Public Health and Economic Consequences of Methyl Mercury Toxicity to the Developing Brain

Methyl mercury is a developmental neurotoxicant. Exposure results principally from consumption by pregnant women of seafood contaminated by mercury from anthropogenic (70%) and natural (30%) sources. Throughout the 1990s, the U.S. Environmental Protection Agency (EPA) made steady progress in reducing mercury emissions from anthropogenic sources, especially from power plants, which account for 41% of anthropogenic emissions. However, the U.S. EPA recently proposed to slow this progress, citing high costs of pollution abatement. To put into perspective the costs of controlling emissions from American power plants, we have estimated the economic costs of methyl mercury toxicity attributable to mercury from these plants. We used an environmentally attributable fraction model and limited our analysis to the neurodevelopmental impacts—specifically loss of intelligence. Using national blood mercury prevalence data from the Centers for Disease Control and Prevention, we found that between 316,588 and 637,233 children each year have cord blood mercury levels > 5.8 μg/L, a level associated with loss of IQ. The resulting loss of intelligence causes diminished economic productivity that persists over the entire lifetime of these children. This lost productivity is the major cost of methyl mercury toxicity, and it amounts to $8.7 billion annually (range, $2.2–43.8 billion; all costs are in 2000 US$). Of this total, $1.3 billion (range, $0.1–6.5 billion) each year is attributable to mercury emissions from American power plants. This significant toll threatens the economic health and security of the United States and should be considered in the debate on mercury pollution controls.

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

[2]  P. Landrigan,et al.  The National Children’s Study: A Critical National Investment , 2004, Environmental health perspectives.

[3]  Joseph E. Aldy,et al.  The Value of a Statistical Life: A Critical Review of Market Estimates Throughout the World , 2003 .

[4]  oseph,et al.  INTELLECTUAL IMPAIRMENT IN CHILDREN EXPOSED TO POLYCHLORINATED BIPHENYLS IN UTERO , 2000 .

[5]  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.

[6]  C. Corvalan,et al.  How much global ill health is attributable to environmental factors? , 1999, Epidemiology.

[7]  S. Simon,et al.  Decline in Fish Consumption Among Pregnant Women After a National Mercury Advisory , 2003, Obstetrics and gynecology.

[8]  T. Lapp,et al.  Locating and estimating air emissions from sources of mercury and mercury compounds. Final report , 1993 .

[9]  Dorothy P. Rice,et al.  Valuing Human Life: Estimating the Present Value of Lifetime Earnings, 2000 , 2004 .

[10]  P. Rodier,et al.  Developing brain as a target of toxicity. , 1995, Environmental health perspectives.

[11]  Jerome O. Nriagu,et al.  A global assessment of natural sources of atmospheric trace metals , 1989, Nature.

[12]  Thomas F. Gaumer National Marine Fisheries Service National Oceanic and Atmospheric Administration , 1976 .

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

[14]  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.

[15]  B. Koletzko,et al.  Perinatal Supply and Metabolism of Long‐Chain Polyunsaturated Fatty Acids , 2002, Annals of the New York Academy of Sciences.

[16]  Esben Budtz-Jørgensen,et al.  Estimation of health effects of prenatal methylmercury exposure using structural equation models , 2002, Environmental health : a global access science source.

[17]  F. Morel,et al.  Bioaccumulation of mercury and methylmercury , 1995 .

[18]  C. Waternaux,et al.  The Yugoslavia Prospective Lead Study: contributions of prenatal and postnatal lead exposure to early intelligence. , 2000, Neurotoxicology and teratology.

[19]  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.

[20]  P. Succop,et al.  Early exposure to lead and juvenile delinquency. , 2001, Neurotoxicology and teratology.

[21]  L. Goldman,et al.  Technical report: mercury in the environment: implications for pediatricians. , 2001, Pediatrics.

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

[23]  A. Dembe Costs of Occupational Injuries and Illnesses , 2000 .

[24]  S. Innis Essential fatty acids in growth and development. , 1991, Progress in lipid research.

[25]  Prenatal lead exposure, delta-aminolevulinic acid, and schizophrenia. , 2004, Environmental health perspectives.

[26]  Charles J. Rothwell,et al.  The National Vital Statistics System , 2003 .

[27]  G. Vimpani,et al.  The Port Pirie Cohort Study: lead effects on pregnancy outcome and early childhood development. , 1987, Neurotoxicology.

[28]  T. Kjellstrom,et al.  Physical and mental development of children with prenatal exposure to mercury from fish , 1986 .

[29]  P. Stolpman,et al.  Environmental Protection Agency , 2020, The Grants Register 2022.

[30]  D S Salkever,et al.  Updated estimates of earnings benefits from reduced exposure of children to environmental lead. , 1995, Environmental research.

[31]  Prakash Karamchandani,et al.  Global source attribution for mercury deposition in the United States. , 2004, Environmental science & technology.

[32]  W. Maxwell,et al.  Mercury study report to congress. Volume II: an inventory of anthropogenic mercury emissions in the United States , 1997 .

[33]  T. Clarkson,et al.  Prenatal Methylmercury Poisoning , 1980 .

[34]  R. M. Neumann,et al.  Bioaccumulation and Biomagnification of Mercury in Two Warmwater Fish Communities , 1999 .

[35]  N. Keiding,et al.  Methylmercury exposure biomarkers as indicators of neurotoxicity in children aged 7 years. , 1999, American journal of epidemiology.

[36]  P. Landrigan,et al.  Prenatal methylmercury exposure in the Seychelles , 2003, The Lancet.

[37]  P. Succop,et al.  Low-level fetal lead exposure effect on neurobehavioral development in early infancy. , 1987, Pediatrics.

[38]  J. Schwartz,et al.  Societal benefits of reducing lead exposure. , 1994, Environmental research.

[39]  C. Allan Birch,et al.  Mercury , 1964, Pediatric Environmental Health.

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

[41]  P. Sauer,et al.  The Very Low Birth Weight Premature Infant Is Capable of Synthesizing Arachidonic and Docosahexaenoic Acids from Linoleic and Linolenic Acids , 1996, Pediatric Research.

[42]  P. Landrigan,et al.  Occupational injury and illness in the United States. Estimates of costs, morbidity, and mortality. , 1997, Archives of internal medicine.

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

[44]  T W Clarkson,et al.  Methylmercury poisoning in Iraq. , 1973, Science.

[45]  E. Kahn Methyl mercury. , 1972, California medicine.

[46]  F. Menacker,et al.  Infant mortality statistics from the 2000 period linked birth/infant death data set. , 2002, National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

[47]  H. Sachs Bone lead levels and delinquent behavior. , 1996, JAMA.

[48]  T. Clarkson,et al.  Prenatal methylmercury poisoning. Clinical observations over five years. , 1979, American journal of diseases of children.

[49]  B. Koletzko,et al.  Metabolism of 13C-Labeled Linoleic Acid in Newborn Infants During the First Week of Life , 1999, Pediatric Research.

[50]  T. Clarkson,et al.  Intra-uterine methylmercury poisoning in Iraq. , 1974, Pediatrics.

[51]  J. Jacobson,et al.  Intellectual impairment in children exposed to polychlorinated biphenyls in utero. , 1996, The New England journal of medicine.

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

[53]  C. Gilmour,et al.  A Survey of Size-Specific Mercury Concentrations in Game Fish from Maryland Fresh and Estuarine Waters , 2000, Archives of environmental contamination and toxicology.

[54]  P J Landrigan,et al.  Health costs of occupational disease in New York State. , 1989, American journal of industrial medicine.

[55]  R. Nevin How lead exposure relates to temporal changes in IQ, violent crime, and unwed pregnancy. , 2000, Environmental research.

[56]  L. Burd,et al.  Cost of fetal alcohol spectrum disorders , 2004, American journal of medical genetics. Part C, Seminars in medical genetics.

[57]  Indran Amirthanayagam,et al.  Lead , 2006, Pediatric Environmental Health.

[58]  J. Martin,et al.  Births: final data for 2000. , 2002, National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

[59]  P. Kennedy,et al.  Physical and mental development of children with prenatal exposure to mercury from fish. Stage 1: Preliminary tests at age 4 , 1986 .

[60]  E. N. Lawrence Clean Air Act , 1971, Nature.

[61]  R. Dietz,et al.  Comparison of contaminants from different trophic levels and ecosystems. , 2000, The Science of the total environment.

[62]  J. B. Sullivan,et al.  Hazardous Materials Toxicology: Clinical Principles of Environmental Health , 1992, Annals of Internal Medicine.

[63]  Lawrence J Appel,et al.  Fish consumption, fish oil, omega-3 fatty acids, and cardiovascular disease. , 2002, Arteriosclerosis, thrombosis, and vascular biology.

[64]  Philip J Landrigan,et al.  Environmental pollutants and disease in American children: estimates of morbidity, mortality, and costs for lead poisoning, asthma, cancer, and developmental disabilities. , 2002, Environmental health perspectives.

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

[66]  P. Kennedy,et al.  Physical and mental development of children with prenatal exposure to mercury from fish. Stage 2. Interviews and psychological tests at age 6. , 1990 .

[67]  J. Guimarães,et al.  Methyl Mercury Production and Distribution in River Water-Sediment Systems Investigated Through Radiochemical Techniques , 2000 .

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

[69]  S. Fienberg,et al.  Bone lead levels in adjudicated delinquents. A case control study. , 2002, Neurotoxicology and teratology.

[70]  Philip J. Landrigan,et al.  Costs of Occupational Injuries and Illnesses , 2000 .

[71]  P. Stretesky,et al.  The relationship between lead exposure and homicide. , 2001, Archives of pediatrics & adolescent medicine.

[72]  U. Fish Fisheries of the United States , 1959 .