Some diseases result in mass die-offs. One of the more bizarre and recently discovered diseases produces huge fish kills in shallow marine waters. It is caused by the ambush predator dinoflagellate "Pfiesteria piscicida". When large numbers of fish, like shoaling forage fish, are in confined situations such as shallow bays, the excretions from the fish encourage this dinoflagellate, which is not normally toxic, to produce free-swimming zoospores. If the fish remain in the area, continuing to provide nourishment, then the zoospores start secreting a neurotoxin. This toxin results in the fish developing bleeding lesions, and their skin flakes off in the water. The dinoflagellates then eat the blood and flakes of tissue while the affected fish die. Fish kills by this dinoflagellate are common, and they may also have been responsible for kills in the past which were thought to have had other causes. Kills like these can be viewed as natural mechanisms for regulating the population of exceptionally abundant fish. The rate at which the kills occur increases as organically polluted land runoff increases.