Abstract-The aim of the Marine Strategy is to achieve or maintain good environmental status (GES) in marine waters across Europe, by means a set of 11 descriptors, and to ensure that the marine use is compatible with the conservation of ecosystems. Italy performed the initial assessment (IA), according to Descriptor 9, of the marine waters under its jurisdiction; to do that, Italy proposed statistical range of acceptance to achieve the GES, identified a method to use health results for assessing environmental status.Some reflections and considerations that emerged during IA phase, performed under D9, are reported in order to help to clarify and simplify some technical aspects, particularly with respect to terms and concepts unclear that, if ignored, could cause a not correct evaluation.Index Terms-Descriptor 9, good environmental status, MSFD, public health, seafood.