Ciguatera is a food poisoning or foodborne illness. It is caused when the fish contaminated with the ciguatera toxin is ingested in the meal. It is a lipid-soluble heat-stable toxin. It is produced by the dinoflagellates. The ciguatera toxicity can cause symptoms like pain, malaise, labored breathing, blurred vision, numbness of body parts, cardiac as well as neurological problems in human beings. Based on the above description, the people of San Francisco are expected to be affected by Ciguatera.
Effleurage is basically a form of massage involving a circular stroke movement made with the palm of the hand. Effleurage can be firm or light without dragging the skin, and is performed using either the padded parts of the finger tips or the palmar surface of the hands.