On the last day of June, Roger Mangía Vega watched an oil slick and a mass of dead fish float past this tiny Kukama Indian community and into the Marañón River, a major tributary of the Amazon.

Community leaders called the emergency number for Petroperu, the state-run operator of the 845-kilometer pipeline that pumps crude oil from the Amazon over the Andes Mountains to a port on Peru’s northern coast.

By late afternoon, Mangía and a handful of his neighbors – contracted by the company and wearing only ordinary clothing – were up to their necks in oily water, searching for a leak in the pipe. Villagers, who depend on fish for subsistence and income, estimated that they had seen between two and seven tons of dead fish floating in lagoons and littering the landscape.

“It was the most horrible thing I’ve seen in my life – the amount of oil, the huge number of dead fish and my Kukama brothers working without the necessary protection, said Ander Ordóñez Mozombite, an environmental monitor for an indigenous community group called Acodecospat who visited the site a few days later.

This rupture of Peru’s 39-year-old northern crude oil pipeline has terrified Kukama villagers along the Marañón River. People’s complaints of nausea and skin rashes are aggravated by nervousness about eating the fish, concerns about their lost income and fears that oil will spread throughout the tropical forest and lakes when seasonal flooding begins in November. Cuninico, a village of wooden, stilt-raised, palm-thatched houses, is home to about 130 families but several hundred families in other communities also fish nearby.

Three weeks after they discovered the spill, the villagers still have more questions than answers about the impacts.

“It sounds like an environmental debacle for the people and the ecosystem, said David Abramson, deputy director of the National Center of Disaster Preparedness at Columbia University’s Earth Institute in New York.

“There is a need for public health and environmental monitoring at a minimum of four levels – water, fish, vegetation and the population,” he said.

Company officials at Petroperu did not return phone calls and emails seeking comment.

Government officials have not officially announced how much crude oil spilled. However, in a radio interview, Energy and Mines Minister Eleodoro Mayorga mentioned 2,000 barrels, which is 84,000 gallons.

Indigenous leaders noted that the pipeline, which began operating again July 12 after the repairs, has a history of leaks.

Leaders of at least four neighboring communities said masses of dead fish appeared in lagoons and streams in the week before the oil spill was reported, indicating that it could have been leaking for days before it was spotted.

Even fish that escaped the worst of the spill could be poisoned, experts said. Fishermen who traveled an hour or two up the Urituyacu River, a tributary of the Marañón, in search of a catch unaffected by the spill returned with fish that they said tasted of oil.

Some Amazonian fish migrate long distances, and ongoing monitoring will be important for determining how fisheries recover, said Diana Papoulias, a fish biologist with E-Tech International, a New Mexico-based engineering firm that advises indigenous Peruvian communities on oil-related issues.

Key concerns include polycyclic aromatic hydrocarbons (PAHs), which are classified as probable human carcinogens and can cause skin, liver and immune system problems, according to the U.S. Centers for Disease Control and Prevention. Exposure to PAHs in the womb has been linked to effects on children’s brain development, including learning and behavioral changes.

2013 Environmental Health Sciences