Determination of Total Mercury in Residual Dried Bloodspots of Newborns from the Lake Superior Basin Region of Minnesota, Wisconsin, and Michigan Betsy L. Edhlund1, Jeffrey J. Brenner1, and Patricia J. McCann2, 1Public Health Laboratory, 2Environmental Health, Minnesota Department of Health 4.0E-02 y = 0.00107x + 0.00019 R² = 0.99997 3.5E-02 Net Intensity MDL Report Level Report Level Verification 3.0E-02 Precision 2.5E-02 Accuracy 2.0E-02 1.5E-02 1.0E-02 5.0E-03 0.0E+00 0 10 20 30 40 Total Mercury Concentration (µ µg/L) 50 Frequency 400 300 100 46 186103 3 1 3 1 3 3 1 1 1 111 2 Total Mercury Concentration (µ µg/L) 120 QC Sample Recoveries 100 91% RPD = 6.4% 86% 82% 80% Old PT sample on cards; 15.9 µg/L Hg; n = 92 92% 84% 80 RSD = 8.8% SN, Butala S, Ball RW, Braniff CT, 2009. Pilot study for utilization of dried blood spots for screen.doi:10.1038/jes.2008.19 40 SRM 966 20 SRM 966 spotted on filter paper 0 12/3/2009 • Method Performance • Reproducible, linear calibration curves • ≥ 80% recoveries for a variety of control samples • Very consistent percent recoveries over time • Compares well to mercury in RDBS study conducted in UT1 • Similar MDLs (0.65 µg/L vs. 0.70 µg/L) • Smaller RDBS punches and lower volumes than UT • 8% of infants tested had mercury levels above the U.S. EPA reference dose for methylmercury of 5.8 µg/L • Supports the need for education on mercury exposure and fish consumption to women of child-bearing age • Due to limited availability of blood spots leftover after newborn screening, only 2-3mm discs were used for mercury analysis • Increased the MDL; limited characterization of low end of exposure distribution • Limits ability to re-analyze if QC issues • Speciation- unlikely to consistently have enough residual sample to speciate mercury • Useful for characterizing high end of exposure distribution and as a screen for follow-up • However preference would be to screen mothers to prevent exposure • Uncertainty regarding future restrictions on use of RDBS for public health research • Correlation of bloodspot mercury with cord blood and maternal blood would be an interesting follow-up study 1Chaudhuri 60 RSD = 6.8% 199.9 211.1 166.7 177.8 188.9 122.5 133.5 144.6 155.7 89.2 100.3 111.4 78.2 56.0 67.1 33.9 45.0 <MDL 11.8 0 Blind Reference Samples, SRM 966 on cards; n = 26 Old PT sample on cards; 5.36 µg/L; n = 93 500 200 Average of SRM 966 spotted on cards duplicates SRM 966; 31.4 µg/L; n = 214 SRM 966 on cards; n = 219 • 1465 infants, born 2008 – 2010 • MN = 1130, WI = 140, MI = 200 • 44% of samples < 0.70 µg/L (study MDL) • Median = 0.83 µg/L • Maximum concentration = 211 µg/L • MN results suggest a seasonal exposure pattern 600 0.70 µg/L 2.13 µg/L 2.13 µg/L spotted on cards; n = 78 Conclusions Study Results 721 700 639 Method Performance Calibration Curve 4.5E-02 800 Percent Recovery 5.0E-02 Mercury Analysis • Two 3-mm punches placed in a 96-well filter plate • Added 0.15 mL 0.05% 2-mercaptoethanol, 0.001% L-cysteine,0.005% EDTA, 0.01% Triton X-100, and 10 µg/L Iridium • Followed by 0.15 mL 2% Hydrochloric acid • 30 minutes of agitation and stored overnight • 20 minutes of re-agitation followed by vacuum filtration • Analyzed by ELAN DRC-II ICP-MS equipped with a ESI SC-FAST autosampler • 5-point aqueous calibration curve containing a mixture of inorganic and methylmercury 22.8 Introduction A method was developed to determine the concentration of total mercury in residual dried bloodspots (RDBS). This method was used for the analysis of total mercury in RDBS from 1465 infants born 2008 through 2010 to mothers residing in the US portion of the Lake Superior Basin. This study was conducted to determine the range of mercury concentrations in these infants and to assess the feasibility of using RDBS from infants as an indicator of mercury exposure. The level of mercury found in the newborns’ blood is indicative of the mothers’ exposure to mercury during pregnancy. Acknowledgments Blind Reference Samples, SRM 966 5/2/2010 9/29/2010 Date Analyzed 2/26/2011 Thank you to the MN, WI, and MI Newborn Screening Programs and the US EPA and Minnesota State Legislature for funding support. Information on any of the MN EHTB pilot projects can be found at: http://www.health.state.mn.us/divs/eh/tracking/biomonitoringpilot.htm Funding for this work was provided by the Great Lakes National Program Office under the United States Environmental Protection Agency, grant number GLNPO 2007-942. Although the research described in this work has been partly funded by the US EPA, it has not been subjected to the agency's required peer and policy review and therefore does not necessarily reflect the views of the Agency and no official endorsement should be inferred.
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