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Human biomonitoring to optimize fish consumption advice: Reducing uncertainty when evaluating benefits and risks

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  • Arnold, S.M.
  • Lynn, T.V.
  • Verbrugge, L.A.
  • Middaugh, J.P.

Abstract

National fish consumption advisories that are based solely on assessment of risk of exposure to contaminants without consideration of consumption benefits result in overly restrictive advice that discourages eating fish even in areas where such advice is unwarranted. In fact, generic fish advisories may have adverse public health consequences because of decreased fish consumption and substitution of foods that are less healthy. Public health is on the threshold of a new era for determining actual exposures to environmental contaminants, owing to technological advances in analytical chemistry. It is now possible to target fish consumption advice to specific at-risk populations by evaluating individual contaminant exposures and health risk factors. Because of the current epidemic of nutritionally linked disease, such as obesity, diabetes, and cardiovascular disease, general recommendations for limiting fish consumption are ill conceived and potentially dangerous.

Suggested Citation

  • Arnold, S.M. & Lynn, T.V. & Verbrugge, L.A. & Middaugh, J.P., 2005. "Human biomonitoring to optimize fish consumption advice: Reducing uncertainty when evaluating benefits and risks," American Journal of Public Health, American Public Health Association, vol. 95(3), pages 393-397.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.042879_4
    DOI: 10.2105/AJPH.2004.042879
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    Cited by:

    1. José G. Dórea, 2010. "Research into Mercury Exposure and Health Education in Subsistence Fish-Eating Communities of the Amazon Basin: Potential Effects on Public Health Policy," IJERPH, MDPI, vol. 7(9), pages 1-11, September.
    2. Karen Rideout & Tom Kosatsky, 2017. "Fish for Dinner? Balancing Risks, Benefits, and Values in Formulating Food Consumption Advice," Risk Analysis, John Wiley & Sons, vol. 37(11), pages 2041-2052, November.

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