Public health responses to toxic cyanobacterial blooms: perspectives from the 2016 Florida event

In June 2016, massive cyanobacterial blooms occurred in the St. Lucie River in Florida, caused by nutrient and cyanobacterial-laden water releases from Lake Okeechobee. We independently collected and analyzed bloom material for cyanotoxin diversity and concentrations. The concentrations of microcystins, potent hepatotoxins, present in the bloom material greatly exceeded World Health Organization Guideline Values for drinking and recreational water. We also detected the neurotoxins anatoxin-a(S) and β-N-methylamino-L-alanine (BMAA). The Florida State Governor declared a state of emergency, but many affected aquatic recreational areas in St. Lucie County remained open during the bloom eventwithout adequate hazard notification to citizens.During the bloomevent, issueswith preparedness, communication, sampling, analysis, closures and contingencies were observed. We suggest better ways that cyanobacterial bloom events can be predicted, managed, and mitigated in the future throughout the world. As similar problems with cyanobacterial bloom frequency and occurrence present worldwide, understanding governmental responses to the 2016 Florida incident can help in the development of effective mitigation and management strategies for future bloom events.