beach in Queensland, Australia at
Ellis Beach, Queensland, Australia Box jellyfish have been long known for their powerful sting. The lethality of the Cubozoan venom to humans is the primary reason for its research. and the deadliest creature in the sea, only a few species in the class have been confirmed to be involved in human deaths; some species are not harmful to humans, possibly delivering a sting that is no more than painful. When the venom of the box jellyfish was analyzed, more than 170 toxic proteins were identified. In Australia, fatalities are most often caused by the largest species of this class of jellyfish,
Chironex fleckeri, one of the world's most venomous animals.
C. fleckeri has caused at least 79 deaths since the first report in 1883, but even in this species most encounters appear to result only in mild envenoming. While most recent deaths in Australia have been in children, including a 14-year old who died in February 2022, which is linked to their smaller body mass, The previous fatality was in 2007. At least two deaths in Australia have been attributed to the thumbnail-sized
Irukandji box jellyfish. People stung by these may suffer severe physical and psychological symptoms, known as
Irukandji syndrome. Nevertheless, most victims do survive, and out of 62 people treated for Irukandji envenomation in Australia in 1996, almost half could be discharged home with few or no symptoms after 6 hours, and only two remained hospitalized approximately a day after they were stung.
Malaysia, Philippines, Japan, Thailand, and Texas who got stung by a box jellyfish during taping from
Dyesebel in
San Juan, Batangas. In parts of the
Malay Archipelago, the number of lethal cases is far higher than in Australia. In the Philippines, an estimated 20–40 people die annually from
Chirodropid stings, probably owing to limited access to medical facilities and
antivenom. The in 2009 discovered and very similar species
Chironex yamaguchii may be equally dangerous, as it has been implicated in several deaths in Japan. Warning signs and first aid stations have been erected in Thailand following the death of a 5-year-old French boy in August 2014. A woman died in July 2015 after being stung off
Ko Pha Ngan, and another at Lamai Beach at
Ko Samui on 6 October 2015. In 1990, a 4-year-old child died after being stung by
Chiropsalmus quadrumanus at
Galveston Island, Texas, on the
Gulf of Mexico. Either this species or
Chiropsoides buitendijki is considered the likely perpetrator of two deaths in
West Malaysia. ==Protection and treatment==