CARTA AL EDITOR
REVISTA DE LA FACULTAD DE MEDICINA HUMANA 2022 - Universidad Ricardo Palma
1 Instituto de Ciencias Ómicas y Biotecnología Aplicada (Icoba), Pontificia Universidad Católica
del Perú, Lima-Perú.
2 Departamento de Ingeniería, Pontificia Universidad Católica del Perú, Lima-Perú.
a PHD Toxicología
Dear Editor,
Regarding the unfortunate oil spill occurred last January 15th on our coast, I would like to
call the attention of your readership towards the need to formulate a proactive Plan of Action to
address Environmental Health concerns and use the best practices to communicate risks for people whose
livelihoods are closely intertwined with the affected areas.
First of all, we need to consider that there is an inherent shock that has already been felt when
looking at wildlife being affected, the natural spaces that may look unhabitable, and the prohibitions
for work, feed and leisure in place. Therefore, measures to protect the mental health should be at the
forefront and efforts to use unambiguous terms should be demanded.
Based on our cultural practices, we should be prepared to quickly define seafood safety and
edibility. A spill that impacted so many animals and habitats may be perceived to significantly impact
human health. However, that may not be the case if a proper follow-up is done since many of the edible
species do have fast metabolic rates ranging from weeks to months. Testing strategies to quantify levels
of oil-derived toxicants such as polycyclic aromatic hydrocarbons (PAH) in water and seafood tissue
samples should be given priority since they are the most robust and there is a lot of data reported from
other spills.
Since one of the biggest concerns is the bioaccumulation of PAH due to their carcinogenic
properties, the communication should be in terms of probabilities of cancer based on assumed consumption
rates, periods and species. Broadly speaking, cancer is a multi-factorial disease, and carcinogens play
a role on it. But from a toxicologically point of view, carcinogens such as PAH do not have thresholds
for exposures, meaning that any exposure is consider to pose risk. Nevertheless, our population is
demanding to understand when it would be safe to resume the activities they used to do.
Yender, Michel and Lord (1) recommend using concepts of acceptable
risks like the ones we take when drinking small amounts of alcohol and driving our cars. For example,
the experts recommend to indicate that carcinogenic contaminants are found in certain ranges in
different contexts of non-polluted areas of the globe and also depend on the style of cooking.
Therefore, health authorities need to carefully manage the notions of acceptable and voluntary risks
when communicating the current levels in species of interest, in a transparent and unambiguous way.
Authorship contributions: The author participated in the genesis of the idea, project
design, development, data collection and interpretation, analysis of results and preparation of
the manuscript.
Funding sources: Self financed.
Conflicts of Interest: The author declares no conflict of interest.
Received: February 11, 2022
Approved: February 19, 2022
Correspondence: Fanny L. Casado, Ph.D.
Address: Pontificia Universidad Católica del Perú. Avenida Universitaria 1801, San
Miguel, Lima-Perú.
Telephone number: 626-2000 / Anexo: 4285
E-mail: fanny.casado@pucp.edu.pe