title: Methylmercury neurotoxicity in Amazonian children downstream from gold mining.
abstract: In widespread informal gold mining in the Amazon Basin, mercury is used to capture the gold particles as amalgam. Releases of mercury to the environment have resulted in the contamination of freshwater fish with methylmercury. In four comparable Amazonian communities, we examined 351 of 420 eligible children between 7 and 12 years of age. In three Tapajós villages with the highest exposures, more than 80% of 246 children had hair-mercury concentrations above 10 microg/g, a limit above which adverse effects on brain development are likely to occur. Neuropsychological tests of motor function, attention, and visuospatial performance showed decrements associated with the hair-mercury concentrations. Especially on the Santa Ana form board and the Stanford-Binet copying tests, similar associations were also apparent in the 105 children from the village with the lowest exposures, where all but two children had hair-mercury concentrations below 10 microg/g. Although average exposure levels may not have changed during recent years, prenatal exposure levels are unknown, and exact dose relationships cannot be generated from this cross-sectional study. However, the current mercury pollution seems sufficiently severe to cause adverse effects on brain development.
authors.affiliation: Department of Environmental Medicine, Odense University, Odense, Denmark. p.grandjean@winsloew.ou.dk
authors.forename: P
authors.initials: P
authors.lastname: Grandjean
authors.forename: R F
authors.initials: RF
authors.lastname: White
authors.forename: A
authors.initials: A
authors.lastname: Nielsen
authors.forename: D
authors.initials: D
authors.lastname: Cleary
authors.forename: E C
authors.initials: EC
authors.lastname: de Oliveira Santos
mesh_terms: D000328:Adult; D001921:Brain / Q000187:drug effects*; D002648:Child; D002652:Child Behavior / Q000187:drug effects*; D003430:Cross-Sectional Studies; D005247:Feeding Behavior; D005260:Female; D005333:Fetus / Q000187:drug effects*; D006046:Gold; D006197:Hair / Q000737:chemistry; D006801:Humans; D008297:Male; D008628:Mercury / Q000032:analysis; D008767:Methylmercury Compounds / Q000633:toxicity*; D008906:Mining; D011247:Pregnancy; D011297:Prenatal Exposure Delayed Effects; D012044:Regression Analysis
chemical_list: D008767:Methylmercury Compounds; D006046:Gold; D008628:Mercury