The Science of the Total Environment 289 Ž2002. 41᎐47 Human exposure to mercury in San Jorge river basin, Colombia ž South America/ Jesus OliveroU , Boris Johnson, Eduardo Arguello En¨ ironmental and Computational Chemistry Group, Uni¨ ersidad de Cartagena, A.A. 6541, Cartagena, Colombia Received 12 June 2001; accepted 7 August 2001 Abstract During May᎐September 1999 human hair samples were collected from the village of Caimito, a fishing community of the state of Sucre ŽColombia., in the San Jorge River basin area, and analyzed for total mercury Žt-Hg. by cold vapor atomic absorption spectroscopy. T-Hg was measured in both male and female people aged 15᎐65 years, whose diet mainly consists of fish collected in nearby marshes. Average hair t-Hg concentration in people from Caimito was 4.91" 0.55 grg Ž n s 94., similar to the value previously detected in fishermen living in the gold mining area, 50 km east. Males had similar t-Hg concentrations Ž4.31" 0.42 grg; n s 56. to females Ž5.78" 1.21 grg; n s 38. and there was no difference in t-Hg levels between groups of different age. Mercury content in hair was weakly but significantly associated Ž R s 0.20, Ps 0.05. with fish consumption. 䊚 2002 Elsevier Science B.V. All rights reserved. Keywords: Mercury; Hair; River; Fish; Colombia 1. Introduction Mercury ŽHg. is a recognized environmental contaminant since the Minamata disaster in the late 1950s. The incorporation of any Hg species in aquatic environments results in the biotic and abiotic formation of methylmercury, a highly toxic U Corresponding author. Tel.: q11-57-5669-8179; fax: q1157-5669-8323. E-mail address: [email protected] ŽJ. Olivero.. compound that is accumulated by fish. Humans can absorb Hg through placental exposure, ingestion of mother’s milk and fish consumption ŽBoischio and Henshel, 1996.. Toxicity associated with Hg depends on the metal species. Exposure to inorganic Hg induces color vision loss ŽCavalleri and Gobba, 1998., peripheral neuropathy ŽChu et al., 1998., while organic Hg has been associated with teratogenicity ŽLeonard et al., 1983; De Flora et al., 1994. and neurotoxicity ŽLebel et al., 1996; Murata et al., 1999; Myers et al., 1995., particularly during late gestation 0048-9697r02r$ - see front matter 䊚 2002 Elsevier Science B.V. All rights reserved. PII: S 0 0 4 8 - 9 6 9 7 Ž 0 1 . 0 1 0 1 8 - X 42 J. Oli¨ ero et al. r The Science of the Total En¨ ironment 289 (2002) 41᎐47 ŽGrandjean et al., 1999.. Hg toxicity derived from fish consumption is a potential threat to public health that has made necessary its monitoring in the environment. Analysis of Hg in hair of the exposed population helps to establish the actual risk of Hg intake due to the consumption of contaminated fish, the main source of mercury in the diet ŽWHO, 1991.. In Colombia, mercury contamination has been associated with informal sector gold mining activities, where the metal is released into the water during gold extraction and into the atmosphere after amalgam burning. This process has lead to mercury accumulation in fish and humans living in this area ŽOlivero et al., 1995; Olivero and Solano, 1998.. The objective of this study was to document the t-Hg contents in the human community living in the village of Caimito, state of Sucre, Colombia. Caimito is located approximately 50᎐100 km west the larger gold mining zone in this country, the South of Bolıvar, and apparently there are no gold extrac´ tion activities in this area. Therefore, these study provided the opportunity to collect hair t-Hg data from fish-eating people living in a watershed with low Hg incorporation from gold mining activities. 2. Materials and methods 2.1. Sample collection and handling Hair samples were collected from sites in the San Jorge river basin area located near the village of Caimito between May and September, 1999. This village is located in northwestern Colombia Ž8⬚46⬘᎐8⬚48⬘ N and 75⬚6⬘᎐75⬚8⬘ W.. Fishing and agriculture are the major economic activities for people from this locality. Hair samples were collected from 94 people aged 15᎐65 Ž37.3" 14.9. years who gave their consent for interviews and sample collection after contacting them through a community leader. Hair samples were cut from the occipital region and stored in white envelopes. In the lab, samples were washed with neutral detergent and air-dried. A standardized questionnaire was used to interview the participants in this study ŽKiesswetter et al., 1997.. Demographic information, dietary habits, occupatio- nal history, lifestyle and possible neurological symptoms of Hg poisoning were recorded during an interview before hair collection. Previous studies have shown a relationship between Hg and heart disease ŽSalonen et al., 1995.. Accordingly, blood pressure measurements were conducted as a marker of cardiovascular function. 2.2. Mercury analysis Total Hg analysis was performed by cold vapor atomic absorption spectroscopy after acid digestion as previously reported ŽSadiq et al., 1991.. Quality control procedures included the analysis of blank samples, precision and accuracy measurements through the analysis of the standard reference material Dorm-1. The t-Hg concentration obtained for the certified material was 4.1" 0.5 grg Žcertified value s 4.6" 0.3 grg.. The detection limit, defined as three times the standard deviation of the blank was 0.024 grg. 2.3. Statistical treatment of data Data are presented as mean " standard error of duplicate determinations. In samples below the detection limit, a mean value equal to half of the detection limit value was used to include all the collected data in the statistical analysis ŽBatzevich, 1995.. The Kolmogorov᎐Smirnov test was used to test for normal distribution. Because most of the samples did not follow a normal distribution, t-Hg data were log transformed and the evaluations of the differences between mean t-Hg concentrations were performed using ANOVA. Comparisons between two groups were done using the Student’s unpaired t-test. To assess correlations between variables Spearman rank order test was used. For all statistical analysis, the criterion for significance was P- 0.05. 3. Results Hair t-Hg concentrations in people from Caimito grouped by age are shown in Fig. 1. The average t-Hg concentration for all hair samples was 4.91" 0.55 grg. Differences among age J. Oli¨ ero et al. r The Science of the Total En¨ ironment 289 (2002) 41᎐47 Fig. 1. Concentration of total Hg in hair for people from Caimito grouped by age. Data are presented as boxplots, where solid lines indicate Žfrom bottom to top. the 10, 25, 50 Žmedian., 75 and 90th percentiles, respectively. Black circles are outliers. groups were not significant as shown by ANOVA Ž P) 0.05.. There was no statistical difference Ž P s 0.697. between Hair t-Hg concentrations in males Ž4.31" 0.42 grg; median: 3.095 grg; n s 56. and females Ž5.78" 1.21 grg; median: 3.741 grg; n s 38.. Most t-Hg concentrations varied between 0.5 and 10 g Hgrg. One subject had higher hair t-Hg than the remaining 94 subjects. His hair t-Hg was 340 grg and was not included in the statistical analysis. A weak but significant correlation was observed between frequency in fish consumption and hair t-Hg concentration Ž R s 0.20, Ps 0.05. as shown in Fig. 2. No correlations were found between t-Hg in hair and age Ž R s y0.02, Ps 0.79. or blood pressure Žsystolic: R s y0.103, Ps 0.320; diastolic: R s y0.054, Ps 0.605.. Interestingly, some correlations were observed for t-Hg in hair and qualitative subjective symptoms such as frequency of coughing Ž R s 0.270, Ps 0.01., emotional unstability Ž R s 0.230, Ps 0.03., and in a less extent with stomachache Ž R s 0.181, Ps 0.081.. 43 to determine the impact of gold mining in the environment of ecosystems in Colombia. In this regard, we have previously reported Hg concentrations in environmental and human samples in the gold mining area ŽOlivero et al., 1995, 1997; Olivero and Solano, 1998.. One particular concern has been to establish if mercury contamination exists in sites without marked gold mining activity. Caimito is located on the San Jorge river basin, approximately 50 km west from the main gold mining area in Colombia, the South of Bolıvar. Although the San Jorge River watershed ´ is not used for gold extraction, nickel and iron mining are extensive upstream this waterbody. Hair t-Hg concentrations found in Caimito were similar to those found in fishermen from the gold mining area in Colombia but greater than those found in Cartagena ŽOlivero et al., 1995., a coastal city located approximately 280 km downstream the gold mining area. Table 1 shows different reports of hair Hg concentrations for people from different countries. Remarkably, hair t-Hg levels in people from Caimito were much lower than those found in gold mining sites in Brazil but similar to those reported for fishermen living in low polluted places. According to this literature review, gold mining together with chlor-alkali plants are the main important sources of mercury contamination around the world. In fact, the greater mercury levels in hair samples have been 4. Discussion The major goal of our research group has been Fig. 2. Total Hg in hair vs. fish consumption for people from Caimito. 44 J. Oli¨ ero et al. r The Science of the Total En¨ ironment 289 (2002) 41᎐47 Table 1 Hair mercury levels in people from different countries Country Bangladesh wTotal Hg in hairx a 0.44" 0.19 grg 0.02᎐0.95 grgb n s 219c 1.51᎐59.01 grg 21% having less than 10 grg Brazil ŽAmazon, Negro river. Brazil 9.0 grg ŽAmazon, Tapajos river. Brazil Brasilia Legal: 11.75" 7.95 grg Ž n s 220. ŽAmazon, Sao Luis do Tapajos: ´ 19.91" 11.96 Ž n s 327. State of Para ´. Santana de Ituqui: 4.33" 1.94 Ž n s 321. Brazil Fishermen: 23.9" 9.3 grg Ž n s 11. ŽAmazon, Other men: 14.3" 9.4 grg Ž n s 34. Tapajos River. Women: 12.6" 7.0 grg Ž n s 46. Brazil 6.54" 5.45 grg ŽAmazon, n s 53 Balbina Reservoir. Brazil 34.2 grg ŽAmazon, n s 55 Tapajos river. Brazil 25 grg ŽAmazon, Maximum: 151 grg Tapajos river. Brazil 4.3 grg ŽAmazon region. Brazil 65 grg ŽTucurui water 0.9᎐240 grg reservoir. Brazil 16.6" 10.5 grg ŽAmazon. Canada Sportfishers ŽMontreal. Vietnamese: 1.2 grg Ž n s 9. Bangladeshis: 1.1 grg Ž n s 9. Majority-community: 0.7 grg Ž n s 25. China 1.69" 4.98 grg ŽHarbin. 0.11᎐36.3 grg n s 64 China Fertile: 3.3 grg Ž n s 49. ŽHong Kong. Subfertile: 4.23 grg Ž n s 117. Vegetarians: 0.4 grg Ž n s 16. Colombia Fishermen: 5.23" 5.78 grg ŽBolivar. Miners: 2.83" 3.27 grg Other activities: 2.40 " 2.02 grg Colombia 4.91" 0.55 grg ŽSucre. Ž n s 94. French Guyana Pregnant woman: 1.6 grHgrg Other adults: 3.4 grg Children: 2.5 grHgrg Indonesia 3.13" 4.7 grg ŽMedan. 0.20᎐19.89 grg n s 55 Remarks Reference Fish consumption Holsbeek et al. Ž1996. Fish-eating population Barbosa et al. Ž2001. Gold mining Dolbec et al. Ž2000. Brasilia Legal and Sao Luis do Tapajos ´ are located in the gold mining area Santana de Ituqui is not in this area 250 km downstream from gold mining area Santos et al. Ž2000. Lebel et al. Ž1998. Reservoir with no known gold mining Kehrig et al. Ž1998. Gold mining Barbosa et al. Ž1997. Gold mining Malm et al. Ž1995. Gold mining Palheta and Taylor Ž1995. Leino and Lodenius Ž1995. Gold mining Gold mining Akagi et al. Ž1994. Hg levels associated with fish consumption Kosatsky et al. Ž1999. Exposure to inorganic Hg from occupationalrenvironmental source Feng et al. Ž1998. Fish, major source of Hg Gold mining area Dickman and Leung Ž1998.; Dickman et al. Ž1998. Olivero et al. Ž1995. San Jorge river basin area Village of Caimito Fish consumption Olivero et al. Ž2001. ŽThis study. Cordier et al., 1998 Exposure to inorganic Hg from occupationalrenvironmental sources Feng et al. Ž1998. J. Oli¨ ero et al. r The Science of the Total En¨ ironment 289 (2002) 41᎐47 45 Table 1 Ž Continued. Country wTotal Hg in hairx Remarks Reference Japan 41 grg Estimated from methylmercury in cord tissue Mothers with children having congenital or infantile Minamata disease Neurological subjective symptoms of Minamata disease Fish and shellfish major sources of Hg Akagi et al. Ž1998. Diseased people Žnot including Minamata disease. Nakagawa Ž1995. 21.9 grg 3.7᎐71.9 grg 3.5 grg 0.13᎐13 grg 0.38" 0.32 grg Fish consumption Abe et al. Ž1995. Artisanal gold mining Appleton et al. Ž1999. People who died suddenly Hac et al. Ž2000. 10.39" 6.85 grg 1.93᎐42.61 grg n s 181 0.77 grg n s 233 0.18᎐2.44 grg 0.947 grg n s 29 0.16᎐5.4 grg Pregnant women Exposure through Hg-contaminated sea food School children. Hg levels correlated with seafood consumption Gold fields. Low levels of Hg in hair consistent with low Hg levels in consumed fish Renzoni et al. Ž1998. Japan ŽMinamata. Japan ŽTokushima. Japan ŽTokyo and surroundings. Papua New Guinea ŽLake Murray. Philippines ŽMindanao Island. Poland ŽGdansk. Portugal ŽMadeira. Spain ŽTarragona. Tanzania ŽLake Victoria. 3.8᎐133 grg n s 24 Male: 5.0" 3.4 grg n s 83 Female: 2.1" 1.1 grg n s 108 4.62" 2.75 grg 0.63᎐24.64 grg n s 243 2.08" 36.5 grg n s 133 Harada et al. Ž1998. Feng et al. Ž1998. Batista et al. Ž1996. Ikingura and Akagi Ž1996. a Mean or median. Range. c Sample number. b found in people living in Brazil, where gold mining is extensive ŽMalm, 1998.. Other countries where mercury levels in hair are considerable high are Japan, Papua New Guinea and Portugal. It is clear that even for relatively low-contaminated places, hair Hg may correlate with fish consumption, as observed in this work. However, high Hg concentrations in hair do not depend solely on fish consumption frequency. Average t-Hg levels in fish from Caimito were below 0.5 grg, and the fish with the higher consumption frequency, the phytoplanktivore Prochilodus magdalenae, had a mean t-Hg concentration not greater than 0.1 grg ŽPaz, 2000.. This observation might account for the low observed correlation between T-Hg in hair and fish consumption. Despite the low levels of hair t-Hg, the mild association observed between emotional unstability and hair t-Hg concentration is a qualitative indication that additional data should be collected to establish possible neurological damage related to Hg poisoning among the people from Caimito. Several authors have suggested that hair Hg levels below 10-20 g Hgrg, as those found in this study, could induce subtle neurotoxic effects such as neurobehavioral and motor dysfunction ŽDolbec et al., 2000; Harada et al., 1998; Grandjean et al., 1998., as well as affect fetal brain development ŽMyers and Davidson, 2000.. People from Caimito depend on fishing for both local consumption and as an economical activity. Frequently, fishermen drink water directly from the marshes or the river. These waterbodies usually receive sewage from cities and communities upstream without any treatment, a common practice all over the country, and consequently, it is common the presence of intestinal parasites in these people. The low but positive correlation between 46 J. Oli¨ ero et al. r The Science of the Total En¨ ironment 289 (2002) 41᎐47 coughing and stomachache, two signs of Ascaris infections ŽHlaing et al., 1990., and mercury levels in hair, may be the result of the poor sanitary conditions present in these communities. 5. Conclusions Hair t-Hg mercury levels in people from the San Jorge River basin were similar to those found by Olivero et al. Ž1995. in people living in the gold mining area in Colombia. Data analysis suggested the source of mercury was the fish consumption. Mercury monitoring and neurological studies should be conducted to assess the impact of mercury intake by fish consumption in the health of people from Caimito. Acknowledgements This work was sponsored by ORCYTrUNESCO, Montevideo ŽUruguay. and the Universidad de Cartagena. The authors thank the people of Caimito, and also Claudia Mendoza, Rafael Olivero, Adolfo Consuegra, Roberto Hurtado, Ana Gutierrez, and Beatris Solano and for their assistance during sampling collection and mercury analysis. References Abe T, Ohtsuka R, Hongo T, Suzuki T, Tohyama C, Nakano C, Akagi H, Akimichi T. High hair and urinary mercury levels of fish eaters in the nonpolluted environment of Papua New Guinea. Arch Environ Health 1995;50:367᎐373. Akagi H, Kinjo Y, Branches F, Malm O, Harada M, Pfeiffer W, Kato H. Methylmercury pollution in Tapajos river basin, Amazon. Environ Sci 1994;3:25᎐32. Akagi H, Grandjean P, Takizawa Y, Weihe P. Methylmercury dose estimation from umbilical cord concentrations in patients with Minamata disease. Environ Res Section A 1998;77:98᎐103. Appleton J, Williams T, Breward N, Apostol A, Miguel J, Miranda C. Mercury contamination associated with artisanal gold mining on the island of Mindanao, the Philippines. Sci Total Environ 1999;228:95᎐109. Barbosa AC, Garcia A, Souza J. Mercury contamination in hair of riverine populations of Apiacas reserve in the Brazilian Amazon. Water Air Soil Pollut 1997;97:1᎐8. Barbosa AC, Jardim W, Dorea JG, Fosberg B, Souza J. Hair mercury speciation as a function of gender, age, and body mass index in inhabitants of the Negro river basin, Amazon, Brazil. Arch Environ Contam Toxicol 2001;40:439᎐444. Batista J, Schuhmacher M, Domingo J, Corbella J. Mercury in hair for a child population from Tarragona Province, Spain. Sci Total Environ 1996;193:143᎐148. Batzevich V. Hair trace element analysis in human ecology studies. Sci Total Environ 1995;164:89᎐98. Boischio A, Henshel D. Risk assessment of mercury exposure through fish consumption by the riverside in the Madeira basin, Amazon, 1991. Neurotoxicology 1996;17:169᎐175. Cavalleri A, Gobba F. Reversible color vision loss in occupationally exposure to metallic mercury. Environ Res Section A 1998;77:173᎐177. Chu C, Huang C, Ryu S, Wu T. Chronic inorganic mercury induced peripheral neuropathy. Acta Neurol Scand 1998;98:461᎐465. Cordier S, Grasmick C, Paquier M, Mandereau L, Weber J, Jouan M. Mercury exposure in French Guyana: levels and determinants. Arch Environ Health 1998;53:299᎐303. De Flora S, Bennicelli C, Bagnasco M. Genotoxicity of mercury compounds. A review. Mutat Res 1994;317:57᎐59. Dickman M, Leung K. Mercury and organochlorine exposure from fish consumption in Hong Kong. Chemosphere 1998;37:991᎐1015. Dickman M, Leung C, Leong M. Hong Kong male subfertility links to mercury in human hair and fish. Sci Total Environ 1998;214:165᎐174. Dolbec J, Mergler D, Sousa C, Sousa de Morais S, Lebel J. Methylmercury exposure affects motor performance of a riverine population of the Tapajos river, Brazilian Amazon. Int Arch Occup Environ Health 2000;73:195᎐203. Feng Q, Suzuki Y, Hisashige A. Hair mercury levels of residents in China, Indonesia, and Japan. Arch Environ Health 1998;53:36᎐43. Grandjean P, Weihe P, White RF, Debes F. Cognitive performance of children prenatally exposed to ‘safe’ levels of methylmercury. Environ Res 1998;77:165᎐172. Grandjean P, Budtz E, White R, Jorgensen P, Weihe P, Debes F, Keiding N. Methylmercury exposure biomarkers as indicators of neurotoxicity in children aged 7 years. Am J Epidemiol 1999;150:301᎐305. Hac E, Krzyzanowski M, Krechniak J. Total mercury in human renal cortex, liver, cerebellum and hair. Sci Total Environ 2000;248:37᎐43. Harada M, Nakanishi J, Konuma S, Ohno K, Kimura T, Yamaguchi H, Tsuruta K, Kizaki T, Ookawara T, Ohno H. The present mercury contents of scalp hair and clinical symptoms in inhabitants of the Minamata area. Environ Res Section A 1998;77:160᎐164. Hlaing T, Saw T, Kyin M. Control of ascariasis through age-targeted chemotherapy; impact of 6-monthly chemotherapeutic regimens. Bull World Health Org 1990;68:747᎐753. J. Oli¨ ero et al. r The Science of the Total En¨ ironment 289 (2002) 41᎐47 Holsbeek L, Das H, Joiris C. Mercury in human hair and relation to fish consumption in Bangladesh. Sci Total Environ 1996;186:181᎐183. Ikingura J, Akagi H. Monitoring of fish and human exposure to mercury due to gold mining in the Lake Victoria goldfields, Tanzania. Sci Total Environ 1996;191:59᎐68. Kehrig H, Malm O, Akagi H, Guimaraes J, Torres J. Methylmercury in fish and hair samples from the Balbina Reservoir, Brazilian Amazon. Environ Res Section A 1998; 77:84᎐90. Kiesswetter E, Sietmann B, Seeber A. Standardization of a questionnaire for neurotoxic symptoms. Environ Res 1997;73:73᎐80. Kosatsky T, Przybysz R, Shatenstein B, Weber J, Armstrong B. Contaminant exposure in Montrealers of Asian origin fishing the St. Lawrence River: Exploratory assessment. Environ Res Section A 1999;80:S159᎐S165. Lebel J, Mergler D, Lucotte M, Amorin M, Dolbec J, Miranda D, Arantes G, Rheault I, Pichet P. Evidence of early nervous system dysfunction in Amazonian populations exposed to low-levels of methyl mercury. Neurotoxicology 1996;17:157᎐168. Lebel J, Mergler D, Branches F, Lucotte M, Amorin M, Larribe F, Dolbec J. Neurotoxic effects of low-level methylmercury contamination in the Amazonian basin. Environ Res Section A 1998;79:20᎐32. Leino T, Lodenius M. Human hair mercury levels in Tucurui area, State of Para, Brazil. Sci Total Environ 1995;175: 119᎐125. Leonard A, Jacquet P, Lauwerys R. Mutagenicity and teratogenicity of mercury compounds. Mutat Res 1983;114:1᎐18. Malm O, Branches F, Akagi H, Castro M, Pfeiffer W, Harada M, Bastos W, Kato H. Mercury and methylmercury in fish and human hair from the Tapajos river basin, Brazil. Sci Total Environ 1995;175:141᎐150. Malm O. Gold mining as a source of mercury exposure in the Brazilian Amazon. Environ Res Section A 1998;77:73᎐78. Murata K, Weihe P, Araki S, Budtz-Jorgensen E, Grandjean P. Evoked potentials in Faroese children prenatally exposed to methylmercury. Neurotoxicol Teratol 1999;21: 471᎐472. Myers GJ, Davidson PW. Does methylmercury have a role in causing developmental disabilities in children? Environ Health Perspect 2000;108ŽSuppl 3.:413᎐420. 47 Myers GJ, Davidson P, Cox C, Shamlaye C, Tanner M, Choisy O, Sloane-Reeves J, Marsh D, Cernichiari E, Choi A. Neurodevelopmental outcomes of Seychellois children sixty-six months after in utero exposure to methylmercury from a maternal fish diet: pilot study. Neurotoxicology 1995;16:639᎐652. Nakagawa R. Concentration of mercury in hair of diseased people in Japan. Chemosphere 1995;30:135᎐140. Olivero J, Solano B. Mercury in environmental samples from a waterbody contaminated by gold mining in Colombia, South America. Sci Total Environ 1998;217:83᎐89. Olivero J, Mendoza C, Mestre J. Hair mercury levels in people from the gold mining zone in Columbia. Rev Saude Publica 1995;29:376᎐379. Olivero J, Navas V, Perez A, Solano B, Acosta I, Arguello E, Salas R. Mercury levels in muscle of some fish species form the Dique Channel, Columbia. Bull Environ Contam Toxicol 1997;58:865᎐870. Palheta D, Taylor A. Mercury in environmental and biological samples from a gold mining area in the Amazon region of Brazil. Sci Total Environ 1995;168:63᎐69. Paz R. Evaluacion ´ de la contaminacion ´ con mercurio en peces, sedimentos superficiales y macrofitas en cienagas del ´ ´ bajo San Jorge, Caimito ŽSucre.. Undergraduate thesis in pharmaceutical chemistry. Cartagena, Colombia: University of Cartagena, 2000. Renzoni A, Zino F, Franchi E. Mercury levels along the food chain and risk for exposed populations. Environ Res Section A 1998;77:68᎐72. Sadiq M, Zaidi T, Al-Mohana H. Sample weight and digestion temperature as critical factors in mercury determination in fish. Bull Environ Contam Toxicol 1991;47:335᎐341. Salonen J, Seppanen K, Nyyssonen K, Korpela H, Kauhanen J, Kantola M, Tuomilehto J, Esterbauer H, Tatzber F, Salonen R. Intake of mercury from fish, lipid peroxidation and the risk of myocardial infarction and coronary, cardiovascular, and any death in Eastern Finnish men. Circulation 1995;91:645᎐655. Santos EC, Jesus IM, Brabo ES, Loureiro EC, Mascarenhas AF, Weirich J, Camara VM, Cleary D. Mercury exposures in riverside Amazon communities in Para, ´ Brazil. Environ Res 2000;84:100᎐107. WHO. Environmental Health Criteria 101 ŽIPCS.. Methylmercury. Geneva: World Health Organization, 1991.
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