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Brain Food: What women should know about mercury contamination in fish

4/12/2001

Brain_Food.pdf Brain_Food.pdf

News Release

Executive Summary

As the new home of NCPIRG's environmental work, Environment North Carolina can be contacted with any questions regarding this report.

On January 12, 2001, government health officials issued new advisories warning women to limit fish consumption during pregnancy to avoid exposing their unborn children to unsafe levels of methylmercury. Methylmercury can cross the placenta and cause learning deficits and developmental delays in children who are exposed even to relatively low levels in the womb. The principal exposure route for the fetus is fish consumption by the mother.

The Food and Drug Administration (FDA), which regulates commercially sold fish, recommends that pregnant and nursing women and young children not eat any shark, swordfish, tilefish, or king mackerel, but then recommends 12 ounces per week of any other fish. The Environmental Protection Agency (EPA), which makes recommendations to states about safe mercury levels in sport fish, allows up to 8 ounces of any fish per week for pregnant women with no prohibitions on consumption of any individual fish caught recreationally.

These restrictions are steps in the right direction, but they need to be tightened significantly to adequately protect women and their unborn children from the toxic effects of methylmercury.

The nutritional benefits of fish complicate the task faced by health officials when protecting the public from methylmercury. Protein, omega-3 fatty acids, Vitamin D, and other nutrients make fish an exceptionally good food for pregnant mothers and their developing babies. At the same time, there is no doubt that methylmercury is toxic to the fetal brain and nervous system, and that many beneficial fish species are contaminated. EPA's safe exposure estimate for methylmercury has dropped twice in the past 16 years, as new science has identified adverse effects in children exposed in the womb at lower and lower doses. Emerging evidence indicates that the safe dose may drop even lower in the future (NAS 2000). Just how long a fetus can tolerate a dose of methylmercury above a "safe level" with no observable adverse effects is a matter of ongoing debate.

Compounding this uncertainty is the lack of effective education and outreach to pregnant women about methylmercury risks and the near total absence of information for pregnant women on the levels of mercury in the fish they buy. New data from the Centers for Disease Control and Prevention (CDC) show that about 10 percent of all women of childbearing age have blood methylmercury levels above the dose that may put their fetus at risk for adverse neurological effects (CDC 2001). If these women were to increase their consumption of certain fish species in hopes of benefiting their babies during pregnancy, they could expose their fetuses to potentially hazardous levels of methylmercury.