Does Fish Have Worms? How to Ensure Your Fish is Safe

Fish can have worms. This is a natural occurrence, particularly in wild-caught fish, and does not indicate an unhealthy fish or contaminated waters. When fish is properly handled and prepared, potential health risks from these parasites are effectively eliminated.

Prevalence and Types of Parasites in Fish

Wild-caught fish commonly host parasites as a natural part of aquatic ecosystems. These parasites are typically acquired by fish through their diet, as they consume smaller organisms that carry the parasitic larvae. The most common types of parasites found in fish that consumers might encounter include roundworms (nematodes), such as Anisakis simplex and Pseudoterranova decipiens, and tapeworms (cestodes), like Diphyllobothrium species. Flukes (trematodes) are another type of parasitic worm that can infect fish. These parasites are often visible to the naked eye upon close inspection of fish fillets.

Potential Health Risks for Humans

While parasites in fish can cause illness if consumed live, serious infections in humans are rare, particularly in regions with established food safety practices. If live Anisakis larvae are ingested, they can attach to the esophagus, stomach, or intestine, leading to anisakiasis. Symptoms include abdominal pain, nausea, vomiting, and sometimes allergic reactions, typically appearing within hours of consumption. Tapeworm infections, caused by species like Diphyllobothrium, are often asymptomatic, but some individuals may experience abdominal discomfort, diarrhea, weight loss, or vitamin B12 deficiency leading to anemia. Thorough cooking or freezing effectively kills these parasites, rendering the fish safe for consumption.

Ensuring Fish Safety Through Proper Preparation

Ensuring fish safety involves proper preparation to eliminate potential parasites. Visually inspect fish fillets for small, visible worms before cooking. These can be seen coiled or embedded in the flesh and removed with tweezers.

Cooking fish to the correct internal temperature is a reliable method to kill parasites. The United States Department of Agriculture (USDA) recommends cooking fish to an internal temperature of 145°F (63°C) for at least 15 seconds. This heat denatures the parasite’s proteins, effectively destroying it.

Freezing is another effective method for killing parasites, especially for fish intended for raw consumption, such as sushi or ceviche. The Food and Drug Administration (FDA) provides specific freezing guidelines: fish should be frozen and stored at -4°F (-20°C) or below for 7 days (168 hours). Alternatively, freezing at -31°F (-35°C) or below until solid, then holding at that temperature for 15 hours, is also effective.

Home freezers may not reach temperatures low enough to consistently kill parasites, making commercially frozen fish a safer choice for raw preparations. Farmed fish generally present a lower parasite risk due to their controlled diets and environments, which limit exposure to parasitic life cycles.