching events caused by increased water temperatures, free up space for macroalgae to colonize. Climate change impacts are predicted to increase the intensity of hurricanes and water temperatures [40], and may therefore increase habitat for G. toxicus.

The period of time that HABs occur annually may also expand as a result of climate change. For example, the planktonic dinoflagellate Alexandrium catenella is associated with paralytic shellfish poisoning [41]. Water temperatures greater than 13°C have been found to promote A. catenella blooms [42], and in Puget Sound (Washington State), shellfish toxicity from this species occurs primarily in the late summer and early fall when the water temperatures reach their seasonal maxima [43]. By the year 2100, surface air temperatures in the Puget Sound region are predicted to increase by up to 6°C [44]. Given the close correspondence between Puget Sound air and water temperatures [45], the annual window of warm water temperatures exceeding 13°C will expand greatly (Figure 1). Optimal growth periods for freshwater HA may also expand as a result of warmer temperatures predicted under future climate scenarios, potentially favoring the growth of harmful cyanobacteria over other phytoplankton species [46]. Predicted rising water temperature may therefore promote earlier and longer lasting HABs [43]; however, it is important to acknowledge that interactions with other physical and biological aspects of the marine ecosystem will also influence the ultimate growth responses of HA species.

thumbnailFigure 1. Potential climate change impacts on Puget Sound shellfish toxicity. Climatological monthly means of reconstructed sea surface temperature (SST) in Sequim Bay, Puget Sound, using detrended SST records at Race Rocks, British Columbia, from 1921 to 2007. The 13°C threshold for accelerated growth of Alexandrium catenella [42] is shown, and the mean annual window of favorable SST conditions is shaded for present day conditions. Scenarios for warmer SST conditions by 2, 4, and 6°C are shown in gray with the associated widening of the window of increased opportunity for A. catenella growth.

Changes in seawater CO2 concentrations and ocean acidity are also likely to influence phytoplankton species assemblages. The accumulation of CO2 in the atmosphere due to anthropogenic activities has increased concentrations of seawater CO2 and bicarbonate (HCO3-); both of which are inorganic carbon sources that can be utilized by phytoplankton for photosynthesis and growth. However, intrinsically linked with this change in seawater carbon chemistry is a decrease in ocean pH; a drop of roughly 0.1 units from pre-industrial levels has already been observed [2,47-49]. If anthropogenic CO2 emissions continue unabated, ocean pH could drop by an additional 0.6 units to a level lower than has occurred in the past 300 million years [40,49], with tropical regions and the Northern and Southern Oceans predicted to be impacted most severely [47,50].

Changes in phytoplankton species assemblages in response to increased dissolved CO2 and HCO3- concentrations may result from enhanced growth of certain species [51], and/or from the inhibited growth of calcifying phytoplankton due to the dissolution of their biogenic calcium carbonate (CaCO3) shells [52], among other contributing factors [e.g., [48]]. How these changes will interact with other effects of climate change (such as warmer temperatures) to influence phytoplankton growth and species assemblages, including the growth and relative abundances of HA species, remains unknown [48,53]. Furthermore, experimental studies of HA species have largely focused on the effects of elevated pH levels. These studies, which include laboratory, field, and marine enclosure experiments, generally find positive relationships between pH and growth or toxin production of these species [54-56]. However, it is uncertain if these relationships will hold at the lower end of the pH scale in a more acidic ocean.

Looking ahead several hundreds of years is obviously speculative, but there is general agreement that a warmer Earth will be associated with climatic conditions similar to those characterized by the Mesozoic era [57], when the geological record indicates that dinoflagellates and coccolithophorids were favored among the eukaryotic phytoplankton [36]. Coccolithophorids are not a harmful algal species. However, the fact that they secrete calcium carbonate tests will make their survival problematic if the pH of aquatic systems drops by 0.7 units or more [3]. By making the environment more challenging for coccolithophorid survival, the non-calcareous phytoplankton will be given an advantage. A more acidic environment would favor, among others, the dinoflagellates – the group of phytoplankton to which most HA belong. Clearly, this is an aspect of climate change impacts research that deserves greater attention.

In freshwater systems, cyanobacterial HABs may also be impacted by pH changes resulting from climate change. Empirically, most freshwater cyanobacteria, and in particular species associated with HABs, are poor competitors with other phytoplankton at low pH [58,59]. Although the mechanisms responsible for the shift in competitive advantage is somewhat controversial [60], the empirical results are unequivocal [61]. Based on the chemical composition of the Great Lakes [62] and assuming a constant total alkalinity, the increases in atmospheric CO2 concentrations projected by Caldeira and Wickett [49] would drop the pH of the Great Lakes by 0.6 to 0.8 during summer months. In the case of Lake Erie, for example, the summer pH would decrease from ~9.5 to 8.7. Such a change would likely reduce the incidence of cyanobacterial surface scums [59], one of the common manifestations of freshwater cyanobacterial HABs. However, it is unknown if this will counter the predicted increase in growth rates of cyanobacterial HABs in response to warmer temperatures and nutrient overenrichment of waters [46].

Wind-driven upwelling at coastal margins plays an important role in the development of some HABs (see [63] for a review). The timing and strength of coastal upwelling winds are among the factors that will be affected by climate change, and may therefore have implications for HABs [64]. Upwelling along eastern ocean boundaries is predicted to intensify as a result of climate change [65]. Observations of increased upwelling intensity in the California Current system over the past 30 years support this theory [66,67]. While speculation exists over whether this can be attributed to anthropogenic climate change [68], results from one modeling study support the association [69]. On the other hand, a recent study of the Iberian Current system off northwest Spain has found that both the intensity and duration of upwelling has decreased since 1966 [70]. This significantly increased the water renewal time of the Rías Baixas, which increased the number of days annually that mussel rafts are closed to extraction due to HABs consisting primarily of the marine dinoflagellate Dinophysis, some species of which produce the toxin okadaic acid that causes the syndrome diarrhetic shellfish poisoning in humans [70].

Changes in the timing and volume of streamflow in snowmelt-dominated river basins are among the most established predictions of climate change impacts on natural resource systems [71]. Even with a fixed amount of precipitation, rising surface air temperatures cause a reduction in the fraction of annual precipitation stored as snow, and a shift in the timing of runoff to earlier dates in the spring. Shifts in the timing of runoff into coastal estuaries fed by snowmelt-derived rivers will lead to changes in the timing and magnitude of stratification, nutrient loading, and turbidity related to freshwater inputs. The consequences of these timing shifts for HABs are unknown.

Among the studies that assess the potential impacts of future climate change on HABs are a series of batch culture laboratory experiments simulating projected increases in temperature and salinity-stratification in the coastal zone of the Netherlands for the year 2100 [72,73]. The growth rates of potentially harmful Dinophysis and Prorocentrum species were found to double compared to growth rates under present conditions, while non-HA did not experience increased growth rates. This suggests that the risk of HABs of these species may increase in the future. However, it is important to acknowledge the limitations of these studies; the experiments were conducted as single species batch cultures, and interactions among HA and other biological components of the ecosystem (such as bacteria, other phytoplankton, and zooplankton) were not considered. Consequently, it is difficult to extrapolate the results of these experiments to the real world. This highlights the need to conduct ecologically relevant experiments and maintain long term monitoring programs over significant time periods and geographic diversity to specifically assess climate change impacts on HA.

Implications for human health

Although the adverse health effects from exposure to HA toxins has been known for decades (for some of the cyanobacterial toxins) or more (e.g., brevetoxins associated with Florida red tides), very few epidemiologic studies designed to systematically assess these effects have been done. This has hindered the Intergovernmental Panel on Climate Change (IPCC) projections of climate change impacts on HAB-related illnesses [74], and will also make the detection and quantification of climate change impacts on HAB-related illnesses difficult.

Probably the most widely studied HA toxins are the brevetoxins associated with Florida red tides. Brevetoxins are a group of polyether toxins that affect sodium channels and can induce bronchoconstriction in the mammalian respiratory tract. The effects of human exposure to aerosolized brevetoxins have been examined in three of the populations most likely to be susceptible (i.e., beach visitors during Florida red tides, full-time lifeguards who must stay at their posts even during Florida red tides, and people with asthma who are likely to be more susceptible to environmental respiratory irritants). These studies have shown that healthy people acutely exposed to aerosolized brevetoxins during Florida red tide events experience respiratory irritation that is reportedly relieved when they leave the beach [75,76]. By contrast, people with asthma are more susceptible to brevetoxins, and may experience both acute and more long-term detriments in pulmonary function [77,78]. In addition, many asthmatics report that they experience respiratory symptoms for days after exposure. Additional work by Kirkpatrick et al. [79] has shown that there are increased admissions to emergency rooms for respiratory complaints (including pneumonia and bronchitis) during Florida red tides compared to times when there are no red tides. If K. brevis responds to increased stratification and reduced nutrients in ways similar to the responses of other dinoflagellate species, the occurrence of HABs of K. brevis may increase as a result of climate change; thus, the number of people exposed to brevetoxins will increase.

In addition to the work on marine HA toxins, more epidemiologic evidence is being reported on the effects of freshwater HA toxins. For example, recent work by Backer et al. [80] has begun to assess the health effects from recreational exposure to aerosolized microcystins during blooms of Microcystis aeruginosa in small lakes. The investigators found very low concentrations of microcystin in the air (0.02 to 0.46 ng m-3) and water (2 to 5 μg L-1) when people participated in recreational activities that generated aerosols, such as water skiing, or riding personal water craft. However, there were no reported increases in symptoms or respiratory illness after these exposures.

The incidence of human syndromes associated with exposure to HA toxins will increase as HABs occur more frequently and over greater geographic areas due to climate change. If we are going to be in a position to assess whether the human health effects from HA are increasing as more people come in contact with HABs, it is critical that data are collected describing baseline frequencies of the human illnesses associated with HABs, including the shellfish poisonings, ciguatera fish poisoning, cyanobacterial illness, and respiratory irritation from Florida red tide. One way to address this is to support HAB-related disease surveillance, such as the Harmful Algal Bloom-related Illness Surveillance System (HABISS) created by the Centers for Disease Control and Prevention (CDC). This system will collect data on human illnesses, animal illnesses, and the characteristics of the blooms themselves. For example, HABISS is part of a recently established linked network of public health information coupled with exposure and disease surveillance and environmental monitoring for Florida red tide, with weekly reports available by phone and web [81,82]. HABISS is also currently being integrated into other HAB monitoring programs, for example in the Great Lakes, Gulf of Maine, Hawaii, and Washington State. Over time, HABISS will be able to be used to assess whether increased contact between HABs and people and animals has a substantial impact on the frequency of HAB-related illnesses in a warmer climate.

Climate change mitigation and HABs

In response to increased atmospheric CO2 concentrations and the development of the Kyoto Protocol, several strategies have emerged to reduce CO2 emissions and remove CO2 from the atmosphere. Carbon emission reduction strategies include the introduction of new technologies such as electric and hybrid electric vehicles and fuel cell technology. Several entrepreneurs have emerged in the global carbon credit market with CO2 removal strategies that capitalize on the vastness of the oceans to store carbon. Carbon capture and storage approaches to mitigate climate change often focus on capturing CO2 from large point sources such as fossil fuel energy facilities. The CO2 is then transported (for example, by pipeline) to a storage site such as deep geological formations or the deep ocean. This approach usually involves costly compression of CO2.

An alternative to point source carbon capture and storage is the proposed use of ocean phytoplankton communities as natural carbon capturing and removal machinery. In this model, oceanic carbon uptake is stimulated by enhancing phytoplankton productivity (usually through iron fertilization, see below), drawing CO2 into the oceans and ultimately sequestering it in the deep ocean. Nearly two decades ago, Martin and Fitzwater [83] demonstrated that phytoplankton productivity in high-nitrate low-chlorophyll (HNLC) regions is limited by the availability of iron. Iron is an essential element for photosynthesis and many other biological processes, yet in many open ocean environments, surface iron concentrations are extremely low. Since this discovery, several large-scale iron fertilization experiments have confirmed the original hypothesis. In nearly every experiment, diatoms were among the dominant phytoplankton species to respond to iron enrichment (Table 1). Recent assessments suggest diatom-mediated export production can influence climate change through uptake and sequestration of atmospheric CO2 [84]. Thus, iron fertilization of the oceans has the potential to draw-down atmospheric CO2 levels by stimulating large blooms of diatoms.

Table 1. Dominant diatom genera in large-scale iron fertilization experiments

Subsequent studies, however, have begun to show that this approach is not as straightforward as it may seem [48]. For instance, the amount of atmospheric carbon that is exported to the deep ocean during iron fertilization experiments is much less than that predicted by early studies [85,86]. The conclusions have raised concerns about an attempt to use iron fertilization as a solution to the rise of atmospheric greenhouse gases [e.g. [87,88]]. Furthermore, the algae that respond to iron fertilizations in HNLC regions are often pennate diatoms that include Pseudo-nitzschia (Table 1), hypothesized to regulate the production of its potent neurotoxin, domoic acid, in response to levels of available iron and copper in seawater [89].

Recent research has uncovered a gene encoding an iron storage protein (ferritin) in several species of Pseudo-nitzschia [90]. Together with the finding that domoic acid (DA) can complex trace metals such as iron and copper [89,91], this may help to explain their success in HNLC regions. Ferritin is a common molecule in many organisms, but its presence in diatoms had not previously been detected. Preliminary results suggest that the gene for ferritin may be confined to only a small subset of diatoms that includes the HA genus Pseudo-nitzschia [90]. Pseudo-nitzschia commonly occur along coastlines and are responsible for closures of shellfish and finfish harvests due to accumulation of DA in the tissues of commercially and recreationally important marine species. Very few open ocean Pseudo-nitzschia species have been isolated into culture. Even fewer isolates have been tested for DA production, thus far with negative results, indicating that either Pseudo-nitzschia species from HNLC ocean environments produce little or no DA or that the unique culture conditions required to elicit toxin production were not met [92]. Given the success of Pseudo-nitzschia species in iron enrichment experiments, it is important to investigate further their potential to produce toxin to better evaluate the consequences of proposed large-scale ocean fertilization to mitigate increasing atmospheric carbon [92].

Successes, challenges, and the way forward

Interactions among the atmospheric climate, oceanic conditions, and HABs occur on a range of timescales, with implications for the accuracy of predictions of HAB risks and subsequent HAB-related illnesses in humans and other animals (Figure 2). Note that predicting HAB risks is fundamentally different from predicting HAB occurrence, with the former being an assessment of the likelihood or probability of the latter. Quantitative prediction of HAB initiation and distribution in space and time continues to elude scientists and resource managers. Accurate prediction will require a deeper understanding of HAB physiology and ecology than is presently known in order to adequately constrain parameters in coupled physical-biological models. However, if currently available information can be used to generate qualitative predictions of HAB risks, managers can be forewarned and operate at a heightened level of caution and can be prepared to respond rapidly if HAB risks are "high."

thumbnailFigure 2. Prediction timescales for climate impacts on HABs and human health. Timescales and limits of prediction for atmospheric forcing of oceanographic conditions and harmful algal blooms and their impacts on human health. Aspects of the atmospheric climate are grouped into three categories; "weather", large-scale patterns of climate variability and climate change.

If local environmental factors are creating conditions favorable for HAB development, advanced warning of HAB risks will be limited by the fundamental predictability of the weather (i.e., up to 2 weeks) [93]. "Weather" events occur on a timescale of days to weeks and include local wind, precipitation and air temperature. Alternatively, large-scale patterns of climate variability (such as ENSO and PDO) can be predicted up to 1 year in advance [94,95]. Therefore, if oceanic conditions favorable for HAB development are well-correlated with variations in large-scale climate factors, as is the case for ENSO and G. toxicus which is associated with ciguatera fish poisoning [37,38], then advanced warning of HAB risks may be considerably extended in time.

One of the biggest challenges to research on climate change impacts on HAB variability and HAB-related illnesses is the paucity of long-term datasets with information in the necessary time and space scales to resolve key biophysical processes. The patchy and episodic nature of HABs begs for monitoring systems that provide continuous and co-located time series of physical, chemical, and biotic properties with at least daily observations. Specifically, this would include observations of phytoplankton species and concentration, nutrient and water chemistry profiles (CO2 and O2), temperature and salinity profiles, toxins, surface winds, and solar radiation [96]. Additional data from surveillance of HAB-related illnesses in humans and other animals would also be useful and would improve prediction capabilities [14]. Such historical databases and current operating observing systems are scarce [13,97].

Long time-series of observations are required to separate the influence of natural patterns of large-scale climate variability (such as ENSO and PDO) from anthropogenic climate change signals. Few observational and monitoring programs that track the chemical and/or biotic properties of marine (plankton) ecosystems have continuity over several decades. Those that have been sustained into the present from the early to mid 1900s have proved invaluable to climate research.

An example of a dataset which could be used to study global change and HABs in the future is the Continuous Plankton Recorder (CPR) Survey which provides near unbroken monthly coverage of transects across the northeast Atlantic and North Sea from 1946. Most of the region sampled by the CPR is further than 1 km offshore in open ocean waters, and is therefore relatively unaffected by anthropogenic eutrophication that is generally concentrated along the coast [11]. Even though most HA species are too small to be captured by the CPR, changes in the relative abundances of functional groups of phytoplankton (i.e., diatoms and dinoflagellates), and of some larger HA species, such as Prorocentrum and Dinophysis spp., can be assessed. Using this long-term dataset, the influence of the North Atlantic Oscillation (NAO) on the spatial distribution of these larger HA species was determined independently from the effects of anthropogenic eutrophication [11]. Distinguishing these effects lends credence to predictions of climate change impacts on HABs based on their response to warm phases of large-scale patterns of climate variability. Monitoring programs with comparable spatial and temporal resolution to the CPR, but specifically targeting smaller size fractions of plankton containing HA species, will be required to elucidate climate change impacts in the future.

In a 1994 review on the potential consequences of climate change for toxic HABs, Tester commented that "our research, monitoring, and regulatory infrastructure is not adequately prepared to meet an expanding global threat" [39]. More than a decade later, limited progress has been made towards minimizing this future threat to human health. Future research should focus on further elucidating relationships between HABs and aspects of the local and large-scale climate. Foremost, this will require the development and deployment of observing systems to provide the consistent, long-term data necessary to identify links between HABs and the suite of ecosystem variables that are important for HA variability. There is also a pressing need to engage the human health community to ensure that environmental and human data not only characterize HAB events, but can also be used to predict human health risks. Observational data must then be integrated into empirical, theoretical, and numerical simulation models to test and validate hypotheses.

The IPCC is now considering making HAB risk forecasts, and assessing the potential impacts of climate change on HABs under the suite of 21st-century climate change scenarios [1,13]. A crucial step in assessing questions of climate change impacts on HABs will be matching the appropriate scales of information. Presently, the IPCC has organized efforts to explore the impacts of increasing greenhouse gases and changing aerosol concentrations on large-to-global scale climate changes. Efforts to match the outputs from the global scale climate studies to much more localized climate change impacts studies must first elucidate the local processes that give rise to HAB variations, and then to develop new methods for downscaling the IPCC climate change scenarios that can be used to build the bridge to HAB impacts studies. Currently, typical IPCC global climate models provide information on a grid with ~100 to 300 km resolution, which may not prove to be fine enough to be useful for local scale (1 to 10 km) HAB forecasting and risk assessments.

The approach to downscaling future climate change projections should be guided by the mechanisms that are both (i) demonstrated to be important environmental links to HAB risks, and (ii) demonstrated to be well-informed by climate model outputs. For example, sea surface temperature in many estuaries is well correlated with regional surface air temperature, so statistical downscaling of temperature may prove useful in situations where HAB risks are clearly sensitive to surface water temperatures. In contrast, where local wind-forcing, stratification, and estuarine circulation are critical factors for HAB risks, it may be necessary to run much higher resolution (1 km) nested atmosphere and estuarine circulation models to assess the potential impacts of climate change on HAB risks. Whatever the case, efforts to match the outputs from global scale climate studies to more localized climate change impacts studies must first elucidate the local processes that give rise to HAB variations.

Finally, future research should focus on better elucidating relationships between HA and other biological components of the ecosystem. For example, interactions between the toxin-producing species of Pseudo-nitzschia and bacteria have been shown to influence production of domoic acid (see [13] and references therein). However, it is uncertain if and how anthropogenic climate change will influence this interaction. Similarly, physiological rates of uptake of HA-derived toxins by finfish and shellfish may change. Given the public uncertainty that already surrounds seafood consumption, recently termed the "seafood dilemma" [98], it will be important to monitor any increases in the susceptibility of seafood species to contamination by HABs, as well as the subsequent risks to consumers.

Conclusion

Substantial research is needed to evaluate the direct and indirect associations between climate change, HABs, and human health. Specifically, future research efforts should focus on developing the empirical, theoretical, and numerical simulation models to integrate observations, test and validate hypotheses, and make risk forecasts of HAB occurrences and their impacts on human health under the suite of 21st-century future climate change scenarios. Such models will require simultaneous measurements of physical and biological environmental parameters made available through routine and consistent monitoring, and the identification of exposure health endpoints. To investigate this potential consequence of climate change, a new type of combined oceanographic-epidemiologic study that addresses very long time spans and extensive geographic scales will be needed [99].

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

SKM took lead authorship of this manuscript, all other authors contributed equally. All authors read and approved the final manuscript.

Acknowledgements

We thank Walton W. Dickhoff, Usha Varanasi, Larry E. Brand, and John J. Stegeman for providing highly valued comments. This work was funded in part through grants from the NSF/NIEHS Centers for Oceans and Human Health, grant numbers NSF OCE04-32479 and NIEHS P50 ES012740 (EAL), NSF OCE-0432368 and NIEHS P50 ES012736 (LEF), NIEHS P50 ES012762 and NSF OCE-0434087 (SKM, MSP). SKM, VLT and NJM also were supported in part by the West Coast Center for Oceans and Human Health (WCCOHH) as part of the NOAA Oceans and Human Health Initiative, and this is WCCOHH publication no. 26. The WCCOHH is part of the National Marine Fisheries Service's Northwest Fisheries Science Center, Seattle, Washington.

This work was funded through grants from the NSF/NIEHS Centers for Oceans and Human Health.

This article has been published as part of Environmental Health Volume 7, Supplement 2, 2008: Proceedings of the Centers for Ocean and Health Investigators Meeting. The full contents of the supplement are available online at http://www.ehjournal.net/supplements/7/S2.

References

  1. IPCC: Summary for Policymakers: Contribution of Working Group I to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change. IPCC, Geneva, Switzerland; 2007:18.

  2. Bindoff NL, Willebrand J, Artale V, Cazenave A, Gregory J, Gulev S, Hanawa K, Le Quéré C, Levitus S, Nojiri Y, Shum CK, Talley LD, Unnikrishnan A: Observations: Oceanic Climate Change and Sea Level. In Climate Change 2007: The Physical Science Basis Contribution of Working Group I to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change. Edited by Solomon S, Qin D, Manning M, Chen Z, Marquis M, Averyt KB, Tignor M, Miller HL. Cambridge, United Kingdom and New York, NY, USA: Cambridge University Press; 2007:385-432. OpenURL

  3. Laws EA: Climate Change, Oceans, and Human Health. In Ocean Yearbook 21. Edited by Chircop A, Coffen-Smout S, McConnell M. Bridge Street Books; 2007:159-175. OpenURL

  4. Patz JA, Olson SH, Gray AL: Climate change, oceans, and human health.

    Oceanography 2006, 19(2):52-61. OpenURL

  5. McMichael AJ, Woodruff RE, Hales S: Climate change and human health: present and future risks.

    Lancet 2006, 367:859-869. PubMed Abstract | Publisher Full Text OpenURL

  6. Erickson GM, Nishitani L: The Possible Relationship of El Niño/Southern Oscillation Events to Interannual Variation In Gonyaulax Populations as Shown by Records of Shellfish Toxicity. In El Niño North: Niño Effects in the Eastern Subarctic Pacific Ocean. Edited by Wooster WS, Fluharty DL. Seattle: Washington Sea Grant Program, University of Washington; 1985:283-290. OpenURL

  7. HEED: Health Ecological and Economic Dimensions of Global Change Program. Marine Ecosystems: Emerging Diseases As Indicators Of Change. Health of the Oceans from Labrador to Venezuela. Year of the Ocean Special Report. NOAA-OGP and NASA Grant number NA56GP 0623. Edited by Epstein PR, Sherman BH, Siegfried ES, Langston A, Prasad S, Mckay B. Boston: The Center for Conservation Medicine and CHGE Harvard Medical School; 1998:85.

  8. Trainer VL, Eberhart B-TL, Wekell JC, Adams NG, Hanson L, Cox F, Dowell J: Paralytic shellfish toxins in Puget Sound, Washington State.

    J Shellfish Res 2003, 22(1):213-223. OpenURL

  9. Hayes ML, Bonaventura J, Mitchell TP, Prospero JM, Shinn EA, Van Dolah F, Barber RT: How are climate and marine biological outbreaks functionally linked?

    Hydrobiologia 2001, 460:213-220. OpenURL

  10. Dale B, Edwards M, Reid PC: Climate Change and Harmful Algae Blooms. In Ecol Stud. Volume 189. Edited by Granéli E, Turner JT. Heidelberg, Berlin: Springer-Verlag; 2006::367-378. OpenURL

  11. Edwards M, Johns DG, Leterme SC, Svendsen E, Richardson AJ: Regional climate change and harmful algal blooms in the northeast Atlantic.

    Limnol Oceanogr 2006, 51(2):820-829. OpenURL

  12. Smayda TJ: Bloom dynamics: Physiology, behavior, trophic effects.

    Limnol Oceanogr 1997, 42(5):1132-1136. OpenURL

  13. Erdner D, Dyble J, Parsons ML, Stevens RC, Hubbard KA, Wrabel ML, Moore SK, Lefebvre KA, Anderson DM, Bienfang P, Bidigare RR, Parker MS, Moeller P, Brand LE, Trainer VL: Centers for Oceans and Human Health: a unified approach to the challenge of harmful algal blooms.

    Environ Health 2008, 7(Suppl 2):s2.

    PubMed Abstract | Publisher Full Text | PubMed Central Full Text OpenURL

  14. Epstein PR: Climate change and emerging infectious diseases.

    Microbes Infect 2001, 3:747-754. PubMed Abstract | Publisher Full Text OpenURL

  15. Hallegraeff GM: A review of harmful algae blooms and their apparent global increase.

    Phycologia 1993, 32(2):79-99. OpenURL

  16. Kite-Powell H, Fleming LE, Backer L, Faustman E, Hoagland P, Tsuchiya A, Younglove L: Linking the oceans to public health: What is the "human health" in OHH.

    Environ Health 2008, 7(Suppl 2):S6.

    PubMed Abstract | Publisher Full Text | PubMed Central Full Text OpenURL

  17. Van Dolah FM: Marine Algal Toxins: Origins, Health Effects, and Their Increased Occurrence.

    Environ Health Perspect 2000, 108(Suppl 1):133-141. PubMed Abstract | PubMed Central Full Text OpenURL

  18. Glibert PM, Anderson DM, Gentien P, Graneli E, Sellner KG: The global complex phenomena of harmful algae.

    Oceanography 2005, 18(2):136-147. OpenURL

  19. Haines A, Patz JA: Health effects of climate change.

    JAMA 2004, 291(1):99-103. PubMed Abstract | Publisher Full Text OpenURL

  20. Patz JA, Campbell-Lendrum D, Holloway T, Foley JA: Impact of regional climate change on human health.

    Nature 2005, 438(7066):310-317. PubMed Abstract | Publisher Full Text OpenURL

  21. Watson RT, Patz JA, Gubler DJ, Parson EA, Vincent JH: Environmental health implications of global climate change.

    Journal of Environmental Monitoring 2005, 7(9):834-843. PubMed Abstract | Publisher Full Text OpenURL

  22. Mantua NJ, Hare SR, Zhang Y, Wallace JM, Francis RC: A Pacific Interdecadal Climate Oscillation with Impacts on Salmon Production.

    Bull Am Meteorol Soc 1997, 78(6):1069-1079. OpenURL

  23. Behrenfeld MJ, O'Malley RT, Siegel DA, McClain CR, Sarmiento JL, Feldman GC, Milligan AJ, Falkowski PG, Letelier RM, Boss ES: Climate-driven trends in contemporary ocean productivity.

    Nature 2006., 444

    doi:10.1038/nature05317.

    PubMed Abstract | Publisher Full Text OpenURL

  24. Botsford LW, Castilla JC, Peterson CH: The Management of Fisheries and Marine Ecosystems.

    Science 1997, 277:509-515. OpenURL

  25. Mantua NJ, Hare SR: The Pacific Decadal Oscillation.

    J Oceanogr 2002, 58:35-44. OpenURL

  26. Rasmusson EM, Wallace JM: Meteorological aspects of the El Niño/Southern Oscillation.

    Science 1983, 222:1195-1202. PubMed Abstract | Publisher Full Text OpenURL

  27. Rasmusson EM, Carpenter TH: Variations in tropical sea surface temperature and surface wind fields associated with the Southern Oscillation/El Niño.

    Mon Weather Rev 1982, 110:354-384. OpenURL

  28. Maclean JL: Indo-Pacific Red Tides, 1985–1988.

    Mar Pollut Bull 1989, 20(7):304-310. OpenURL

  29. Corno G, Karl DM, Church MJ, Letelier RM, Lukas R, Bidigare RR, Abbott MR: Impact of climate forcing on ecosystem processes in the North Pacific Subtropical Gyre.

    J Geophys Res, C 2007., 112(C04021)

    doi:10.1029/2006JC003730.

    OpenURL

  30. Boyd PW, Doney SC: Modelling regional responses by marine pelagic ecosystems to global climate change.

    Geophys Res Lett 2002., 29(16)

    doi: 10.1029/2001GL014130.

    OpenURL

  31. Doney SC: Plankton in a warmer world.

    Nature 2006, 444:695-696. PubMed Abstract | Publisher Full Text OpenURL

  32. Behrenfeld MJ, Randerson JT, McClain CR, Feldman GC, Los SO, Tucker CJ, Falkowski PG, Field CB, Frouin R, Esaias WE, Kolber DD, Pollack NH: Biospheric Primary Production During an ENSO Transition.

    Science 2001, 291:2594-2597. PubMed Abstract | Publisher Full Text OpenURL

  33. Bopp L, Monfray P, Aumont O, Dufresne J-L, Le Treut H, Madec G, Terray L, Orr JC: Potential impact of climate change on marine export production.

    Global Biogeochemical Cycles 2001, 15(1):81-99. OpenURL

  34. Cox PM, Betts RA, Jones CD, Spall SA, Totterdell IJ: Acceleration of global warming due to carbon-cycle feedbacks in a coupled climate model.

    Nature 2000, 408:184-187. PubMed Abstract | Publisher Full Text OpenURL

  35. Tozzi S, Schofield O, Falkowski P: Historical climate change and ocean turbulence as selective agents for two key phytoplankton functional groups.

    Mar Ecol Prog Ser 2004, 274:123-132. OpenURL

  36. Falkowski PG, Katz ME, Knoll AH, Quigg A, Raven JA, Schofield O, Taylor FJR: The Evolution of Modern Eukaryotic Phytoplankton.

    Science 2004, 305:354-360. PubMed Abstract | Publisher Full Text OpenURL

  37. Hales S, Weinstein P, Woodward A: Ciguatera (Fish Poisoning), El Niño, and Pacific Sea Surface Temperatures.

    Ecosyst Health 1999, 5(1):20-25. OpenURL

  38. Chateau-Degat ML, Chinain M, Cerf N, Gingras S, Hubert B, Dewailly E: Seawater temperature, Gambierdiscus spp. variability and incidence of ciguatera poisoning in French Polynesia.

    Harmful Algae 2005, 4(6):1053-1062. OpenURL

  39. Tester PA: Harmful Marine Phytoplankton and Shellfish Toxicity: Potential Consequences of Climate Change.

    Ann N Y Acad Sci 1994, 740:69-76. PubMed Abstract | Publisher Full Text OpenURL

  40. Meehi GA, Stocker TF, Collins WD, Friedlingstein P, Gaye AT, Gregory JM, Kitoh A, Knutti R, Murphy JM, Noda A, Raper SCB, Watterson IG, Weaver AJ, Zhao Z-C: Global Climate Projections. In Climate Change 2007: The Physical Science Basis Contribution of Working Group I to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change. Edited by Solomon S, Qin D, Manning M, Chen Z, Marquis M, Averyt KB, Tignor M, Miller HL. Cambridge, United Kingdom and New York, NY, USA: Cambridge University Press; 2007:747-845. OpenURL

  41. Gessner BD, Middaugh JP: Paralytic shellfish poisoning in Alaska: a 20-year retrospective analysis.

    Am J Epidemiol 1995, 141(8):766-770. PubMed Abstract | Publisher Full Text OpenURL

  42. Nishitani L, Chew KK: Recent developments in Paralytic Shellfish Poisoning research.

    Aquaculture 1984, 39:317-329. OpenURL

  43. Moore SK, Mantua NJ, Trainer VL, Hickey BM: Recent trends in paralytic shellfish toxins in Puget Sound, relationships to climate, and capacity for prediction of toxic events.

    Harmful Algae

    Accepted

    PubMed Abstract | PubMed Central Full Text OpenURL

  44. Salathe' EP, Mote PW, Wiley MW: Considerations for selecting downscaling methods for integrated assessments of climate change impacts.

    International Journal of Climatology 2007, 27(12):1611-1621.

    doi: 1610.1002/joc.1540.

    OpenURL

  45. Moore SK, Mantua NJ, Kellogg JP, Newton JA: Local and large-scale climate forcing of Puget Sound oceanographic properties on seasonal to interdecadal timescales.

    Limnol Oceanogr 2008, 53(5):1746-1758.

    OpenURL

  46. Paerl HW, Huisman J: Blooms Like It Hot.

    Science 2008, 320:57-58. PubMed Abstract | Publisher Full Text OpenURL

  47. Orr JC, Fabry VJ, Aumont O, Bopp L, Doney SC, Feely RA, Gnanadesikan A, Gruber N, Ishida A, Joos F, Key RM, Lindsay K, Maier-Reimer E, Matear R, Monfray P, Mouchet A, Najjar RG, Plattner G-K, Rodgers KB, Sabine CL, Sarmiento JL, Schlitzer R, Slater RD, Totterdell IJ, Weirig M-F, Yamanaka Y, Yool A: Anthropogenic ocean acidification over the twenty-first century and its impact on calcifying organisms.

    Nature 2005, 437:681-686.

    doi: 610.1038/nature04095.

    PubMed Abstract | Publisher Full Text OpenURL

  48. Riebesell U: Effects of CO2 Enrichment on Marine Phytoplankton.

    J Oceanogr 2004, 60:719-729. OpenURL

  49. Caldeira K, Wickett ME: Anthropogenic carbon and ocean pH.

    Nature 2003, 425:365. PubMed Abstract | Publisher Full Text OpenURL

  50. Raven J, Caldeira K, Elderfield H, Hoegh-Guldberg O, Liss P, Riebesell U, Shepherd J, Turley C, Watson A: Ocean acidification due to increasing atmospheric carbon dioxide. London: The Royal Society; 2005.

  51. Schippers P, Lürling M, Scheffer M: Increase of atmospheric CO2 promotes phytoplankton productivity.

    Ecol Lett 2004, 7:446-451.

    doi: 410.1111/j.1461-0248.2004.00597.x.

    OpenURL

  52. Riebesell U, Zondervan I, Rost B, Tortell PD, Zeebe RE, Morel FMM: Reduced calcification of marine plankton in response to increased atmospheric CO2.

    Nature 2000, 407:364-367. PubMed Abstract | Publisher Full Text OpenURL

  53. Hays GC, Richardson AJ, Robinson C: Climate change and marine plankton.

    TRENDS in Ecology and Evolution 2005, 20(6):337-344. OpenURL

  54. Hansen PJ, Lundholm N, Rost B: Growth limitation in marine red-tide dinoflagellates: effects of pH versus inorganic carbon availability.

    Mar Ecol Prog Ser 2007, 334:63-71. OpenURL

  55. Lundholm N, Hansen PJ, Kotaki Y: Effect of pH on growth and domoic acid production by potentially toxic diatoms of the genera Pseudo-nitzschia and Nitzschia.

    Mar Ecol Prog Ser 2004, 273:1-15. OpenURL

  56. Hinga KR: Co-occurrence of dinoflagellate blooms and high pH in marine enclosures.

    Mar Ecol Prog Ser 1992, 86:181-187. OpenURL

  57. Huber BT, Hodell DA, Hamilton CP: Middle-late Cretaceous climate of the southern high latitudes: stable isotopic evidence for minimal equator-to-pole thermal gradients.

    Geological Society of America Bulletin 1996, 107(10):1164-1191. OpenURL

  58. Shapiro J: Blue-green algae: why they become dominant.

    Science 1973, 179:382-384. PubMed Abstract | Publisher Full Text OpenURL

  59. Paerl HW, Ustach JF: Blue-green algal scums: An explanation for their occurrence during freshwater blooms.

    Limnol Oceanogr 1982, 27(2):212-217. OpenURL

  60. Goldman JC: Carbon dioxide and pH: Effect on species succession of algae.

    Science 1973, 182:306-307. PubMed Abstract | Publisher Full Text OpenURL

  61. Shapiro J: Carbon dioxide and pH: Effect on species succession of algae.

    Science 1973, 182:306-307. PubMed Abstract | Publisher Full Text OpenURL

  62. Barbiero RP, Tuchman ML: Results from the U.S. EPA's biological open water surveillance program of the Laurentian Great Lakes: I. Introduction and phytoplankton results.

    J Gt Lakes Res 2001, 27(2):134-154. OpenURL

  63. Kudela R, Pitcher G, Probyn T, Figueiras F, Moita T, Trainer V: Harmful Algal Blooms in Coastal Upwelling Systems.

    Oceanography 2005, 18(2):184-197. OpenURL

  64. Fraga S, Bakun A: Climate change and harmful algal blooms: The example of Gymnodinium catenatum on the Galician Coast. In Toxic Phytoplankton Blooms in the Sea. Edited by Smayda TJ, Shimizu Y. New York: Elsevier Science Publishers; 1993:59-65. OpenURL

  65. Bakun A: Global Climate Change and Intensification of Coastal Ocean Upwelling.

    Science 1990, 247:198-201. PubMed Abstract | Publisher Full Text OpenURL

  66. Mendelssohn R, Schwing FB: Common and uncommon trends in SST and wind stress in the California and Peru-Chile current systems.

    Progress in Oceanography 2002, 53:141-162. OpenURL

  67. Schwing FB, Mendelssohn R: Increased coastal upwelling in the California Current system.

    J Geophys Res, C 1997, 102:3421-3438. OpenURL

  68. LaDochy S, Ramirez P, Patzert WC: Southern California upwelling: Is recent weakening a result of global warming?

    19th Conference on Climate Variability and Change. San Antonio, TX 2007. OpenURL

  69. Snyder MA, Sloan LC, Diffenbaugh NS, Bell JL: Future climate change and upwelling in the California Current.

    Geophys Res Lett 2003, 30(15):1823.

    doi:1810.1029/2003GL017647.

    OpenURL

  70. Álvarez-Salgado XA, Labarta U, Fernndez-Reiriz MJ, Figueiras FG, Rosón G, Piedracoba S, Filgueira R, Cabanas JM: Renewal time and the impact of harmful algal blooms on the extensive mussel raft culture of the Iberian coastal upwelling system (NE Europe).

    Harmful Algae 2007.

    doi:10.1016/j.hal.2008.1004.1007.

    PubMed Abstract | PubMed Central Full Text OpenURL

  71. Barnett TP, Adam JC, Lettenmaier DP: Potential impacts of a warming climate on water availability in snow-dominated regions.

    Nature 2005, 438:303-309.

    doi:310.1038/nature04141.

    PubMed Abstract | Publisher Full Text OpenURL

  72. Peperzak L: Climate change and harmful algal blooms in the North Sea.

    Acta Oecol 2003, 24:S139-S144. OpenURL

  73. Peperzak L: Future increase in harmful algal blooms in the North Sea due to climate change.

    Water Sci Technol 2005, 51(5):31-36. PubMed Abstract OpenURL

  74. Confalonieri U, Menne B, Akhtar R, Ebi KL, Hauengue M, Kovats RS, Revich B, Woodward A: Human Health. In Climate Change 2007: Impacts, Adaptation and Vulnerability Contribution of Working Group II to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change. Edited by Parry ML, Canziani OF, Palutikof JP, van der Linden PJ, Hanson CE. Cambridge, UK: Cambridge University Press; 2007:391-431. OpenURL

  75. Backer LC, Fleming LE, Rowan A, Cheng Y-S, Benson J, Pierce RH, Zaias J, Bean J, Bossart GD, Johnson D, Quimbo R, Baden DG: Recreational Exposure to Aerosolized Brevetoxins During Florida Red Tide Events.

    Harmful Algae 2003., 2(19–28) PubMed Abstract | PubMed Central Full Text OpenURL

  76. Backer LC, Kirkpatrick B, Fleming LE, Cheng Y-S, Pierce R, Bean JA, Clark R, Johnson D, Wanner A, Tamer R, Baden DG: Occupational Exposure to Aerosolized Brevetoxins during Florida Red Tide Events: Impacts on a Healthy Worker Population.

    Environ Health Perspect 2005, 113(5):644-649. PubMed Abstract | Publisher Full Text | PubMed Central Full Text OpenURL

  77. Fleming LE, Kirkpatrick B, Backer LC, Bean JA, Wanner A, Dalpra D, Tamer R, Zaias J, Cheng Y-S, Pierces R, Naar J, Abraham W, Clark R, Zhou Y, Henry MS, Johnson D, Bogart G, Bossart GD, Harrington M, Baden DG: Initial Evaluation of the Effects of Aerosolized Florida Red Tide Toxins (Brevetoxins) in Persons with Asthma.

    Environ Health Perspect 2005, 113(5):650-657. PubMed Abstract | Publisher Full Text | PubMed Central Full Text OpenURL

  78. Fleming LE, Kirkpatrick B, Backer LC, Bean JA, Wanner A, Reich A, Zaias J, Cheng Y-S, Pierce R, Naar J, Abraham WM, Baden DG: Aerosolized Red Tide Toxins (Brevetoxins) and Asthma.

    Chest 2007, 131:187-194. PubMed Abstract | Publisher Full Text OpenURL

  79. Kirkpatrick B, Fleming LE, Backer LC, Bean JA, Tamer R, Kirkpatrick G, Kane T, Wanner A, Dalpra D, Reich A, Baden D: Environmental exposures to Florida red tides: effects on emergency room respiratory diagnoses admissions.

    Harmful Algae 2006, 5:526-533. OpenURL

  80. Backer LC, Carmichael W, Kirkpatrick B, Williams C, Irvin M, Zhou Y, Johnson TB, Nierenberg K, Hill VR, Kieszak SM, Cheng Y-S: Recreational exposure to microcystins during a Microcystis aeruginosa bloom in a small lake.

    Marine Drugs Special Issue, in press. OpenURL

  81. Fisher KM, Allen AL, Keller HM, Bronder ZE, Fenstermacher LE, Vincent MS: Annual Report of the Gulf of Mexico Harmful Algal Bloom Operational Forecast System (GOM HAB-OFS). [http://tidesandcurrents.noaa.gov/publications/tech_rpt_47.pdf] webcite

    Silver Spring, MD: NOAA Technical Report NOS CO-OPS 047; 2006.

  82. Stumpf RP, Culver ME, Tester PA, Kirkpatrick GJ, Pederson BA, Tomlinson M, Truby E, Ransibrahmanakul V, Hughes K, Soracco M: Monitoring Karenia brevis blooms in the Gulf of Mexico Using Satellite Ocean Color Imagery and Other Data.

    Harmful Algae 2003, 2(2):147-160. OpenURL

  83. Martin JH, Fitzwater SE: Iron deficiency limits phytoplankton growth in the north-east Pacific subarctic.

    Nature 1988, 331:341-343.

    doi:310.1038/331341a331340.

    OpenURL

  84. Brzezinski MA, Pride CJ, Franck VM, Sigman DM, Sarmiento JL, Matsumoto K, Gruber N, Rau GH, Coale KH: A switch from Si(OH)4 to NO3- depletion in the glacial Southern Ocean.

    Geophys Res Lett 2002., 29

    doi: 10.1029/2001GL014349.

    OpenURL

  85. Watson AJ, Law CS, Van Scoy KA, Millero FJ, Yao W, Friederich GE, Liddicoat MI, Wanninkhof RH, Barber RT, Coale KH: Minimal effect of iron fertilization on sea-surface carbon dioxide concentrations.

    Nature 1994, 371:143-145. OpenURL

  86. Charette MA, Buesseler KO: Does iron fertilization lead to rapid carbon export in the Southern Ocean?

    Geochemistry, Geophysics, Geosystems 2000, 1:2000GC000069. OpenURL

  87. Boyd PW, Law CS, Wong CS, Nojiri Y, Tsuda ALM, Takeda S, Rivkin R, Harrison PJ, Strzepek R, Gower J, McKay RM, Abraham E, Arychuk M, Barwell-Clarke J, Crawford W, Crawford D, Hale M, Harada K, Johnson K, Kiyosawa H, Kudo I, Marchetti A, Miller W, Needoba J, Nishioka J, Ogawa H, Page J, Robert M, Saito H, Sastri A, Sherry N, Soutar T, Sutherland N, Taira Y, Whitney F, Wong S-KE, Yoshimura T: The decline and fate of an iron-induced subarctic phytoplankton bloom.

    Nature 2004, 428:549-553. PubMed Abstract | Publisher Full Text OpenURL

  88. Chisholm SW: Stirring times in the Southern Ocean.

    Nature 2000, 407:685-687. PubMed Abstract | Publisher Full Text OpenURL

  89. Wells ML, Trick CG, Cochlan WP, Hughes MP, Trainer VL: Domoic acid: The synergy of iron, copper, and the toxicity of diatoms.

    Limnol Oceanogr 2005, 50(6):1908-1917. OpenURL

  90. Parker MS, Marchetti A, Lin EO, Armbrust EV: Iron storage by ferritin in marine pennate diatoms – Part I: Discovery of a ferritin gene in diatoms and comparative sequence analyses.

    Meeting of the American Society for Limnology and Oceanography, Santa Fe, New Mexico 2007. OpenURL

  91. Rue E, Bruland KW: Domoic acid binds iron and copper: a possible role for the toxin produced by the marine diatom Pseudo-nitzschia.

    Mar Chem 2001, (76):127-134. OpenURL

  92. Marchetti A, Lundholm N, Kotaki Y, Hubbard K, Harrison PJ, Armbrust EV: Identification and assessment of domoic acid production in oceanic pseudo-nitzschia (bacillariophyceae) from iron-limited waters in the northeast subarctic Pacific.

    J Phycol 2008, 44:650-661. OpenURL

  93. Moore SK, Mantua NJ, Trainer VL, Hickey BM: Long-term measurements of paralytic shellfish toxins in Puget Sound shellfish. Part II: The influence of climate and capacity for prediction.

    Harmful Algae

    in review.

    PubMed Abstract | PubMed Central Full Text OpenURL

  94. Cane MA, Zebiak SE, Dolan SC: Experimental forecasts of El Niño.

    Nature 1986, 321:827-832. OpenURL

  95. Newman M, Compo GP, Alexander MA: ENSO-Forced Variability of the Pacific Decadal Oscillation.

    J Clim 2003, 16(23):3853-3857. OpenURL

  96. Wong KTM, Lee JHW, Hodgkiss IJ: A simple model for forecast of coastal algal blooms.

    Estuarine, Coastal and Shelf Science 2007, 74:175-196. OpenURL

  97. Dyble J, McGillicuddy D, Bienfang P, Dusek E, Griffiths B, Holland F, Hitchcock G, Laws E, Lerczak J, Minnett P, Moore S, O'Kelly C, Solo-Gabriele H, Wang J: Environmental controls, oceanography and population dynamics of pathogens and harmful algal blooms: Connecting sources to human exposure.

    Environ Health 2008, 7(Suppl 2):S5.

    PubMed Abstract | Publisher Full Text | PubMed Central Full Text OpenURL

  98. Dickhoff WW, Collier TK, Varanasi U: The Seafood "Dilemma" – A Way Forward.

    Fisheries 2007, 32(5):244-246. OpenURL

  99. McMichael AJ, Haines A: Global climate change: the potential effects on health.

    British Medical Journal 1997, 315:805-809. PubMed Abstract | Publisher Full Text | PubMed Central Full Text OpenURL

  100. Boyd PW, Jickells T, Law CS, Blain S, Boyle EA, Buesseler KO, Coale KH, Cullen JJ, de Baar HJW, Follows M, Harvey M, Lanecelot C, Levasseur M, Owens NPJ, Pollard R, Rivkin RB, Sarmiento J, Schoemann V, Smetacek V, Takeda S, Tsuda A, Turner S, Watson AJ: Mesoscale Iron Enrichment Experiments 1993–2005: Synthesis and Future Directions.

    Science 2007, 315:612-617. PubMed Abstract | Publisher Full Text OpenURL

  101. Marchetti A, Sherry ND, Kiyosawa H, Tsuda A, Harrison PJ: Phytoplankton processes during a mesoscale iron enrichment in the NE subarctic Pacific: Part I – Biomass and assemblage.

    Deep-Sea Res Pt II 2006, 53:2095-2113. OpenURL

  102. Hoffmann LJ, Peeken I, Lochte K, Assmy P, Veldhuis M: Different reactions of Southern Ocean phytoplankton size classes to iron fertilization.

    Limnol Oceanogr 2006, 51:1217-1229. OpenURL

  103. Tsuda A, Kiyosawa H, Kuwata A, Mochizuki M, Shiga N, Saito H, Chiba S, Imai K, Nishioka J, Ono T: Responses of diatoms to iron-enrichment (SEEDS) in the western subarctic Pacific, temporal and spatial comparisons.

    Progress in Oceanography 2005, 64:189-205. OpenURL

  104. Tsuda A, Takeda S, Saito H, Nishioka J, Kudo I, Nojiri Y, Suzuki K, Uematsu M, Wells ML, Tsumune D, Yoshimura T, Aono T, Aramaki T, Cochlan WP, Hayakawa M, Keiri Imai1 TI, Iwamoto Y, Johnson WK, Kameyama S, Kato S, Kiyosawa H, Kondo Y, Levasseur M, Machida RJ, Nagao I, Nakagawa F, Nakanishi T, Nakatsuka S, Narita A, Noiri Y, Obata H, Ogawa H, Oguma K, Ono T, Sakuragi T, Sasakawa M, Sato M, Shimamoto A, Takata H, Trick CG, Watanabe YW, Wong CS, Yoshie N: Evidence for the grazing hypothesis: Grazing reduces phytoplankton responses of the HNLC ecosystem to iron enrichment in the western subarctic pacific (SEEDS II).

    J Oceanogr 2007, 63(6):983-994. OpenURL

  105. Martins I, Marques JC: A model for the growth of opportunistic macroalgae (Enteromorpha sp.) in tidal estuaries.

    Estuarine, Coastal and Shelf Science 2002, 55:247-257. OpenURL

  106. Landry MR, Ondrusek ME, Tanner SJ, Brown SL, Constantinou J, Bidigare RR, Coale KH, Fitzwater S: Biological response to iron fertilization in the eastern equatorial Pacific (IronEx II). I. Microplankton community abundances and biomass.

    Mar Ecol Prog Ser 2000, 201:27-42. OpenURL