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Acquired immunodeficiency syndrome, 78, 86, Plate XIV
Aerosol-borne toxins, 2, 11, 60, 67
Air pollution, see Global warming
Aircraft, weather forecasting, 24, 25
seafood, toxins in, 6, 7, 15, 18, 60-66
toxins, cost-effective detection, 6, 7, 70
toxins, general, 6, 7, 15, 17, 18, 27, 59-70
see also Harmful algal blooms; Plankton
Amnesic shellfish poisoning, 11, 60, 61, 65-66
Animal modes, 3-4, 11, 60, 71, 72, 74-75, 81-82, 83-95
Anoxia, 2
see also Dissolved oxygen levels
Antibiotics, 6, 50, 74, 81, 87
Atmospheric processes, see Climate; Weather
Bacteria, general, 3, 10, 44-45, 46, 50, 78
antibiotics, 6, 50, 74, 81, 87
coliform bacteria, 6, 46-48, 49, 57
vibrios, 3, 10, 27, 44, 45, 46, 50, 51-52, 57
see also specific and bacterial diseases
Bioassays, 48, 50, 57, 72, 74, 77, 80, 82, 94
Biodiversity, 71-95
Biomedical sciences, 1, 6-7, 9, 15, 43-70, 83-95
biodiversity and, 6-7, 11, 71-95
biotechnology, general, 48, 72
see also Pharmaceuticals
fluorescence, 11, 46, 48, 79, 80, Plate XIV
marine organisms as models, 3-4, 11, 60, 71, 72, 74-75, 81-82, 83-95
see Cellular biology;Diseases and disorders; Health services; Immunology; Neurobiology
Brevetoxins, 63, 64, 67, 68, 71
Bryostatin, 76
Calcium, 60, 79-80, 88, 89, 94
Cancer drugs, 3, 7, 9, 74, 75-76, 78, 81
Cellular biology, 11, Plate XIV
calcium, 60, 79-80, 88, 89, 94, Plate XVI
marine organisms as models, 4, 7, 79-80, 83-95
pharmaceuticals, 7, Plate X, Plate XI
see also Cancer drugs; Immunology; Neurobiology
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Centers for Disease Control and Prevention, 57
Cholera, 10, 21, 39, 44, 45, 52, 57
Ciguatera fish poisoning, 11, 61, 62, 63, 64
Climate, 1, 2, 4, 9-10, 11, 33-39
computer models, 36, 38, 40, 42
databases, 4-5
drought, 3, 4, 18, 19, 33-34, 53, 54
ENSO, 2-3, 5, 9, 10, 15, 17-18, 33-34, 38, 39, 53, 54
monitoring programs, 31, 32, 39
North Atlantic Oscillation, 2-3, 33-34
see also Global warming
Climate Variability and Predictability Programme, 41
wetlands, 27
see also Estuaries; Harmful algal blooms; Tropical storms; Tsunamis, storm surges and tidal waves
Coliform bacteria, 6, 46-48, 49, 57
Computer applications
climate models, 36, 38, 40, 42
databases, 4-5
Internet, 41
Cooperative Research and Development Agreement, 76
Cost and cost-benefit issues
algal toxin detection, 6, 7, 70
coliforms as indicator of fecal pollution, 57
pharmaceuticals development, 7, 72, 77-78
Cross-disciplinary approaches, see Multidisciplinary approaches
Cyanotoxins, 66
Cyclin, 87-88
Cyclones, see Tropical storms
chemical and biological data, 40
HEED, 37
Dengue fever, 3, 21-22, 39, 55
disasters, 10, 19, 20, 22-23, 26-27, 41
global warming, 39
cholera, 10, 21, 39, 44, 45, 52, 57
diarrhetic shellfish poisoning, 11, 60-62, 65
typhoid fever, 21
Dinoflagellates, 9, 31, 32, 63, 64, 65, 67-68, 79
Diseases and disorders, general, 5
amnesic shellfish poisoning, 11, 60, 61, 65-66
cholera, 10, 21, 39, 44, 45, 52, 57
dengue fever, 3, 21-22, 39, 55
diarrhetic shellfish poisoning, 11, 60-62, 65
ENSO, 3, 5, 15, 33-34, 36, 52-56
gastroenteritis, 45, 50, 63, 64, 65
malaria, 3, 15, 21-22, 39, 53-54
marine organisms as models, 3-4, 74-75, 81-82, 85, 94-95
neurotoxic shellfish poisoning, 60, 61, 63
paralytic shellfish poisoning, 11, 32, 60, 61, 62-63, 66, 71
waterborne diseases, 17, 21, 43-53, 57
see also Health services;Infectious diseases; Pharmaceuticals; Vector-borne diseases
Dissolved oxygen levels, 30-31, 40
see also Anoxia; Hypoxia
Drugs, see Pharmaceuticals
Earthquakes, see Tsunamis, storm surges and tidal waves
The Ecology and Oceanography of Harmful Algal Blooms: A National Research Agenda (ECOHAB), 11, 69
Economic factors poor communities, 19
see also Cost and cost-benefit issues; Developing countries
Education and training
health service professionals, 19, 38, 41, 70
professional, 7, 19, 38, 41, 70, 81, 82, 95
public, 19
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(Continued from previous page)
see also Learning and memory
El NiƱo/Southern Oscillation (ENSO), 2-3, 5, 9, 10, 15, 17-18, 33-34, 37, 38, 39, 53, Plate VII
diseases related to, 3, 5, 15, 33-34, 36, 52-56
ENSO experiment, 56
pathogens, 27, 31-32, 44, 45, 48-51
wetlands, 27
see also Harmful algal blooms
Federal Emergency Management Agency, 24
Federal government, see terms beginning "National" and "U.S."
Fertilization, 80, 85, 87-88, Plate XVI
see also Food products
Floods, 9
ENSO, 36
estuarine salinity, 31
mortality, 20
see also Tsunamis, storm surges and tidal waves
Fluorescence, 11, 46, 48, 79, 80
Food products
algal toxin contamination, 60-70
availability of, 3
infectious diseases transmitted by, 10-11, 31, 32, 43, 44, 46, 47-48, 50, 51-52, 60-66
marine pharmaceuticals, 80
Gastroenteritis, 45, 50, 63, 64, 65
Global Ocean Observing System, 41
Global warming, 9-10, 34-38, 41
ENSO/NAO, 36
infectious diseases and, 36, 39, 51-53
salinity and, 38
tropical storms, 3, 5, 15, 33-34, 36, 52-56
vector-borne diseases and, 53
Greenhouse effect, see Global warming
Gulf of Maine, 32
Gulf of Mexico, 20, 25, 26, 32, 63, Plate IV
Harmful algal blooms, 2, 3, 5-6, 9, 10-11, 15, 17, 30, 31, 32, 59-70, 71, 72, Plate VIII, Plate IX
amnesic shellfish poisoning, 11, 60, 61, 65-66
ciguatera fish poisoning, 11, 61, 62, 63, 64
diarrhetic shellfish poisoning, 11, 60-62, 65
dinoflagellates, 9, 31, 32, 63, 64, 65, 67-68, 79
neurotoxic shellfish poisoning, 60, 61, 63
paralytic shellfish poisoning, 11, 32, 60, 61, 62-63, 66, 71
Hazard Analysis Critical Control Point program, 62
Health, Ecological and Dimensions of Global Change Program (HEED), 37
Health sciences, see Biomedical sciences
databases, 5
developing countries, 91, 21, 22-23, 39, 41
Pan American Health Organization, 41, 42, 55, 56
professional training, 19, 38, 41, 70
tropical storms, response, 9, 19, 21, 38-39
World Health Organization, 22, 41, 42, 55, 56, 57
Herpes, 75
Housing, 19
Human immunodeficiency virus, see Acquired immunodeficiency syndrome
Hurricane Bonnie, Plate III
Hurricane Gilbert, 22
Hurricane Opal, 24-26, Plate IV
Hurricanes, see Tropical storms
see also Dissolved oxygen levels
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Immunology, 11, 50, 74-75, 76, 77, 79
antibiotics, 6, 50, 74, 81, 87
inflammations, 11, 73, 74, 77, 78, 79, 81, Plate XIII
marine organisms as models, 84, 85, 86-87
Infectious diseases, 1, 2, 3, 11, 43-58
food products transmitting, 10-11, 31, 32, 43, 44, 46, 47-48, 50, 51-52, 60-66
global warming and, 36, 39, 51-53
recreational exposure to pathogens, 2, 43, 45, 46, 47, 51, 66
weather and, 10, 19, 20, 21, 39
Inflammation, 11, 73, 74, 77, 78, 79, 81, Plate XIII
Insects, see Mosquitos
Interdisciplinary approaches, see Multidisciplinary approaches
International Decade of Natural Disaster Reduction, 41
International Year of the Ocean, 1
Internet, 41
Land and resource management, 19, 27, 39
see also Vulnerability
Learning and memory, 4, 65, 92-93
London Dumping Treaty, 49
Malaria, 3, 15, 21-22, 39, 53-54
Marine Biotoxins and Harmful Algae: A National Plan, 11
Marine mammals, 50, 59, 62, 71, 84
Medical science, see Biomedical sciences; Diseases and disorders; Pharmaceuticals
Medical services, see Cellular biology; Health services; Molecular biology
Memory, see Learning and memory
Microbes, 3, 45, 46, 74, 76, 77, 78, 81, 87
Microbiology, general, 5, 7, 45, 57
Molecular biology, 3, 48, 57, 70, 79
algal toxin detection, 6
marine organisms as models, 4, 88-89, 93
see also DNA; RNA
Monitoring programs
climate and weather, 4-5, 31, 32, 39
infectious diseases, 41-42, 57, 58
see also Sensor technology
Mosquitos, 3, 15, 21-22, 54-55
Multidisciplinary approaches, 5, 7, 15, 37, 52, 57, 78, 81-82, 95
National Cancer Institute, 75-76, 81
National Center for Research Resources, 95
National Institutes of Health, 75-76, 81, 95
National Oceanic and Atmospheric Administration, 25
National Shellfish Sanitation Program, 47-48
Natural Products National Cancer Drug Discovery Groups, 81
Neurobiology
algal toxins, 11, 59-66, 68-69, 79
drug treatment, 7
learning and memory, 4, 65, 92-93
marine organisms as models, 4, 7, 11, 83-84, 85, 88-89, 91-94, 95
pharmaceuticals, 74
Neurotoxic shellfish poisoning, 60, 61, 63
Nicotinic acid adenine dinucleotide phosphate, 88-89
North Atlantic Oscillation (NAO), 2-3, 33-34
ENSO, 52-53
harmful algal blooms, 68
infectious diseases and, 49, 50, 51, 52-53, 57
pharmaceuticals, 77
Ocean Dumping Act of 1988, 49
Office of Naval Research, 25
Osmotic processes, 89-91
Pan American Health Organization, 41, 42, 55, 56
Paralytic shellfish poisoning, 11, 32, 60, 61, 62-63, 66, 71
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Pharmaceuticals, 3, 6-7, 11, 72, 73-82
antibiotics, 6, 50, 74, 81, 87
anti-inflammatory agents, 73, 74, 77, 78, 79, 81
bioassays, 48, 50, 57, 72, 74, 77, 80, 82, 94
cancer drugs, 3, 7, 9, 74, 75-76, 78, 81
Physical oceanography, general, 9, 12, Plate I
databases, 4
sea surface temperature, 10, 26, 33, 34, 35, 39, 52, 65-66
stratification processes, 18-19, 27-32
Plankton, 18, 27, 32, 44, 57, 75
see also Harmful algal blooms
Phytoplankton, 18, 27, 32, 44, 51, 52, 59, 65, 75
Pollution, 1(n.1), 3, 44, 51, 53
coastal areas and estuaries, 31, 32, 48-50
coliform bacteria, 6, 46-48, 49, 57
dissolved oxygen levels, 30-31, 40
ship ballast and bilge, 2, 10, 43, 49, 62
see also Harmful algal blooms
Polycyclic aromatic hydrocarbons, 50
Polymerase chain reaction, 48, 80
Polyunsaturated fatty acids, 80
drought, 3, 4, 18, 19, 33-34, 53, 54
health impacts, 2, 46-47, 49, 52, 53, 54, 55
Recreational exposure to pathogens, 2, 43, 45, 46, 47, 51, 66
Red tides, see Harmful algal blooms
Rift Valley fever, 54-55
Rivers, see Estuaries
coastal areas and estuaries, 27-29, 30, 31, 32
global warming, 38
infectious disease transmission, 52
measurement technology, 40
osmoregulation, 89-90
tropical storms and, 21
Satellite technology, 5-6, 39-40, Plate III , Plate VIII
storm prediction, 24
Seafood, see Food products
Sea surface temperature, 10, 26, 33, 34, 35, 39, 52, 65-66, Plate VI, Plate VIII
Sea urchins, 44, 79-80, 84, 86, 87-89, Plate XV
chemical and biological, 5-6, 40
Ships and shipping, 43
cholera transmission, 10
pathogens in ballast and bilge, 2, 10, 43, 49, 62
Small Business Innovative Research, 81
Sponges, 75, 76, 79, Plate XI, Plate XII
Storm surges, see Tsunamis, storm surges and tidal waves
Stratification processes, 18-19, 27-32
Temperature factors, 3
drought, 33
sea surface temperature, 10, 26, 33, 34, 35, 39, 52, 65-66
storm forecasting, 25
see also El NiƱo/Southern Oscillation; Global warming;North Atlantic Oscillation
Tidal processes, 2, 18, 26-32 (passim), 75
Tidal waves,
see Tsunamis, storm surges and tidal waves
TOPEX (The Ocean Topography Experiment), 39, Plate IV, Plate VII
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Training, see Education and training
developing countries, 10, 19, 20, 22-23, 26-27, 41
diseases and, 19
global warming and, 3, 5, 15, 33-34, 36, 52-56
health services response, 9, 19, 21, 38-39
mortality and injury, 20, 22, 38-39
salinity and, 21
see also Floods; Tsunamis, storms surges and tidal waves
Tsunamis, storm surges and tidal waves, 2, 19, 21, Plate II
sea level change, 37
storm surges described, 26
tsunamis described, 21
Typhoid fever, 21
United Nations, 1
United States
climatic changes and disease, 39
coastal/estuarine pathogens, 49, 50, 51-52, 62-63, 65, 67
harmful algal blooms, 68
marine biotechnology investment, 72
pharmaceuticals, 76, 77, 78, 81
tropical storms, 20, 23-24, 38
see also terms beginning "National" and "U.S."
U.S. Agency for International Development, 42, 57
U.S. Air Force Reserve, 25
U.S. Department of Defense, 57
U.S. Department of Health and Human Services, see National Institutes of Health
U.S. Environmental Protection Agency, 47
U.S. Food and Drug Administration, 62
U.S. Geological Survey, 68
U.S. Navy, 25
U.S. Weather Research Program, 26
Vector-borne diseases, 3, 15, 17, 21-22, 53-57
dengue fever, 3, 21-22, 39, 55
global warming and, 53
malaria, 3, 15, 21-22, 39, 53-54
Rift Valley fever, 54-55
Vibrios, 3, 10, 27, 44, 45, 46, 50, 51-52, 57
Viruses, 10, 44, 45, 46, 50-51, 53, 54-55
dengue fever, 3, 21-22, 39, 55
herpes, 75
pharmaceuticals, 74
see also Vector-borne diseases
Vulnerability, 9, 19-27 (passim), 35
see also Land and resource management
Waterborne diseases, 17, 21, 43-53, 57
see also specific diseases
Water quality
dissolved oxygen levels, 30-31, 40
see also Harmful algal blooms;Pollution; Salinity
diseases and, 19
forecasting, 5, 11, 17, 21, 24, 25
infectious diseases and, 10, 19, 20, 21, 39
see also Climate;Temperature factors; Tropical storms; Wind
Wetlands, 27
see also Estuaries
Wind
ENSO, 33
tropical storms, 23, 24, 25, 26, 32
wind-driven currents, 2, 18, 31, 32
World Health Organization, 41, 42, 55, 56, 57
health defined, 22
World Weather Research Program, 26

Plate I: Arteries of the ocean circulation carry warm water to the North Atlantic where it is cooled by the Arctic cold air masses. This cooling makes the water denser and it sinks to the bottom, forming a southward-moving water mass that flows around Antarctica, then filling the world ocean basins and gradually returning to the surface. Nutrients brought up to the sunlit surface layers can then support the growth of plankton (after Schmitz, 1996)

Plate II: Snapshot from a preliminary simulation of the 1998 New Guinea tsunami illustrating the concentrated surge as the wave hit the coastline (USGS, 1998).

Plate III: Satellite image of Hurricane Bonnie off the coast of Florida on August 24, 1998. Image taken by NASA/GSFC SeaWIFS satellite. Hurricanes are fueled by the warm tropical ocean, and are sensitive to ocean temperatures along their paths.

Plate IV: Storm track of Hurricane Opal in the Gulf of Mexico showing the pressure drop as the storm passed over the Loop Current warm core ring (red, WCR). The atmospheric upper-level trough (blue) influenced the steering of the hurricane as it approached landfall. The diagram is based upon TOPEX altimetry data and post-storm AVHRR images. (Adapted from Marks and Shay, 1998: Shay et. al., 1998)

Plate V: Patients suffering from cholera in a Bangladesh hospital. Photo courtesy of D.J. Grimes.

Plate VI: Sea Surface Temperatures (SST) data near the western coast of South America show the temperature started rising quickly in November 1997, and remained high throughout the spring of 1998. This chart was generated as part of an EPA funded project: ''Global Climate Change and Infectious Disease: Application of Remote Sensing in Cholera Prediction," involving R. Colwell, A. Huq, J. Patz, A. Gil, B. Sack, B. Lobitz, and B. Wood. SST data source: JPL Physical Oceanography DAAC AVHRR Multi-channel SST.

Plate VII: While Plate VI showed the warm water persisting through the spring of 1998, the elevation of this water mass (Sea Surface Height. SSH) off the coast of Equador (4°S latitude) peaked in December 1997, true to its namesake. "El Niño." This chart was generated as part of an EPA funded project: "Global Climate Change and Infectious Disease: Application of Remote Sensing in Cholera Prediction," involving R. Colwell, A. Huq. J. Patz, A. Gil, B. Sack, B. Lobitz, and B. Wood. SSH data source: University of Texas TOPEX Sea Surface Anomalies.

Plate VIII: Reverse colored (warmest is deepest blue; coldest is red) sea surface temperature image that shows the strong shoreward intrusion of Gulf Stream water (darkest blue, 28 °C) into the nearshore regions of the North Carolina coast. The Gulf Stream and meanders of Gulf Stream water serve as a transport mechanism for Gymnodinium breve red tide cells onto the continental shelf in the U.S. South Atlantic Bight. Image from the NOAA-9 polar orbiting satellite (AVHRR advanced very high resolution radiometer) on October 31, 1987; image provided by Tom Leming, National Marine Fisheries Service (NMES), NSTI. MS.

Plate IX: These maps depict the HAB outbreaks known before (top) and after (bottom) 1972. This is not meant to be an exhaustive compilation of all events, but rather an indication of major or recurrent HAB episodes. Neurotoxic shellfish poisoning = NSP, paralytic shellfish poisoning = PSP, and amnesic shellfish poisoning = ASP (Anderson, 1995).

Plate X: In densely populated habitats, marine plants and animals produce chemicals to protect them from predation and overgrowth. Some of these bioactive chemicals have potential value as pharmaceuticals. Photo courtesy of William Fenical. Scripps Institution of Oceanography.

Plate XI: Sponges are dominant components of many marine ecosystems and provide a source of unique chemicals with pharmaceutical potential. This bright orange sponge is called Teichaxinella morchella and was photographed in the Bahamas at a depth of 100 feet on a deep water reef. This species has several interesting bioactive compounds, one of which has antitumor activity. Photo by John K. Reed, Harbor Branch Oceanographic Institution.

Plate XIIa: The deep-water marine sponge. Discodermia dissoluta, from which the compound discodermolide is obtained. This sponge was collected at a depth of approximately 500 feet. Photo courtesy of Harbor Branch Oceanographic Institution, Inc., ©1998.
Plate XIIb: Untreated human cancer cells stained with fluorescently labeled anti-alphatubulin antibody. The individual, green hair-like structures are microtubules which form an organized meshwork or cellular skeleton (cytoskeleton) in cells. Microtubules also assist in the segregation of chromosomes during cell division. Photo courtesy of Harbor Branch Oceanographic Institution, Inc., ©1998.
Plate XIIc: Human cancer cells treated with discodermolide. The microtubule network has become reorganized due to the activity of discodermolide. This results in the formation of microtubule bundles, disruption of cell division, and death of the cancer cells. Photo courtesy of Harbor Branch Oceanographic Institution, Inc., ©1998.

Plate XIII: Pseudopterogorgia elisabethae, a Caribbean gorgonian, is the source of potent anti-inflammatory compounds. Photo courtesy of William Fenical, Scripps Institution of Oceanography.

Plate XIV: Two mutants of Green Fluorescent Protein (GFP), derived from a jellyfish, are fused to HIV genes encoding a cytoplasmic protein (green) and a nuclear protein (blue). GFP can be linked to a variety of genes to monitor protein expression and subcellular localization (Stauber et al., 1998).

Plate XV: Photo of the sea urchin Lytichinus pictus spawning. The female is inverted on top of the beaker and the plentiful orange eggs drop to the bottom. A spawning male appears to the side of the beakerĀthe white foam on the top of the urchin contains the sperm. Photo courtesy of Chris Patton, Hopkins Marine Station. Stanford University.

Plate XVI: Confocal microscope images taken at 5-second intervals of a fertilization-induced calcium wave in a Pisaster ochraceus starfish oocyte. The color spectrum indicates the relative concentration of calcium where blue-green represents low calcium and yellow-red represents high calcium. Photo provided courtesy of Stephen A. Stricker. Department of Biology, University of New Mexico.