“…Pufferfish poisoning is typical of warm waters and was regarded as a problem confined to Asian countries, , including Thailand, Taiwan, Singapore, Cambodia, Bangladesh, and India. , However, toxic pufferfish species have expanded to other regions, and there have been an increasing number of reports of incidences in the Mediterranean Sea, which has been attributed to the opening of the Suez Canal (the “Lessepsian migration”), which resulted in the migration of species from the Red Sea to colonize the Mediterranean Sea, − the Aegean Sea, the Adriatic Sea, and Oman, and there have also been reports of the incidence of tetrodotoxin in Australia and the United States, highlighting the widespread distribution of the toxin.…”