Common Fish Contaminants and their Health Impacts

Common Fish Contaminants and Health Impacts

Many fish species live in contaminated waters and their bodies may contain chemical contaminants that can be toxic to people. Eating fish that contain contaminants can cause these contaminants to build up in a person’s body. Eating contaminated fish for a long time can increase the risk of illness for adults, but may be especially risky for children because their bodies are still developing.

Depending on the type and amount of contaminants, long-term exposure from eating some types of fish can increase the risk of illness, developmental issues, or, in some cases, cancer. Click on the contaminants below to learn more about specific health effects associated with those chemicals.

Common Contaminants in Fish

Methyl mercury

What is methylmercury?

Mercury is a metal that is present in our environment in low concentrations due to both natural and human-related activities. The majority of mercury in our environment is a result of coal burning and mining activities, and is also referred to as inorganic mercury.

Mercury becomes methylmercury when organisms, including some types of soil bacteria, modify the chemical structure of the mercury, creating a more toxic form.

Why is methylmercury a contaminant in fish?

Methylmercury, unlike inorganic mercury, is easily taken into organisms and is capable of building up in the food chain, which is called biomagnification. Often, fish higher on the food chain will have higher levels of mercury in their bodies. Eating fish containing methylmercury is the primary way that most people are exposed.

There is a state-wide advisory in North Carolina for mercury in fish, meaning that people should limit or avoid eating certain types of fish, no matter where they catch them in North Carolina.

What are the health risks associated with methylmercury exposure?

Low-level, long-term exposure from eating contaminated fish has been shown to affect the nervous system and muscle coordination. Children and pregnant women are most at risk from the health impacts of mercury exposure. Mercury exposure during pregnancy may harm the baby and affect normal brain and nervous system development. Young children whose bodies and brains are still growing are also more susceptible to damage from mercury exposure than adults. Even small amounts of mercury can be harmful to children and babies.

PFAS

What are PFAS?

Per- and polyfluoroalkyl substances are a large class of human-made chemicals that have been used in industry and consumer products for over 50 years. PFAS can help products resist stains, grease, and water, and are widely used in a variety of common products including clothing, stain-resistant carpet, non-stick cookware, firefighting foam, and more. Some PFAS can persist in the environment for long periods of time, and PFAS can be found in people and wildlife all around the world.

Why are PFAS a contaminant in fish?

Some PFAS compounds can persist in the environment for long periods of time. In North Carolina, and the Cape Fear River specifically, industrial leaks have resulted in contamination of surface water and groundwater. These contaminants then make their way into fish.

In July 2023, the first fish consumption advisories for PFAS in North Carolina were issued. The advisories, issued for perfluorooctane sulfonic acid (PFOA) in the lower middle Cape Fear River, are quite stringent.

What are the health risks associated with PFAS exposure?

Because PFAS are so widespread in the environment, and because some can persist in the environment and our bodies for long periods of time, scientists are concerned about possible health impacts. Most health studies have looked at PFOS and PFOA, two of the most common PFAS, but research now suggests that other PFAS are linked to similar health effects. 

Scientific studies have linked linked exposure to PFAS in humans with a variety of human health concerns.

PCBs (polychlorinated biphenyls)

What are PCBs?

PCBs, or polychlorinated biphenyls, are man-made chemicals which had many historical industrial uses including in electrical and hydraulic equipment, plasticizers, and dyes. Production of PCBs was banned in 1979 because they are hazardous to human and environmental health and do not break down in the environment.

Why are PCBs a contaminant in fish?

Even though the production of PCBs has been banned, they are still found in the environment because they do not break down easily and can travel over long distances from where they were released. They are commonly found in areas where electrical transformers were manufactured and in electronics or metal recycling facilities. When taken into the food chain, PCBs collect at high levels in the top predator animals (including fish that eat other fish), a process known as biomagnification. They are known to concentrate in the fat and liver of fish and other animals. The fatty tissues inside the fish and also the skin likely contain higher levels of PCBs than other part of the fish. Removing the skin and internal organs before cooking can reduce the amount of PCBs in the fish you eat.

What are the health risks associated with PCB exposure from fish?

PCBs can collect in a person’s fat tissue, and liver, and they can be transferred from mother to baby during pregnancy and also while breastfeeding. Long-term, low level exposure to PCBs is associated with changes in normal immune system function, negative impacts on the nervous system including memory and motor skills, and developmental issues. PCBs are also classified as a probable human carcinogen by the US EPA.

Dioxins (CDDs)

What are dioxins?

Dioxins, and more specifically chlorinated dibenzo-p-dioxins (CDDs), are a group of chemicals that are produced by both natural and human-related processes. Dioxins are not intentionally produced by people, but are an unintended byproduct of industrial activities like incineration (burning fossil fuels and wood, and waste burning), pesticide production, and paper mill bleaching processes.

Why are dioxins a contaminant in fish?

CDDs persist in the environment for long periods of time and are known to build up in the bodies of animals over time, a process called bioaccumulation, especially in the fat and skin tissues. The most dangerous CDDs are also the most likely to collect at high levels in the bodies of the predator fish at the top of food chains, a process called biomagnification. These CDDs are the most difficult for the animal to break down.

What are the health risks associated with dioxin exposure?

Exposure to low levels of CDDs is linked to changes in immune system and liver function. CDDs are also known to affect normal reproduction and development in animals and possibly in humans. Several types of CDDs are also labeled as a probable human carcinogen by the US EPA. 

Hexavalent Chromium

What is chromium?

Chromium is a naturally occurring element that can exist in different forms:

— Trivalent chromium is most common in the environment and is less harmful than hexavalent chromium. This type is healthy for humans in small amounts, and is found in vitamins

— Hexavalent chromium is less common but very toxic to humans. Hexavalent chromium is used for industrial purposes like leather tanning, textile manufacturing, wood preservation, electroplating, and stainless-steel production.

Why is hexavalent chromium a contaminant in fish and crabs?

Unlike some of the other fish contaminants on this list, hexavalent chromium does seem to biomagnify in predator fish, but it can accumulate in bottom feeding fish (like mullet and catfish) or crabs that feed on the bottom of lakes or rivers. In lab tests, hexavalent chromium was shown to accumulate in the skin of the fish at much higher concentrations than in the muscle. So, if there is a chromium advisory in your area, you can reduce your risk by removing the skin of the fish before cooking.

In North Carolina, the Cape Fear River, Brunswick River, and Sturgeon Creek have all had consumption advisories for hexavalent chromium in striped mullet and blue crab.

What are the health risks associated with hexavalent chromium exposure? Trivalent chromium, the more common form, is a beneficial nutrient in small doses and is not easily absorbed into the body. Hexavalent chromium, however, is a known carcinogen and therefore has no “safe” level of exposure. Exposure to hexavalent chromium through ingestion can increase your risk of developing several health effects including asthma or allergy-like symptoms, stomach ulcers or irritation, anemia, and lung cancer. Long-term exposure to hexavalent chromium may also affect the male reproductive system.

Arsenic

What is arsenic?

Arsenic is a heavy metal which has both natural and human-related sources. Some geographic regions may have naturally high concentrations of arsenic in soils or groundwater. Other sources of arsenic include industrial manufacturing, historical pesticide use, mining, wood treatment, and coal-fired power plants.

Why is arsenic a contaminant in fish and crabs?

Arsenic may accumulate in some fish and also in crabs and other shellfish. The majority (about 93%) of the arsenic in fish is in the less toxic, organic form of arsenic and only about 2 to 4 percent is in the highly toxic inorganic form. Inorganic arsenic is found commonly in drinking water and there are human health standards that regulate arsenic levels in drinking water. There are multiple forms of organic arsenic and the most common, arsenobetaine, is non-toxic to humans. However, smaller amounts of other organic arsenic compounds may have negative health effects. Overall, small amounts of arsenic, either organic or inorganic, can still be harmful.

What are the health risks associated with arsenic exposure?

There is no official “safe” level of arsenic exposure from soil or food for the general population. Increasing your exposure to arsenic can incrementally increase your risk of adverse health effects. Higher levels of exposure to arsenic are associated with several types of skin lesions and cancers as well as adverse impacts on the nervous system, respiratory systems, and heart health. Exposure to arsenic in early life has been associated with altered brain development and increased risk of lung disease later in life.

Why are some contaminants found in fish while others are not?

Not all types of environmental contaminants will accumulate in fish – it depends on many different factors. In general, however, compounds that accumulate in fish have a few things in common:

— They do not breakdown easily in the environment

— Many of them can be carried long distances by air or water away from where there were released

— Some chemicals like PCBs are fat-loving (also called lipophilic) meaning that they dissolve in fats/oils and do not mix well with water, and this makes them more likely to enter and stay in the bodies of animals, including fish

— They are not easily broken down, or metabolized, once they make it inside the body of an organism, and may stay there for a long time.