A total of 16 people have suffered from eating fish from Lake Kotokel. 12 are in the hospital, 3 have been discharged, and one person has died as a result of foodborne toxic paroxysmal myoglobinuria. It is an acute disease that sporadically takes place among predator fish. The etiology of the disease is unknown, but the ill fish can be toxic for people. The 1st outbreak of the disease was registered in Gaff [Haff] bay.
Haff disease is a syndrome of unexplained rhabdomyolysis following consumption of certain types of fish; it is caused by an unidentified toxin. The cause of the disease in fish is plant toxins and can lead to mass deaths of fish. A state of emergency has been declared in this location.