Article| February 01 1999 Does Human Exposure to Mercury in Fish Cause Neurodevelopmental Problems? AAP Grand Rounds (1999) 1 (2): 14–15. https://doi.org/10.1542/gr.1-2-14 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Twitter LinkedIn Tools Icon Tools Get Permissions Cite Icon Cite Search Site Citation Does Human Exposure to Mercury in Fish Cause Neurodevelopmental Problems?. AAP Grand Rounds February 1999; 1 (2): 14–15. https://doi.org/10.1542/gr.1-2-14 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search toolbar search search input Search input auto suggest filter your search All PublicationsAll JournalsAAP Grand RoundsPediatricsHospital PediatricsPediatrics In ReviewNeoReviewsAAP NewsAll AAP Sites Search Advanced Search Topics: fishes, fluorescent in situ hybridization, mercury Source: Davidson PW, Myers GJ, Cox C, Axtell C, et al. Effects of prenatal and postnatal methylmercury exposure from fish consumption on neurodevelopment. Outcomes at 66 months of age in the Seychelles Child Development Study. JAMA. 1998;280:701–707. Neurodevelopment up to 66 months of age was evaluated after prenatal and postnatal exposure to methylmercury (MeHg) in 711 mother and child pairs living in the Republic of Seychelles (a westernized archipelago in the Indian Ocean) and ingesting fish almost daily. Inorganic mercury (Hg) discharged into water is converted to MeHg by microorganisms and bioaccumulated up the aquatic food chain. Levels of total Hg (THg) in 350 samples of fish were similar to those in fish sold in US markets. Maternal and infant hair levels of THg were 6.8 and 6.5 parts per million respectively (the lowest toxic level in hair for Hg is 50 ppm in adults). Frequent consumption of ocean fish can lead to MeHg levels as high as 50 ppm in hair samples. Maternal and child levels were not highly associated and were typical of populations that depend on fish as a major source of protein and calories. Polychlorinated biphenyls (PCBs) were measured in 49 children and found to be absent. Six age-appropriate neurodevelopment tests were administered to the children: Bender Gestalt, Child Behavior Checklist, Woodcock-Johnson Applied Problems and Word Recognition Tests of Achievement, McCarthy Scales of Children’s Abilities, and the Preschool Language Scale. No adverse outcomes were found. The delivery of heavy metals to the developing brain of the fetus or infant may adversely affect this organ because it is more sensitive than that of the adult brain to neurotoxic effects. Prenatal exposure to very high levels of MeHg in fish is associated with cerebral palsy, deafness, microcephaly, mental retardation, and seizures. Hg toxicity, like lead exposure, probably follows a dose response relationship. The questions that need to be answered are, how much Hg exposure is too much and at what time during development is the exposure most harmful. MeHg, like lead and aluminum, is easily absorbed by the human gut. The increased levels of MeHg in the Seychelles population (10–20 times higher than that in the USA) is not the result of ingesting an excessively high concentration of MeHg in a few fish, but the continued ingestion of more fish. In contrast to the above study, neurodevelopment studies involving children from the Faroe Islands (an archipelago situated between the British Isles, Norway, and Iceland) demonstrate cognitive defects in children tested at 7 years of age after prenatal exposure to Pilot Whales whose meat MeHg content is 10 times higher than that of the ocean fish consumed by the Seychelles and whose blubber concentration of PCBs is elevated.1 Prenatal ingestion of PCBs is also known to be neurotoxic to the developing brain.2 The Faroe Island study utilized more sensitive tests for neurodevelopment and demonstrated subtle deficits in language, attention, and memory. Maternal hair mercury levels in the Faroe Island study were similar... You do not currently have access to this content.
Read full abstract