Fish and Your Health
There’s no denying it, fish is good for you.
The  latest data  suggests that vegetarians have more cancer than fish  eaters,  though both have less cancer than meat eaters. There are also   well-documented and significant heart and brain benefits associated with   seafood consumption.
Omega-3 fatty  acids are usually given the  credit for the heart-healthy benefits of  fish. The most beneficial  omega-3 fatty acid, eicosapentaenoic acid  (EPA), as well as  docosahexaenoic acid (DHA) are only found in seafood.  Vegetarian forms  of omega-3s including α-Linolenic acid (ALA) can be  converted to EPA and  DHA in the body, but the conversion rate is very  low and likely  insufficient.
Healthy  eating is a lot  more difficult if you do not eat fish.Yes, you can be  healthy if you are  vegetarian or vegan, but it is much more work.
The  fish and health issue seems to be even  more important (and more  complicated) for pregnant women. Children of  mothers who eat less  seafood during pregnancy score lower on cognitive tests than those whose  mothers ate the most fish. But at the same time, mercury contamination  is a serious concern for pregnant women that requires special attention.  Mercury is toxic to neurodevelopment and can injure a developing fetus.
Mercury  contamination has in fact become so  common that regular, non-pregnant  consumers also need to be concerned.  Recent testing in New York City  revealed that most of the top sushi restaurants serve fish that exceeds  the FDA safety recommendations for mercury.
Another health and fish issue is  polychlorinated biphenyls (PCBs). These things are all sorts of bad for  you.
For health, the basic guidelines   include:
- Eat fish 2-3 times per week.
- Avoid large fish that accumulate mercury like tuna, shark and swordfish.
- Avoid farmed fish that contain PCBs.
- Seek fatty fish such as salmon, mackerel and sardines.
- Avoid fresh water fish caught by friends. Lakes and rivers are almost all contaminated with high mercury levels.
- Enjoy vegetarian omega-3 fatty acid sources such as walnuts, flax and soy.
 Be sure to get  supplements derived from marine sources (and don’t take them before  interacting with other humans–icky burps).
Fish and the Environment
That  being said, it is not clear that  anyone understands the true damage  that the fishing industry is doing to  either the environment or the  future of the fishing industry. The  outlook is not good, but it does  seem that there are a few groups that  are aware of the problems and  taking actions to improve the situation.
Things consider when buying and eating fish for sustainability:
- Buy from trusted sources. Most small, high-end seafood vendors in San Francisco do a good job of at least telling you where their fish comes from, and will often include sustainability labels.
- Shop at Whole Foods. Though they aren’t perfect, Whole Foods does a great job of labeling the origin of their animal products. This is leaps and bounds over most grocery stores.
- Eat wild Alaskan salmon. The Alaskan fishing regulations are mostly sustainable. Alaskan is still superior to Atlantic or farmed salmon. Did you know that all farmed salmon is dyed pink? Eeeew.
- Eat sardines. These little guys are sustainable, healthy and delicious.
- Never, ever eat bluefin tuna. These magnificent animals are on the verge of extinction. Don’t do it!
- Eat fish at responsible restaurants. In SF, many of the high-end restaurants proudly label the origin of their fish on the menu. This is not always true, however, especially in Japanese restaurants. Nobu in Manhattan is still serving bluefin tuna.
- Never shop at Asian fish markets. Cheap fish = bad news. Sorry. Many of the fish sold at these stores are shipped in from China (if they deny it they are likely lying to you). Remember when China was putting poison in baby formula? Don’t assume the fish from there is either safe or sustainable.
- Avoid tuna. Do you still order maguro (tuna) at sushi restaurants? How boring and unethical. Try getting something that you’ve never heard of that may be less likely to be over-fished. And don’t be afraid to ask where it came from.
Shellfish
Many  kinds of shellfish can be farmed sustainably with very little   environmental impact. This is good news, but doesn’t make shellfish a   perfect choice.
Oysters, scallops and  shrimp are still  among the most common sources of food poisoning in the  U.S. every year.  Oysters alone are responsible for 15 deaths annually.  That means your  sources for these items are just as important as they  are for any other  fish, but mostly for your own protection.
The  biggest issue is usually refrigeration  (but it is not always), so your  best bet is to go with trusted sources  that are not likely to skimp on  costs and resources. Better yet, buy  them live and prepare them  yourself.
Taste and Other Adventures
As important as all these issues are, the dominant thought in the back of mind is always: I love seafood, can I have some?
And  yes, sometimes this thought wins out  over health, environment and  sustainability. But  really do try to do  the right thing as often as  possible,  want to continue  enjoying seafood for many, many more years.
It is not uncommon to hear these days that we could lose our fishing industries within your lifetime, and no one wants that.
No  matter how much we want to deny these  issues, they effect us all. Even  vegetarians have an interest in  preserving the oceans and wild fish  populations, since entire ecosystems  are dependent upon them.
This is one place where we all need to do our part and be conscientious consumers.
