Mercury toxicity: clinical presentations in musculoskeletal medicine

Significant elevation of human methylmercury exposure induced by the food trade in Beijing, a developing megacity

Methylmercury (MeHg) poses health risks to humans worldwide. The investigation of a longer chain of biogeochemical MeHg transport from production to consumption than that addressed in previous studies could provide additional scientific foundation for the reduction of risks. The main objective of this study is to identify the impacts of the interregional food trade along with the age, gender and socioeconomic status of people on human MeHg exposure in a developing megacity. Based on a field investigation, sampling and measurements, we provide experimental evidence regarding the substantial displacement of human MeHg exposure from production areas to consumption areas induced by the food trade. In 2018, 20% and 64% of the exposure in Beijing originated from the international and interprovincial food trade, respectively. Meanwhile, the ingestion of fish contributed 79% to the total exposure, followed by rice (4.4%), crab (3.8%) and shrimp (2.7%), and the exposure risk in urban districts was higher than that in rural areas by a factor of 2.2. A significantly higher contribution of imported deep-sea species to exposure among young people than among older people was observed (P < 0.01**), and a larger contribution of the international food trade to the MeHg exposure risk for women of childbearing age (average: 27%) than that among other groups (average: 10%) was found. Overall, our efforts demonstrate the dramatic impact of the food trade on MeHg exposure in a developing megacity, and we suggest that MeHg-susceptible populations in China should choose indigenous fish species (e.g., hairtail, yellow croaker and carp species) rather than imported deep-sea species as their dietary protein source.

Current approaches of the management of mercury poisoning: need of the hour

Mercury poisoning cases have been reported in many parts of the world, resulting in many deaths every year. Mercury compounds are classified in different chemical types such as elemental, inorganic and organic forms. Long term exposure to mercury compounds from different sources e.g. water, food, soil and air lead to toxic effects on cardiovascular, pulmonary, urinary, gastrointestinal, neurological systems and skin. Mercury level can be measured in plasma, urine, feces and hair samples. Urinary concentration is a good indicator of poisoning of elemental and inorganic mercury, but organic mercury (e.g. methyl mercury) can be detected easily in feces. Gold nanoparticles (AuNPs) are a rapid, cheap and sensitive method for detection of thymine bound mercuric ions. Silver nanoparticles are used as a sensitive detector of low concentration Hg²⁺ ions in homogeneous aqueous solutions. Besides supportive therapy, British anti lewisite, dimercaprol (BAL), 2,3-dimercaptosuccinic acid (DMSA. succimer) and dimercaptopropanesulfoxid acid (DMPS) are currently used as chelating agents in mercury poisoning. Natural biologic scavengers such as algae, azolla and other aquatic plants possess the ability to uptake mercury traces from the environment.

Adult women's blood mercury concentrations vary regionally in the United States: association with patterns of fish consumption (NHANES 1999-2004)

BACKGROUND

The current, continuous National Health and Nutrition Examination Survey (NHANES) has included blood mercury (BHg) and fish/shellfish consumption since it began in 1999. NHANES 1999-2004 data form the basis for these analyses.

OBJECTIVES

This study was designed to determine BHg distributions within U.S. Census regions and within coastal and noncoastal areas among women of childbearing age, their association with patterns of fish consumption, and changes from 1999 through 2004.

METHODS

We performed univariate and bivariate analyses to determine the distribution of BHg and fish consumption in the population and to investigate differences by geography, race/ethnicity, and income. We used multivariate analysis (regression) to determine the strongest predictors of BHg among geography, demographic factors, and fish consumption.

RESULTS

Elevated BHg occurred more commonly among women of childbearing age living in coastal areas of the United States (approximately one in six women). Regionally, exposures differ across the United States: Northeast > South and West > Midwest. Asian women and women with higher income ate more fish and had higher BHg. Time-trend analyses identified reduced BHg and reduced intake of Hg in the upper percentiles without an overall reduction of fish consumption.

CONCLUSIONS

BHg is associated with income, ethnicity, residence (census region and coastal proximity). From 1999 through 2004, BHg decreased without a concomitant decrease in fish consumption. Data are consistent with a shift over this time period in fish species in women's diets.

Methylmercury exposure and health effects in humans: a worldwide concern

The paper builds on existing literature, highlighting current understanding and identifying unresolved issues about MeHg exposure, health effects, and risk assessment, and concludes with a consensus statement. Methylmercury is a potent toxin, bioaccumulated and concentrated through the aquatic food chain, placing at risk people, throughout the globe and across the socioeconomic spectrum, who consume predatory fish or for whom fish is a dietary mainstay. Methylmercury developmental neurotoxicity has constituted the basis for risk assessments and public health policies. Despite gaps in our knowledge on new bioindicators of exposure, factors that influence MeHg uptake and toxicity, toxicokinetics, neurologic and cardiovascular effects in adult populations, and the nutritional benefits and risks from the large number of marine and freshwater fish and fish-eating species, the panel concluded that to preserve human health, all efforts need to be made to reduce and eliminate sources of exposure.