Drugs leaking into waterways bad news for fish  
Q & A: 
Dr. Karen Kidd, University of New Brunswick
Interview by Lori Valigra
KAREN KIDD'S dedication to studying how pharmaceutical and household pollutants get into freshwater 
systems and impact wildlife brought her to the University of New Brunswick and the college's Canadian 
Rivers Institute (CRI) a year ago. As the Canada Research Chair in Chemical Contamination of Food Webs 
and an associate professor, Kidd and her colleagues have started research on the Saint John River, 
and expect some early results next spring or summer. Prior to that she was a research scientist with 
the federal government's Fisheries and Oceans Canada. 
 
She received her Ph.D. from the University of Alberta in 1996, and began her career investigating 
pollution in fisheries in the Yukon, Eastern Arctic and East Africa. This work focused on pesticides 
and other persistent pollutants that concentrate and get into food webs. She also is conducting 
several studies in Atlantic Canada on the accumulation of mercury in freshwater food webs. Kidd 
is concerned that these kinds of pollutants are getting into fish and accumulating to high levels 
that may cause health effects for humans or fish-eating wildlife. In addition, she also studies 
the impact of pollution, including pharmaceuticals in sewage outfall, on fish. The Gulf of Maine 
Times recently interviewed Kidd about her work on how pharmaceutical and other pollutants impact 
wildlife, focusing on the effects of the female hormone estrogen on fish.
 
Q: You've studied the impacts of pharmaceuticals on fish in western Canada. Are you finding similar 
problems in eastern Canada?
 
A: The reason I moved to New Brunswick is to work with the CRI and to address some of these issues 
in Atlantic Canada. There hasn't been a lot done on the effects of pharmaceuticals and personal 
care products on river health in this part of the country. The big focus of my research with the 
Canadian federal government was doing a whole lake synthetic estrogen addition experiment. 
The reason why we got into that work is that in Britain they were seeing that a lot of the male 
fish downstream of sewage treatment plants were becoming feminized. These fish were producing egg 
proteins, and they were developing eggs in the more serious cases, because they were being exposed 
to estrogens in the water. That work was done in the early to mid-1990s, but there have been a number 
of studies since then in the United States and Canada that show that estrogens are having similar 
impacts on fish here. A number of small-bodied fish species, like the fathead minnow, respond quite 
dramatically to estrogens.
 
Q: What is the source of the estrogens?
 
A: Pharmaceutical companies are aware of potential problems their products would cause in the 
aquatic environment, so they're conscientious about disposing of their waste products. Most of 
what's getting into the environment is from humans excreting these drugs or disposing of them by 
flushing them down the toilet. Women excrete both natural estrogens and the synthetic estrogens 
used in birth control pills; these estrogens are finding their way into the waterways downstream 
of wastewater treatment plants. Seventy-five percent or more of these estrogens can be broken down 
or degraded in the sewage treatment plant process. But there are still enough of these natural and 
synthetic estrogens getting into some rivers for male fish to become feminized.
 
Q: Where is this happening?
 
A: In Canada, most of the studies have been done in Ontario and in British Columbia, and there's 
been a bit of work in Alberta, Manitoba and Saskatchewan. And in the United States there's been a 
fair amount of work done in a number of states including Colorado, Florida, Texas and Minnesota 
looking for feminized male fish and for the presence of estrogens in rivers. But in Atlantic 
Canada it hasn't been well studied. We certainly have several rivers that are receiving sewage 
effluents, and in some cases untreated sewage, so there's potential for the fish to be impacted by 
estrogens. The city of Saint John is one example where there is untreated sewage going into streams 
that are flowing into the Bay of Fundy. This sewage is coming from individual households. 
 
Q: How close do the fish have to be to the source to be impacted?
 
A: The closer one is to the outfall of the sewage treatment plant, the higher the concentrations are. 
And concentrations will change over a season or over a year depending on how much rainfall there 
has been and on how much sewage is in the river flow. The synthetic estrogen that's used in birth 
control pills is very potent and can impact males at levels below one nanogram per liter, or one 
part per trillion. And the fish don't have to be exposed for very long. Sometimes a few weeks is 
enough to impact whether an egg develops into a female or a male, to cause a male fish to start 
producing egg proteins or to impact the survival of young fish or their sexual development. In 
mature male fish it may take longer, sometimes months, for them to start developing eggs. 
 
Q: Does it matter that it's human estrogen?
 
A: No, because the hormones we use to reproduce are very similar to the hormones fish use to 
reproduce.
 
Q: In the northeastern part of North America, what kind of fish would be most susceptible to this 
type of exposure?
 
A: Every fish species reacts differently to chemicals. We tend to see more impacts in the fish that 
live in a small area. They may live just downstream of the sewage outfall and be exposed to more 
of these estrogens than a fish that would move up and down the river and in and out of the sewage 
outfall. But every fish will be affected by estrogen if they are exposed to enough of it. Some of 
the stationary fish include the freshwater fathead minnow and slimy sculpin and estuarine species 
like mummichogs.
 
Q: What measures can be taken to reduce the estrogens that get through treatment systems?
 
A: There have been some studies showing that the more you treat the wastewater, and the longer the 
water is in the treatment plant, the more estrogens you remove. Primary treatment of sewage removes 
less than five percent of the estrogens, but secondary treatment will remove from 75 to 98 percent 
of them. This range seems to depend on how long the wastewater is treated and whether there is 
treatment such as nitrification of the wastewaters. The key to removing estrogens or reducing their 
impact is to treat sewage - we still have cities that discharge raw sewage - and to use secondary 
treatment of the wastewater at a minimum. Bacteria in the sewage treatment process can break down 
estrogens. These hormones also can bind to particles and settle out of the wastewater.
 
Q: What are some of the other drugs that can be harmful?
 
A: One example is Prozac. Researchers at Baylor University in the United States have found that the 
active ingredient in Prozac, fluoxetine, is accumulating in fish muscle. They've also shown in lab 
studies that fluoxetine impacts fish reproduction and fish behavior. To date, we have found more 
than 50 different drugs in sewage effluents and in surface waters, and as technology improves, we're 
going to find more drugs in the environment. We know that thousands of different pharmaceuticals are 
used for human health. Some, like the painkiller ibuprofen, are effectively degraded by sewage 
treatment processes. Others like fluoxetine are more resistant to degradation, so they're going 
to get into the environment.
 
Q: Are there impacts from antimicrobial and other soaps and household products, detergents or 
chemicals?
 
A: Oh my goodness, yes. Sewage effluents contain many different chemicals, including detergents, 
pesticides, metals and cosmetics, so the rivers receiving these sewage effluents are really getting 
a complicated mixture of chemicals. One of the big things we don't know and that is very difficult 
to determine is what in these mixtures is having an impact on the fish, because they're getting 
exposed to surfactants (a primary ingredient in detergents), fragrances and a number of 
pharmaceuticals and other household products that can accumulate and cause problems. There 
are chemicals used in detergents that can interfere with reproduction with fish as well, but 
they tend to be much less potent than something like an estrogen, because fish naturally use 
estrogens to control their reproduction. 
 
Q: Please describe some of the programs on the Saint John River.
 
A: The Saint John River is one of our big focuses with the Canadian Rivers Institute, because 
it's the most heavily impacted river in New Brunswick due to industrial, municipal and agricultural 
activities in the watershed. We've had a number of projects looking at fish health and abundance 
in the upper parts of the river into Maine and then in reaches of river between Edmundston and 
Fredericton in New Brunswick. We're starting to do more studies in the mouth of the river near 
the Bay of Fundy because very little is known about fish health in that area and because there 
are raw sewage discharges into that region. I am conducting studies to determine whether sewage 
is affecting fish health and whether some of the pharmaceuticals and personal care products in 
the outfall accumulate in fish tissues.
 
© 2005 The Gulf of Maine Times
For more information contact Karen Kidd at kiddk@unbsj.ca or visit 
the Canadian Rivers Institute Web site at www.unb.ca/cri/.