Benefit-risk assessment of Baltic herring

This page is a knowledge crystal of subtype assessment. The page identifier is Op_en7397
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Scope

Question

What are the health benefits and risks of the current consumption of Baltic herring in the Finnish population? Should actions be taken to reduce risks?

Intended use and users

• Finnish Food Safety Authority needs this information to a) report back to the European Commission about the dioxin exemption for Baltic herring, and b) plan for actions to reduce health risks, if necessary.

Participants

Finnish Food Safety Authority (Evira)

Anja Hallikainen, Tiina Ritvanen, Mervi Rokka

Natural Resources Institute Finland (Luke)

Hannu Harjunpää, Pekka J. Vuorinen

National Institute for Health and Welfare (THL)

Hannu Kiviranta, Marjo Niittynen, Jouni T. Tuomisto, Anu Turunen, Sari Ung-Lanki, Arja Asikainen

Boundaries

• Population of Finland
• Direct health impacts of consumption of Baltic herring as food.
• Pollutants and nutrients considered: dioxins, PCBs, methylmercury (only in the updated assessment, which is not in the Evira report), omega-3 fatty acids, vitamin D.
• Health impacts in the foetus and the infant is considered based on the fish consumption of the mother.
• Consumption of other fish is not considered. However, this would be important, as e.g. the exposure-response function of omega-3 fatty acids is nonlinear and the marginal benefit decreases with increasing dose. Because of this, a sensitivity analysis is performed with a scenario where average omega-3 fatty acid background intake is assumed.

Decisions and scenarios

• Should Baltic herring intake be limited to 3 g/d (approximately equal to the current recommendation for fertile men and women of 1 portion per month)? Yes or no (assumes 100 % compliance).

Decisions(g /d)

Obs	Decision_maker	Decision	Option	Variable	Cell	Change	Result
1	Evira	Recommendation	No limit	amount		Identity	0
2	Evira	Recommendation	Limit	amount	amountResult:>3	Replace	3

Timing

• Current situation, no time dynamics, i.e. assumes that all health effects occur instantly.

Answer

Results

Results from model run [1]

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Conclusions

• Consumption recommendations for women in fertile age are warranted based on IQ impacts and less importantly in dental defect impacts in the child. Upper limit recommendation of three grams per day (one meal of Baltic herring per month) seems to minimise health hazards.
• Consumption restrictions to males are not warranted, as the health benefits are clear while risks to the child are irrelevant.
• Health benefits to cardiac mortality are clear in age groups older than 50 years, and Baltic herring consumption, among other fish concumption, should be recommended.

Rationale

Dependencies

• Consumption of Baltic herring in Finland
• Mercury concentrations in fish in Finland
• Population of Finland
• ERF of dioxin
• ERF of omega-3 fatty acids
• ERFs of vitamins
• ERF of methylmercury
• Disease risk
• Health impact assessment

Calculations

+ Show code- Hide code # This code is Op_en7397/ on page [[Benefit-risk assessment of Baltic herring]] library(OpasnetUtils) library(ggplot2) decisions <- opbase.data("Op_en7397", subset = "Decisions") DecisionTableParser(decisions) objects.latest("Op_en7403", code_name = "amount") # [[Consumption of Baltic herring in Finland) amount <- EvalOutput(amount) oprint(oapply(amount, cols = "Iter", FUN = mean))

See also

• Finnish pages on the topic:
  • op_fi:Silakan hyöty-riskiarvio
  • op_fi:Silakan hyöty-riskiarvio / raportti