title: Mercury contamination incident.
abstract: BACKGROUND
  The aim of this paper is to describe an incident where elemental mercury led to widespread contamination and the exposure of 225 individuals and confirmed toxicity in 19 individuals. The paper describes the incident and difficulties found in trying to assess the risk to individuals and to identify and decontaminate the residences involved.
  
  
  METHODS
  All individuals exposed to elemental mercury in the incident were followed up for 15 months.
  
  
  RESULTS
  Thirty-seven individuals were found to be 'at risk' and 13 were symptomatic of mercury poisoning. Five patients required chelation therapy. The incident was closed when the risk of poisoning and re-exposure was minimized.
  
  
  CONCLUSIONS
  Incident management depends on early effective communication and collaboration between all agencies involved.
authors.affiliation: Chemical Incident Response Service, Medical Toxicology Unit, Guy's and St Thomas' Hospital Trust, London. rachel.maclehose@sessex-ha.nthames.nhs.uk
authors.forename: R
authors.initials: R
authors.lastname: MacLehose
authors.forename: G
authors.initials: G
authors.lastname: Pitt
authors.forename: S
authors.initials: S
authors.lastname: Will
authors.forename: A
authors.initials: A
authors.lastname: Jones
authors.forename: L
authors.initials: L
authors.lastname: Duane
authors.forename: S
authors.initials: S
authors.lastname: Flaherty
authors.forename: D
authors.initials: D
authors.lastname: Hannant
authors.forename: B
authors.initials: B
authors.lastname: Stuttard
authors.forename: A
authors.initials: A
authors.lastname: Silverwood
authors.forename: K
authors.initials: K
authors.lastname: Snee
authors.forename: V
authors.initials: V
authors.lastname: Murray
authors.forename: Q
authors.initials: Q
authors.lastname: Syed
authors.forename: I
authors.initials: I
authors.lastname: House
authors.forename: M A
authors.initials: MA
authors.lastname: Bellis
mesh_terms: D000293:Adolescent; D000328:Adult; D015913:Chelation Therapy; D002648:Child; D002675:Child, Preschool; D004739:England; D004781:Environmental Exposure / Q000009:adverse effects* / Q000032:analysis; D004784:Environmental Monitoring / Q000379:methods*; D062665:Epidemiological Monitoring; D004866:Equipment Contamination; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007604:Juvenile Delinquency; D008297:Male; D008628:Mercury / Q000097:blood* / Q000652:urine; D008630:Mercury Poisoning / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D008875:Middle Aged; D018570:Risk Assessment; D017751:Safety Management / Q000458:organization & administration*; D013800:Theft
chemical_list: D008628:Mercury