What You Don’t Know Can Hurt You: Seafood & Pregnancy
Has anyone else been following†Environmental Health Newsí series Pollution, Poverty, People of Color as if it were the new Mad Men? No? Personally, I canít get enough. I especially canít get one article from last month out of my head. It was about how contaminated fish warnings fail to reach the people most at risk.
Itís probably stuck in my mind because Iím pregnant. As I† (s l o w l y)† make my way around my city, day in and day out, I have a hard time not screaming as I watch other pregnant moms eating things I know they should not be eating, and doing things I know they should not be doing (what is with everyone walking into nail salons and willingly breathing that unsafe-for-anyone air?). Do they not know? Or are they just ignoring the warnings?
But fish really surprised me. Even conventional OBs who arenít particularly attuned to environmental health issues tend to warn their patients not to eat certain very contaminated fish that are known to contain mercury, PCBs, and more. If doctors fail to issue this warning, most baby books and pregnancy websites take up their slack. So whatís Environmental Health News talking about?
Well, seafood isnít a cut and dried issue. Itís nuanced and complicated. As I wrote in The Conscious Kitchen, rockfish can mean more than sixty different kinds of fish on the Pacific West Coast. There are eighty-two different species of groundfish, and more than forty different species can be called snapper. Which means that warnings about big predator fish like shark,†tuna, swordfish, tilefish, and king mackerel containing elevated levels of†mercury might make it to most pregnant people, but the subtler stuff just doesnít.
Peopleópregnant or notótend to be less aware of advisories about local waterways (both fresh and saltwater-like), and about which local seafood might harbor industrial chemicals and pesticides. As the article I cannot get out of my mind states, these are linked to cancer, reproductive effects, and various other health problems. Letís be honest, these present risks for everyoneónot just†pregnant women and children.
Local officials do issue warnings, but too often residents either arenít getting them or choose to ignore them. Sometimes they know about the warnings, but need a cheap source of protein. Or they come from fishing communities and are inclined to eat what theyíve always eaten, whatever the health advisories say. There are even people interviewed in the article who say that if the water looks clean, they assume the fish is safe to eat.
Except itís not safe. And so the†advisories need to be louder and more clear, and there needs to be more education, including about how the contaminants made their way†into the air we breathe and the waters we fish. No one should be eating unsafe food, and knowing that it happens more frequently in low-income, minority, or indigenous communities is the kind of thing that keeps you (or is it just me?) up at night. As the article clearly explains, this is an†environmental justice issue. If inadequate risk warnings arenít reaching these communities, states need to try harder. Advisories need to take language barriers into account and, in general, be a lot simpler for everyone to understand and heed.
Hereís hoping Dr. Jeanne Conry, president-elect for the American Congress of Obstetricians and Gynecologists (ACOG) agrees. Sheís the winner of the 2012 U.S. EPA Environmental Health Heroes of the Pacific Southwest in the category Childrenís Environmental Health and could really help spread the word. Hey, Dr. Conry, if you need help, weíd love to join the crusade.