Determination of Mercury Daily Intake and Hair-to-Blood Mercury Concentration Ratio in People Resident of the Coast of the Persian Gulf, Iran

Contrasting hair mercury in fishermen and workers of fish industry of Marano Lagunare (Upper Adriatic Sea), a coastal lagoon area contaminated by mining and industrial activities, against residents from the Dolomites Alps

This survey aimed at estimating the concentration of hair mercury (Hg) in fishermen and workers of fish industry of Marano Lagunare (North-eastern Italy, Upper Adriatic Sea). A field investigation was conducted from 2nd of December 2023 through 18th April 2024, on 73 local fishermen, 83 workers of fish industry and 93 controls among residents (mainly farmers/herdsmen) of the Dolomites Alps. An amount of approximately 100 mg of hair was collected from all respondents, who were also asked to fill out a self-administered questionnaire collecting socio-demographic and lifestyles information. The median hair Hg concentration was 2.56 mg/kg in fishermen, 2.31 mg/kg in workers of fish industry and 0.58 mg/kg in controls. Compared with controls from the Dolomites, log-transformed hair Hg increased linearly with the amount of fish consumed (>1 meal per week), consumption of fresh fish and was significantly higher in fish dealers/fish restaurateurs and fishermen, regardless if operating on open sea or lagoon. All study groups but fish farmers and local residents involved in other business exhibited significantly higher odds of hair Hg >2 mg/kg at multiple logistic regression analysis. Whilst above the threshold background exposure recommended by WHO for the general population, the median levels of hair Hg in fishermen and workers of fish industry of Marano Lagunare were still below the cut-off of no health effects observed on human health (11.5 mg/kg). The above evidence most likely reflects contamination of lagoon bed and respective tributary river beds by sedimentary Hg from mining and industrial activities, with subsequent transfer of the metal into the aquatic trophic chain and from there to humans through consumption of local fish.

Mercury in saliva, milk, and hair of nursing mothers in southeastern Iranian mothers: levels, distribution and risk assessment

This research is on lactating mothers in the city of Chah Bahar in Iran. This descriptive-analytical and questionnaire study selected a random sample of 80 mothers to examine mercury levels in their hair, milk, and saliva. The average concentration of mercury in milk, hair and saliva of mothers was 1.23 ± 0.48 µg/l, 1.81 ± 0.55 µg/g and 1.10 ± 0.63 µg/l, respectively. There was a significant correlation between mercury levels in mothers saliva and hair. Still, only a weak correlation was found between mercury levels in milk and hair, and milk and saliva, possibly associated with the high lipid content in milk. The number of children and length of the mother's pregnancy were related to the amount of mercury in the mother's milk. The number of teeth filled with amalgam, consumption of fish and marine products, consumption of fruit, and infant's weight at birth were also associated with the amount of mercury in breast milk. Chewing gum, fish consumption, infant's birth weight, weight, and length of pregnancy were among the factors associated with the amount of mercury in mothers' saliva. The mercury concentration in milk exceeded the WHO (1.4-1.7 µg/g) normal level in 8.5% mothers, and hair mercury was found in 12.5% mothers. It should be kept in mind that any amount of mercury can be harmful.

Characterizing variability in total mercury hair:blood ratio in the general Canadian population

BACKGROUND/OBJECTIVES

The body burden of mercury in humans can be measured through hair or blood biomarkers. To compare results from different studies, it is often required to convert mercury in hair to an equivalent level in blood, using a default hair:blood ratio of 250:1 by the World Health Organization (WHO). However, the actual ratio may vary within and between populations. The objectives of this study were to analyze the hair:blood mercury ratio in the general Canadian population, explore factors associated with higher/lower ratios, and determine if the standard ratio of 250:1 is supported.

METHODS

The Canadian Health Measures Survey (CHMS) Cycle 5 (2016-2017) measured total mercury (THg) in both hair and blood of 1168 participants 20-59 years of age. We calculated geometric mean (GM) concentrations of THg for this entire sample and subgroups. The subgroups included biological sex, women of childbearing age, race, hair treatments, categories of blood and hair selenium, urinary arsenobetaine/arsenocholine, categories of blood and hair mercury, and food consumption. We calculated a hair:blood ratio for each participant and determined population-level ratios from the GMs of the distributions. Differences by subgroups, and agreement with the WHO ratio of 250:1, were tested. The combined effect of factors on the THg hair:blood ratio was explored using staged regression analysis.

RESULTS

For participants with paired hair and blood mercury measurements, the GM of the hair:blood THg ratio was 293 (95%CI:273-316), and significantly >250. In women of childbearing age, the ratio did not differ from 250. The GMs of the ratio were higher (i.e.>300) for second tertile blood selenium (365, 95%CI:307-433), third and fourth quartiles hair mercury (347, 95%CI:308-390 and 376, 95%CI:336-422), and consumers of shellfish (338, 95%CI:308-371). Shellfish consumption was the only statistically significant factor associated with the hair:blood ratio as identified in the regression model.

CONCLUSIONS

The mean hair:blood THg ratio among Canadians generally exceeded the default ratio of 250:1. Higher ratios were observed in certain subgroups, such as seafood consumers, and shellfish consumption was the most important variable associated with the ratio. Our results suggest that population-specific hair:blood THg ratios be considered, if possible, when converting mercury levels from hair to blood to better characterize the variation around the conversion.

Occupational exposure to mercury from cinnabar enriched sand in workers of Grado Beach, Gulf of Trieste (North-eastern Italy, upper Adriatic Sea)

Health and safety of occupations entailing extensive skin contact with cinnabar-enriched sand in beaches of Friuli-Venezia Giulia (FVG) Region (North-eastern Italy) have been questioned for possible skin absorption of mercury (Hg). One hundred mg hair was collected from the occipital scalp of 50 male workers of Grado beach and 121 males from FVG general population. Factors associated with hair Hg content were investigated by multivariable logistic (considering Hg levels >1 vs ≤1 mg/kg) and log-transformed linear regression. The median hair concentration of Hg in male beach workers was 0.70 (IQR = 0.42; 1.34) mg/kg, lower than FVG general population's [1.29 (IQR = 0.87-2.06) mg/kg (p < 0.001)]. In both regression models the hair Hg increased with fish consumption, both among beach workers of Grado and FVG general population. The mean Hg levels in beach workers of Grado fell within an acceptable range, not requiring restrictions of their occupational activities.

Possible health risk assessment for heavy metal concentrations in water, sediment, and fish species and Turkmen pregnant women's biomonitoring in Miankaleh Peninsula, Iran

This study investigated the human biomonitoring of heavy metals in the water, sediments, and tissues of mostly consumed fish species using Turkmen pregnant women's biomarkers in winter 2019, at the Miankaleh Peninsula, north of Iran. Metal concentrations were measured in various fish organs as well as pregnant women's blood, hair, and nail as biological indicators. For this purpose, a total of 20 water and sediment, 14 fish, and 16 human samples were collected. Inductively coupled plasma mass spectrometry (ICP-MS) was used to evaluate the concentration of Cr, Co, Cu, As, Hg, and Pb. Results showed metals with the highest concentrations as Cu and Cr in water (93.35 and 80.91 µg/l, respectively), Hg and Pb in sediment (7.40 µg/g for both), Cu and Pb in the liver (27.00 and 18.9 µg/g for C. carpio; 1414 and 31.7 µg/g for L. auratus), muscle (10.00 and 18.80 for C. carpio; 37.20 and 8.27 µg/g for L. auratus), and skin (26.40 and 9.90 for C. carpio; 10.80 and 11.74 µg/g for L. auratus). In addition, Cu, in pregnant women samples, had the highest values at 2.53 mg/l, 8.87, 36.46, and 29.04 µg/g for blood, hair, fingernail, and toenail, respectively. However, Co showed the lowest concentration in all studied samples. Fish liver and fingernail of pregnant women did reveal the highest heavy metal accumulation, whereas fish muscle and blood of pregnant women had the lowest accumulated heavy metals. The concentration of Hg in water, sediment, fish muscle, and women's blood and hair exceeded the limits suggested by various organizations. Therefore, this study highlighted that heavy metal concentration, in particular Hg, in water, sediments, and fish is a serious risk to the health of local inhabitants who rely on fisheries products and recommended that necessary information should be provided to warn Turkmen pregnant women in consumption of Hg-contaminated fish in this area.

Selecting the best non-invasive matrix to measure mercury exposure in human biomonitoring surveys

Exposure to mercury, even at low doses, can affect human health, well-being and life quality at a broad scale. Human biomonitoring is the most straightforward approach to measure and quantify mercury exposure in humans. The objective of the present study is to compare and discuss the relationships between Hg levels in the most used matrices, hair, urine and blood, with the aim to ascertain to what extent mercury exposure and internal mercury levels could be predicted by monitoring non-invasive matrices. The study population (n = 527) is a subsample from Spanish BIOAMBIENT. ES study (18-65 y, both sexes), with data of Hg levels in blood, hair, and urine from the same individuals. We found strong inter-matrix Spearman correlations between blood and hair mercury (r² = 0.84), while the correlations for urine and blood mercury (r²⁼0.64) and urine and hair mercury (r²⁼0.65) were weaker. The geometric mean of the ratios between matrices were (GM, 95%CI): Hair/Blood 280 (271-290), Urine/Blood 0.174 (0.163-0.186) and Hair/Urine 2070 (1953-2194) and Urine/Blood 0.135 (0.128-0.144) for urine corrected by creatinine. High individual variation was observed particularly in those ratios involving urine. Considering the wide range of values observed in the ratios, we do not recommend applying them at individual level. The predictive models indicate that hair Hg was a more accurate predictor than urine. The inclusion of urine values did not increase the predictive accuracy, so, we recommend a cautious interpretation of urine mercury levels. Our study presents clear evidence that in a population highly exposed to food-borne mercury, a large portion of urinary mercury primarily emanates from methylmercury demethylation. We conclude that urine, as a non-invasive matrix, can be used as a reliable qualitative biomarker for Hg exposure when hair measurements not are available. For quantitative individual assessments, still blood measurements are to be preferred.

Monthly variations in mercury exposure of school children and adults in an industrial area of southwestern China

Recent studies have shown that rice consumption can be the major pathway for human methylmercury (MeHg) exposure in inland China. However, few studies have considered the susceptible population of school children's exposure through rice ingestion. In this study, monthly variations in total Hg (THg)/MeHg concentrations in rice, fish, hair, and urine samples were studied to evaluate the Hg (both THg and MeHg) exposure in Guiyang, a typical industrial area with high anthropogenic emission of Hg. A total of 17 primary school (school A) students, 29 middle school (school B) students, and 46 guardians participated in this study for one year. Hair THg, hair MeHg, and urine THg concentrations ranged from 355-413 ng g^-1, 213-236 ng g^-1, and 469-518 ng g^-1 Creatinine (ng·g^-1 Cr), respectively, and no significant differences were observed between different genders and age groups. Hair and urine Hg concentrations showed slightly higher values in the cold season (October to February) than the hot season (March to September), but without significant difference. High monthly variability of individual hair and urine Hg concentrations suggested that long-term study could effectively decrease the uncertainty. The school students showed significantly higher urine THg concentrations than adults due to children's unique physiological structure and behaviors. Probable daily intake (PDI) of MeHg via rice and fish ingestion averaged at 0.0091, 0.0090, and 0.0079 μg kg^-1 d^-1 for school A students, school B students, and their guardians, respectively, which means that 86%, 84%, and 87% of the PDI were originated from rice ingestion, respectively. Therefore, more attention should be paid to children as a susceptible population. The results indicated low risk of Hg exposure via rice and fish consumption for urban residents in a Chinese industrial city.

Temporal variation of total mercury levels in the hair of pregnant women from the Maternal-Infant Research on Environmental Chemicals (MIREC) study

Prenatal exposure to total mercury (T-Hg) comes from both natural and anthropogenic sources. T-Hg can cross the blood-brain and placental barriers, and may be associated with future neurological and physiological dysfunctions. Scalp hair is an optimal and non-invasive indicator of chronic T-Hg exposure. As part of the Maternal-Infant Research on Environmental Chemicals (MIREC) Study, hair samples from 350 women were collected within weeks after giving birth, to determine temporal variations in T-Hg levels from preconception to delivery, and to compare these levels to corresponding levels measured in other matrices (maternal and umbilical cord blood, and infant's meconium). A maximum of 12 one-cm hair segments were cut starting at the scalp; segments closer to the scalp reflected recent exposure (within the last month). For proper comparison, the hair segments were matched with the collection dates for other matrices. GM hair T-Hg levels greatly decreased during pregnancy, from 0.26 μg g^-1 (preconception or full-length hair) to 0.18 μg g^-1 (at delivery or segments closer to the scalp). A similar decreasing trend was found for T-Hg in maternal blood: 1st trimester (0.60 μg L^-1) to 3rd trimester (0.47 μg L^-1). The median hair-to-blood ratios of T-Hg levels varied from 364 (1st trimester), to 408 (3rd trimester), to 229 (cord blood). Very low T-Hg levels were detected in meconium. Mercury levels in blood and hair correlated with consumption of large predatory fish.

Effects of seafood consumption on mercury exposure in Norwegian pregnant women: A randomized controlled trial

BACKGROUND

Seafood provides nutrients that are important for optimal development of the unborn child. However, seafood is also a source of contaminants including mercury (Hg) and methylmercury (MeHg) that may have adverse effects on neurodevelopment of the fetus. Humans are predominantly exposed to MeHg through seafood consumption, however, levels of MeHg vary considerably between species.

OBJECTIVES

Investigate, in a randomized controlled trial (RCT) during pregnancy, if an increased intake of Atlantic cod (Gadus morhua), a fish species with relatively low levels of MeHg contamination, influences total hair Hg (THHg) concentrations in humans.

METHODS

Pregnant women (n = 137) were enrolled in the RCT "Mommy's Food" (2016-2017), which was designed to increase iodine status. Participants were randomly assigned to intervention (400 g of cod fillets per week) or control (continued habitual diet) groups for 16 weeks (gestational week 20-36). THHg concentrations were measured at baseline and post-intervention using thermal decomposition, amalgamation, and atomic absorption spectrophotometry (US EPA method 7473). The trial is registered in ClinicalTrials.gov, NCT02610959.

RESULTS

Post-intervention, the intervention group had median (inter-quartile range) THHg concentrations of 554 (392-805) µg/kg, and the control group 485 (341-740) µg/kg (p = 0.186). When adjusting for baseline THHg concentrations, there was a significant difference between the groups in those participants with baseline THHg concentrations below 534 µg/kg. Post-intervention, 8% of the study population exceeded the US EPA reference dose in hair (1,000 µg/kg) (intervention group: n = 6, control group: n = 4).

CONCLUSION

THHg concentrations were generally low in both study groups of pregnant women, despite the relatively high seafood intake. While the intervention with 400 g of cod per week slightly increased THHg concentrations, it did not lead to an increase in number of subjects exceeding the US EPA reference dose; a dose level at which no adverse effects are expected to occur over a period of lifetime exposure.

Hematological parameters and hair mercury levels in adolescents from the Colombian Caribbean

Mercury (Hg) is one of the heavy metals of concern for fish-eating populations. This pollutant can be released from many sources and generates diverse toxic effects in humans. The aim of this study was to evaluate hematological parameters and their relationship with total Hg (T-Hg) levels in the hair of adolescents from Tierrabomba, an island close to an industrialized area, and also from San Onofre, a reference site. Blood and hair samples were collected from 194 individuals, aged 11-18 years old, as well as sociodemographic and dietary information. The hematological profile showed marked differences between the two sites. Mean values for almost all variables of the red blood cell line, as well as lymphocyte percentage (LYM%) and monocyte percentage (MID%), were greater in Tierrabomba. In contrast, red cell distribution width (RDW), white blood cells (WBC), granulocyte percentage (GRA%), and plateletcrit (PTC) were higher at the reference site. Total Hg mean in Tierrabomba was 1.10 ± 0.07 μg/g, while at San Onofre, it was 1.87 ± 0.11 μg/g. In both places, more than 49% of participants had Hg concentrations over the limit threshold (1 μg/g). Overall mean corpuscular hemoglobin concentration (MCHC) and T-Hg showed a negative correlation (r = - 0.162, p = 0.024). However, positive associations were observed between T-Hg and MID% for Tierrabomba (r = 0.193, p = 0.041), and between T-Hg and mixed cells (MID) for the reference site (r = 0.223, p = 0.044). A significant relationship was found for fish consumption frequency and T-Hg levels (r = 0.360, p < 0.001). These results indicate blood parameters may be affected by Hg even at low-level exposure.

Prevalence and Factors Associated with High Levels of Aluminum, Arsenic, Cadmium, Lead, and Mercury in Hair Samples of Well-Nourished Thai Children in Bangkok and Perimeters

Toxic element exposure increases risk of neurodevelopmental disorders. However, hair element profiles of well-nourished urban resident children were largely unknown. We identified prevalence and the contributing factors of high hair aluminum (Al), arsenic (As), cadmium (Cd), lead (Pb), and mercury (Hg) levels in 111 Thai children (aged 3-7 years old). Most participants were well-nourished with high socioeconomic status. Since ROC curve of hair element data showed inadequate sensitivity for cutoff set-up, US reference hair levels were used to categorize high and low level groups. Nevertheless, compared to the current reference at 5 μg/dL, blood lead cutoff at 2.15 μg/dL provided more consistent results with that of hair lead levels. High As and Pb levels were the first and second most prevalent element, while Al was the element found in highest amount in hair. High hair Al (12% prevalence) levels were associated with being male regardless of age or nutritional status. High hair As levels were associated with living in Bangkok (OR = 6.57) regardless of school type. High hair Pb levels were associated with being under 5 years old and living in Bangkok (OR = 3.06). However, no associations were found between blood Pb, hair Cd, Hg, and tested factors. These findings suggested that under 5-year-old boys living in capital city like Bangkok may be at risk of exposure to multiple toxic elements. Future studies in these children are warranted to identify their exposure sources and proper risk management strategies.