“…Similarly, there are reports on the presence of TTXs in several bivalve mollusks species from other temperate areas of the world, including New Zealand, China and Japan [8,[35][36][37][38], with no relevant intoxications in humans. On the contrary, there are several reports of human poisoning in these "non-traditional" areas related to ingestion of TTX-containing pufferfish, mostly L. sceleratus, specifically in Israel, Lebanon, Palestine (Gaza strip), Turkey, Cyprus, and Greece, with at least three lethal cases in Turkey, and a suspected case of TTX poisoning associated with octopus' consumption in Malta [17,[39][40][41][42][43][44][45][46]. Expectably though, there is potentially significant underreporting of intoxication cases, TTX has been responsible for numerous-occasionally fatal-human intoxication incidents and typically linked to pufferfish consumption, especially in countries of the Far East (particularly Japan), where they constitute a delicacy known as "fugu" [3].…”