SLIDE 1
Revised Joint FDA Revised Joint FDA David W K A James Pende James Pende and EPA Advisory and EPA Advisory Acheson, FDA ergast, EPA ergast, EPA
SLIDE 2 Current draft revised Current draft revised advi
Major points in response to t
- 1. The advisory covers both
y recreational fish and shel
- 2. Advice directed toward t
- Pregnant women
- Women who may become
y
- Nursing mothers
- Young children
d joint FDA and EPA d joint FDA and EPA sory
the FAC recommendations: h commercial and ll fish. the following: g
e pregnant p g
SLIDE 3 Major points in res Major points in res recomme
- 3. The “Do Not Eat” list i
Swordfish, Tilefish, Ki , , 4 Advice on the amount
remains the same. New regarding the recomme regarding the recomme types fish consumed”
sponse to the FAC sponse to the FAC endations
is unchanged (Shark, ing Mackerel. g (12 oz) of other fish (12 oz) of other fish w language added endation to “mix up the endation to mix up the
SLIDE 4 Major points in res recomme
- 5. Advice on the amount of loc
- 5. Advice on the amount of loc
as the 2001 EPA advice. Ad not eating other fish in the s fish are consumed fish are consumed.
- 6. Addition of a series of Q an
New information on tuna ad “Tuna is one of the most fre United States Mercury leve United States. Mercury leve and canned albacore tuna ge
- f mercury than canned lig
include tuna as part of your include tuna as part of your
sponse to the FAC endations
cally caught fish is the same cally caught fish is the same ddition of new advice about same week as locally caught nd A on specific points dded to the Q and A section: equently consumed fish in the els in tuna vary Tuna steaks els in tuna vary. Tuna steaks enerally contain higher levels ght tuna. You can safely weekly fish consumption ” weekly fish consumption.
SLIDE 5
Title of Draft
ADVICE FOR WOMEN W WHO MIGHT BECOME P MOTHERS, ABOUT AVO BABY OR YO FROM MERCURY IN F
Joint Advisory:
WHO ARE PREGNANT, OR PREGNANT, AND NURSING OIDING HARM TO YOUR OUNG CHILD FISH AND SHELLFISH.
SLIDE 6 f i d i Draft Joint Adviso elem elem
Risk M Consume Additional I Additional I
h h i
ments ments
Message er Advice Information Information
SLIDE 7
Risk M
Who is Who is
WOMEN WHO AR WHO MIGHT BE WHO MIGHT BE NURSING MOTH CHI
Message
at risk at risk
RE PREGNANT, OR ECOME PREGNANT ECOME PREGNANT, HERS, AND YOUNG ILDREN
SLIDE 8 Ri k M Risk M
(conti
Why they
Fish and shellfish can be balanced diet. It is a goo protein and other nutrien protein and other nutrien and EPA are advising pr mothers to eat the types a shellfish that are safe to p shellfish that are safe to p development of their baby
Message
inued)
y are at risk
e an important part of a
nts and is low in fat. The FDA nts and is low in fat. The FDA regnant women and nursing and amounts of fish and prevent harm to the prevent harm to the y or young child.
SLIDE 9
Consume
Benefits and risk If f ll d i i If you follow advice giv FDA and EPA you will i i b fi f i positive benefits of eatin but avoid any developm bl f problems from mercury
er advice
b en by gain the fi h ng fish mental i fi h y in fish.
SLIDE 10 Consume Consume
How mu
To protect your baby follow th 1 D t t Sh k S dfi
- 1. Do not eat Shark, Swordfi
because they contain high le
er advice er advice
uch fish?
hese 3 rules: fi h Ki M k l Til fi h fish, King Mackerel, or Tilefish evels of mercury
SLIDE 11 Cons me Consume
(conti
H
To protect your baby follow th
How mu
To protect your baby follow th
- 2. Levels of mercury in other
eat up to 12 ounces (2 to 3 m eat up to 12 ounces (2 to 3 m and shellfish a week. Mix up you eat and do not eat the sa more than once a week.
er ad ice er advice
inued)
h fi h?
hese 3 rules (cont’d):
uch fish?
hese 3 rules (cont d): r fish can vary. You can safely meals) of other purchased fish meals) of other purchased fish p the types of fish and shellfish ame type of fish and shellfish
SLIDE 12 Cons me Consume
(conti
H
To protect your baby follow th
How mu
To protect your baby follow th
- 3. Check local advisories ab
family and friends in your lo family and friends in your lo advice is available, you can meal) per week of fish you c ) p f f y don’t consume any other fish
.
er ad ice er advice
inued)
h fi h?
hese 3 rules (cont’d):
uch fish?
hese 3 rules (cont d): bout the safety of fish caught by
- cal rivers and streams If no
- cal rivers and streams. If no
safely eat up to 6 ounces (one atch from local waters, but f h during that week.
SLIDE 13 Cons me Consume
(conti
H
Follow these same rules when
How mu
your young child, but the serv
er ad ice er advice
inued)
h fi h
n feeding fish and shellfish to
uch fish
f g f f ving sizes should be smaller.
SLIDE 14 Additional I Additional I
1 B t I th ht fi h d
- 1. But I thought fish was good
It is, fish and other seafood good sources of protein wit good sources of protein wit low in saturated fat and hig However, scientists have le However, scientists have le mackerel and tilefish contai may harm your unborn chil are advising you to avoid th
- f fish in moderation you w
Information Information
d f h I t? d for me when I am pregnant? long have been considered to be th the added advantage of being th the added advantage of being h in healthy omega-3 fatty acids. earned that shark, swordfish, king earned that shark, swordfish, king in levels of mercury in them that
- ld. This is why FDA and EPA
hese fish. By eating other types will get the health benefits of fish.
SLIDE 15 Additional I
2. What about tuna? Tuna is one of the most fr United States. Mercury lev and canned albacore tuna f h d li
- f mercury than canned lig
include tuna as part of you
Information
requently consumed fish in the q y vels in tuna vary. Tuna steaks generally contain higher levels h f l ght tuna. You can safely ur weekly fish consumption.
SLIDE 16 Additional I Additional I
3 I h h l i l
- 3. Is there methylmercury in al
Nearly all fish contain traces larger fish that have lived lo larger fish that have lived lo methylmercury because they
- it. These large fish (swordfis
tilefish) pose the greatest ris types of fish are safe to eat i FDA and EPA If you want m FDA and EPA If you want m levels in various types of fis
- site. www.cfsan.fda.gov or
/ /fi h www.epa.gov/ost/fish.
Information Information
ll fi h? ll fish? s of methylmercury. However, nger have the highest levels of nger have the highest levels of y've had more time to accumulate sh, shark, king mackerel and sk to pregnant women. Other n the amounts recommended by more information about the more information about the h see the FDA food safety web the EPA website at
SLIDE 17 Additional I Additional I
- 4. I'm not pregnant - so why sh
p g y methylmercury? If you regularly eat types of f methylmercury it can accum methylmercury, it can accum
- time. Methylmercury is rem
but it may take over a year fo significantly Thus it may be
- significantly. Thus, it may be
before she becomes pregnant women who are trying to bec ti t i t f fi h N eating certain types of fish. N think you've been exposed to methylmercury, see your doc i di t l immediately.
Information Information
hould I be concerned about fish that are high in mulate in your blood stream over mulate in your blood stream over moved from the body naturally,
e present in a woman even e present in a woman even
- t. This is one of the reasons why
come pregnant should also avoid Note: If h ti Note: If you have questions or
ctor or health care provider
SLIDE 18 Additional I
- 5. Why do I need to get local
Some kinds of fish and she Some kinds of fish and she waters may have higher or levels of mercury. This de in the water in which the fi lower levels may be safely l t larger amounts.
Information
l advice for locally caught fish? ellfish caught in your local ellfish caught in your local r much lower than average epends on the levels of mercury fish are caught. Those fish with y eaten more frequently and in
SLIDE 19 Additional I
- 6. How can learn about local
Before you go fishing, che Booklet for information ab Booklet for information ab also contact your local hea about local advisories. See contact information contact information. Note: If you have question to large amounts of methyl g y health care provider immed
Information
advisories? eck your Fishing Regulations bout local advisories You can bout local advisories. You can alth department for information e below for state and tribal ns or think you've been exposed lmercury, see your doctor or y, y diately.
SLIDE 20 Additional I
Mercury occurs naturally i be released into the air thro be released into the air thro falls from the air and can a
- ceans and is turned into m
is this type of mercury that is this type of mercury that absorb the methylmercury and so it may build up in th some types of fish than oth some types of fish than oth fish eat, which is why the l
Information
in the environment and can also
- ugh industrial pollution It
- ugh industrial pollution. It
accumulate in streams and methylmercury in the water. It t is harmful to your baby Fish t is harmful to your baby. Fish as they feed in these waters he fish. It builds up more in hers depending on what the hers, depending on what the levels in the fish vary.
SLIDE 21 Additional I
- For further information about th
shellfish call the U.S. Food and information line toll-free at 1-8 Food Safety Website www cfsa Food Safety Website www.cfsa
- For further information about th
h llfi h i it th E i t shellfish, visit the Environment Advisory website www.epa.go Local Health Department. A lis contacts is available at www ep contacts is available at www.ep State, and Tribal Contacts.
Information
he risks of mercury in fish and d Drug Administration's food 888-SAFEFOOD or visit FDA's an fda gov an.fda.gov he safety of locally caught fish and t l P t ti A ’ Fi h tal Protection Agency’s Fish v/ost/fish or contact your State or st of state or local health department pa gov/ost/fish Click on Federal pa.gov/ost/fish. Click on Federal,
SLIDE 22
Milestones a Milestones a
Tasks Meetings with Stakeholder Groups and Federal Agencie Conduct Focus Groups Conduct Focus Groups Meet With Food Advisory Committee Hold National Forum on Contaminants in Fish Targeted Release of Advisor Implement Advisory
and Timeline and Timeline
Dates es July 30, 2003 November 2003 November 2003 December 2003 January 2004 ry February 2004 Throughout 2004