Radioactive Fish in Vietnam’s Red River Reveal Surprising Health Risks

Naturally occurring radioactive substances are present in every river on Earth, quietly cycling through sediments, water, and the organisms that live within them. A new study of ten commonly consumed fish species from Vietnam’s Red River has now provided one of the most detailed pictures yet of how these natural radionuclides accumulate in freshwater fish, how fish biology shapes that accumulation, and what the findings mean for the millions of people who depend on the river’s fish as a dietary staple. The research, published in Archives of Environmental Contamination and Toxicology, quantified five radionuclides, including radium-226, radium-228, lead-210, polonium-210, and potassium-40, in fish collected from the river that drains much of northern Vietnam.

The team, led by Xuan-Quang Nguyen of Dong Nai Technology University and Trung-Tien Chu of VNU School of Interdisciplinary Sciences and Arts, together with Van-Hao Duong and Thanh-Xuan Pham-Thi, found striking differences between the isotopes. Potassium-40 dominated every sample by a wide margin, with mean activity concentrations of 101 plus or minus 8.6 becquerels per kilogram, ranging from 65 to 169 becquerels per kilogram. This was expected, since potassium is an essential element that fish regulate biologically regardless of environmental conditions, and its radioactive isotope makes up a fixed fraction of all natural potassium. Polonium-210 followed at 11.8 plus or minus 0.9 becquerels per kilogram, lead-210 at 9.1 plus or minus 1.7, radium-226 at 7.69 plus or minus 1.04, and radium-228 at just 1.22 plus or minus 0.2 becquerels per kilogram, with some measurements falling below detection limits.

These differences are not random. Each radionuclide behaves according to its own chemistry in aquatic systems. Polonium-210, a highly radiotoxic alpha emitter from the uranium-238 decay chain, is known to bind strongly to proteins and organic matter, making it particularly prone to bioaccumulation in fish tissue. Lead-210, its precursor in the same decay chain, behaves differently, attaching to particles and sediments. Radium isotopes, chemical analogs of calcium, tend to concentrate in bone and calcified structures. Potassium-40, as an essential element analog, is homeostatically controlled. The Red River itself carries a heavy sediment load shaped by decades of dam construction and land-use change in its watershed, and earlier work by some of the same authors documented elevated natural radioactivity in the river’s surface sediments, providing a plausible source term for the isotopes measured in fish.

One of the most intriguing findings concerns fish biology. The researchers observed a negative correlation between radium-226 concentrations and body weight, suggesting that smaller fish accumulate proportionally more of this isotope than larger individuals. This morphological influence on radioactivity absorption has practical implications for monitoring programs, which often assume that radionuclide concentrations scale simply with size or trophic position. If body weight systematically modulates uptake, then sampling strategies that ignore biological characteristics could misestimate the radiological burden carried by a fish population, and by extension the dose delivered to human consumers who prefer particular size classes.

To translate these measurements into human health terms, the team calculated annual effective doses from fish consumption. The average annual effective dose came to 0.105 millisieverts per year, with individual values ranging from 0.030 to 0.247 millisieverts per year. These figures sit comfortably below internationally recognized safety thresholds, which typically allow on the order of 1 millisievert per year of additional exposure from all practices combined. Lifetime cancer risk estimates ranged from 1.4 times ten to the minus seven to 7.7 times ten to the minus seven, well within the acceptable limits used by radiological protection agencies worldwide. In plain terms, an ordinary consumer of Red River fish faces a negligible incremental cancer risk from natural radioactivity in the fish they eat.

The story is more nuanced for the fish themselves. Using the ERICA Tool, a widely adopted software framework for assessing ionizing radiation doses to wildlife, the researchers estimated total dose rates to the fish ranging from 0.2 to 10.4 micrograys per hour, with a mean of 3.0 micrograys per hour. Most species fell well below the screening threshold of 10 micrograys per hour, indicating negligible ecological risk. But one species, the Zig-zag eel, exceeded that threshold, signaling a potential radiological concern for this species specifically. The result highlights that ecological risk from natural radionuclides is not distributed evenly across a food web; species-specific feeding habits, habitat use, and physiology can push individual species over protective screening levels even when the community as a whole appears safe.

The Zig-zag eel finding deserves careful interpretation. Screening thresholds in tools like ERICA are deliberately conservative, designed to flag cases that warrant more detailed investigation rather than to declare harm definitively. Exceeding the threshold does not mean the eel population is being damaged, but it does mean the species merits closer study, including tissue-specific dose modeling and, ideally, biological endpoints such as reproductive success. For a river basin that supports intensive fishing and aquaculture, identifying which species sit closest to ecological limits is a valuable early-warning capability.

The study also fills an important regional data gap. Vietnam’s Red River basin is home to tens of millions of people, and fish from the river and its delta contribute substantially to local protein intake. Yet systematic measurements of natural radionuclides in the basin’s freshwater biota have been scarce, with prior work focusing mainly on sediments, soils, and thermal waters. By establishing baseline activity concentrations across ten commercially and nutritionally important species, the researchers have created a reference point against which future changes, whether from industrial development, mining activity in the geologically radioactive highlands upstream, or shifts in sediment dynamics caused by dams, can be detected and evaluated.

Methodologically, the work demonstrates the value of combining direct radiometric measurement with biological covariates and dual risk frameworks, one for humans and one for wildlife. The inter-isotope variability observed, spanning nearly two orders of magnitude between radium-228 and potassium-40, underscores why single-isotope assessments can be misleading. Polonium-210, for example, typically contributes the dominant share of internal dose from fish consumption even when potassium-40 dominates total activity, because polonium’s alpha radiation carries far higher radiotoxicity per unit of activity. Comprehensive multi-isotope datasets like this one allow risk assessors to weight each nuclide appropriately rather than relying on activity totals alone.

For the public, the bottom line is reassuring: eating fish from the Red River does not pose a meaningful radiological health risk under current conditions. For scientists and regulators, the study offers something equally valuable, a rigorous baseline and a demonstration that fish biology matters in radiological monitoring. As radiation monitoring programs expand across Southeast Asia’s river systems, the Red River work suggests that the most informative datasets will be those that record not just what is in the water and sediment, but how the size, species, and ecology of the fish themselves shape the journey of natural radioactivity through the food web.

Subject of Research: Natural radionuclide accumulation in freshwater fish from the Red River, Vietnam, and its implications for human and ecological radiological risk

Article Title: Natural Radionuclides in Selected Freshwater Fishes from the Red River (Vietnam): Influence of Biological Characteristic and Implication for Human Health Risk

Article References: Nguyen, X.-Q., Duong, V.-H., Pham-Thi, T.-X., & Chu, T.-T. (2026). Natural Radionuclides in Selected Freshwater Fishes from the Red River (Vietnam): Influence of Biological Characteristic and Implication for Human Health Risk. Archives of Environmental Contamination and Toxicology, 91(2), Article 17. https://doi.org/10.1007/s00244-026-01217-1

Image Credits: AI Generated

DOI: 10.1007/s00244-026-01217-1

Keywords: natural radionuclides, Red River Vietnam, freshwater fish, polonium-210, potassium-40, radium-226, radiological risk assessment, ERICA Tool, food safety, annual effective dose, Zig-zag eel, radiation monitoring