A Sign Your Fish Might Be on Drugs: Risky Behavior

Media article: https://www.nytimes.com/2025/04/10/climate/salmon-anti-anxiety-drugs.html

Pharmaceuticals are underestimated as a source of pollution throughout the aquatic environment. The relatively lower concentration in raw water (ng/L to μg/L) and less perceivable sources of waste (pharmaceutical manufacturing facilities and human/animal excretion) concealed their threats to the ecosystem. Nearly 1000 different active pharmaceutical ingredients (APIs) have been detected in water bodies across the world, and removing those chemicals, especially those designed to be resistant to biological breakdown, is difficult for either traditional wastewater treatment facilities or microbes. A study done by EPA in 2014 confirmed that effluent samples from 50 large publicly owned treatment works contain at least one of 56 measured APIs.

Reports show extensive misuse or even abuse of psychoactive medication in US. 25% among the US youth aged 12-17 have been reported using psychoactive prescription medications. Opioids, stimulants, depressants and cannabis are most abused among the lists. Abuse of these is more than jeopardizing the health of users. The non-metabolized parts to be excreted by drug users, and incorrect disposal of drug leftovers by flushing or landfilling finally result in the flowing of these pharmaceutical pollutants into water circle. 


The Flow of Pharmaceuticals: Many of the more than 4,000 prescription medications used for human and animal health ultimately find their way into the environment. They can pollute directly from pharmaceutical manufacturing plants or from humans and animals. As these chemicals make their way into terrestrial and aquatic environments, they can affect the health and behavior of wildlife, including insects, fish, birds, and more. (Source: https://www.usgs.gov/media/images/pharmaceuticals-move-throughout-aquatic-environment)

In 2017, research reported that water samples from 30 rivers covering 7 larger European catchments contain over-limit benzodiazepines. Clobazam, among the most frequently detected, has a maximum concentration of 11 ng L-1. Although many drugs function only at high doses, psychoactive drugs designed to be effective at low concentration, and hence the ng L-1 level is enough to change the behaviors of living creatures. The media article “A Sign Your Fish Might Be on Drugs: Risky Behavior” on The New York Times cited a recent peer-reviewed work on such influence. Researchers from Sweden studied the river-to-sea migration of salmon smolts, with or without treatment of anxiolytic pharmaceutical pollutant, clobazam, at environmentally relevant level. Clobazam-exposed juvenile salmons altered their shoaling behavior to a less-cohesive group when facing higher chances of predation, which leads to heightened vulnerabilities to predators. On the other hand, their risk-taking behavior facilitates the salmons to pass faster through hydropower dam passages – a major threat on their way of migration where five-fold predation happens – therefore a higher success rate of final arrival to sea. Although the behavior change is visible and the long-term effect is potential, the authors of the scientific article didn’t conclude with any predictable consequence of such an influence. The media article supplemented with a possible outcome that wrong timing and wrong volume of successful migration can break the balance of ecosystems.

I would rate 7/10 for this The New York Times article. The author extracted the key information from the scientific paper, arouse the awareness of a type of overlooked pollutant, and provided possible outcomes of such behavior change that were not included in scientific paper. However, the article is simply a summary of the experiments from the other paper, not showing too much positive or negative attitude towards the phenomenon. The inset video fails to demonstrate any behavior change and took me a few minutes to realize it doesn’t contain any experimental detail. Extra 0.5 point is credited for not forcing me to subscribe.

Comments

  1. This comment has been removed by the author.

    ReplyDelete
    Replies
    1. This comment has been removed by the author.

      Delete
  2. I really like this post. It’s very interesting because you are right, medications are often very overlooked in terms of being a pollutant. I’ve never really thought about the aspect of pharmaceuticals polluting the water ways; however, I do believe it is something that should be brought to the public’s attention. I would be curious to know if the medications can be transported via the water cycle to other places and if so, is their chemical nature impacted in any way or are the polluted waters just those observed near large populations of people.

    ReplyDelete
    Replies
    1. That's a good question. I also tried to find if the pollution can be further spread through water cycle, but haven't seen any paper focus on an area greater than a river basin. I think it is mainly due to the difficulty of monitoring thousands of chemicals at low concentration and identifying their origins, if the research is expanded to a larger area. Some articles mentioned that hydrophobicity of these medications makes them tend to be sorbed onto solids, then either flow out in suspensions or deposited as sediments. This might be a reason that they can only be transported within limited distance by water cycle.

      Delete
  3. This is interesting, Bomin. I appreciate how the article brings attention to the improper disposal of pharmaceutical products and raises public awareness on the issue. However, I noticed it didn’t provide much guidance on proper disposal methods. What are your thoughts on this? I’d love to hear your suggestions for how this gap could be addressed.

    ReplyDelete
    Replies
    1. FDA has disposal guidelines on their website. The best way is to drop off unused medicines at a drug take-back location (CVS or Walgreens), or use drug mail-back envelopes. If those are not available to you, you can dispose of them by either flushing (if they are on FDA’s flush list) or simply throw in household trash after mixing with dirt and sealing them in plastic bags (if they are non-flush list medicines).

      Delete
  4. This comment has been removed by the author.

    ReplyDelete
  5. Thanks Bomin for sharing. This is a really interesting topic. Can’t imagine that medicine we take can be a pollutant for the environment. I think you are right, the paper only talks about the results of these pollutants attracting the animal behaviors, instead of talking about if this affects the food chain. When talking about food chain, since we humans are on the most top. I am very curious that if these medicine pollutants can eventually go back into our bodies. Since on the picture in this blog, we can see the medicine pollutants are going into the animals

    ReplyDelete
    Replies
    1. The answer is yes in some review articles, though they didn’t depict a detailed scene that about these chemicals return to human body. In my opinion, the best way to avoid such accumulation is never eating wildlife.

      Delete
  6. This article was really interesting to read. I remember seeing at CVS they have bins to dispose of your old medication, but I was never sure why it needed to be separated from the rest of the trash, other than some people might try to take it out of the dumpster. I never considered the impact pharmaceuticals would have on bodies of water, and especially how they would affect wildlife. It would be great if medicine disposal bins were more readily available to lessen this issue or if information on how to get rid of your meds were more known. Maybe a good solution to this would be to include the disposal methods on the medicine bottle itself rather than in the long pamphlet they give you when you pick up your medication.

    ReplyDelete
  7. I am honestly laughing at the thought of fish engaging in risky behaviors because of anti-anxiety medical pollution. I feel like there is a three-panel comic to be made here.
    Does pharmaceutical waste affect mostly fish? How long does the pharmaceutical actually last in the environment, and are there other effects besides changing the behavior of organisms that metabolize it?

    ReplyDelete
    Replies
    1. 1. I believe they are all affected. Some effects might be confirmed after longer-time observation.
      2. The degradation varies by compositions and where they exist. Ibuprofen has a half-life less than 14 days, while carbamazepine’s can be over 100 days. Those reside in sediments are slower in degradation due to less oxygen and light irradiation.
      3. Here are some results I found online:
      Synthetic estrogens from birth control pills can feminize male fish; Gammarus pulex (a freshwater amphipod) fed less and showed lower foraging activity when exposed to pharmaceuticals.

      Delete
  8. Wow this is wild Bomin! Do you know if there is any data on how fast these concentrations of medication are increasing in our waterways? I'm curious to see if there has been documentation on this in the past or what the EPA has done already to curb this.

    ReplyDelete
    Replies
    1. I haven't found any annual statistical reports from EPA website, but found another review article showing the rising trend of concentrations: https://www.sciencedirect.com/science/article/pii/S2772416622001280

      Delete
  9. This comment has been removed by the author.

    ReplyDelete
  10. It’s alarming to see how even nanogram-level concentrations of psychoactive drugs can influence fish behavior, raising serious concerns about ecological balance. If these low concentrations already affect fish behavior, could there be long-term effects on human health through drinking water or the food chain?

    ReplyDelete
  11. I love the title of this article! It will hopefully bring attention to a better filtration system in our water treatment. I was actually planning on making my poster about this issue. I have seen different disposal areas for extra expired or no longer needed medications. However, I know there are still a lot of people who flush their medicines down the toilet. I found it interesting that some prescriptions have chemicals that our bodies do not fully metabolize and are flushed out in our urine. This is another way for these drugs to be introduced into the waterways. I wonder how this will continue to affect our ecosystem and the food chain as well. Do you think these chemicals could be reintroduced into unsuspecting people if they are still present in the fish? The same as mercury can?

    ReplyDelete

Post a Comment