Smart Fish Choices

A Guide for Pregnant People and Families on Eating Fish from Contra Costa Waters

For many Contra Costa County residents, eating fish caught locally is a cherished part of life. But how does this change when you are pregnant or have young children?

While we encourage everyone to follow these suggestions for eating fish safely, we have additional recommendations for people with young children or who are pregnant, breastfeeding, or are of childbearing years and might become pregnant.  

We at the Contra Costa Clean Water Program (CCCWP) developed this article to help you better understand the best choices for you and your family for safely eating fish caught from the Bay and Delta1. (Note, this blog article only focuses on fish caught in our area.  If you are want to find out more about eating fish and seafood in general, including at restaurants with non-local fish, you can click here.)

YES!  Eating fish can be a healthy and delicious part of your diet, especially if you are pregnant or have young children. Eating the right kind of fish is good for your baby’s health.2

Fish is a fantastic source of 

  • Lean protein
  • Vitamins, and nutrients that support overall health 
  • Heart-healthy Omega-3 fatty acids

Omega-3 fatty acids can reduce your risk for heart disease. Omega 3s are also thought to be beneficial to how the brain develops in unborn babies, children, and throughout all stages of life.3

For these reasons, the U.S. Dietary Guidelines recommend that those who are pregnant or breastfeeding eat at least eight, and up to 12 ounces per week, of fish and seafood that is lower in mercury.4

While eating fish has nutritional benefits and is an important part of a healthy diet, it also has potential risks. Fish can take in harmful chemicals from the water and the food they eat. The primary risks/toxins of concern include:

  • Mercury
  • Polychlorinated biphenyls (PCBs)

The Contra Costa Clean Water Program has many efforts in place to mitigate contaminants in our water. However, Mercury and PCBs are known as “legacy pollutants” because they remain in the environment long after their use and improper disposal.

High levels of these two pollutants have been detected in certain fish in Contra Costa County throughout San Francisco Bay and the San Joaquin River Delta.5,6

Mercury is a naturally occurring metal and PCBs are manmade chemicals.  Both were used or produced by industries around the Bay. 

Mercury and PCBs accumulate in fish tissue, especially in the skin, fat, and internal organs.  
When people eat fish with high levels of mercury and PCBs, these toxins can build up in our bodies over time. High levels of mercury can have harmful effects on our brain and nervous system and high levels of PCBs can be potentially carcinogenic . Mercury and PCBs can be especially harmful to fetuses, infants, and children because their bodies are still developing7.

The good news is you don’t have to cut out all fish! 

You can substantially reduce your exposure to potential toxins with just a little awareness.

If you avoid eating fish entirely, you won’t benefit from the protein and key nutrients like Omega-3s that fish provide to both the mother and the baby’s prenatal development.8

 So Are There Certain Types of Fish That My Children and I Should Avoid Eating?

Yes. Although there are advisories for specific areas lower down in this article, we recommend that children and women of childbearing age not eat:

Avoid These Fish (Highest Mercury Levels)
Brown Trout over 16 inches
Carp
Striped Bass
Shark species
Certain Rockfish species (Black and Yellow, China, Copper, and Gopher
White Sturgeon

Are There Other Recommendations I Should Know?

  • See our steps below on portion size, preparation, and site-specific advisories.
  • Eat a variety of fish listed in green on the advisories.
  • Eat smaller (younger) fish of legal size.

Let’s start with how much to eat.  In our advisories, the amount of fish that may be eaten each week is referred to as “servings”.

What is a Serving?

For adults:  One serving is eight ounces, measured prior to cooking.  Since most of us don’t weigh out our portions, an easy way to estimate this with fish filets is about the size and thickness of your palm. 

For smaller fish species, this means that several individual fish may be required to create a serving.9,10,11

  • For children: Give them smaller portions.  You can estimate this by giving them a portion smaller than the size of their palm. 

Secondly, to safely consume the local fish, make sure you know how you will cook it.

  • For fish, eat only the skinless fillet.
  • Remove and throw away the skin and trim visible fat before cooking.  This is because some chemicals are higher in the skin, fat, and guts. It’s best not to use these parts of the fish, or whole fish, when making soups or stews.12
  • For shellfish (crabs and lobsters), eat only the meat.
    • Remove the internal organs and don’t eat the viscera (soft “green stuff” in the body). This is where pesticides, PCBs, and biotoxins can build up.13
  •  Rinse out the body cavity before cooking.
  • Grill, broil, steam, or bake thoroughly and allow the juices to drain away.14
  • Discard the cooking liquid and don’t use drippings or broth to flavor the meal. Chemical levels can be higher in the juices.
  • Avoid frying because it can seal chemicals into the fish or seafood.
  • Before smoking a fish, remove the skin and fillet it.
  • Cook fish and shellfish thoroughly.
    • Cook fish and shellfish thoroughly to destroy harmful parasites (worms), viruses, or bacteria that can make you sick.

What Are the Guidelines?

Maybe you seen some of our colorful posters at the popular fishing spots?

These are guidelines and site-specific advisories created by The California Office of Environmental Health Hazard Assessment (OEHHA).

The posters were created to help everyone understand how we can safely eat fish caught from California’s water bodies by picking species low in Mercury and other potential concerns.15  

How Do I Use the Guidelines?

There are two sets of guidelines, one each for:

  • Women 50 years and older and men 18 years and older
  • Women 18-49 years and children 1-17 years
    • This is the set  specifically for women of childbearing age and children.16  
    • It is especially important for women who are pregnant or breastfeeding to follow these OEHHA guidelines to safely eat fish caught in Contra Costa that is low in contaminants while still enjoying the well-known health benefits of fish. 17,18

What If I’m Not Pregnant Now or Planning to Become Pregnant?

Mercury and PCBs can build up in a woman’s body before you become pregnant, so it is recommended that women of childbearing age follow the same guidelines as pregnant women in choosing low-mercury fish in case they become pregnant.19

How To Check If there are Advisories for My Area?

  • You can search OEHHA’s Advisory page for any body of water within California.
  • Each advisory will have specific information for Women 18-49 years and children 1-17 years.
  • If you want more information on how to find and use these advisories, you can see this YouTube Link [Include Link without Ads]
  • For quick reference, we have included the 5 areas with advisories in Contra Costa County below.
AdvisoryCounty
Delta, Central and SouthContra Costa, San Joaquin, Sacramento
Lafayette ReservoirContra Costa
Lauritzen ChannelContra Costa
San Francisco BayAlameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara, Solano, Sonoma
San Pablo ReservoirContra Costa

Delta, Central, South – Advisory updated November 2022

Where?

  • The Central and South Delta includes all water bodies in the Delta south of Highway 12 (except the Sacramento River and the San Joaquin River south of Stockton). 

Advisories:

  • Issued for non-migratory fish because of mercury
  • Issued for fish that migrate based on mercury and PCB content
  • Issued for American Shad, Steelhead Trout, Striped Bass, and White Sturgeon

Do Not Eat Advisories

  • Do not eat any fish or shellfish from the Port of Stockton, also do not eat Striped Bass or White Sturgeon

Lafayette Reservoir Advisory updated June 2018

For: Women 18-49 Years and Children 1-17 Years

Advisory: Issued based on mercury and PCBs.

Lauritzen Channel Advisory updated April 2023

Advisories:

  • Issued for on DDTs and dieldrin.
  • DDTs and dieldrin are pesticides.  Although banned in the 1970s and late 1980s, respectively, they may still be found in fish sampled from California water bodies. 

Do Not Eat Advisory:

  • Do not eat any fish or shellfish from Lauritzen Channel in Richmond Inner Harbor. 

San Francisco Bay Advisory Updated April 2023

Advisories:

  • Advisory issued for migrating fish because of mercury and PCBs.
  • Follow guidelines for American Shad, Chinook (King) Salmon, Striped Bass, and White Sturgeon caught from San Francisco Bay.

San Pablo Reservoir:  Advisory updated 2019

Advisories:

  • Advisory issued based on mercury, PCBs, or dieldrin.

The Bottom Line

While there are potential risks to consider, there are many health benefits of eating fish especially to mothers, future mothers, and children. If you avoid eating fish entirely, you won’t benefit from the nutrients that fish can provide.

If you…

  • …follow our OEHHA fish advisories for choosing fish low in harmful chemicals, including a variety of the good fish suggested and eating smaller (younger) fish of legal size….
  • …properly clean, prepare, and cook your fish…
  • …and understand portion size…

… then you can safely enjoy the health benefits of eating fish.

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