Fish disease as a monitor for marine pollution: the case of the North Sea

Summary The use of fish diseases to monitor marine pollution is reviewed and evaluated, with particular reference to the North Sea and associated waters. Criteria for epidemiological surveys are outlined, an international overview of research is given, and recent studies in the North Sea area are described and evaluated.The basic approach is to identify spatial and temporal patterns of disease prevalence, which can be related to pollution. A major obstacle is to distinguish effects of pollution from those of other variables, especially as most diseases appear to have a multifactorial aetiology. Field studies can be evaluated against a number of criteria: these include the accuracy and precision of prevalence estimates, the extent to which possible causal factors other than pollution are taken into account, and whether or not exposure of the study population to pollution is measured directly.A distinction can be made between intensive, thorough studies, which frequently use a histopathological approach, and the more extensive surveys of large numbers of fish for grossly observable lesions. Broadly speaking, North American research has emphasized the former approach, and research in the North Sea the latter. Nevertheless, although the most comprehensive evidence for a causal relationship between disease and pollution has been gathered in North America, there are also good examples from the North Sea area, particularly in local areas with distinct sources of pollution. The data from wider-ranging surveys are more ambiguous: while some provide circumstantial evidence for a role of pollution, the apparent complexity of disease aetiology and the limitations of the epidemiological approach may prevent any clear demonstration of pollution as a cause over wide geographical areas. Extensive surveys are nevertheless useful for detecting long-term trends in disease prevalence and hot-spots of anomalously high prevalence, and for examining the relationship between disease and a complex of environmental variables.For the future, greater emphasis should be placed on the recording of liver lesions, on the measurement of exposure to pollution, and on experimental work.