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Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

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Page 1: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05

A Small Dose of ™ Mercury

An Introduction To The Health Effects of

Mercury

Page 2: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Mercury the Metal

Page 3: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Key Words

Risk =

Hazard X Exposure

Dose / Response

Individual Sensitivity

Page 4: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

What Is This?

Hg

CH3

Page 5: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Methyl Mercury (MeHg)

Hg

CH3

Page 6: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Hg - Inorganic & Organic

Hg

CH3

Inorganic – Quick Silver

Hg

Organic – Methyl Mercury

Page 7: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Hg Facts & Uses

• Quicksilver• 13.6 times the weight of water• Evaporates at room temperature• Bacteria change to Methylmercury• Amalgam• Many Industrial uses

(thermometers, chemical reactions, gold mining)

Page 8: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Hg – Like Water

Page 9: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Hg – Solid Enough to Sit On

Page 10: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

• Alchemy• Medicine - cure syphilis?• Egyptian tomb -1500 BC

Ancient Awareness

Page 11: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Greek God Mercury

“For then she bare a son, of many shifts, blandly cunning, a robber, a cattle driver, a bringer of dreams, a

watcher by night, a thief at the gates, one who was soon to show forth

wonderful deeds among the deathless gods...”

Description of the birth of the Greek God Mercury

Page 12: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Occupational ExposureGold mining.

Hatters in the felt industry.

Historical Events

Page 13: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Historical Awareness

Page 14: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology Polluting with HG

Discharge in Minamata Bay

Page 15: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Fetal Effects of MeHg

Page 16: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Life-Long Effects of MeHg

Page 17: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Planting Seed with Mercury

Page 18: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Iraq Mothers with Bread

Page 19: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Iraq Infant - Effects of Mercury

Page 20: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Coal Fired Plants – Hg Emissions

Page 21: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Outbreaks of MeHg Poisoning

Place Year CasesMinamata 1953-60 1000

Nigata 1964-65 646

Guatemala 1963-65 45

Ghana 1967 144

Pakistan 1969 100

Iraq 1956 100

Iraq 1960 1,002

Iraq 1971 40,000

On-going 2001 ???

Page 22: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Inorganic - elemental mercury vapor Hg0

Inorganic - elemental mercury vapor Hg0

Biotransformation

Organic - Methylmercury - CH3Hg+

Bioaccumulation

Mercury to Methyl Mercury

Page 23: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Mercury Release

50-75% mercury of released in the environment related to human activities

Page 24: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Atmospheric Hg

Page 25: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Ambient WaterSediments

Edible Fish

Inorganic Mercury

Methyl-Mercury

Methyl-MercuryIn Humans

Biomethylation

Bioaccumulation

Exposure

Discharge

Biotransformation of Mercury

Page 26: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

• Natural Degassing of the earth• Combustion of fossil fuel• Industrial Discharges and Wastes• Incineration & Crematories• Dental amalgams

Hg0 Hg2+ CH3Hg+

Environmental Sources of Mercury

Page 27: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

The Mercury Cycle

Page 28: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

A 270-year record

Major atmospheric releases•Natural

•Background (42%)•Volcanic (6%)

•Anthropogenic (52%)•Gold rush•WWII•Industrialization

Significantly The last 100 years

anthropogenic: 70%

The last 10 yearsan apparent decline

Page 29: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

• Blindness - Deafness• Cerebral Palsy - Seizures• Abnormal reflexes & muscle tone• Retarded motor development• Visual and Auditory Deficits• Delayed motor development• Altered DRH performance

Neurobehavioral Effects

Page 30: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

• Decrease in Brain Size• Cell loss• Disorganization of cells• Cell migration failures

Effects On The Brain

Page 31: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

MONKEY - 25 µg/kg - LOAELRAT - 10 µg/kg - LOAELRAT - 50 µg/kg - replicated

Animal - Risk Assessment

Page 32: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

2.5 µg/kg - NOAEL (animals) 0.25 µg/kg - Human 0.025 µg/kg - Sensitive populations

Animal - Risk Assessment

(the rule of dividing by 10)

Page 33: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

• 10-20 ppm hair - LOAEL •• 40-80 ppb blood - LOAEL •

• 0.645 µg/kg •• 0.06 µg/kg - RfD •

Human - Risk Assessment

Page 34: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Mercury Fishing Advisories

In 2000, 41 States have over 2000 fish consumption advisories

An increase from 27 in 1993 Pregnant women, nursing

mothers, women who intend to have children, and children under 15

Page 35: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

• Reduce environmental release

• Restrict global production and sale

• Advise women of child bearing age

• Research mechanisms of action

• Assess neurodegenerative effects

Recommendations

Page 36: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

MeHg Consumption Limits

US EPA – 0.1 ug/kg-day

US FDA – 1 ppm (mg/kg) in tuna

Page 37: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Mercury A Global Issue

Mercury distribution and exposure is a global problem

Page 38: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Alice’s Adventures

“Everything’s got a moral, if you can only find it”

Lewis Carroll in Alice’s Adventures in Wonderland

Page 39: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

A Small Dose of ™ Mercury

Page 40: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Additional Information

Web Sites World Health Organization - global

prospective on mercury health effects. http://www.who.int/water_sanitation_health/GDWQ/Chemicals/mercuryfull.htm

US EPA - Main site on Mercury. http://www.epa.gov/mercury/

The Mercury Policy Project (MPP). - works to raise awareness about the threat of mercury contamination - http://www.mercurypolicy.org/

Page 41: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

Authorship Information

For Additional Information ContactSteven G. Gilbert, PhD, DABT

E-mail: [email protected]: www.asmalldoseof.org

This presentation is supplement to “A Small Dose of Toxicology”

Page 42: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

State - Risk Assessment

• 26 States - Fish Advisories• Pregnant women, nursing mothers,

women who intend to have children, and children under 15

Page 43: Small Dose of Mercury – 3/20/05 A Small Dose of ™ Mercury An Introduction To The Health Effects of Mercury

Small Dose of Mercury – 3/20/05 A Small Dose of Toxicology

• 34 States - Fish Advisories •• 26 of 34 - Women and kids •

• >0.16 ppm limit consumption •

State - Risk Assessment