What is it about mercury and fish that spawns (sorry) such fishy
science? For the second time in a year, industry has tried to undercut
the government’s advice that mothers-to-be should avoid
mercury-contaminated fish. Their tactics: publicize industry-funded
research that touts the benefits—and makes light of the risks—of eating
fish. The latest such statement, issued last week by a group calling
itself the Healthy Mothers/Healthy Babies Coalition (HMHB), touched off
a new round of debate over eating fish and over the impacts of
one-sided science on public understanding.
Last year, the hoopla followed a study by the Harvard Center for
Risk Analysis, sponsored in part by the tuna industry (tuna is a big
source of mercury in the diet because Americans eat so much of it and
predator fish like tuna tend to have high levels of mercury). When
researchers made a worst-case assumption—that people are too stupid
to understand the government’s advice to eat less mercury-laden fish
but keep consuming cleaner species—they got an unsurprising result:
people would lose the heart-healthy benefits of eating fish. Duh. But
in the scenario where people have half a brain and follow the
government’s advice to eat fish but avoid certain mercury-tainted
species such as swordfish, tilefish, shark, king mackerel, and albacore
tuna, both their hearts and their babies benefited (mercury can be
toxic to developing brains). And yet, the press release, and contrarian
media stories it spawned, focused on the first scenario, concluding
that “fish warnings do more harm than good.”
There is no evidence that Americans are so worried about mercury in
fish that they’ve cut back on fish consumption. Quite the contrary: per
capita fish consumption has grown steadily, and is at its highest
levels since records began decades ago. But few Americans are aware of
the government’s advice. Only about one-third say they have heard the
warnings, and most of those who have can’t name the fish they should
avoid.
Also clear is that the fishing industry is deeply worried that these
warnings will sink their market. The U.S. Tuna Foundation, an industry
group, launched a national campaign urging women to eat more tuna, and
asserting that there is no scientific basis for concern about mercury’s
effects on a baby’s brain. In asserting that mercury should not be a
health concern, the tuna industry disagreed with the U.S. Food and Drug
Administration, the Environmental Protection Agency, the National
Academy of Sciences, the World Health Organization, and numerous other
expert bodies. Yet the fishing industry sponsors a web site,
fishscam.com, which claims that the concern about mercury is simply
“hype” and that pregnant women should simply eat more fish.
And that, last week, was the thrust of the Healthy Mothers/Healthy
Babies Coalition announcement. Its message was that pregnant women
should eat at least 12 ounces of fish per week, because the nutritional
benefits to brain development from the omega-3 fatty acids in fish
outweigh the risks of mercury in the fish. (The FDA/EPA advisory urges
consumption of up to 12 ounces of fish and seafood per week,
while avoiding varieties with significant mercury.) The
coalition received $60,000 from the National Fisheries Institute (the
industry trade association) to disseminate its conclusions. While press
accounts said coalition members include the U.S. Centers for Disease
Control, the March of Dimes, the American Academy of Pediatrics and the
National Institutes of Health, a follow-up report by National Public
Radio determined that none of these were notified about this new
report, and said they “had no idea we were being associated with these
'guidelines,' with which we disagree. Strongly." The authors of the
HMHB statement were described as “a group of 14 obstetricians and
nutritionists;” none were scientists with expertise on mercury
toxicity.
Bottom line: Simplistic advice to “eat more fish” that ignores the
risks of mercury assumes Americans are idiots. It’s one thing to hear
such advice from the interested industry. Why a coalition of
“obstetricians and nutritionists” would lend the industry cover and
promote the effort to undercut the government’s sound-science advice is
a deeper mystery.