Baltic herring as nutrition; risk-benefit analysis

The objective of this study was to determine whether the benefits of eating Baltic Sea herring exceed the risks in Finland, and what the situation is in different age groups. 
Omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) as well as vitamin D were analysed in the report as beneficial nutrients. As far as environmental toxins harmful to health are concerned, Baltic herring were analysed for compounds classified as dioxins, which include polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans, as well dioxin-like biphenyls (PCB). According to the results, in Finland eating herring causes ca. 11 (95% confidence interval, CI 0-54) Disability Adjusted Life Years (DALYs) resulting from developmental disorders (dental damage); these affect children via the mother during pregnancy and breastfeeding. In addition, eating herring causes a ca. 12 (95%, CI 1,7-56) DALY cancer risk due to dioxins in the entire population. The health benefits of eating herring clearly exceed risks to health for women and particularly men after the age of 50 years. The greatest health benefits result from the reduction in heart disease and heart-related fatality, ca. –688 (95%, CI -2126 - -41) DALY/year. The results show that the consumption of Baltic herring has decreased in Finland to a low level and that the current common dietary advices on fish consumption are adequate to protect the population against the adverse health effects of dioxins and dioxin-like compounds. However, in risk benefit analysis in future it is important to estimate the total health effects of different environmental pollutants and of other fatty fish, and the sufficiency of dietary advices on fish consumption.