“…At doses below this concentration, nodularin may act as a carcinogen via the initiation and promotion of liver cell division (Pearson et al, 2010). Several cases of death and poisoning of aquatic and terrestrial animals (sheep, (Edler et al, 1985;Nehring, 1993;Steffensen et al, 1999;Kankaanpää et al, 2005). So far there have been no confirmed reports of human fatalities attributable to the N. spumigena.…”