High PCB levels found in breast milk of women who eat Lake Ontario fish

By LOIS BAKER
News Services Editor

Women who eat fish from Lake Ontario have significantly higher levels of PCBs and pesticides in their breast milk than women who do not eat Lake Ontario fish, results of a study of lactating women in the New York State Angler Cohort has shown.

Findings in the study, conducted by UB researchers, also showed that concentrations of these toxicants in breast milk declined as the number of children and the time spent breast-feeding increased. The study appeared in a recent issue of Environmental Research.

"This work supports previous studies that also indicate that lactation is a primary means of removal of these persistent contaminants in the female," said Paul J. Kostyniak, chair of the Department of Clinical Laboratory Science in the School of Medicine and Biomedical Sciences, director of the Toxicology Research Center and primary author on the study.

"Most of a woman's excretion occurs via the milk during breast-feeding, so generally, the more children and the more breast-feeding, the lower the levels will be.

"The data on individual PCB subtypes also allow researchers to quantify exposures to specific subtypes, all of which have different rates of elimination from the body, different degrees of toxicity and, in many cases, different toxicological effects."

The New York State Angler Cohort is composed of licensed anglers and their spouses or partners from 16 counties surrounding Lake Ontario, a total of 10,517 men and 7,477 women who were between the ages of 18 and 40 when the study began. The study was undertaken in 1991 to determine the health consequences of eating fish from Lake Ontario, known to be the most polluted of the Great Lakes.

Many contaminants found in Great Lakes fish have been linked to adverse reproductive and developmental effects in wildlife populations that eat the fish. Dietary intake is the main source of exposure to these compounds for the general population and is a critical determinant of the toxicants in human milk.

This research reports results of the analysis of 100 breast-milk samples from 98 lactating women in the cohort. Fifty of the women were nursing a firstborn, while the remaining 48 had two or more children. The women completed a questionnaire that provided data on the date of the milk sample; number of children; history of breast-feeding; height and weight before, during and after the most recent pregnancy, and detailed information on amount and types of fish eaten from Lake Ontario and its tributaries in the 12 months before the most recent pregnancy.

Milk samples were analyzed for 77 PCBs; DDE, a metabolite of the pesticide DDT, and the pesticides hexachlorobenzene (HCB) and Mirex. Analysis of milk samples showed that DDE and nine PCBs were found in all 100 samples.

Milk samples from fish-eaters had significantly higher levels of several PCBs than that of non-Ontario-fish-eaters. The two most prevalent PCB subtypes, shown to be 30 percent higher, were also the most prevalent contaminants in Lake Ontario fish. DDE level was not related to fish consumption from Lake Ontario, analysis showed.

Kostyniak said this type of data is critical for estimating the doses of individual PCBs to assess exposure risk in newborns. A prospective study of pregnancy rates and of children born to mothers in the New York State Angler Cohort is being conducted by UB researchers in the Department of Social and Preventive Medicine.

Additional researchers on this study were Casey Stinson and Hebe B. Greizerstein, both of the Department of Pharmacology and Toxicology; John Vena and Germaine Buck of the Department of Social and Preventive Medicine, and Pauline Mendola, formerly at UB, now with the U.S. Environmental Protection Agency.

The research was supported in part by grants from the Great Lakes Protection Fund and the Agency for Toxic Substances Disease Registry.