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When Shouldn't You Eat Salmon? A Complete Guide

4 min read

According to the FDA, consuming raw or undercooked fish, including salmon, poses health risks, especially for vulnerable populations such as pregnant women. Understanding when you shouldn't eat salmon is crucial for preventing foodborne illness, managing allergies, and avoiding potential contaminants.

Quick Summary

Learn about the critical times to avoid eating salmon, including when it's spoiled, raw, or for high-risk individuals like pregnant or immunocompromised people.

Key Points

  • Spoiled Salmon: Discard any salmon with a strong fishy, sour, or ammonia smell, a slimy texture, or dull, grayish discoloration.

  • Avoid Raw/Undercooked: Vulnerable populations—pregnant women, children, elderly, and immunocompromised individuals—should never eat raw or undercooked salmon due to bacterial risks like Listeria and Salmonella.

  • Check for Parasites: Wild-caught salmon can contain parasites; if consuming raw, ensure it has been properly blast-frozen to kill organisms. Otherwise, cook thoroughly to 145°F.

  • Allergy Warning: Individuals with a finfish allergy should avoid all salmon. Symptoms can range from mild rashes to severe, life-threatening anaphylaxis.

  • Consider the Source: Be mindful of differences between farmed and wild salmon, including potential variations in contaminant levels and environmental impact.

  • Medication Caution: Consult a doctor if you take blood thinners, as high omega-3 intake from fish could cause interactions.

In This Article

For many, salmon is a nutritional powerhouse, celebrated for its omega-3 fatty acids, protein, and delicious flavor. However, there are specific circumstances and health considerations under which consuming this popular fish can pose significant risks. Being aware of these situations, from signs of spoilage to specific health contraindications, is key to enjoying salmon safely.

Signs of Spoiled Salmon

Eating spoiled seafood is a common cause of foodborne illness. To protect yourself and your family, it is critical to know how to identify bad salmon. A fresh fillet should be firm, moist, and have a mild, clean aroma.

  • Smell: If the salmon emits a strong, pungent, sour, or ammonia-like odor, it is no longer safe to eat and should be discarded immediately.
  • Appearance: Look for a bright, vibrant pink or orange color. Dull, gray, or discolored patches are strong indicators of spoilage. Whole fish should have clear, shiny eyes, not sunken or cloudy ones.
  • Texture: Fresh salmon is firm and springs back when pressed gently. If the flesh is slimy, sticky, or mushy, it is past its prime.
  • Expiration Date: The sell-by date is a guide for retailers, but if the fish has any of the aforementioned characteristics, trust your senses over the date.

Risks of Raw or Undercooked Salmon

While sushi and sashimi are popular, eating raw or undercooked salmon comes with inherent risks of bacterial and parasitic infection.

  • Bacterial Contamination: Raw fish can harbor harmful bacteria such as Listeria monocytogenes, Salmonella, and Vibrio. These can cause serious food poisoning, especially in susceptible individuals.
  • Parasites: Wild-caught salmon, in particular, may contain parasites like tapeworms (Diphyllobothrium nihonkaiense) or helminths. Proper handling and freezing methods are required to kill these organisms. The FDA recommends cooking fish to an internal temperature of 145°F (63°C) to kill parasites and bacteria.

Who Should Avoid Salmon?

Some people are at a much higher risk of complications from consuming improperly prepared salmon and should exercise extreme caution or avoid it entirely. These groups include:

  • Pregnant Women: Due to a higher risk of Listeria infection, which can cause miscarriage or severe illness in newborns, pregnant women should avoid cold-smoked and raw salmon. Only thoroughly cooked (165°F / 74°C) hot-smoked or shelf-stable versions are recommended.
  • Immunocompromised Individuals: People with conditions like cancer, liver disease, HIV/AIDS, or organ transplants have weakened immune systems and are highly susceptible to severe infections from raw seafood.
  • Young Children and Older Adults: These populations have less robust immune systems and should avoid raw fish to minimize the risk of serious foodborne illnesses.
  • People with Fish Allergies: A fish allergy can cause reactions ranging from mild hives and digestive issues to life-threatening anaphylaxis. Individuals with a diagnosed fish allergy must avoid all salmon.
  • Individuals on Specific Medications: People on blood thinners like warfarin should consult their doctor regarding high intake of fish due to potential interactions from high omega-3 levels.

Farmed vs. Wild Salmon: A Quick Comparison

The source of your salmon can influence its nutritional profile and potential contaminant levels, though all are generally safe within recommended consumption limits.

Feature Wild-Caught Salmon Farm-Raised Salmon
Diet Natural diet of plankton, smaller fish Processed pellets, often containing fish meal
Omega-3s Generally higher ratio of omega-3 to omega-6 Increased omega-6 content from feed
Contaminants Lower levels of persistent pollutants (PCBs) Higher levels of PCBs due to feed and environment
Heavy Metals Can have slightly higher mercury, but still low overall Generally very low in mercury
Fat Content Leaner, more muscular flesh Richer, fattier texture due to diet
Sustainability Risk of overfishing, though many fisheries are sustainable Concerns about pollution, waste, and escapes

Controversies in Farmed Salmon

While farmed salmon can offer a sustainable solution to wild stock depletion, the industry faces several controversies worth noting:

  • Environmental Impact: Open-net pens can release waste, uneaten food, and chemicals into the surrounding marine environment, potentially harming local ecosystems and contributing to dead zones.
  • Disease and Antibiotics: High-density fish farms can lead to rapid disease and parasite spread, necessitating the use of antibiotics. This raises concerns about antibiotic resistance and their impact on human health.
  • Escaped Fish: Escaped farmed salmon, a different species from Pacific salmon, can threaten native ecosystems by spreading pathogens to wild fish populations.

Conclusion

While salmon offers numerous health benefits, knowing when to exercise caution is essential. Avoid eating salmon that shows any signs of spoilage. High-risk groups, including pregnant women, immunocompromised individuals, the elderly, and children, should strictly avoid raw or undercooked salmon due to bacterial risks. If you have a fish allergy, all salmon must be avoided. Consider the source—wild-caught vs. farm-raised—and be aware of the environmental and contaminant considerations. Ultimately, making informed decisions about your salmon consumption ensures a safe and healthy dining experience.


To ensure proper and safe seafood preparation, refer to the official guidelines provided by the U.S. Food & Drug Administration (FDA). [https://www.fda.gov/food/buy-store-serve-safe-food/selecting-and-serving-fresh-and-frozen-seafood-safely]

Frequently Asked Questions

Pregnant women should avoid cold-smoked salmon because it is not fully cooked and poses a risk for Listeria infection. Hot-smoked or canned salmon is safer, but heating it to 165°F (74°C) is recommended to ensure safety.

You can tell if fresh salmon is bad by its smell, appearance, and texture. Bad salmon will have a strong, fishy or sour smell, a dull or grayish color, and a slimy or mushy texture.

No, individuals with weakened immune systems should never eat raw salmon. Their immune systems are less equipped to fight off the bacteria and parasites found in raw fish, which can lead to severe and potentially fatal infections.

While both farmed and wild salmon are generally safe when properly cooked, there are differences. Wild salmon has lower levels of pollutants like PCBs, but a higher risk of parasites if not properly frozen. Farmed salmon is lower in mercury but can contain other contaminants and antibiotics.

Even healthy individuals face a risk of foodborne illness from bacteria like Listeria and parasites such as tapeworms when eating raw salmon. Proper freezing and handling reduce the risk, but cooking is the only way to kill all pathogens.

According to USDA guidelines, cooked salmon can be safely stored in the refrigerator at 40°F or below for three to four days. After this period, it's best to discard it.

Symptoms of a salmon allergy can include hives, itching, eczema, swelling, nausea, vomiting, diarrhea, and respiratory problems. In severe cases, it can cause anaphylaxis, a life-threatening reaction.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.