© 2005 American Public Health Association DOI: 10.2105/AJPH.2005.067215
At the time of writing, all authors were with the Section of Epidemiology, Alaska Division of Public Health, Anchorage. Correspondence: Requests for reprints should be sent to Scott M. Arnold, PhD, Alaska Division of Public Health, Section of Epidemiology, 3601 C St, Suite 540, PO Box 240249, Anchorage, AK 995240249 (e-mail: scott_arnold@health.state.ak.us).
Knobeloch and Anderson assert that the current approach to fish consumption advisories is effective and empowers women to make improved choices. Yet they acknowledge that the public is confused. While the intent of national advisories is laudable, the public health consequences seem unsatisfactory, because there is recent evidence that generic fish advisories may have decreased fish consumption nationwide.1 Therefore, we do not agree that women are being empowered or that the current approach is consistent with the principle of beneficence.
We do not recommend telling worried people not to worry. Alaskas fish advisory2 was developed through collaboration with many entities
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