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Pregnant Women Warned About Fish Consumption

 
 

Eat no more than 12 ounces of fish per week. 
Special limits placed on albacore.

Source:  Obstetrician / Gynecologist – April 15, 2004
by Mary Ellen Schneider – Senior Writer
 

 
 

Women who are pregnant or lactating and those who may become pregnant should eat no more than 12 ounces (two average meals) of a variety of fish and shellfish per week, a new federal advisory recommends.

No more than 6 of those 12 ounces should be in the form of albacore “white” tune, according to the advisory, which as issued by the Food and Drug Administration and the Environmental Protection Agency last month.

Five of the most commonly eaten fish that are low in mercury are shrimp, canned light tuna, salmon, Pollock, and catfish.  Albacore tuna contains more mercury, so albacore consumption was limited to 6 ounces (one average meal) per week.

Women in these groups should eat no shark, swordfish, king mackerel, or tilefish, which contain high levels of mercury, the document says, reiterating a recommendation made in an advisory issued by the FDA in 2001.

In addition, these women should check local advisories about the safety of fish caught by family and friends in local lakes, rivers, and coastal areas.  If no advice is available, these groups can eat up to 6 ounces per week of fish caught from local waters, but they should not consume any other fish during the week.

“Fish and shellfish are an important part of a healthy diet,” Dr. David Acheson, chief medical officer and director of food safety and security at FDA’s Center for Food Safety and Applied Nutrition, said at press conference sponsored by the FDA and EPA.

A diet of fish and shellfish contributes to cardiovascular health and to children’s  proper health and development, Dr. Acheson said, and the new advisory guides women and children with advice on how to continue to eat fish while minimizing risks from methylmercury.

Fish and shellfish with higher levels of mercury can harm a fetus or young child’s developing nervous system, but the risks depend on the amount of fish eaten and the levels of mercury, according to the FDA.

The joint advisory was praised by the National Consumers League (NCL). “In light of today’s heightened concern with nutrition and obesity, it is important that consumers not be scared away from foods that are safe and healthy for the majority of us,” said NCL president Linda Golodner.  “It is critical that consumers feel confident in selecting fish and seafood as part of their diet in lieu of higher fat, higher cholesterol, and higher calorie meats.

But the new advisory is also stirring up controversy.  H. Vas Aposhian, Ph.D., a tempory member of the FDA Food Advisory Committee, resigned from the committee the day the advisory was issued.  Dr. Aposhian, professor of molecular and cellular biology at the University of Arizona in Tucson, told this newspaper that he resigned in protest because he felt that albacore tuna should have been on the list of fish and seafood to avoid.

And some consumer and environmental groups say the joint advisory does not go far enough.  The Environmental Working Group (EWG) said the FDA’s advice to eat 6 ounces of albacore tuna a week is unsafe.  EWG instead recommends that women of childbearing age and children under age 5 years avoid canned albacore tuna because of high mercury levels.

The National Center for Policy Research for Women & Families agreed that the advisory was not cautious enough but offered different recommendations.  Consumption of canned albacore tuna should be limited to once or twice a month, said the center’s president, Diana Zuckerman, Ph.D.

Light canned tuna is a better alternative because it contains about a third of the level of mercury in albacore, she said.  But even light tuna should be limited to about 6 ounces a week, Dr. Zuckerman said.

The announcement marks the first time that the FDA and EPA have issued a joint advisory on mercury in fish and shellfish.  Previously, FDA has issued advisories on commercially caught fish while EPA has handled issues related to recreationally caught fish.

In 2002, the FDA’s Food Advisory Committee recommended that the FDA and the EPA coordinate their mercury advisories on commercial and recreational fish and specifically address canned tuna.

The two agencies issued a draft joint advisory on mercury in fish late last year.  The draft was revised based on feedback from the Food Advisory Committee and the results of focus group testing.

 The joint FDA / EPA advisory is available online at http://www.epa.gov/ost/fish.

 
     
     


 

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