Skip to main content
Log in

Policy and Science Implications of the Framing and Qualities of Uncertainty in Risks: Toxic and Beneficial Fish from the Baltic Sea

  • Published:
AMBIO Aims and scope Submit manuscript

Abstract

Policy and research issues in the framing and qualities of uncertainties in risks are analyzed, based on the assessments of dioxin-like compounds (DLCs) and other ingredients in Baltic Sea fish, a high-profile case of governance. Risks are framed broadly, to then focus on dioxins and beneficial fatty acids, fish consumption, human health, and science-management links. Hierarchies of uncertainty (data, model, decision rule, and epistemic) and ambiguity (of values) are used to identify issues of scientific and policy contestation and opportunities for resolving them. The associated complexity of risks is illustrated by risk–benefit analyses of fish consumption and by evaluations of guideline values, highlighting value contents and policy factors in presumably scientific decision criteria, and arguments used in multi-dimensional risk and benefit comparisons. These comparisons pose challenges to narrow assessments centered, for e.g., on toxicants or on food benefits, and to more many-sided and balanced risk communication and management. It is shown that structured and contextualized treatment of uncertainties and ambiguities in a reflexive approach can inform balances between wide and narrow focus, detail and generality, and evidence and precaution.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  • Ahlborg, U., H. Håkansson, F. Wærn, and A. Hanberg. 1989. Nordic dioxin risk assessment. Miljørapport 1989:7. 129 pp. + app. Copenhagen: Nordic Council of Ministers. (in Swedish, English summary).

  • Antonijevic, B., C. Matthys, I. Sioen, M. Bilau, J. Van Camp, J.L. Willems, and S. De Henauw. 2007. Simulated impact of a fish based shift in the population n-3 fatty acids intake on exposure to dioxins and dioxin-like compounds. Food Chemistry and Toxicology 45: 2279–2286. http://dx.doi.org/10.1016/j.fct.2007.06.003.

  • Ascherio, A., E.B. Rimm, M.J. Stampfer, E.L. Giovannucci, and W.C. Willett. 1995. Dietary intake of marine n-3 fatty acids, fish intake and the risk of coronary disease among men. New England Journal of Medicine 332: 977–982.

    Article  CAS  Google Scholar 

  • Assmuth, T. and P. Jalonen. 2005. Risks and management of dioxin-like compounds in Baltic Sea fish: An integrated assessment. Copenhagen, Nordic Council of Ministers. TemaNord 2005: 568. 376 p. http://www.norden.org/da/publikationer/publikationer/2005-568/at_download/publicationfile.

  • ATSDR. 1998. Toxicological profile for polychlorinated biphenyls. Agency Toxic Substances Disease Registry, U.S. Dept Health Human Services, Atlanta, Georgia, Dec 1998.

  • Axmon, A., L. Rylander, U. Strömberg, B. Jonsson, P. Nilsson-Ehle, and L. Hagmar. 2004. Polychlorinated biphenyls in serum and time to pregnancy. Environmental Research 96: 186–195.

    Article  CAS  Google Scholar 

  • Balk, E., M. Chung, A. Lichtenstein, P. Chew, B. Kupelnick, A. Lawrence, D. DeVine, and J. Lau. 2004. Effects of omega-3 fatty acids on cardiovascular risk factors and intermediate markers of cardiovascular disease . Agency of Healthcare Research Quality, Rockville, MD, US, Mar 2004. AHRQ Publ. 04-E010-2.

  • Bell, J.G., F. McGhee, J.R. Dick, and D.R. Tocher. 2005. Dioxin and dioxin-like PCBs in Scottish farmed salmon: effects of replacement of dietary marine fish oil with vegetable oils. Aquaculture 243: 305–314.

    Article  CAS  Google Scholar 

  • CEC. 2001. Community strategy for dioxins, furans and polychlorinated biphenyls. Communication from the Commission to the Council, the European Parliament and the Economic and Social Committee. COM(2001)593, Final. Official Journal of European Commission 17.11.2001, C322/2-18.

    Google Scholar 

  • CEC. 2002. Commission recommendation of 4 March 2002 on the reduction of the presence of dioxins, furans and PCBs in feedingstuffs and foodstuffs. Notified under number C(2002a) 836. Official Journal of European Commission 9.3.2002 L 67/69 (2002/201/EC).

  • Cohen, J.T., D.C. Bellinger, W.E. Connor, and B.A. Shaywitz. 2005. A quantitative risk benefit analysis of changes in population fish consumption. American Journal of Preventive Medicine 29: 325–334.

    Article  Google Scholar 

  • Din, J.N., D.E. Newby, and A.D. Flagan. 2004. Omega 3 fatty acids and cardiovascular disease—fishing for a natural treatment. British Medical Journal 328: 30–35. Comments and discussion, British Medical Journal 3288: 406–407.

    Google Scholar 

  • Domingo, J.L., A. Bocio, R. Martí-Cid, and J.M. Llobet. 2007. Benefits and risks of fish consumption: Part II. RIBEPEIX, a computer program to optimize the balance between the intake of omega-3 fatty acids and chemical contaminants. Toxicology 230: 227–233. http://dx.doi.org/10.1016/j.tox.2006.11.059.

    Google Scholar 

  • Domingo, J.L. 2007. Omega-3 fatty acids and the benefits of fish consumption: Is all that glitters gold? Environment International 33: 993–998. http://dx.doi.org/10.1016/j.envint.2007.05.001.

  • ECETOC. 1995. Assessment factors in human health risk assessment. Brussels: European Centre for Ecotoxicology and Toxicology of Chemicals, 57. ECETOC Publ. 68

  • Finkel, A.M. 1996. Comparing risks thoughtfully. Risk-Health Safety Environment 7: 325–346.

    Google Scholar 

  • Foran, J.A., D.O. Carpenter, M.C. Hamilton, B.A. Knuth, and S.J. Schwager. 2005a. Risk-based consumption advice for farmed Atlantic and wild Pacific salmon contaminated with dioxins and dioxin-like compounds. Environmental Health Perspectives 113: 552–556.

    Article  CAS  Google Scholar 

  • Foran, J.A., D.H. Good, D.O. Carpenter, M.C. Hamilton, B.A. Knuth, and S.J. Schwager. 2005b. Quantitative analysis of the benefits and risks of consuming farmed and wild salmon. Journal of Nutrition 135: 2639–2643.

    CAS  Google Scholar 

  • Foran, J.A., D.O. Carpenter, D.H. Good, M.C. Hamilton, R.A. Hites, B.A. Knuth, and S.J. Schwager. 2006. Risks and benefits of seafood consumption. American Journal of Preventive Medicine 30: 438–439.

    Article  Google Scholar 

  • FSAI. 2002. Summary of investigation of dioxins, furans and PCBs in farmed salmon, wild salmon, farmed trout and fish oil capsules. Food Safety Authority of Ireland, March 2002. 9 p. http://www.fsai.ie/industry/Dioxins3.htm.

  • Genuis, S.J. 2008. To sea or not to sea: Benefits and risks of gestational fish consumption. Reproductive Toxicology 26: 81–85.

    Article  CAS  Google Scholar 

  • Gies, A., G. Neumeier, M. Rappolder, and R. Konietzka. 2007. Risk assessment of dioxins and dioxin-like PCBs in food—Comments by the German Federal Environmental Agency. Chemosphere 67: S344–S349.

    Article  CAS  Google Scholar 

  • He, K., Y. Song, M.L. Daviglus, K. Liu, L. Van Horn, A.R. Dyer, and P. Greenland. 2004. Accumulated evidence on fish consumption and coronary heart disease mortality: a meta-analysis of cohort studies. Circulation 109: 2705–2711.

    Article  Google Scholar 

  • Hites, R.A., J.A. Foran, D.O. Carpenter, M.C. Hamilton, B.A. Knuth, and S.J. Schwager. 2004a. Global assessment of organic contaminants in farmed salmon. Science 303: 226–229.

    Article  CAS  Google Scholar 

  • Hites, R.A., J.A. Foran, D.O. Carpenter, M.C. Hamilton, B.A. Knuth, and S.J. Schwager. 2004b. Reply. Science 305: 478.

  • Hooper, L., R.L. Thompson, R.A. Harrison, C.D. Summerbell, H. Moore, H.V. Worthington, P.N. Durrington, A.R. Ness, et al. 2004. Omega 3 fatty acids for prevention and treatment of cardiovascular disease. The Cochrane Database Systematic Rev. 4. Art. No.: CD00317. pub2. doi: 10.1002/14651858.CD00317.pub2.

  • IMNA. 2002. Dietary Reference Intakes for Energy Carbohydrate, Fibre, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, DC: Institute of Medicine of the National Academies, National Academies Press.

  • IOM. 2003. Dioxins and dioxin-like compounds in the food supply: Strategies to decrease exposure. Committee on Implications of Dioxin in the Food Supply, Food and Nutrition Board, Institute for Medicine of the National Academies. Washington, DC: National Academies Press.

  • Jacobs, M.N., A. Covaci, and P. Schepens. 2002. Investigation of selected persistent organic pollutants in farmed Atlantic salmon (Salmo salar), salmon aquaculture feed, and fish oil components of the feed. Environmental Science and Technology 36: 2797–2805.

    Article  CAS  Google Scholar 

  • Joas, R., A. Potrykus, and G. Chambers 2001. Effects on the fisheries industry of the Commission proposals (SANCO) on dioxin content of fish, fish oil and fish meal as part of animal feed regulation. D-G Research Working Paper STOA 101 EN, 10-2001. Scientific and Technological Options Assessment Series. Luxemburg: European Parliament.

  • KEMI and IEM. 2003. Human health risk assessment. Proposals for the use of assessment (uncertainty) factors. Application to risk assessment for plant protection products, industrial chemicals and biocidal products within the European Union. Body for Competence in Methodological Development, National Chemicals Inspectorate and Institute for Environmental Medicine, Karolinska Institute. KEMI Rapport 1/03.

  • Konig, A., C. Bouzan, J.T. Cohen, W.E. Connor, P.M. Kris-Etherton, G.M. Gray, R.S. Lawrence, D.A. Savitz, and S.M. Teutsch. 2005. A quantitative analysis of fish consumption and coronary heart disease mortality. American Journal of Preventive Medicine 29: 335–346.

    Article  Google Scholar 

  • Kris-Etherton, P.M., W.S. Harris, and L.J. Appel; for the AHA Nutrition Committee. 2003. Fish consumption, fish oil, omega-3 fatty acids, and cardiovascular disease. Arteriosclerosis and Thrombosis in Vascular Biology 23: e20–e30 (Erratum: e31). Comment in: Arteriosclerosis and Thrombosis in Vascular Biology 23: 151–152.

  • Kruse, S. and W. Meng. 2005. Risk management of dioxins in feed by the German Federal Ministry of Consumer Protection. Organohalogen Compounds CD-ROM ID 362.

  • Leino, O., S. Lensu, M. Niittynen, and J. Tuomisto. 2005. Risk-benefit analysis of fish in Finland: Dioxins and omega-3 fatty acids. Organohalogen Compounds (2005): 2476–2478. CD-ROM ID 1097.

  • Lund, E., D. Engeset, E. Alsaker, G. Skeie, A. Hjartaker, A.-K. Lundebye, and W. Niebor. 2004. Cancer risk and salmon intake. Science 305: 477.

    Article  CAS  Google Scholar 

  • Maruyama, W., K. Yoshida, and Y. Aoki. 2004. Dioxin health risk to infants using simulated tissue concentrations. Environmental Toxicology and Pharmacology 18: 21–37.

    Article  CAS  Google Scholar 

  • Masten, S.A., J.A. Grassman, C.R. Miller, D.L. Spencer, N.J. Walker, D. Jung, L. Edler, D.G. Patterson, et al. 1998. Population-based studies of dioxin responsiveness: Individual variation in CYP1A1 levels and relationship to dioxin body burden. Organohalogen Compounds 38: 13–16.

    CAS  Google Scholar 

  • Melanson, S.F., E.L. Lewandrowski, J.G. Flood, and K.B. Lewandrowski. 2005. Measurement of organochlorines in commercial over-the-counter fish oil preparations: implications for dietary and therapeutic recommendations for omega-3 fatty acids and a review of the literature. Archives of Pathology and Laboratory Medicine 129: 74–77.

    CAS  Google Scholar 

  • Mozaffarian, D. 2009. Fish, Mercury, Selenium and Cardiovascular Risk: Current Evidence and Unanswered Questions. International Journal of Environmental Research in Public Health 6(6): 1894–1916.

    Article  CAS  Google Scholar 

  • Peterson, R.E., H.M. Theobald, and G.L. Kimmel. 1993. Developmental and reproductive toxicity of dioxins and related compounds: cross-species comparisons. Critical Reviews in Toxicology 23: 283–335.

    Article  CAS  Google Scholar 

  • Ponce, R.A., S.M. Bartell, E.Y. Wong, D. LaFlamme, C. Carrington, R.C. Lee, D.L. Patrick, E.M. Faustman, and M. Bolger. 2000. Use of quality-adjusted life year weights with dose response models for public health decisions: a case study of the risks and benefits of fish consumption. Risk Analysis 20: 529–542.

    Article  CAS  Google Scholar 

  • Ruxton, C.H.S., S.C. Reed, M.J.A. Simpson, and K.J. Millington. 2004. The health benefits of omega-3 polyunsaturated fatty acids: a review of the evidence. Journal of Human Nutrition and Diet 17: 449–459.

    Article  CAS  Google Scholar 

  • SACN and COT. 2004. Advice on fish consumption: benefits & risks. Sci Advisory Committee Nutr and Committee Toxicol. The Stationery Office, London. www.food.gov.uk/multimedia/pdfs/fishreport2004full.pdf.

  • SCF. 2000. Opinion of the Scientific Committee for Food on the risk assessment of dioxins and dioxin-like PCBs in food. EC, Brussels. Adopted Nov 2000. www.europa.eu.int/comm./food/Fs/sc/scf/out78_en.pdf.

  • SCF. 2001. Opinion of the Scientific Committee for Food on the risk assessment of dioxins and dioxin-like PCBs an food. Update based on new scientific information available. Adopted 30th May 2001. www.europa.eu.int/comm./food/Fs/sc/scf/out90_en.pdf.

  • Smith, G.C., A.D. Hart, M.D. Rose, R. MacArthur, A. Fernandes, S. White, and D.R. Moore. 2002. Intake estimation of polychlorinated dibenzo-p-dioxins, dibenzofurans (PCDD/Fs) and polychlorinated biphenyls (PCBs) in salmon: the inclusion of uncertainty. Food Additives and Contaminants 19: 770–778.

    Article  CAS  Google Scholar 

  • SPCFC. 2005. Opinion of the Scientific Committee on Contaminants in the Food Chain on a request from the European Parliament related to the safety assessment of wild and farmed fish. Question N EFSA-Q-2004-23. Adopted on Jun 2005. EFSA Journal 236:1.

  • Studer, M., M. Briel, B. Leimenstoll, T.R. Glass, and H.C. Bucher. 2005. Effect of different antilipidemic agents and diets on mortality: a systematic review. Archives of Internal Medicine 165: 725–730.

    Article  CAS  Google Scholar 

  • Svensson, B.G., Z. Mikoczy, U. Strömberg, and L. Hagmar. 1995. Mortality and cancer incidence among Swedish fishermen with a high dietary intake of persistent organochlorine compounds. Scandinavian Journal of Work and Environmental Health 21: 106–115.

    CAS  Google Scholar 

  • Tuomisto, J.T., J. Tuomisto, M. Tainio, and M. Niittynen. 2004. Risk-benefit analysis of eating farmed salmon. Science 305: 478.

    Article  Google Scholar 

  • USEPA. 2000. Exposure and human health reassessment of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) and related compounds. Draft final. USEPA, Washington, DC. EPA/600/6-88/005Ca. www.epa.gov/ncea/dei.html.

  • Van den Berg, M., L. Birnbaum, A.T.C. Bosveld, B. Brunström, P. Cook, M. Feeley, J.P. Giesy, A. Hanberg, et al. 1998. Toxic equivalency factors (TEFs) for PCBs, PCDDs, PCDFs for humans and wildlife. Environmental Health Perspectives 106: 775–792.

    Google Scholar 

  • Van Der Voet, H., A. de Mul, and J.D. van Klaveren. 2007. A probabilistic model for simultaneous exposure to multiple compounds from food and its use for risk-benefit assessment. Food and Chemical Toxicology 45: 1496–1506.

    Article  Google Scholar 

  • Verbeke, W., F. Vanhonacker, L.J. Frewer, I. Sioen, S. De Henauw, and J. Van Camp. 2008. Communicating risks and benefits from fish consumption: Impact on Belgian consumers’ perception and intention to eat fish. Risk Analysis 28: 951–967.

    Google Scholar 

  • Wallin, E., L. Rylander, B. Jonsson, and L. Hagmar. 2003. Intra-individual variations over time for 2,2′,4,4′,5,5′-hexachlorobiphenyl (CB 153) in relation to consumption of fatty fish from the Baltic Sea. Organohalogen Compounds 60–65 (2003), CD-ROM Vol. 5, Section 1.

  • Wang, C., M. Ching, E. Balm, B. Kupelnick, D. DeVine, A. Lawrence, A. Lichtenstein, and J. Lau. 2004. Effects of omega-3 fatty acids on cardiovascular disease. Agency of Healthcare Research Quality, Rockville, MD, USA, Mar 2004. AHRQ Publ. No 04-E009-2.

  • WHO. 1998. Assessment of the health risk of dioxins: re-evaluation of the Tolerable Daily Intake (TDI), executive summary. WHO Consultation, May 25–29 1998, Geneva, Switzerland. Geneva: WHO. www.who.int/pcs/dioxin-exec-sum/exe-sum-final.doc.

  • WHO. 2003. Joint WHO/FAO Expert Consultation. Diet, nutrition and the prevention of chronic diseases. Recommendations for preventing cardiovascular diseases, pp. 81–94.

Download references

Acknowledgments

This work has been aided by grants from Nordic Council of Ministers, Finnish Ministry of the Environment; the EU’s 6th Framework Programme for R&D (contract No 003956), and Finnish Fulbright Center. Support from Finnish Environment Institute and University of Helsinki is also gratefully acknowledged. Thanks go to colleagues for their contributions, and to the anonymous reviewers. The author is responsible for the opinions expressed.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Timo Assmuth.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Assmuth, T. Policy and Science Implications of the Framing and Qualities of Uncertainty in Risks: Toxic and Beneficial Fish from the Baltic Sea. AMBIO 40, 158–169 (2011). https://doi.org/10.1007/s13280-010-0127-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13280-010-0127-z

Keywords

Navigation