Blood Mercury Concentrations Research Articles

Regional variations and relationships among cytokine profiles, white blood cell counts, and blood mercury concentrations in Steller sea lion (Eumetopias jubatus) pups

The Steller sea lion (SSL) population west of 144°W longitude experienced a significant population decline. While there appears to be a stable or increasing population trend in rookeries in the Gulf of Alaska (GOA) and Southeast Alaska (SEA), some rookeries within the Aleutian Islands (AI) have failed to recover. Previous studies found regional differences in whole blood total mercury concentrations ([THg]) showing more than 20% of AI pups had [THg] above critical thresholds for increased risk of immunological effects and other adverse outcomes. Measurements of immune cell-signaling proteins can be used to evaluate the immune status of marine mammals in relation to [THg]. We compared serum cytokine and chemokine concentrations in pups among regions (AI, eastern GOA, SEA), and examined associations among cytokines, chemokines, white blood cell (WBC) counts, and [THg]. Considering liver is an important target organ for mercury and immune protein synthesis we additionally examined the relationship of [THg] with liver-related enzymes serum aspartate (AST) and alanine aminotransferase (ALT). We observed regional differences in cytokine and chemokine measurements and immune protein associations. There was a positive association between total WBC counts and [THg] in AI pups, whereas a negative association between lymphocytes and [THg] in SEA pups. These findings may indicate regional variation in proliferation and differentiation of hematopoietic cells, differences in immune system development, and/or a difference in antigenic stimuli. No associations between [THg] and cytokines, chemokines, AST or ALT were found. Observed regional differences in cytokine and chemokine milieu during gestational and early development in SSL pups could lead to an imbalance in cell differentiation that could impact immunological resiliency in juvenile and adult life stages. We report concentration ranges of a suite of cytokines and chemokines which may prove to be a useful metric for ecotoxicology and risk assessment studies in SSLs and other wildlife.

Associations of Metabolic Genes (GSTT1, GSTP1, GSTM1) and Blood Mercury Concentrations Differ in Jamaican Children with and without Autism Spectrum Disorder.

We investigated interactive roles of three metabolic glutathione S-transferase (GST) genes (GSTP1, GSTT1, and GSTM1) and autism spectrum disorder (ASD) status in relation to blood Hg concentrations (BHC) of Jamaican children. We used data from 266 children (2-8 years) with ASD and their 1:1 age- and sex-matched typically developing (TD) controls. After adjusting General Linear Models for child’s age, socioeconomic status, consumption of leafy vegetables, fried plantain, canned fish, and the interaction between GSTP1 and GSTT1, we found significant interactions between GSTP1 and ASD status in relation to BHC either in a co-dominant or dominant genetic model for GSTP1(P < 0.001, P = 0.007, respectively). In the co-dominant model for the Ile105Val GSTP1 polymorphism, geometric mean (GM) BHC in ASD cases with genotype Ile/Ile were significantly higher than in cases with the Ile/Val genotype (0.73 vs. 0.48 µg/L, P = 0.01). In contrast, in TD controls with the Ile/Val genotype GM BHC were significantly higher than in those with the Ile/Ile genotype (0.72 vs. 0.49 µg/L, P = 0.03) or the Val/Val genotype (0.72 vs. 0.51 µg/L, P = 0.04). Although our findings are consistent with the role of GSTP1 in detoxification of Hg, replication in other populations is warranted.

Per- and Polyfluoroalkyl Substances in Human Serum Samples of Selected Populations from Ghana.

The aims of this study were to assess serum concentrations of per- and polyfluoroalkyl substances (PFASs) in selected populations from Ghana, including workers engaged in the repair of electronic equipment (ERWs), and to elucidate PFAS concentrations in relation to blood mercury concentrations (B-Hg) as a biomarker of seafood consumption. In all, 219 participants were recruited into the study, of which 26 were women and 64 were ERWs. Overall, the PFAS concentrations were low. The most abundant components were perfluorooctane sulfonate (PFOS) and perfluorohexane sulfonic acid (PFHxS). Women had generally lower PFAS concentration than men. The ERWs had statistically significantly higher concentrations of perfluorooctanoate (PFOA), which was associated with the concentration of tin in urine. This could indicate exposure during soldering. The concentration of B-Hg was associated with several of the PFASs such as PFOA, PFOS and perfluoroheptane sulfonate (PFHpS). Additionally, the concentrations of perfluorodecanoic acid (PFDA) and perfluoroundecanoate (PFUnDA) were highly associated with the concentrations of B-Hg. It is noteworthy that the linear isomer of PFHxS was strongly associated with B-Hg while the branched isomers of PFHxS were not. In conclusion, the PFAS concentrations observed in the present study are low compared to other populations previously investigated, which also reflects a lower PFAS exposure within the Ghanaian cohorts. ERWs had significantly higher PFOA concentrations than the other participants. Several PFASs were associated with B-Hg, indicating that seafood consumption may be a source of PFAS exposure.

Biomonitoring selenium, mercury, and selenium:mercury molar ratios in selected species in Northeastern US estuaries: risk to biota and humans.

The mutual mitigation of selenium and mercury toxicity is particularly interesting, especially for humans. Mercury is widely recognized as a pantoxic element; all forms are toxic to all organisms. Less well known is that selenium in excess is toxic as well. The high affinity between these elements influences their bioavailability and toxicity. In this paper, we use selected species from Barnegat and Delaware Bays in New Jersey to examine variations in levels of selenium and mercury, and selenium:mercury molar ratios between and within species. We report on species ranging from horseshoe crab eggs (Limulus polyphemus), a keystone species of the food chain, to several fish species, to fish-eating birds. Sampling began in the 1970s for some species and in the 1990s for others. We found no clear time trends in mercury levels in horseshoe crab eggs, but selenium levels declined at first, then remained steady after the mid1990s. Concentrations of mercury and selenium in blood of migrant shorebirds directly reflected levels in horseshoe crab eggs (their food at stopover). Levels of mercury in eggs of common terns (Sterna hirundo) varied over time, and may have declined slightly since the mid2000s; selenium levels also varied temporally, and declined somewhat. There were variations in mercury and selenium levels in commercial, recreational, and subsistence fish as a function of species, season, and size (a surrogate for age). Selenium:mercury molar ratios also varied as a function of species, year, season, and size in fish. While mercury levels increased with size within individual fish species, selenium levels remained the same or declined. Thus selenium:mercury molar ratios declined with size in fish, reducing the potential of selenium to ameliorate mercury toxicity in consumers. Mercury levels in fish examined were higher in early summer and late fall, and lower in the summer, while selenium stayed relatively similar; thus selenium:mercury molar ratios were lower in early summer and late fall than in midsummer. We discuss the importance of temporal trends in biomonitoring projects, variations in levels of mercury, selenium, and the molar ratios as a function of several variables, and the influence of these on risks to predators and humans eating the fish, and the eggs of gulls, terns. Our data suggests that variability limits the utility of the selenium:mercury molar ratio for fish consumption advisories and for risk management.

Environmental health survey for children residing near mining areas in South Gobi, Mongolia.

BackgroundWe evaluated the level and factors of heavy metal exposure to children residing in the Togttsetsii, Khanbogd, and Bayandalai soums of South Gobi province, Mongolia.MethodsA total of 118 children aged 9–12 years were surveyed, and the level of heavy metal exposure in their bodies was investigated. Exposure was investigated by measuring concentrations of heavy metals such as cadmium, lead, and mercury in the blood; mercury concentration in the hair; and total arsenic in the urine.ResultsBlood cadmium concentration had geometric averages of 0.16 µg/L in the children from Bayandalai, 0.15 µg/L Tsogttsetsii, and 0.16 µg/L Khanbogd. Blood lead concentration showed a relatively higher geometric average of 7.42 µg/dL in the children from Bayandalai compared to 4.78 µg/dL and 5.15 µg/dL in those from Tsogttsetsii and Khanbogd, respectively. While blood mercury concentration was the highest in the children from Bayandalai, with a value of 0.38 µg/L, those from Tsogttsetsii and Khanbogd had similar concentrations of 0.29 µg/L and 0.29 µg/L, respectively. Hair mercury concentration was the highest in the children from Bayandalai, with a value of 78 µg/g, a particularly significant difference, with a concentration of 0.50 µg/g in those from Khanbogd. Urine arsenic concentration was the highest in the children from Khanbogd, with a value of 36.93 µg/L; it was 26.11 µg/L in those from Bayandalai and 23.89 µg/L in those from Tsogttsetsii.ConclusionsThe high blood lead concentration of children in Bayandalai was judged to be due to other factors in addition to mine exposure; the reason why blood and hair mercury concentration was higher in children from Bayandalai may have been due to exposure to many small-scale gold mines in the area. In the case of Khanbogd, it was estimated that the high arsenic level in urine was caused by the effect of mines.

Untangling causes of variation in mercury concentration between flight feathers.

Bird feathers are one of the most widely used animal tissue in mercury biomonitoring, owing to the ease of collection and storage. They are also the principal excretory pathway of mercury in birds. However, limitations in our understanding of the physiology of mercury deposition in feathers has placed doubt on the interpretation of feather mercury concentratoins. Throughout the literature, moult sequence and the depletion of the body mercury pool have been taken to explain patterns such as the decrease in feather mercury from the innermost (P1) to the outermost primary feather (P10) of the wing. However, it has been suggested that this pattern is rather a measurement artefact as a result of the increased feather mass to length ratio along the primaries, resulting in a dilution effect in heavier feathers. Here, we attempt to untangle the causes of variation in feather mercury concentrations by quantifying the mercury concentration as μg of mercury (i) per gram of feather, (ii) per millimetre of feather, and (iii) per day of feather growth in the primary feathers of Bulwer's Petrel Bulweria bulwerii chicks, effectively controlling for some of the axes of variation that may be acting in adults, and monitoring the growth rate of primary feathers in chicks. The mercury concentration in Bulwer's Petrel chicks' primaries increased from the innermost to the outermost primary for all three concentration measures, following the order of feather emergence. These observations confirm that the pattern of mercury concentration across primary feathers is not an artefact of the measure of concentration, but is likely an effect of the order of feather growth, whereby the earlier grown feathers are exposed to higher blood mercury concentrations than are later moulted feathers as a result of blood mercury depletion.

Effects of low-level mercury exposure on brain-derived neurotrophic factor in preschool children

ObjectivesMercury (Hg), a ubiquitous heavy metal, could affect the neurodevelopment of the children, however, these associations are still equivocal. Brain derived neurotrophic factor (BDNF) plays an essential role in the central nervous system development in children. This study aimed to investigate the effects of low-level mercury exposure on serum BDNF levels and the influence of sex and dietary intake on these relationships in children. MethodsIn this cross-sectional study, a total of 541 pre-school children were recruited, the blood mercury concentrations and serum BDNF levels were measured. The background information on demographic characteristics and dietary habits of the children was collected through questionnaires. Multivariable linear models after adjustment for potential confounders were used to evaluate the associations between mercury exposure and levels of BDNF in children. ResultsThe GMs of blood mercury concentrations and serum BDNF levels were 1.06 μg/L, 20.4 ng/mL, respectively. A significant positive association between blood mercury concentrations and serum BDNF levels was found. After stratification by sex, the blood mercury concentrations in children were positive associated with serum BDNF levels in girls but not in boys. However, these associations were attenuated when we further adjusted the children’s dietary intake variables. ConclusionsOur findings suggest that low-levels of mercury exposure may have sex-specific effects on BDNF levels in young children and that dietary intake may be potential confounders in these relationships. However, further studies are warranted to investigate the role of BDNF in the effects of mercury on neurodevelopment.

Foraging Ecology Differentiates Life Stages and Mercury Exposure in Common Terns (Sterna hirundo).

Some populations of common terns (Sterna hirundo) breeding at inland lakes in North America are declining, including the Laurentian Great Lakes. Terns nesting at inland colonies forage in freshwater during the breeding season and primarily in coastal marine environments during the nonbreeding season. As piscivores, they are susceptible to dietary Hg exposure. To characterize patterns of Hg exposure in this population, we 1) quantified within and among season differences in total mercury (THg) concentrations (μg/g) in blood and feathers at 2 Lake Superior breeding colonies, and 2) documented spatial and temporal variation in exposure by studying adult foraging ecology using geospatial tracking devices and stable isotopes. We used general linear models to assess the relationship between isotopic composition and THg concentrations in bird tissues relative to sex, age, colony location, and season. The THg concentrations were lowest in winter-grown feathers (geometric mean [95% confidence limits]): 1.32 (1.09-1.59) μg/g dw (n = 60), higher at the more industrially influenced colony (chick feathers: 4.95 [4.62-5.37] μg/g dw [n = 20]), and increased with a riverine-based diet. During the breeding season, Hg exposure varied along a gradient from lake to river, with adult females having lower blood THg concentrations than males (females: 0.83 [0.67-1.03]) μg/g ww (n = 7); males: 1.15 (0.92-1.45) μg/g ww (n = 5). Stable isotope values suggested adults obtained 42 ± 12% (n = 12) of their diet from the river during incubation, which was validated with tracking data. During chick-rearing, chicks obtained 68 ± 19% (n = 44) of their diet from the river. Our results indicate colony location, foraging behavior, and season influenced Hg exposure for these Lake Superior colonies and underscores the importance of local contamination with respect to exposure. Integr Environ Assess Manag 2021;17:398-410. © 2020 SETAC.

The association of blood mercury levels with interference control in 6 years old children

Background: Human bodies are constantly exposed to heavy metals like mercury due to industrialization and environmental pollution. The health effects of mercury have been a common concern. In particular, children need to be more careful because they are in the stage of growth and development. However, there is no firm consensus about the effects of mercury on neurodevelopment in children. Methods: We describe the association between blood mercury concentrations in 6 years old children (N = 574) and with the Stroop color and word test(SCWT) scores based on the Environment and Development of Children (EDC) study, a prospective cohort study. In the SCWT, the color word score represents the subject's ability to control cognitive interference. Univariate analysis and multivariate analysis consisting of three models were performed with different variables and stratification of gender was also conducted. Results: There was no statistically significant association between the log-transferred prenatal and postnatal blood mercury levels and the ability of interference control in 6 years old children (N = 396). However, when stratified by gender, girl's color-word test score in Model 1 showed a decrement by -3.71 points for each log-transferred blood mercury increment (p-value = 0.0765). This trend persisted in Model2 (Beta: -3.76, p-value = 0.0766) and Model3 (Beta: -4.06, p-value = 0.0547). Conclusions: The result suggests that mercury exposure may affect interference control especially in girls. The color-word score in the SCWT is a score obtained by suppressing the automated reaction to read letters under the condition that the color of word and letter do not match and reflecting the frontal lobe suppression process. The analysis showed that the ability to control cognitive interference may decrease with an increment of log blood mercury concentration.

Association between metal exposure and Follicle Stimulating Hormone (FSH) and thyroid hormone among women of reproductive age: Korean Nationwide Biomonitoring Studies

BackgroundHeavy metals including mercury, lead, and cadmium are known as endocrine disrupting chemicals. There are few epidemiological studies available to present the relationship between metal exposures and changes in hormones. Infertility, polycystic syndrome, and uterine myoma are quite prevalent among women, which are related to hormonal abnormalities. In this study, we analyzed measurement data from nationwide biomonitoring studies in Korea and examine the association between co-exposure to heavy metals and sex and thyroid hormone among women of reproductive age. MethodsThis study involved 3,088 women of reproductive age (15-49 years) included in the 2th Korean National Environmental Health Survey in 2012-2014 and the 6th Korea National Health and Nutrition Examination Survey in 2013. The concentrations of mercury, lead, and cadmium in either urine or blood, serum follicle-stimulating hormone (FSH), thyroid stimulating hormone (TSH), triiodothyronine (T3), tetraiodothyronine (T4), and free tetraiodothyronine (FT4) were analyzed using multiple regression analysis. Age, body mass index, smoking status, alcohol, income, and urinary creatinine were adjusted in the statistical model. The statistical analysis was performed using R (ver. 3.6.3). ResultsMercury in urine was negatively associated with FSH [β (95% CI): -0.064 (-0.120, -0.008)]. Mercury in blood was positively associated with the FT4 [0.119 (0.030, 0.208)]. Lead in blood was positively associated with FSH [0.119 (0.030, 0.208)]. Cadmium had no significant association with any hormones. The results are comparable to other previous studies analyzing the association between single metal exposure and hormonal effects. Still, the effect (β) of metals seems greater in co-exposure models. Many the previous studies of the single exposure to heavy metals have reported that exposure to lead and cadmium increases FSH. For thyroid hormones, significant hormones or directions were different from the previous findings. ConclusionsFSH levels is related to infertility. Further studies of metals exposure are needed to protect the women of reproductive age.

Decreased plasma thiol antioxidant capacity precedes neurological signs in a rat methylmercury intoxication model

The main target organ for MeHg is the nervous system, and its neurological dysfunction remains irreversible. Therefore, predictive biomarkers associated with individual susceptibility to MeHg and future clinical severity are needed to protect against the progression of MeHg toxicity. In this study, we demonstrated that plasma thiol antioxidant capacity (-SHp) is a useful predictive biomarker associated with future clinical severity using MeHg-intoxicated rats administered 1 mg/kg/day for 4 weeks. Blood samples were collected from the subclavian vein of each rat once a week to examine total blood mercury concentrations and the levels of plasma oxidative stress markers. Time course analyses of the correlation between these weekly blood examination values and hind limb crossing signs score after 4 weeks of MeHg exposure were performed, and plasma -SHp levels after 2 weeks of MeHg exposure showed strong correlations with future hind limb crossing sign scores. Neuropathological changes also developed in parallel with hind limb crossing sign scores. Quantitative analysis of vacuolar areas in the spinal cord showed a strong correlation with hind limb crossing sign scores. In conclusion, evaluation of plasma -SHp levels allowed us to detect individuals at risk for health damage and could protect the sensitive population against MeHg toxicity.

Neuropsychological effects of long-term occupational exposure to mercury among chloralkali workers.

Mercury is one of the most well-known toxic metals for humans. Chloralkali workers are exposed to mercury vapours extensively, which may be associated with neurotoxicity. The aim of this study was to determine the associations between mercury concentration in blood and air samples, and mercury's neuropsychological effects among chloralkali workers. This study was conducted on 50 chloralkali workers as the exposed group and 50 non-industrial office workers as the unexposed group. All subjects were assessed using the Hamilton Depression Rating Scale, Piper Chronic Fatigue Scale and Essential Tremor Rating Scale. Mercury concentration was measured in blood and air samples using cold vapour atomic absorption spectrometry. There was significantly more severe fatigue, depression and tremor in the exposed group compared with the unexposed group. The mean concentration of blood mercury in the exposed group was 22.59±12.5μgL-1 which was significantly higher than the unexposed group (1.28±1.05μg L-1). Based on multiple linear regression, shift work, smoking, fatigue, depression and tremor were predictor variables for blood mercury concentration. This study indicated that this sample of chloralkali workers suffered from neuropsychological problems such as fatigue, depression and tremor, which is probably related to mercury exposure.

A descriptive analysis of blood mercury test results in British Columbia to identify excessive exposures.

The objective of this study was to describe who in British Columbia (BC) is tested for blood mercury, the distribution of their results, and the adequacy of follow-up testing. The BC Centre for Disease Control (BCCDC) obtained records of clinician-ordered analyses of blood mercury conducted by BC laboratories during 2009 and 2010. We conducted a descriptive analysis with statistical testing of who was tested, the distribution of their blood mercury concentrations, whose results exceeded Health Canada's proposed guidance values (8μg/L (40nmol/L) for children/adolescents ≤ 18years and women 19-49years, and 20μg/L (100nmol/L) for other adults), and patterns of repeat testing. Mercury test results for 6487 individuals were reviewed. Adults ≥ 50years had the highest testing rates. The median blood mercury concentration for all tested persons was 1.8μg/L. Nine percent of women aged 19-49years had results exceeding Health Canada's provisional guidance value of 8μg/L. Data from one of BC's two biomarker laboratories indicated that some residents of Vancouver and nearby suburbs have higher exposure to mercury than other BC residents. Of 127 individuals who had results in 2009 exceeding provisional guidance values, only 45% were tested again within 12months. Collating and analyzing all clinical biomarker testing such as blood mercury at a provincial population level allows for assessment of the adequacy and appropriateness of follow-up testing and suggests which regional and demographic strata are at higher levels of exposure.

Influence of sex, size and trophic level on blood Hg concentrations in Black caiman, Melanosuchus niger (Spix, 1825) in French Guiana

Mercury (Hg) is a contaminant that is impacting ecosystems worldwide. Its toxicity is threatening wildlife and human populations, leading to the necessity of identifying the most affected ecosystems. Therefore, it is essential to identify pertinent bioindicator organisms to monitor Hg contamination. In this study, we determined the stable carbon (δ13C) and nitrogen (δ15N) isotope ratios in the red blood cells (RBCs), and the total Hg concentration in total blood of 72 Melanosuchus niger in French Guiana. The goals of our study were to assess the level of Hg contamination in total blood of Black caimans and to further investigate the influence of individual traits (i.e., sex, size/age, diet) on Hg concentrations. Mercury concentration in total blood of Black caimans ranged from 0.572 to 3.408 μg g−1 dw (mean ± SD is 1.284 ± 0.672 μg g−1 dw) and was positively correlated to individual body size and trophic position (δ15N). We did not find any sexual or seasonal effects on Hg concentrations in the blood. The use of blood of M. niger is relevant to determine Hg concentrations within the population and suggests that this species can be used as a bioindicator for environmental contamination. In addition, our results emphasize trophic position as a major source of Hg variation and further suggest that it is essential to take trophic position (δ15N) into account for future studies.

Blood mercury and plasma polychlorinated biphenyls concentrations in pregnant Inuit women from Nunavik: Temporal trends, 1992–2017

The Inuit of Nunavik (Northern Quebec, Canada) are exposed to polychlorinated biphenyls (PCBs) and mercury (Hg) through their consumption of marine country foods. A temporal trend study was initiated in 1992 to monitor circulating levels of PCBs and Hg in pregnant Inuit women, since the fetus is most at risk of adverse health effects. We set out (1) to describe temporal trends of PCBs and Hg levels in pregnant Nunavik women between 1992 and 2017; (2) to determine the prevalence of participants exceeding the guidance values in 2017; (3) to investigate relations between marine country food intake and contaminant levels over the study period. A total of 559 pregnant women provided a blood sample for contaminant analysis from 1992 to 2017. PCB congeners were quantified in plasma (serum) by gas chromatography (GC) coupled to electron capture detection or mass spectrometry (MS). We determined whole blood mercury concentration by cold vapor atomic absorption or inductively-coupled plasma MS. We performed multilevel modeling to assess temporal trends in contaminant levels and relations with marine country food consumption. Concentrations of total PCBs and Hg decreased by 84% and 65% between 1992 and 2017, respectively. Nevertheless, 10% and 22% of women in 2017 exceeded guidance values for PCBs and Hg, respectively. While the decline in marine country food intake is the only factor associated with decreasing Hg levels, other factors may explain the decline in PCB levels. Despite the significant decline in PCBs and Hg levels from 1992 to 2017, exposure to these contaminants is still quite prevalent among pregnant Nunavik women. Most of the decline in Hg exposure is likely due to a shift away from marine country foods to store-bought foods, which is a concern given the cultural and nutritional importance of country foods and the high food insecurity that prevails in Nunavik.

Subsistence fishing in the Eeyou Istchee (James Bay, Quebec, Canada): A regional investigation of fish consumption as a route of exposure to methylmercury

Fishing is part of the traditional activities of Indigenous people in Canada. However, it is also a route of exposure to methylmercury, a known neurotoxicant, and this is a concern for those who rely on fish as part of their diet. The probable weekly intake (PWI) of methylmercury from six species of fish was calculated for Indigenous community members (N = 1406), grouped by age and sex, and compared to Canadian and international provisional reference doses to assess exposure. Mixed-effects regression models were also used to estimate the input of methylmercury into the blood, and Hazard Quotients (HQ) were used to assess potential effects. Of the species of fish in our study, walleye and lake trout contributed the most to methylmercury intake. There was a positive association between the consumption of walleye and the total blood mercury concentrations of mercury in women and men (R2A = 0.40 and 0.47, respectively), and to a lesser extent, children. Similar results were observed for the consumption of lake trout. The 95th-percentile HQ for girls (3.16) and boys (3.18) from the consumption of lake trout was relatively high, and to a lesser extent, so was the HQ for walleye and pike. The consumption of some species of fish increases the exposure to methylmercury, however, taking a balanced approach, there are health benefits associated with the consumption of fish that must be considered. To mitigate future exposure to methylmercury, we recommend follow-up blood monitoring and local-geospatial-based assessments.

Risk factors associated with developing anxiety in Inuit adolescents from Nunavik

This study aimed to examine the relation between anxiety among the at-risk population of Inuit adolescents and diverse developmental risk factors including exposure to environmental chemicals, a subject of concern in Nunavik. Anxiety was assessed in 89 Inuit participants (mean age = 18.4 years; range = 16.2–21.9) with the Screen for Child Anxiety Related Emotional Disorders (SCARED) and the State-Trait Anxiety Inventory (STAI). Potential risk factors for anxiety were documented at birth, 11 years of age and 18 years of age, including blood levels of chemicals (mercury, lead, PCBs) and nutrients, as well as age, sex, estimated IQ, drug and alcohol use, bullying, exposure to domestic violence, food insecurity, crowding and socio-economic status. Results showed that participants scored high on both measures of anxiety, particularly the SCARED, for which the mean score was above the clinical threshold. Multiple regression results show that significant risk predictors obtained from the SCARED scores were female sex (β = 0.32), higher current blood mercury concentration (β = 0.26), food insecurity (β = 0.26) and bullying experiences in the last year (β = 0.21). The significant predictors for the STAI trait anxiety were food insecurity (β = 0.25) and lower estimated IQ (β = −0.31), whereas food insecurity (β = 0.21), lower blood levels of vitamin E (β = −0.25) and higher cord blood mercury concentrations (β = 0.25) were found for STAI situational anxiety. Further regression analyses suggested that the adolescent-related variables were the most important risk factors. Our findings show that Inuit adolescents are at risk for anxiety via multiple contributing factors, particularly current exposure to mercury, food insecurity and female sex.

Blood Mercury Levels in Children with Kawasaki Disease and Disease Outcome

The risk of ethnic Kawasaki disease (KD) has been proposed to be associated with blood mercury levels in American children. We investigated the blood levels of mercury in children with KD and their association with disease outcome. The mercury levels demonstrated a significantly negative correlation with sodium levels (p = 0.007). However, data failed to reach a significant difference after excluding the child with blood mercury exceeding the toxic value. The findings indicate that KD patients with lower sodium concentrations had a remarkably higher proportion of intravenous immunoglobulin (IVIG) resistance (p = 0.022). Our patients who had lower mercury levels (<0.5 μg/L) had more changes in bacille Calmette-Guerin. Mercury levels in 14/14 patients with coronary artery lesions and 4/4 patients with IVIG resistance were all measured to have values greater than 1 μg/L (while average values showed 0.92 μg/L in Asian American children). Mercury levels had no correlations with IVIG resistance or coronary artery lesion (CAL) formation (p > 0.05). CAL development was more common in the incomplete group than in the complete KD group (p = 0.019). In this first report about mercury levels in KD patients, we observed that the juvenile Taiwanese had higher mercury concentration in blood compared to other populations.

Dental amalgams and risk of gestational hypertension in the MIREC study.

The potential association between the presence or replacement of dental amalgams and gestational hypertension (GH) is unclear. To assess the association between the presence or replacement of dental amalgams and the risk of GH in a prospective cohort study. We assessed dental amalgam status (presence or replacement), blood mercury concentrations, and measured blood pressure (BP) in 1817 pregnant women recruited in 10 Canadian cities. BP was assessed in each trimester of pregnancy and mercury concentrations in 1st and 3rd trimesters. Logistic regression analysis was performed to estimate the adjusted odds ratios (aOR) and 95% confidence intervals (CI) for the associations between dental amalgam status and GH. Concurrent measures with systolic BP (SBP) and diastolic BP (DBP) were assessing through linear generalized estimating equations. Dental amalgam status was weakly statistically correlated with mercury concentrations but there was no evidence of an association with GH in women having 1-4 (aOR=1.31 (0.92, 1.85)) or≥5 dental amalgams (aOR=1.32 (0.86, 2.04)), compared to women without amalgam reported at first trimester. Dental amalgam replacement reported in the first or third trimester was similarly not associated with GH (aOR=0.75 (0.40, 1.42) and 0.73 (0.39, 1.34), respectively) but with SBP (beta=-1.58 (-2.95, -0.02)). We found weak correlations between dental amalgams and blood mercury among pregnant women. However, the presence of dental amalgams or their replacement was not associated with GH but with decreased SBP for the replacement. Further studies are required.

Relation between Concentrations of Lead, Cadmium and Mercury in Cord Blood and Prematurity in the Sidi Bel Abbes Region (West of Algeria)

Background: Exposure to heavy metals such as lead, cadmium and mercury during pregnancy carries a great risk to the mother as well as the fetus. Methods: Lead, cadmium and mercury were measured in umbilical cord blood samples of 3 groups women (30 women’s for lead, 30 cadmium and 10 from mercury) in maternity of Sidi Bel Abbes region in Algeria between 2016 and 2017.The objective of this study was to measure in the blood of the umbilical cord the concentration of lead (Pb), mercury (Hg) and cadmium (Cd), and to evaluate the relationship between these levels and prematurity. The lead, cadmium and mercury levels were measured by atomic absorption. Results: The study showed obvious variations in, maternal characteristics. The results revealed several factors predisposing to prematurity. The mean concentrations of cord blood lead, cadmium and mercury were; 18.97 µg/L, 0.26 µg/L, and6.20 nmol/L, respectively. There was a highly significant direct correlation between cord lead concentrations and gestational age(r=0.43; P = 0.017), and we found that gestational age and birth weight inversely correlated with cord mercury concentration (r=0.44 and r=0.57 respectively).No correlation was observed between cord cadmium concentrations and gestational age. Conclusion: This study has shown that pregnant women in this region were exposed to high levels for heavy metalswhich need an intervention.&#x0D; Keywords: Lead. Cadmium, Mercury, Pregnancy, Prematurity, Fetal exposure, Algeria.