title: Health effects of long-term mercury exposure among chloralkali plant workers.
abstract: BACKGROUND
  Inorganic mercury is toxic to the nervous system, kidneys, and reproductive system. We studied the health effects of mercury exposure among former employees of a chloralkali plant that operated from 1955 to 1994 in Georgia.
  
  
  METHODS
  Former plant workers and unexposed workers from nearby employers were studied. Exposure was assessed with a job-exposure matrix based on historical measurements and personnel records. Health outcomes were assessed with interviews, physical examinations, neurological and neurobehavioral testing, renal function testing, and urinary porphyrin measurements. Exposure-disease associations were assessed with multivariate modeling.
  
  
  RESULTS
  Exposed workers reported more symptoms, and tended toward more physical examination abnormalities, than unexposed workers. Exposed workers performed worse than unexposed subjects on some quantitative tests of vibration sense, motor speed and coordination, and tremor, and on one test of cognitive function. Few findings remained significant when exposure was modeled as a continuous variable. Neither renal function nor porphyrin excretion was associated with mercury exposure.
  
  
  CONCLUSIONS
  Mercury-exposed chloralkali plant workers reported more symptoms than unexposed controls, but no strong associations were demonstrated with neurological or renal function or with porphyrin excretion.
authors.affiliation: Department of Environmental and Occupational Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA. medhf@sph.emory.edu
authors.forename: H
authors.initials: H
authors.lastname: Frumkin
authors.forename: R
authors.initials: R
authors.lastname: Letz
authors.forename: P L
authors.initials: PL
authors.lastname: Williams
authors.forename: F
authors.initials: F
authors.lastname: Gerr
authors.forename: M
authors.initials: M
authors.lastname: Pierce
authors.forename: A
authors.initials: A
authors.lastname: Sanders
authors.forename: L
authors.initials: L
authors.lastname: Elon
authors.forename: C C
authors.initials: CC
authors.lastname: Manning
authors.forename: J S
authors.initials: JS
authors.lastname: Woods
authors.forename: V S
authors.initials: VS
authors.lastname: Hertzberg
authors.forename: P
authors.initials: P
authors.lastname: Mueller
authors.forename: B B
authors.initials: BB
authors.lastname: Taylor
mesh_terms: D000022:Abortion, Spontaneous / Q000139:chemically induced; D000468:Alkalies; D001519:Behavior / Q000187:drug effects; D016022:Case-Control Studies; D002617:Chemical Industry; D002712:Chlorides; D003071:Cognition / Q000187:drug effects; D015331:Cohort Studies; D005260:Female; D005845:Georgia; D006801:Humans; D007407:Interviews as Topic; D007668:Kidney / Q000187:drug effects; D016014:Linear Models; D008297:Male; D008628:Mercury / Q000009:adverse effects*; D008875:Middle Aged; D015999:Multivariate Analysis; D009431:Neural Conduction / Q000187:drug effects; D009460:Neurologic Examination; D009484:Neuropsychology; D009784:Occupational Diseases / Q000139:chemically induced*; D016273:Occupational Exposure; D016017:Odds Ratio; D010808:Physical Examination; D011166:Porphyrins / Q000652:urine; D011247:Pregnancy; D011597:Psychomotor Performance / Q000187:drug effects; D012189:Retrospective Studies; D012684:Sensory Thresholds / Q000187:drug effects; D014202:Tremor / Q000139:chemically induced; D014732:Vibration
chemical_list: D000468:Alkalies; D002712:Chlorides; D011166:Porphyrins; D008628:Mercury