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IA #16-20, 10/28/03 IMPORT ALERT #16-20, "DETENTION WITHOUT PHYSICAL
EXAMINATION OF PUFFER FISH *** AND FOODS THAT CONTAIN PUFFER FISH***"

NOTE: This revision updates the products and product codes subject to the
alert.  Changes are bracketed by asterisks (***).

TYPE OF ALERT: Detention Without Physical Examination

NOTE:     This import alert represents the Agency's current guidance to FDA field
          personnel regarding the manufacturer (s) and/or product(s) at issue.  It
          does not create or confer any rights for or on any person, and does not
          operate to bind FDA or the public.

PRODUCT:       Puffer Fish; Globe Fish; Swell Fish; Fugu; Members of the
               order Tetraodonitiformes, ***and products such as stews,
               bisques, congee, cereal and grain gruels containing puffer
               fish, fugu, Globefish, etc.***

PRODUCT CODE:  16A- - 65, 16B- - 65, 16C- - 65, *** 16S- - 65, 16I- - 65,
               16W- - 15, 16W- - 21, 16W- - 23, 38A- - 99, 38A- - 09 ***

PROBLEM:       Tetrodotoxin, a poisonous substance

PAC:           07844

PAF:           BIO

COUNTRY:       All

MANUFACTURER/
SHIPPER:       All

CHARGE:        "The article is subject to refusal of admission pursuant to
               Section 801(a)(3) in that it appears to contain a poisonous
               and deleterious substance (tetrodotoxin) which would
               ordinarily render it injurious to health [Adulteration,
               Section 402 (a)(1)]."

OASIS Charge
Codes:         BIO TOXIN

RECOMMENDING
OFFICE:        Division of Import Operations and Policy (HFC-170), Office
               of Seafood/Policy Guidance Branch (HFS-416), ***Office of
               Compliance/ Division of Enforcement and Programs/Imports
               Program Branch(HFS-606)***.

REASON FOR
ALERT:         Tetrodotoxin poisoning results from the ingestion of edible
               portions of the puffer fish, which may become contaminated
               from the poisonous excised tissue during processing, or from
               the transfer of the toxin from poisonous parts as a result
               of improper freezing and gradual thawing of unprocessed
               puffer fish.  There is a 50% fatality rate among those who
               ingest tetrodotoxin (TTX).  ***The toxin cannot be destroyed
               by cooking or freezing.  While progress has been made in
               analytical methodology to determine the presence of toxin,
               the methodology is still inadequate.***

GUIDANCE:      Districts may detain without physical examination all
               shipments of Puffer Fish, Globe Fish, Swell Fish, Fugu, or
               other members of the order Tetradontiformes. ***Districts
               may also detain any food that lists these in the ingredient
               statement or anywhere on the product label.***

               NOTE:      Experience has shown that the best method for
               obtaining a product which will not cause illness or death is
               the highly specialized training and knowledge for product
               preparation.  Based on this premise, there is an agreement
               between FDA and the government of Japan, which permits the
               importation of the species Tora (Tiger) Fugu (fugu rubripes
               rubripes) ***for consumption in the United States***.  With
               this agreement, the puffer fish are:

                    a)   processed and prepared, so that they are "ready"
                         for consumption, by the Fugu Fish Market in the
                         city of Shimonoseki, Yamaguchi Prefecture,
                         Japan, which handles over 80% of the total Fugu
                         consumption in Japan, and whose processing
                         factories are manned by specialists licensed by
                         the Government as special Fugu Chefs; and

                    b)   shipped certified , by the Department of Health
                         of the City of Shiminoseki, in Yamaguchi
                         Prefecture, Japan, as legally processed in an
                         authorized processing factory.

               These shipments of puffer fish from Japan are allowed entry
               into the United States through JFK International Airport.
               These puffer fish are brought into the United States no more
               than two or three times a year, between September and March.
               The US import organization, Wako International, located in
               New York City, imports these fish into the United States.
               In general, puffer fish appear to be adulterated under
               402(a)(1) because of the presence of toxin.  However, those
               Japanese puffer fish brought in to New York City's JFK
               International Airport do not have the appearance of
               adulteration because of the preparation process, as
               referenced in the agreement between the Japanese Government
               and the FDA.

               Japan (JP); China (CN); Taiwan (TW); Philippines (PH); and
               Mexico (MX) are the countries that frequently export puffer
               fish.

               For information on this and other requirements concerning
               this alert, contact DIOP (301) 443-6553 or *** Angel M.
               Suarez, Imports Program Branch, Office of Compliance (301)
               436-2146, or Mildred Benjamin, Policy Guidance Branch,
               Office of Seafood (301) 436-1424 ***

PRIORITIZATION
GUIDANCE:      I

FOI:           No purging is required.

KEY WORDS:          Puffer Fish, Globe Fish, Swell Fish, Fugu, Tetrodotoxin,
                    Tetradontiformes.

PREPARED BY:   Stella Notzon, DIOP, (301) 443-6553

DATE LOADED
INTO FIARS:         October 28, 2003