Fish Consumption Advisories Research Articles

Awareness and compliance with fish consumption advisories on the upper Hudson River Superfund Site

Awareness and compliance with fish consumption advisories on the upper Hudson River Superfund Site

Considerations and challenges in support of science and communication of fish consumption advisories for per- and polyfluoroalkyl substances.

Federal, state, tribal, or local entities in the United States issue fish consumption advisories (FCAs) as guidance for safer consumption of locally caught fish containing contaminants. Fish consumption advisories have been developed for commonly detected compounds such as mercury and polychlorinated biphenyls. The existing national guidance does not specifically address the unique challenges associated with bioaccumulation and consumption risk related to per- and polyfluoroalkyl substances (PFAS). As a result, several states have derived their own PFAS-related consumption guidelines, many of which focus on one frequently detected PFAS, known as perfluorooctane sulfonic acid (PFOS). However, there can be significant variation between tissue concentrations or trigger concentrations (TCs) of PFOS that support the individual state-issued FCAs. This variation in TCs can create challenges for risk assessors and risk communicators in their efforts to protect public health. The objective of this article is to review existing challenges, knowledge gaps, and needs related to issuing PFAS-related FCAs and to provide key considerations for the development of protective fish consumption guidance. The current state of the science and variability in FCA derivation, considerations for sampling and analytical methodologies, risk management, risk communication, and policy challenges are discussed. How to best address PFAS mixtures in the development of FCAs, in risk assessment, and establishment of effect thresholds remains a major challenge, as well as a source of uncertainty and scrutiny. This includes developments better elucidating toxicity factors, exposures to PFAS mixtures, community fish consumption behaviors, and evolving technology and analytical instrumentation, methods, and the associated detection limits. Given the evolving science and public interests informing PFAS-related FCAs, continued review and revision of FCA approaches and best practices are vital. Nonetheless, consistent, widely applicable, PFAS-specific approaches informing methods, critical concentration thresholds, and priority compounds may assist practitioners in PFAS-related FCA development and possibly reduce variability between states and jurisdictions. Integr Environ Assess Manag 2024;20:1839-1858. © 2024 The Author(s). Integrated Environmental Assessment and Management published by Wiley Periodicals LLC on behalf of Society of Environmental Toxicology & Chemistry (SETAC).

Fish Tissue Mercury in Lakes and the Moderating Effects of Selenium

Fish mercury concentrations result in fish consumption advisories. However, selenium : mercury molar ratios >1 are protective to wildlife and humans. Therefore, we sampled total selenium (TSe) and total mercury (THg) concentrations and molar ratios in sport fish from 50 Idaho (ID) lakes >20 ha and 67 northeastern USA (NE) lakes >1 ha. Sample lakes were selected at random, to obtain unbiased estimates of mean fish tissue levels, with known confidence limits, for target populations of 95 ID lakes >20 ha in surface area and 12,557 NE lakes >1 ha. Bass and salmonids presented the greatest potential mercury toxicity risk to consumers based on their higher mercury content, desirability as game fish, and widespread distributions. Fish tissue THg exceeded safe consumption criteria in an estimated 20–80% of the lakes in the two regions and TSe exceeded safe consumption thresholds in an estimated 0–20% of the lakes in the two regions. However, the Se : Hg molar ratio was >1 in an estimated 90–97% of fish tested from NE and ID lakes. Therefore, we concluded that Se levels in these systems are usually sufficient to limit disruption of selenoprotein activities by Hg, and that fish consumption advisories based on Hg alone are unnecessarily restrictive.

Setting PFAS-Based Fish Consumption Advisories for Virginia Waterways

This policy memo is intended for the Commissioner of Health at the Virginia Department of Health (VDH). The memo provides recommendations when assessing the need for per- and polyfluoroalkyl substances (PFAS)-based fish consumption advisories in Virginia waterways. High-frequency fish consumers and sensitive populations face a greater risk of negative health effects from exposure to PFAS through eating local freshwater fishes. By performing state-wide fish screening assessments for relevant PFAS, the VDH can determine if the nutritional benefits from eating fish outweigh the health risks from PFAS exposure. The following memo recommends that VDH update their PFAS fish tissue screening assessment to include PFUnA and PFDA and release final fish tissue screening recommendations for PFOA and PFOS.

Governing for transboundary environmental justice: a scientific and policy analysis of fish consumption advisory programs in the Upper St Lawrence River

This paper examines fish consumption advisories (FCAs) as a site of transboundary governance in the Upper St Lawrence River with the aim of identifying opportunities for enhanced coordination and power sharing to address environmental injustices. The Upper St Lawrence River is part of the Great Lakes watershed of North America and the traditional territory of multiple Indigenous Nations, as well as the present-day jurisdictions of Ontario (Canada), Quebec (Canada), and New York State (USA). Through an analysis of publicly available information on FCA programs, we examine similarities and differences in these programs across jurisdictions. We find an overall lack of coordination in fish monitoring and differences in consumption advice for a waterway in which fish may easily move between transboundary areas. We offer recommendations for improving FCAs in this transboundary waterway from the lens of environmental justice, focusing on (1) a shared and transparent approach to monitoring contaminant levels and fish species; (2) integration of cultural food practices; (3) enhanced outreach to angler populations; and (4) upholding the self-determination of Indigenous communities. We also underscore that FCAs should not be seen as a permanent solution. Preventing and reducing contaminants, including associated harm reduction in communities affected by FCAs, need to be priorities.

Target and suspect per- and polyfluoroalkyl substances in fish from an AFFF-impacted waterway

A major source of toxic per- and polyfluoroalkyl substances (PFAS) is aqueous film-forming foams (AFFF) used in firefighting and training at airports and military installations, however, PFAS have many additional sources in consumer products and industrial processes. A field study was conducted on fish tissues from three reaches of the Columbia Slough, located near Portland International Airport, OR, that are affected by AFFF and other PFAS sources. Fishes including largescale sucker (Catostomus macrocheilus), goldfish (Carassius auratus), and largemouth bass (Micropterus salmoides) were collected in 2019 and 2020. Fish blood, liver, and fillet (muscle) were analyzed for target and suspect PFAS by liquid chromatography high resolution mass spectrometry (LC-HRMS). Data were analyzed for patterns by fish species, tissue type, and river reach. Thirty-three out of 50 target PFAS and additional suspect compounds were detected at least once during the study, at concentrations up to 856 ng/g. Seven carboxylic acids (PFOA, PFNA, PFDA, PFUdA, PFDoA, PFTrDA, PFTeDA), three sulfonates (PFHxS, PFOS, PFDS), three electrofluorination-based compounds (FBSA, FHxSA, FOSA), and two fluorotelomer-based compounds (8:2 FTS, 10:2 FTS) were the most frequently detected compounds in all tissue types. The C6 (PFHxS) to C10 (PFDS) homologs were detected with PFOS and FHxSA at concentrations 1–3 orders of magnitude greater than the other PFAS detected. This is the first report of Cl-PFOS, FPeSA, and FHpSA detected in fish tissue. In all fish samples, fillet concentrations of PFAS were the lowest, followed by liver, and blood concentrations of PFAS were the highest. Differences in PFAS concentrations were driven primarily by tissue types and to a lesser extent fish species, but weakly by river reach. The Oregon Health Authority modified an existing fish consumption advisory on the Columbia Slough to recommend no whole-body consumption of most fish to avoid elevated levels of PFOS in fish liver. Measured PFAS concentrations in fish tissues indicate the potential for adverse ecological effects.

Educator beliefs and organizational constraints: Factors that influence informal education about fish consumption advisories in a southeastern US state.

All US states, and many countries around the world, have waterways with environmental health advisories intended to protect individuals from harmful chemicals in fish, yet little is known about how informal science educators, even those who engage anglers along waterways, incorporate advisory information into their educational activities. This study, grounded in environmental health literacy, investigated the practices, knowledge, and beliefs of 24 informal educators housed in varied agencies and organizations in a southeastern US state. Participants described a range of educational activities and identified organizational constraints on their education about fish consumption advisories, which varied by organization type. Their knowledge of relevant environmental health concepts was incomplete, and they described health and teaching beliefs consistent with limited focus on advisory education. Local government and nonprofit educators were well positioned to educate anglers about advisories, due to their freedom to design and deliver instruction and their regular contact with anglers. Educators in wildlife agencies had more contact with anglers and were identified as potential conduits given their interactions, but organizational constraints (such as educators' ability to choose content/pedagogy and conflicting missions of agencies) would need to be addressed.

Geohealth Policy Benefits Are Mediated by Interacting Natural, Engineered, and Social Processes.

Interest in health implications of Earth science research has significantly increased. Articles frequently dispense policy advice, for example, to reduce human contaminant exposures. Recommendations such as fish consumption advisories rarely reflect causal reasoning around tradeoffs or anticipate how scientific information will be received and processed by the media or vulnerable communities. Health is the product of interacting social and physical processes, yet predictable responses are often overlooked. Analysis of physical and social mechanisms, and health and non-health tradeoffs, is needed to achieve policy benefits rather than "policy impact." Dedicated funding mechanisms would improve the quality and availability of these analyses.

Benefits from recreational catch improvements may hinge on fish consumption safety: Evidence from the Cape Fear River, North Carolina

Stock declines in the Cape Fear River in southeastern North Carolina have prompted management actions to improve the ability of migratory fish species to reach suitable spawning habitat. Understanding the benefits of improvements to migratory fish passage will help policy makers make informed decisions regarding potential net gains from modifying existing locks and dams that inhibit upstream access by migratory species. A survey of licenced recreational anglers employing stated preference valuation methods was used to assess angler preferences and willingness to pay for improvements in fishing quality. Results from a contingent valuation exercise suggest that efforts to improve fish passage will generate economic benefits, with a majority of anglers willing to donate to a fund dedicated to improving the ability of migratory fish species to reach spawning habitat. Lower bound estimates of average willingness to donate range from approximately US $18.00 to US $21.00 per year, illustrating a viable source of revenue from donations by licenced anglers. Results from a discrete choice experiment suggest that recreational anglers have strong preferences for avoiding fish consumption advisories and catching more fish and are willing to incur higher travel costs for higher quality fishing trips, providing more evidence of benefits to recreational anglers from improving fish passage. However, anglers’ strong aversion to fish consumption advisories suggests that the economic benefits of improved catch quality will be significantly diminished if fish are not considered safe to eat.

Spatial and temporal variability of mercury in Upper and Lower Red Lake Walleye.

Mercury is a global pollutant that is released into our environment by natural and anthropogenic processes resulting in extensive studies of mercury cycling in aquatic ecosystems, and the issuance of human-health-based fish-consumption advisories. We examined total mercury concentrations in Walleye Sander vitreus from Upper and Lower Red Lakes, located in north central Minnesota, between 2019 and 2020. Sampled Walleye (n = 265) ranged from 158 to 610 mm in total length from an age range of young-of-the year to 16 years. Mercury concentrations within the Walleye ranged from 0.030 mg/kg to 0.564 mg/kg (x̄ = 0.179 ± 0.105 mg/kg; x̄ = mean ± sd, all fish-mercury concentrations expressed on wet-weight basis). The best supported model for predicting mercury concentrations in Red Lake Walleye included the independent variables: length, age, sex, and lake basin. This model indicated that there was a significant difference in mercury concentrations between Upper and Lower Red Lake (x̄ = 0.215 ± 0.117 and 0.144 ± 0.077 mg/kg, respectively), and also suggests that individuals who rely on fish for subsistence should target Walleye that are ≤ 400 mm from Lower Red Lake. Observed differences in mercury concentrations could be linked to wetland area influences, fish growth rates, and physicochemical parameters between the two basins. Given that our results illustrated a significant difference in fish-mercury concentrations between basins, future pollutant monitoring efforts should treat Upper and Lower Red Lake as separate lakes and not assume that data from one basin can apply to the other.

Assessing awareness and compliance with fish consumption advisories on the upper Hudson River: Implications for risk management of the Hudson River Superfund site

Polychlorinated biphenyls (PCBs) are a common environmental contaminant. The NYS Department of Health (DOH) issues fish consumption advisories to limit consumption of PCB-contaminated fish. Fish consumption advisories are utilized as institutional controls within the Hudson River Superfund site to limit exposure to PCBs. There is a “Do Not Eat” advisory for all species caught in the upper Hudson River, from Glens Falls, NY to Troy, NY. The section of the river below Bakers Falls also has a catch-and-release regulation issued by the NYS Department of Environmental Conservation. There is limited research on the effectiveness of these advisories in preventing consumption of contaminated fish in the context of Superfund site risk management. We surveyed individuals actively fishing on the upper Hudson River in the area with a “Do Not Eat” advisory, specifically between Hudson Falls and the Federal Dam in Troy, NY. The goal of the survey was to assess knowledge of the consumption guidelines, and if the guidelines are effectively preventing exposure to PCBs. A subset of individuals continue to consume fish caught from the upper Hudson River Superfund site. Awareness of advisories was inversely related to fish consumption from the Superfund site. Age, race, and possession of a fishing license were associated with overall awareness of fish consumption guidelines; age and possession of a license were associated with awareness of the “Do Not Eat” advisory. While institutional controls appear to have a beneficial impact, there is incomplete awareness and compliance with advisories and regulations aimed at preventing exposure to PCBs from fish consumption. Risk assessment and management strategies for contaminated fisheries should consider imperfect adherence to fish consumption guidelines.

A thirty-year contaminant trend analysis in great lakes Native American fish harvests 1991–2021

The Chippewa Ottawa Resource Authority (CORA) in Sault Ste. Marie, Michigan has been monitoring contaminant concentrations of mercury (Hg) and polychorinated biphenyls (PCBs) in the fillet portions of lake trout (Salvelinus namaycush) and lake whitefish (Coregonus clupeaformus) from waters of lakes Superior, Huron, and Michigan since 1991. This contaminant monitoring program is essential to supporting the fisheries interests and consumption advice for five Ojibwa and Ottawa tribes (collectively called Anishinaabe) whose ancestors ceded lands through the 1836 Treaty of Washingtonbut retained the rights to hunt and fish on those lands and waters. This manuscript presents an updated contaminant trend analysis covering the past three decades in which we observed a significant decreasing trend of median PCBs in both whitefish and lake trout harvested by tribal fishermen across all lakes. Median Hg tissue burdens significantly increased in whitefish harvests across all lakes and lake trout harvested from lake Michigan relative to earlier decades. Linear regression of fish fillets, adjusted for length, also conform to these trends. In 2021, per- and polyfluoroalkyl substances (PFAS) were detected in all Lake Michigan samples of lake trout (median 6.81pbb total PFAS) and in white fish (median 7.18 ppb total PFAS). Both decreasing and increasing trends of these key contaminants can alter fish consumption advice and risk calculations relative to advice presented in earlier decades.

Cyanotoxins accumulate in Lake St. Clair fish yet their fillets are safe to eat

Consuming fish exposed to cyanobacterial harmful algal blooms (HABs) may be a major route of microcystin toxin exposure to humans. However, it remains unknown whether fish can accumulate and retain microcystins temporally in waterbodies with recurring seasonal HABs, particularly before and after a HAB event when fishing is active. We conducted a field study on Largemouth Bass, Northern Pike, Smallmouth Bass, Rock Bass, Walleye, White Bass, and Yellow Perch to assess the human health risks to microcystin toxicity via fish consumption. We collected 124 fish in 2016 and 2018 from Lake St. Clair, a large freshwater ecosystem in the North American Great Lakes that is actively fished pre- and post-HAB periods. Muscles were analyzed using the 2-methyl-3-methoxy-4-phenylbutyric acid (MMPB) Lemieux Oxidation method for total microcystins, which was used to perform a human health risk assessment for comparison against fish consumption advisory benchmarks available for Lake St. Clair. From this collection 35 fish livers were additionally extracted to confirm the presence of microcystins. Microcystins were detected in all livers at widely varying concentrations (1–1500 ng g−1 ww), suggesting HABs are an underappreciated and pervasive stressor to fish populations. Conversely, microcystin levels were consistently low in muscles (0–15 ng g−1 ww) and presented negligible risk, empirically supporting that fillets may be safely consumed before and after HAB events following fish consumption advisories.

Co-considering Selenium Concentrations Alters Mercury-Based Fish and Seafood Consumption Advice: A Data Compilation and Critical Assessment

Co-considering Selenium Concentrations Alters Mercury-Based Fish and Seafood Consumption Advice: A Data Compilation and Critical Assessment

Nonlethal detection of PFAS bioaccumulation and biomagnification within fishes in an urban- and wastewater-dominant Great Lakes watershed

Per- and polyfluoroalkyl substances (PFAS) are synthetic endocrine disruptors that are particularly stable and pervasive due to strong carbon-fluorine bonds. They are known to bioaccumulate in protein-rich tissues of fish, and most cannot be eliminated with cooking. Despite studies linking PFAS to adverse health outcomes, there is a lack of international regulations of PFAS as a hazardous material. To investigate PFAS in an aquatic food web and the potential human health implications, we analyzed the concentrations of 40 PFAS from muscle biopsy and serum samples of fish representing different trophic levels along the Lake Huron – Lake Erie Corridor. In Summer (2021), walleye (Sander vitreus; WAE), yellow perch (Perca flavescens; YEP) and round gobies (Neogobius melanostomus; ROG) were collected for analysis from the Detroit River (contaminated site) and St. Clair River (reference site). Eight PFAS congeners were detected in muscle and 15 congeners in serum, leading to the novel detection in Great Lakes fish of 7:3 FTCA in muscle and PFHpS, PFNS, MeFOSAA, and EtFOSAA in serum. PFOS was detected in 100% of muscle and serum pools across all species at concentrations lower than those associated with fish toxicity. Muscle PFOS concentration in DR WAE fell under the 8 meals per month (>13 ng–19 ng) fish consumption advisory according to the State of Michigan. Log bioaccumulation factor was significantly different (p = 0.01) among species in DR, driven by higher log BAF for WAE (3.8 ± 0.1) compared to ROG (3.2± 0.02). Biomagnification factor greater than 1 for all species in both rivers indicates that PFOS is biomagnifying in SCR and DR food webs. Successful detection and quantification of PFAS in the muscle and serum of three fish species demonstrates the potential for using this nonlethal sampling method to monitor PFAS and better understand ecological and human health impacts of PFAS exposure.

Contaminants in fish from U.S. rivers: Probability-based national assessments

Most fish consumption advisories in the United States (U.S.) are issued for mercury and polychlorinated biphenyls (PCBs), and recently per- and polyfluoroalkyl substances (PFAS) have become a contaminant group that warrants fish consumption advice. An unequal probability survey design was developed to allow a comprehensive characterization of mercury, PCB, and PFAS contamination in fish from U.S. rivers on a national scale. During 2013–14 and 2018–19, fish fillet samples were collected from 353 and 290 river sites, respectively, selected randomly from the target population of rivers (≥5th order in size) in the conterminous U.S. These comprised nationally representative samples, with results extrapolated to chemical-specific sampled populations of 48,826–79,448 river kilometers (km) in 2013–14 and 66,142 river km in 2018–19. National distribution estimates were developed for total mercury, all 209 PCB congeners, and up to 33 PFAS (including perfluorooctane sulfonate or PFOS) in river fish. All fillet tissue samples contained detectable levels of mercury and PCBs. One or more PFAS were detected in 99.7 % and 95.2 % of the fillet samples from fish collected in 2013–14 and 2018–19, respectively. Fish tissue screening levels applied to national contaminant probability distributions allowed an estimation of the percentage of the sampled population of river lengths that contained fish with fillet concentrations above a level protective of human health. Fish tissue screening level exceedances for an average level of fish consumption ranged from 23.5 % to 26.0 % for mercury, 17.3 % to 51.6 % for PCBs, and 0.7 % to 9.1 % for PFOS.

PFAS and Precursor Bioaccumulation in Freshwater Recreational Fish: Implications for Fish Advisories.

Per- and polyfluoroalkyl substances (PFAS) are a diverse class of fluorinated anthropogenic chemicals that include perfluoroalkyl acids (PFAA), which are widely used in modern commerce. Many products and environmental samples contain abundant precursors that can degrade into terminal PFAA associated with adverse health effects. Fish consumption is an important dietary exposure source for PFAS that bioaccumulate in food webs. However, little is known about bioaccumulation of PFAA precursors. Here, we identify and quantify PFAS in recreational fish species collected from surface waters across New Hampshire, US, using a toolbox of analytical methods. Targeted analysis of paired water and tissue samples suggests that many precursors below detection in water have a higher bioaccumulation potential than their terminal PFAA. Perfluorobutane sulfonamide (FBSA), a short-chain precursor produced by electrochemical fluorination, was detected in all fish samples analyzed for this compound. The total oxidizable precursor assay interpreted using Bayesian inference revealed fish muscle tissue contained additional, short-chain precursors in high concentration samples. Suspect screening analysis indicated these were perfluoroalkyl sulfonamide precursors with three and five perfluorinated carbons. Fish consumption advisories are primarily being developed for perfluorooctane sulfonate (PFOS), but this work reinforces the need for risk evaluations to consider additional bioaccumulative PFAS, including perfluoroalkyl sulfonamide precursors.

Control of prenatal exposures to mercury in Europe: harmonized communication of fish-consumption advice to pregnant women combined with human biomonitoring

BACKGROUND AND AIM: Mercury is a substance of high concern globally. It is biotransformed to methylmercury (MeHg), a potent developmental neurotoxicant bioaccumulating in aquatic food chains. Fish consumption during pregnancy can expose the fetus to mercury, but at the same time provides essential nutrients for optimal brain and eye development. The benefits can outweigh the risks if suitable dietary advice is followed. The harmonized European intervention study ‘HBM4EU-MOM’ combined fish consumption advice to pregnant women with human biomonitoring (HBM), to assess and control prenatal exposures to methylmercury. METHODS: Harmonized tools for HBM and communication of dietary advice were developed and applied in five countries (Cyprus, Greece, Portugal, Spain, Iceland). 654 women, recruited during early pregnancy in 2021, provided hair samples for mercury biomonitoring and extensive information about their fish consumption practices and preferences. Targeted fish consumption advice was communicated to randomized 'intervention participants' of each national cohort and exposures were reassessed after ≥12 weeks. RESULTS: At baseline, the cumulative geometric mean exposure (GM) was 0.59 μg/g, varied across countries from 1.56 μg/g to 0.31 μg/g and correlated with fish-consumption patterns. Around 12% of participants exceeded EFSA’s health-based guidance value (HB-GV = 1.8 μg/g). At reassessment, the mean exposures in the highest exposed countries decreased significantly and the overall number of participants exceeding EFSA’s HB-GV dropped to 7.5%. CONCLUSIONS: European pregnant women may exceed current health-based guidance values for mercury exposure because of inappropriate fish consumption, which can be maintained below HB-GV through suitable consumption. HBM provides a way to evaluate the effectiveness of fish-consumption advice. Harmonized European mercury biomonitoring informs policies to protect human health in vulnerable populations. HBM4EU-MOM was funded by the European Union’s Horizon 2020 research and innovation programme (Grant No.733032). KEYWORDS: mercury, hair, fish, exposure assessment, human biomonitoring, nutrition, pregnancy, dietary advice

Occurrence, health risk assessment and water quality criteria derivation of six personal care products (PCPs) in Huangpu River, China.

Personal care products (PCPs) have shown adverse health effects on humans. However, their health risk associated with fish consumption and relevant water quality criteria are still not well documented. This study investigated the occurrence and health risk of six PCPs (triclosan, bisphenol-A, and four commonly used organic ultraviolet (UV) filters, i.e., homosalate (HMS), 4-methylbenzylidene camphor (4-MBC), oxybenzone (BP-3), and octocrylene (OC)). River water and three trophic levels of fish species were collected from Huangpu River in Shanghai. The concentration range of the six PCPs were 1.48-89.76ng/L in water and 0.40-10.75ng/g dry weight in fish. Estimated daily intake (EDI) and target hazard quotient (THQ) of the PCPs indicated that consuming these fish would not pose non-carcinogenic risks. The maximum allowable fish consumption rates ranged from 85 to 1760 and 155 to 3230 meals per month for children and adults, respectively. As to the four organic UV filters, it is the first time to report the fish consumption advisories. Finally, the human health ambient water quality criteria (AWQC) values of HMS, 4-MBC, BP-3, OC, TCS, and BPA (i.e., 0.1218, 0.7311, 0.3494, 0.0477, 235.8, and 154.7μg/L, respectively) were proposed, and they can serve as a valuable technical reference for global development and revision of aquatic environmental quality standards for these emerging contaminants.

Environmental health literacy for Anishinaabe (Great Lakes Native American) fish consumers: A randomized control trial

BackgroundFish consumption comprises an important part of what the Anishinaabe (Great Lakes Native Americans) call “minobimaadiziiwin” which translates roughly to “living in a good way”. Industrial activity leading to the accumulation of persistent contaminants in fish disrupts minobimaadiziiwin. Our team of academic and Anishinaabe scientists co-developed a fish consumption advisory for the Anishinaabe using software that can be accessed via mobile phones and/or the internet. ObjectivesThe software, Gigiigoo’inaan (“our fish”) is designed to improve environmental health literacy using culturally congruent messaging and aesthetics. We tested the following hypotheses: 1) the Gigiigoo’inaan would encourage consumption of fish high in Polyunsaturated Omega-3 fatty acids (PFUA-3) whilst minimizing contaminant intake (methylmercury (MeHg) and Polychorinated Biphenyls (PCBs)); and 2) intervention participants will be more likely than controls to achieve a favorable n-3 PUFA/MeHg consumption ratios. MethodsWe conducted a randomized controlled trial with prospective self-reported fish consumption using automated email surveys. One-month pre and one month post, control and intervention outcome variables were calculated per participant as µg/kg/day of MeHg, µg/kg/day of PCB, g of fish, and mg/day of EPA+DHA. These were modeled using an analysis of covariance (ANCOVA) with a-priori covariates: age, sex, and tribal affiliation. ResultsMost participants in both trial arms reported eating relatively elevated amounts of fish yet remained within advisory guidelines for contaminants. EPA+DHA:MeHg ratios were also favorable in most participants. Advisory limits for contaminants were exceeded by relatively few participants in the study. DiscussionGigiigoo’inaan was previously reported to increase confidence, the current user feedback confirms this. Most participants ate fish but did not exceed the advisory limits, which demonstrates Environmental Health Literacy progress in the region despite a lack of observed behavior change during the trial. A small number of participants exceeded contaminant intake guidelines which matches the pilot work for this study.