The Code of Virginia § 32.1-248.01 directs the Virginia Department of Health (VDH) to develop a written policy, which shall be revised annually, that identifies the level of concern for certain toxic substances in fish that the Department will use to issue a fish consumption advisory. This annual review was conducted in July 2021 and included a review of current guidelines and applicable science related to polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers (PBDEs), mercury, dioxin, and Kepone. VDH does not recommend changing any of the current fish consumption advisory guidelines.