Methylmercury Exposure and Health Effects in Humans: A Worldwide Concern

Abstract The paper builds on existing literature, highlighting current understanding and identifying unresolved issues about MeHg exposure, health effects, and risk assessment, and concludes with a consensus statement. Methylmercury is a potent toxin, bioaccumulated and concentrated through the aquatic food chain, placing at risk people, throughout the globe and across the socioeconomic spectrum, who consume predatory fish or for whom fish is a dietary mainstay. Methylmercury developmental neurotoxicity has constituted the basis for risk assessments and public health policies. Despite gaps in our knowledge on new bioindicators of exposure, factors that influence MeHg uptake and toxicity, toxicokinetics, neurologic and cardiovascular effects in adult populations, and the nutritional benefits and risks from the large number of marine and freshwater fish and fish-eating species, the panel concluded that to preserve human health, all efforts need to be made to reduce and eliminate sources of exposure.

[1]  K. Murata,et al.  Total mercury levels in hair, toenail, and urine among women free from occupational exposure and their relations to renal tubular function. , 2007, Environmental research.

[2]  Christopher Cox,et al.  Prenatal methyl mercury exposure from fish consumption and child development: a review of evidence and perspectives from the Seychelles Child Development Study. , 2006, Neurotoxicology.

[3]  F. Larribe,et al.  Environmental Health: a Global Access Science Source a Preliminary Study of Mercury Exposure and Blood Pressure in the Brazilian Amazon , 2022 .

[4]  P. Davidson,et al.  Benchmark concentrations for methyl mercury obtained from the 9-year follow-up of the Seychelles Child Development Study. , 2006, Neurotoxicology.

[5]  D. Mergler,et al.  Elevated blood selenium levels in the Brazilian Amazon. , 2006, The Science of the total environment.

[6]  M. Roy,et al.  Alterations of visual evoked potentials in preschool Inuit children exposed to methylmercury and polychlorinated biphenyls from a marine diet. , 2006, Neurotoxicology.

[7]  F. Perera,et al.  Effects of prenatal exposure to mercury on cognitive and psychomotor function in one-year-old infants: epidemiologic cohort study in Poland. , 2006, Annals of epidemiology.

[8]  H. Anderson,et al.  Methylmercury exposure in Wisconsin: A case study series. , 2006, Environmental research.

[9]  Julian P T Higgins,et al.  Risks and benefits of omega 3 fats for mortality, cardiovascular disease, and cancer: systematic review , 2006, BMJ : British Medical Journal.

[10]  J. Weber,et al.  Maternal and umbilical cord blood levels of mercury, lead, cadmium, and essential trace elements in Arctic Canada. , 2006, Environmental research.

[11]  Z. Chai,et al.  The Roles of Serum Selenium and Selenoproteins on Mercury Toxicity in Environmental and Occupational Exposure , 2006, Environmental health perspectives.

[12]  P. Arp,et al.  New Evidence on Variations of Human Body Burden of Methylmercury from Fish Consumption , 2006, Environmental health perspectives.

[13]  H. Chan,et al.  Co-consumption of selenium and vitamin E altered the reproductive and developmental toxicity of methylmercury in rats. , 2006, Neurotoxicology and teratology.

[14]  M. C. Newland,et al.  Gestational exposure to methylmercury and n-3 fatty acids: effects on high- and low-rate operant behavior in adulthood. , 2006, Neurotoxicology and teratology.

[15]  M. Berglund,et al.  Environmental Health: a Global Access Science Source Inter-individual Variations of Human Mercury Exposure Biomarkers: a Cross-sectional Assessment , 2022 .

[16]  Ellen K Silbergeld,et al.  Mercury and autoimmunity: implications for occupational and environmental health. , 2005, Toxicology and applied pharmacology.

[17]  Mark S. Johnson,et al.  Food Avoidance Behavior to Dietary Octahydro-1,3,5,7-tetranitro-1,3,5,7-tetrazocine (HMX) Exposure in the Northern Bobwhite (Colinus virginianus) , 2005, Journal of toxicology and environmental health. Part A.

[18]  Nicola Pirrone,et al.  Dynamics of mercury pollution on regional and global scales , 2005 .

[19]  J. Dórea,et al.  Fish consumption and blood mercury: proven health benefits or probable neurotoxic risk? , 2005, Regulatory toxicology and pharmacology : RTP.

[20]  M. Blennow,et al.  Transport of Methylmercury and Inorganic Mercury to the Fetus and Breast-Fed Infant , 2005, Environmental health perspectives.

[21]  G Samuelson,et al.  Iron status influences trace element levels in human blood and serum. , 2005, Environmental research.

[22]  K. Kleinman,et al.  Maternal Fish Consumption, Hair Mercury, and Infant Cognition in a U.S. Cohort , 2005, Environmental health perspectives.

[23]  M. Legrand,et al.  Biomonitoring of mercury exposure with single human hair strand. , 2005, Environmental science & technology.

[24]  Alan H Stern,et al.  A review of the studies of the cardiovascular health effects of methylmercury with consideration of their suitability for risk assessment. , 2005, Environmental research.

[25]  P. Arp,et al.  Mercury exposure in two coastal communities of the Bay of Fundy, Canada. , 2005, Environmental research.

[26]  T. Glass,et al.  Blood mercury levels and neurobehavioral function. , 2005, JAMA.

[27]  S. Counter,et al.  Mercury Levels in Urine and Hair of Children in an Andean Gold-mining Settlement , 2005, International journal of occupational and environmental health.

[28]  E. Björn,et al.  The immunosuppressive effect of methylmercury does not preclude development of autoimmunity in genetically susceptible mice. , 2005, Toxicology.

[29]  A. Beuter,et al.  Neuromotor functions in Inuit preschool children exposed to Pb, PCBs, and Hg. , 2005, Neurotoxicology and teratology.

[30]  H. Anderson,et al.  Fish consumption, advisory awareness, and hair mercury levels among women of childbearing age. , 2005, Environmental research.

[31]  M. Longnecker,et al.  Blood mercury level and blood pressure among US women: results from the National Health and Nutrition Examination Survey 1999-2000. , 2005, Environmental research.

[32]  G. Sällsten,et al.  Impact of Consumption of Freshwater Fish on Mercury Levels in Hair, Blood, Urine, and Alveolar Air , 2005, Journal of toxicology and environmental health. Part A.

[33]  J. Burger,et al.  Mercury in Commercial Fish: Optimizing Individual Choices to Reduce Risk , 2004, Environmental health perspectives.

[34]  Kari Seppänen,et al.  Mercury, Fish Oils, and Risk of Acute Coronary Events and Cardiovascular Disease, Coronary Heart Disease, and All-Cause Mortality in Men in Eastern Finland , 2004, Arteriosclerosis, thrombosis, and vascular biology.

[35]  Alan H. Stern,et al.  A Revised Probabilistic Estimate of the Maternal Methyl Mercury Intake Dose Corresponding to a Measured Cord Blood Mercury Concentration , 2004, Environmental health perspectives.

[36]  B. Tracy,et al.  Human health implications of environmental contaminants in Arctic Canada: A review. , 1999, The Science of the total environment.

[37]  K. Mahaffey Mercury exposure: medical and public health issues. , 2005, Transactions of the American Clinical and Climatological Association.

[38]  H. Satoh,et al.  Effects of methylmercury on neurodevelopment in Japanese children in relation to the Madeiran study , 2004, International archives of occupational and environmental health.

[39]  J. Burger,et al.  Mercury in canned tuna: white versus light and temporal variation. , 2004, Environmental research.

[40]  L. Barregard,et al.  Hair mercury levels versus freshwater fish consumption in household members of Swedish angling societies. , 2004, Environmental research.

[41]  Eric D. Salin,et al.  Direct detection of mercury in single human hair strands by laser ablation inductively coupled plasma mass spectrometry (LA-ICP-MS) , 2004 .

[42]  M. Berglund,et al.  Exposure to methylmercury in non-fish-eating people in Sweden. , 2004, Environmental research.

[43]  M. Wang,et al.  Copper, Lead, Zinc, Cadmium, Mercury, and Arsenic in Marine Products of Commerce from Zhejiang Coastal Area, China, May 1998 , 2004, Bulletin of environmental contamination and toxicology.

[44]  D. Carpenter,et al.  A survey of metals in tissues of farmed Atlantic and wild Pacific salmon , 2004, Environmental toxicology and chemistry.

[45]  M. Karagas,et al.  Environmental Exposure and Fingernail Analysis of Arsenic and Mercury in Children and Adults in a Nicaraguan Gold Mining Community , 2004, Archives of environmental health.

[46]  K. Mahaffey Fish and shellfish as dietary sources of methylmercury and the omega-3 fatty acids, eicosahexaenoic acid and docosahexaenoic acid: risks and benefits. , 2004, Environmental research.

[47]  Esben Budtz-Jørgensen,et al.  Association between mercury concentrations in blood and hair in methylmercury-exposed subjects at different ages. , 2004, Environmental research.

[48]  A. Smargiassi,et al.  Temporal variation of blood and hair mercury levels in pregnancy in relation to fish consumption history in a population living along the St. Lawrence River. , 2004, Environmental research.

[49]  D. Rice The US EPA reference dose for methylmercury: sources of uncertainty. , 2004, Environmental research.

[50]  Robert L. Jones,et al.  Hair Mercury Levels in U.S. Children and Women of Childbearing Age: Reference Range Data from NHANES 1999–2000 , 2004, Environmental health perspectives.

[51]  H. Satoh,et al.  Maternal and fetal mercury and n-3 polyunsaturated fatty acids as a risk and benefit of fish consumption to fetus. , 2004, Environmental science & technology.

[52]  L. Silveira,et al.  Multifocal and full-field electroretinogram changes associated with color-vision loss in mercury vapor exposure , 2004, Visual Neuroscience.

[53]  A. Yasutake,et al.  Current Hair Mercury Levels in Japanese for Estimation of Methylmercury Exposure , 2004 .

[54]  B. van Dorsten,et al.  Mercury toxicity: clinical presentations in musculoskeletal medicine. , 2004, Orthopedics.

[55]  K. Mahaffey,et al.  Blood organic mercury and dietary mercury intake: National Health and Nutrition Examination Survey, 1999 and 2000. , 2004, Environmental health perspectives.

[56]  R. Tardif,et al.  Childhood urine mercury excretion: dental amalgam and fish consumption as exposure factors. , 2004, Environmental research.

[57]  E. Budtz-Jørgensen,et al.  Cardiac autonomic activity in methylmercury neurotoxicity: 14-year follow-up of a Faroese birth cohort. , 2004, The Journal of pediatrics.

[58]  E. Budtz-Jørgensen,et al.  Delayed brainstem auditory evoked potential latencies in 14-year-old children exposed to methylmercury. , 2004, The Journal of pediatrics.

[59]  J. Jacobson,et al.  Do recent data from the Seychelles Islands alter the conclusions of the NRC Report on the toxicological effects of methylmercury? , 2004, Environmental health : a global access science source.

[60]  H. Mason,et al.  Comparison of hair, nails and urine for biological monitoring of low level inorganic mercury exposure in dental workers , 2004, Biomarkers : biochemical indicators of exposure, response, and susceptibility to chemicals.

[61]  Fish consumption, mercury exposure, and heart diseases. , 2004, Nutrition reviews.

[62]  T. Fujino,et al.  An epidemiological study of the incidence of abnormal pregnancy in areas heavily contaminated with methylmercury. , 2004, Environmental sciences : an international journal of environmental physiology and toxicology.

[63]  A. Wendroff The toxicology of mercury. , 2004, The New England journal of medicine.

[64]  Laszlo Magos,et al.  The toxicology of mercury--current exposures and clinical manifestations. , 2003, The New England journal of medicine.

[65]  F. Larribe,et al.  Eating tropical fruit reduces mercury exposure from fish consumption in the Brazilian Amazon. , 2003, Environmental research.

[66]  A. Stern,et al.  An assessment of the cord blood:maternal blood methylmercury ratio: implications for risk assessment. , 2003, Environmental health perspectives.

[67]  J. Dórea,et al.  Mercury in hair and in fish consumed by Riparian women of the Rio Negro, Amazon, Brazil , 2003, International journal of environmental health research.

[68]  R. Alinovi,et al.  Sub-clinical neurobehavioral abnormalities associated with low level of mercury exposure through fish consumption. , 2003, Neurotoxicology.

[69]  E. Silbergeld,et al.  Environmental Health: A Global Access Science Source , 2003 .

[70]  Christopher Cox,et al.  Prenatal methylmercury exposure from ocean fish consumption in the Seychelles child development study , 2003, The Lancet.

[71]  Robert L. Jones,et al.  Blood mercury levels in US children and women of childbearing age, 1999-2000. , 2003, JAMA.

[72]  S. Cnattingius,et al.  Methyl mercury and inorganic mercury in Swedish pregnant women and in cord blood: influence of fish consumption. , 2003, Environmental health perspectives.

[73]  M. Horvat,et al.  Total mercury, methylmercury and selenium in mercury polluted areas in the province Guizhou, China. , 2003, The Science of the total environment.

[74]  Yoshifumi Takahashi,et al.  Placental transfer of mercury in pregnant rats which received dental amalgam restorations. , 2003, Toxicology.

[75]  D. Rice,et al.  Methods and Rationale for Derivation of a Reference Dose for Methylmercury by the U.S. EPA , 2003, Risk analysis : an official publication of the Society for Risk Analysis.

[76]  J. Hightower,et al.  Mercury levels in high-end consumers of fish. , 2002, Environmental health perspectives.

[77]  I. Bergdahl,et al.  Mercury and selenium in whole blood and serum in relation to fish consumption and amalgam fillings in adolescents. , 2003, Journal of trace elements in medicine and biology : organ of the Society for Minerals and Trace Elements.

[78]  P. Stewart,et al.  Cognitive development in preschool children prenatally exposed to PCBs and MeHg. , 2003, Neurotoxicology and teratology.

[79]  Roberta F. White,et al.  Neurotoxic risk caused by stable and variable exposure to methylmercury from seafood. , 2003, Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association.

[80]  E. Rimm,et al.  Mercury and the risk of coronary heart disease in men. , 2002, The New England journal of medicine.

[81]  Frans J Kok,et al.  Mercury, fish oils, and the risk of myocardial infarction. , 2002, The New England journal of medicine.

[82]  Hitoshi Takahashi,et al.  Evaluation of changes in methylmercury accumulation in the developing rat brain and its effects: a study with consecutive and moderate dose exposure throughout gestation and lactation periods , 2002, Brain Research.

[83]  E. C. Loureiro,et al.  A contribution to the establishment of reference values for total mercury levels in hair and fish in amazonia. , 2002, Environmental research.

[84]  A. Pesch,et al.  Mercury concentrations in urine, scalp hair, and saliva in children from Germany , 2002, Journal of Exposure Analysis and Environmental Epidemiology.

[85]  E. Budtz-Jørgensen,et al.  Benchmark Dose Calculations for Methylmercury‐Associated Delays on Evoked Potential Latencies in Two Cohorts of Children , 2002, Risk analysis : an official publication of the Society for Risk Analysis.

[86]  Roberta F. White,et al.  Neurodevelopmental investigations among methylmercury-exposed children in French Guiana. , 2002, Environmental research.

[87]  J. C. Hansen,et al.  Neurobehavioral performance of Inuit children with increased prenatal exposure to methylmercury , 2002, International journal of circumpolar health.

[88]  M D L Easton,et al.  Preliminary examination of contaminant loadings in farmed salmon, wild salmon and commercial salmon feed. , 2002, Chemosphere.

[89]  T. Clarkson The three modern faces of mercury. , 2002, Environmental health perspectives.

[90]  Kerstin Becker,et al.  German Environmental Survey 1998 (GerES III): environmental pollutants in blood of the German population. , 2002, International journal of hygiene and environmental health.

[91]  M. Sakamoto,et al.  Declining Minamata male birth ratio associated with increased male fetal death due to heavy methylmercury pollution. , 2001, Environmental research.

[92]  J. Jacobson,et al.  Determinants of polychlorinated biphenyls and methylmercury exposure in inuit women of childbearing age. , 2001, Environmental health perspectives.

[93]  Roberta F. White,et al.  Neurobehavioral deficits associated with PCB in 7-year-old children prenatally exposed to seafood neurotoxicants. , 2001, Neurotoxicology and teratology.

[94]  Y. Kameyama,et al.  Release of mercury from dental amalgam fillings in pregnant rats and distribution of mercury in maternal and fetal tissues. , 2001, Toxicology.

[95]  John F. Young,et al.  Analysis of Methylmercury Disposition in Humans Utilizing A PBPK Model and Animal Pharmacokinetic Data , 2001, Journal of toxicology and environmental health. Part A.

[96]  D Mergler,et al.  Sequential analysis of hair mercury levels in relation to fish diet of an Amazonian population, Brazil. , 2001, The Science of the total environment.

[97]  P. Drake,et al.  Occupational exposure to airborne mercury during gold mining operations near El Callao, Venezuela , 2001, International archives of occupational and environmental health.

[98]  R. Pamphlett,et al.  Mercury vapor uptake into the nervous system of developing mice. , 2001, Neurotoxicology and teratology.

[99]  M. Caza,et al.  A toxicokinetic model for predicting the tissue distribution and elimination of organic and inorganic mercury following exposure to methyl mercury in animals and humans. II. Application and validation of the model in humans. , 2001, Toxicology and applied pharmacology.

[100]  J. Burger,et al.  Mercury and Methylmercury Exposure in the New Jersey Pregnant Population , 2001, Archives of environmental health.

[101]  T. Lakka,et al.  Fish Oil–Derived Fatty Acids, Docosahexaenoic Acid and Docosapentaenoic Acid, and the Risk of Acute Coronary Events: The Kuopio Ischaemic Heart Disease Risk Factor Study , 2000, Circulation.

[102]  M. Wheatley,et al.  Methylmercury and the health of indigenous peoples: a risk management challenge for physical and social sciences and for public health policy. , 2000, The Science of the total environment.

[103]  O. Receveur,et al.  Mercury in the traditional diet of indigenous peoples in Canada. , 2000, Environmental pollution.

[104]  E. C. Loureiro,et al.  Mercury exposures in riverside Amazon communities in Pará, Brazil. , 2000, Environmental research.

[105]  M. Baxter,et al.  1997 UK Total Diet Study dietary exposures to aluminium, arsenic, cadmium, chromium, copper, lead, mercury, nickel, selenium, tin and zinc , 2000, Food additives and contaminants.

[106]  T. Kosatsky,et al.  Mercury exposure in Montrealers who eat St. Lawrence River sportfish. , 2000, Environmental research.

[107]  D. Henshel,et al.  Linear regression models of methyl mercury exposure during prenatal and early postnatal life among riverside people along the upper Madeira river, Amazon. , 2000, Environmental research.

[108]  E. Budtz-Jørgensen,et al.  Maternal seafood diet, methylmercury exposure, and neonatal neurologic function. , 2000, The Journal of pediatrics.

[109]  D. Mergler,et al.  Methylmercury exposure affects motor performance of a riverine population of the Tapajós river, Brazilian Amazon , 2000, International archives of occupational and environmental health.

[110]  H. Chan,et al.  The influence of nutrition on methyl mercury intoxication. , 2000, Environmental health perspectives.

[111]  T. Lakka,et al.  Mercury accumulation and accelerated progression of carotid atherosclerosis: a population-based prospective 4-year follow-up study in men in eastern Finland. , 2000, Atherosclerosis.

[112]  M. Stafford,et al.  Efficacy and safety of long-chain polyunsaturated fatty acid supplementation of infant-formula milk: a randomised trial , 1999, The Lancet.

[113]  D. Palumbo,et al.  Association between prenatal exposure to methylmercury and developmental outcomes in Seychellois children: effect modification by social and environmental factors. , 1999, Neurotoxicology.

[114]  J. Olsen,et al.  Long-term follow-up of cognitive outcome after breech presentation at birth. , 1999, Epidemiology.

[115]  H J Clewell,et al.  Evaluation of the uncertainty in an oral reference dose for methylmercury due to interindividual variability in pharmacokinetics. , 1999, Risk analysis : an official publication of the Society for Risk Analysis.

[116]  Roberta F. White,et al.  Delayed evoked potentials in children exposed to methylmercury from seafood. , 1999, Neurotoxicology and teratology.

[117]  E Budtz-Jørgensen,et al.  Prenatal methylmercury exposure as a cardiovascular risk factor at seven years of age. , 1999, Epidemiology.

[118]  P. Grandjean,et al.  Methylmercury neurotoxicity in Amazonian children downstream from gold mining. , 1999, Environmental health perspectives.

[119]  N. Keiding,et al.  Methylmercury neurotoxicity independent of PCB exposure. , 1999, Environmental health perspectives.

[120]  P. Hultman,et al.  Methyl mercury-induced autoimmunity in mice. , 1999, Toxicology and applied pharmacology.

[121]  Abraham Silvers,et al.  Influence of Prenatal Mercury Exposure Upon Scholastic and Psychological Test Performance: Benchmark Analysis of a New Zealand Cohort , 1998, Risk analysis : an official publication of the Society for Risk Analysis.

[122]  J. Cech,et al.  Unexpectedly high mercury level in pelleted commercial fish feed , 1998 .

[123]  D Mergler,et al.  Neurotoxic effects of low-level methylmercury contamination in the Amazonian Basin. , 1998, Environmental research.

[124]  C Cox,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. , 1998, JAMA.

[125]  Roberta F. White,et al.  Cognitive performance of children prenatally exposed to "safe" levels of methylmercury. , 1998, Environmental research.

[126]  P. Grandjean,et al.  Methylmercury dose estimation from umbilical cord concentrations in patients with Minamata disease. , 1998, Environmental research.

[127]  E. O'flaherty,et al.  Physiologically based models of metal kinetics. , 1998, Critical reviews in toxicology.

[128]  Roberta F. White,et al.  Cognitive deficit in 7-year-old children with prenatal exposure to methylmercury. , 1997, Neurotoxicology and teratology.

[129]  Fish diet and mercury exposure in a riparian Amazonian population , 1997 .

[130]  A. Choi,et al.  Effects of prenatal methylmercury exposure from a high fish diet on developmental milestones in the Seychelles Child Development Study. , 1997, Neurotoxicology.

[131]  J. C. Smith,et al.  Methyl mercury pharmacokinetics in man: a reevaluation. , 1996, Toxicology and applied pharmacology.

[132]  T. Archer,et al.  Prenatal coexposure to metallic mercury vapour and methylmercury produce interactive behavioural changes in adult rats. , 1996, Neurotoxicology and teratology.

[133]  S. Skerfving,et al.  Total and Inorganic Mercury in Breast Milk and Blood in Relation to Fish Consumption and Amalgam Fillings in Lactating Women , 1996 .

[134]  S. Skerfving,et al.  Total and inorganic mercury in breast milk in relation to fish consumption and amalgam in lactating women. , 1996, Archives of environmental health.

[135]  T. Kosatsky,et al.  Do historic studies of fish consumers support the widely accepted LOEL for methylmercury in adults. , 1996, Neurotoxicology.

[136]  D. Mergler,et al.  Evidence of early nervous system dysfunction in Amazonian populations exposed to low-levels of methylmercury. , 1996, Neurotoxicology.

[137]  Y. Kajiwara,et al.  Methylmercury transport across the placenta via neutral amino acid carrier , 1996, Archives of Toxicology.

[138]  P. Grandjean,et al.  Relation of a seafood diet to mercury, selenium, arsenic, and polychlorinated biphenyl and other organochlorine concentrations in human milk. , 1995, Environmental research.

[139]  P. Davidson,et al.  Summary of the Seychelles child development study on the relationship of fetal methylmercury exposure to neurodevelopment. , 1995, Neurotoxicology.

[140]  M. Harada,et al.  Minamata disease: methylmercury poisoning in Japan caused by environmental pollution. , 1995, Critical reviews in toxicology.

[141]  P. Davidson,et al.  Monitoring methylmercury during pregnancy: maternal hair predicts fetal brain exposure. , 1995, Neurotoxicology.

[142]  Roberta F. White,et al.  Milestone development in infants exposed to methylmercury from human milk. , 1995, Neurotoxicology.

[143]  P. Allen,et al.  The kinetics of intravenously administered methyl mercury in man. , 1994, Toxicology and applied pharmacology.

[144]  H. R. Andersen,et al.  Effects of dietary α-tocopherol and β-carotene on lipid peroxidation induced by methyl mercuric chloride in mice , 1993 .

[145]  H. R. Andersen,et al.  Effects of dietary alpha-tocopherol and beta-carotene on lipid peroxidation induced by methyl mercuric chloride in mice. , 1993, Pharmacology & toxicology.

[146]  P Grandjean,et al.  Impact of maternal seafood diet on fetal exposure to mercury, selenium, and lead. , 1992, Archives of environmental health.

[147]  Division on Earth Risk Assessment in the Federal Government: Managing the Process , 1983 .

[148]  T. Clarkson,et al.  Fetal methylmercury poisoning: Clinical and toxicological data on 29 cases , 1980, Annals of neurology.

[149]  M. Harada,et al.  Congenital Minamata disease: intrauterine methylmercury poisoning. , 1978, Teratology.

[150]  H. Yde WHEN TO EAT. , 1964, Lancet.

[151]  D. Mcalpine,et al.  Minamata disease: an unusual neurological disorder caused by contaminated fish. , 1958, Lancet.