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anthropogenic activities are polluting these systems (Heath, 1999). Furthermore, fish<br />

are captured from many of the water bodies in South Africa by recreational and<br />

subsistence fisherman, while commercial fishing and cage culture are undertaken at<br />

selected systems. Therefore, certain sections of the South African population that<br />

consume fish may be at risk from the possible exposure to contaminants accumulated<br />

by fish captured from freshwater systems. Information regarding the possible health<br />

risk due to the consumption of fish from the freshwater systems in South Africa is<br />

therefore urgently required.<br />

The general objective of this paper is to provide a generic methodology that would<br />

give guidance in the undertaking of fish contaminant surveys in South Africa to provide<br />

information regarding the possible health risk if the fish are consumed by recreational<br />

and subsistence fishermen (Heath et al., 2004a,b). It must, however, be stressed<br />

that developing and implementing methodologies to manage and reduce the human<br />

health risk <strong>as</strong>sociated with the consumption of freshwater fish will also benefit the<br />

aquatic ecosystem at large. The ecosystem will benefit, <strong>as</strong> the ultimate goal of the<br />

management strategy would be to protect the freshwater aquatic environment and<br />

to put remedial actions in place that would ensure that the fish populations of the<br />

system are fit for present and future human consumption.<br />

METHODOLOGY DEVELOPED USING FISH TO DETERMINE POLLUTION<br />

AND HUMAN HEALTH RISK<br />

Although the United States of America h<strong>as</strong> issued fish contaminant advisories since<br />

the mid-1970s the various Agencies have employed different methods to estimate<br />

the risks to human health from the consumption of chemically contaminated fish.<br />

Subsequently the United States of America Environmental Protection Agency<br />

(USEPA) h<strong>as</strong> developed a series of four documents to provide guidance to Agencies<br />

issuing fish consumption advisories for non-commercial fishing (USEPA, 1995a,b,<br />

1996, 1997). From these documents it is evident that a fish consumption advisory<br />

programme should consist of:<br />

• fish sampling and analysis, therefore the collection of contaminant data,<br />

• risk <strong>as</strong>sessment,<br />

• risk management and<br />

• a risk communication and <strong>as</strong>sociated health advisory programme.<br />

However, much of the information and guidance provided in these documents h<strong>as</strong> a<br />

wider application and could <strong>as</strong>sist in the development of any investigation related to<br />

the <strong>as</strong>sessment of contaminant levels in fish and shellfish.<br />

In order to promote the use of fish to determine both ecological contamination<br />

and human health risk, two publications were developed in South Africa entitled:<br />

‘An Overview Guide to Determine the Human Health Risks of Eating South African<br />

Freshwater Fish’ (Heath et al., 2004a) and a ‘Reference Guide to Determine the<br />

Human Health Risks of Eating South African Freshwater Fish’ (Heath et al., 2004b).<br />

The fundamentals of the methodology are b<strong>as</strong>ed on catchment information (possible<br />

anthropogenic activities that can result in chemical pollution), socio-demographic<br />

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