IPCS INCHEM Home



    INTERNATIONAL PROGRAMME ON CHEMICAL SAFETY



    ENVIRONMENTAL HEALTH CRITERIA 1





    MERCURY









    This report contains the collective views of an international
    group of experts and does not necessarily represent the
    decisions or the stated policy of either the World Health
    Organization or the United Nations Environment Programme

    Published under the joint sponsorship of
    the United Nations Environment Programme
    and the World Health Organization

    World Health Organization Geneva, 1976

    ISBN 92 4 154061 3

    (c) World Health Organization 1976

        Publications of the World Health Organization enjoy copyright
    protection in accordance with the provisions of Protocol 2 of the
    Universal Copyright Convention. For rights of reproduction or
    translation of WHO publications, in part or  in toto, application
    should be made to the Office of Publications, World Health
    Organization, Geneva, Switzerland. The World Health Organization
    welcomes such applications.

        The designations employed and the presentation of the material in
    this publication do not imply the expression of any opinion whatsoever
    on the part of the Secretariat of the World Health Organization
    concerning the legal status of any country, territory, city or area or
    of its authorities, or concerning the delimitation of its frontiers or
    boundaries.

        The mention of specific companies or of certain manufacturers'
    products does not imply that they are endorsed or recommended by the
    World Health Organization in preference to others of a similar nature
    that are not mentioned. Errors and omissions excepted, the names of
    proprietary products are distinguished by initial capital letters.


    CONTENTS

    BACKGROUND AND PURPOSE OF THE WHO ENVIRONMENTAL HEALTH
    CRITERIA PROGRAMME

    ENVIRONMENTAL HEALTH CRITERIA FOR MERCURY

    1. SUMMARY AND RECOMMENDATIONS FOR FURTHER RESEARCH
         1.1. Some definitions
         1.2. Summary
               1.2.1. Analytical methods
               1.2.2. Sources of environmental pollution
               1.2.3. Environmental distribution and transport
               1.2.4. Environmental exposure levels
               1.2.5. Metabolism of mercury
               1.2.6. Experimental studies on the effects of mercury
               1.2.7. Epidemiological and clinical studies
               1.2.8. Evaluation of health risks to man and guidelines
                       for health protection
         1.3. Recommendations for further research
               1.3.1. Environmental sources and pathways of mercury
                       intake
               1.3.2. Metabolic models in man
               1.3.3. Epidemiological studies
               1.3.4. Interaction of mercury with other environmental
                       factors
               1.3.5. Biochemical and physiological mechanisms of
                       toxicity

    2. PROPERTIES AND ANALYTICAL METHODS
         2.1. Chemical and physical properties
         2.2. Purity of compounds
         2.3. Sampling and analysis
               2.3.1. Sample collection
               2.3.2. Analytical methods
               2.3.3. Analysis of alkyl mercury compounds in the presence
                       of inorganic mercury

    3. SOURCES OF ENVIRONMENTAL POLLUTION
         3.1. Natural occurrence
         3.2. Industrial production
         3.3. Uses of mercury
         3.4. Contamination by fossil fuels, waste disposal, and
               miscellaneous industries.

    4. ENVIRONMENTAL TRANSPORT, DISTRIBUTION, AND TRANSFORMATION
         4.1. Distribution between media -- the global mercury cycle
         4.2. Environmental transformation -- the local mercury cycle
         4.3. Interaction with physical or chemical factors
         4.4. Bioconcentration

    5. ENVIRONMENTAL LEVELS AND EXPOSURES
         5.1. Levels in air, water, and food
         5.2. Occupational exposures
         5.3. Estimate of effective human exposure

    6. METABOLISM OF MERCURY
         6.1. Uptake
               6.1.1. Uptake by inhalation
               6.1.2. Uptake by ingestion
               6.1.3. Absorption through skin
         6.2. Distribution in organisms
         6.3. Elimination in urine and faeces
         6.4. Transplacental transfer and secretion in milk
         6.5. Metabolic transformation and rate of elimination
         6.6. Accumulation of mercury and biological half-time (metabolic
               model)
         6.7. Individual variations -- strain and species comparisons

    7. EXPERIMENTAL STUDIES ON THE EFFECTS OF MERCURY
         7.1. Experimental animal studies
               7.1.1. Acute studies
               7.1.2. Subacute and chronic studies
                       7.1.2.1   Reversible damage
                       7.1.2.2   Irreversible damage
                       7.1.2.3   Interactions with physical and chemical
                                 factors
               7.1.3. Biochemical and physiological mechanisms of
                       toxicity

    8. EFFECTS OF MERCURY ON MAN -- EPIDEMIOLOGICAL AND CLINICAL STUDIES
         8.1. Epidemiological studies
               8.1.1. Occupational exposure to mercury vapour,
                       alkylmercury vapour and other exposures
               8.1.2. General population
               8.1.3. Children and infants with in utero exposure
         8.2. Clinical studies of effects of mercury binding compounds
         8.3. Pathological findings and progression of disease
               8.3.1. Psychiatric and neurological disturbances
               8.3.2. Eye and visual effects
               8.3.3. Kidney damage
               8.3.4. Skin and mucous membrane changes

    9. EVALUATION OF HEALTH RISKS TO MAN FROM EXPOSURE TO MERCURY
         AND ITS COMPOUNDS
         9.1. General considerations
               9.1.1. Elemental mercury vapour
               9.1.2. Methylmercury compounds
               9.1.3. Ethylmercury compounds and other short-chain
                       alkylmercurials
               9.1.4. Inorganic mercury, aryl- and alkoxyalkylmercurials
         9.2. Summary and guidelines

    REFERENCES
    

    BACKGROUND AND PURPOSE OF THE WHO ENVIRONMENTAL HEALTH
    CRITERIA PROGRAMMEa

    ORIGIN AND OBJECTIVES OF THE PROGRAMME

        During the last two decades, evaluation of the health hazards from
    chemical and other environmental agents has received considerable
    attention in several WHO programmes. High priority was given to
    drinking water quality (1), food additives (2), and pesticide residues
    (3), to occupational exposure (4), air quality in urban areas (5),
    and, more recently, to the carcinogenic risk of chemicals to man (6).

        In most instances, man's  total exposure to a given agent, from
    different media or conditions (air, water, food, work, home), was not
    considered. The inadequacy of this approach is obvious for pollutants
    that may reach man by several pathways, as is the case with lead,
    cadmium, and some other metals, and certain persistent organic
    compounds. In response to a number of World Health Assembly
    resolutions (WHA23.60, WHA24.47, WHA25.58, WHA26.68) and taking into
    consideration the relevant recommendations of the United Nations
    Conference on the Human Environment (7) held at Stockholm in 1972, and
    of the Governing Council of the United Nations Environment Programme
    (UNEP) (8), an integrated and expanded programme on the assessment of
    health effects of environmental conditions was initiated in 1973 under
    the title of: WHO Environmental Health Criteria Programme, with the
    following objectives:

    (i)     to assess existing information on the relationship between
            exposure to environmental pollutants (or other physical and
            chemical factors) and man's health, and to provide guidelines
            for setting exposure limits consistent with health protection,
            i.e., to compile environmental health criteria documents;

    (ii)    to identify new or potential pollutants by preparing
            preliminary reviews on the health effects of agents likely to
            be increasingly used in industry, agriculture, in the home or
            elsewhere.

    (iii)   to identify gaps in knowledge concerning the health effects of
            recognized or potential pollutants or other environmental
            factors, to stimulate and promote research in areas where
            information is inadequate, and

    (iv)    to promote the harmonization of toxicological and
            epidemiological methods in order to obtain research results
            that are internationally comparable.

                 

    a Prepared by the WHO Secretariat. References are listed on page 14.

        The general framework of the Environmental Health Criteria
    Programme was formulated by a WHO meeting held in November 1972 (9),
    and further elaborated by a WHO Scientific Group that met in April
    1973 (10).

    DEFINITIONS, TERMINOLOGY, AND UNITS

    Terminology

        In the framework of the WHO Environmental Health Criteria
    Programme, it is understood that the term "criteria" designates the
    relationship between exposure to a pollutant or other factor and the
    risk or magnitude of undesirable effects under specified circumstances
    defined by environmental and target variables (9). This corresponds to
    the definition proposed by the Preparatory Committee for the United
    Nations Conference on the Human Environment (11). Other Preparatory
    Committee definitions of immediate interest to the criteria programme
    are:

    --  " exposure: the amount of a particular physical or chemical agent
        that reaches the target";

    --  " target (or receptor): the organism, population, or resource to
        be protected from specific risks";

    --  " risk: the expected frequency of undesirable effects arising
        from a given exposure to a pollutant".

    The WHO Scientific Group on Environmental Health Criteria (10)
    accepted these definitions for the purposes of its discussions, but
    felt that they were not altogether satisfactory, and recommended that
    WHO, in collaboration with other international organizations, should
    reconsider them, along with other necessary definitions, at an
    appropriate international meeting. In accordance with this
    recommendation, the WHO Secretariat is preparing a list of basic terms
    to be used in the Environmental Health Criteria Programme that will be
    submitted to the national institutions and other international
    organizations for discussion.

        The Scientific Group (10) found the definition of "exposure"
    particularly inadequate and considered that it should be expanded to
    include the concepts of concentration and length of exposure in
    addition to the amount of the agent.

        The WHO Secretariat considers it useful to attach specific
    meanings to the terms "effect", "response" and "dose" as was done by
    the Subcommittee on the Toxicology of Metals of the Permanent
    Commission and International Association on Occupational Health at the
    Tokyo meeting (12). These terms will be used in the following sense
    unless indicated differently in specific criteria documents:

    -- " effect: a biological change caused by (or associated with)a an
    exposure";

    -- " response: the proportion of a population that demonstrates a
    specific effect";

    -- " dose: the amount or concentration of a given chemical at the
    site of the effect".

        The concept of "response" as defined above is generally accepted
    but the terminology used to describe this concept varies widely. Many
    toxicologists use the terms "effect" and "response" interchangeably to
    denote a specific biological change associated with exposure, whereas
    different terms are used to indicate the proportion of a population
    affected (e.g., incidence, cumulative response frequency, response
    rate, etc.).

        There is no general agreement as to the use of the term "dose" for
    chemical agents. Its common usage is to express the amount of
    substance administered, for instance, to an experimental animal (e.g.,
    oral dose, injected dose, etc.). In most cases, the amount or
    concentration of a given agent at the site where its presence induces
    a given effect cannot be determined by direct measurement and has to
    be estimated from experimental, occupational, or general environmental
    exposure, or from measurements in biological indicator media such as
    blood, urine, faeces, sweat, or hair (12). To avoid misunderstanding,
    it is, therefore, necessary in each case to make as clear as possible
    the way in which the "dose" is measured or estimated, including the
    units used.

        Because of the existing differences in the use of terms, no
    attempt has been made at this stage to impose a uniform terminology in
    all criteria documents. Until an internationally agreed terminology
    becomes available, the task groups on specific criteria documents are
    given freedom to choose their terminology, provided the terms are
    defined and used consistently throughout the document under
    consideration.

                 

    a Added by the WHO Secretariat.

    Units

        An attempt has been made to express all numerical values in a
    uniform fashion, for instance, the concentrations are always expressed
    as mass concentrations in units acceptable to the SI system (e.g.
    mg/litre or mg/kg) (13). Some departures from this are made where the
    introduction of new units would cause confusion, e.g., lead in blood
    is expressed in µg/100 ml and not in µg/litre.

    Priorities

        Considering the large number of environmental agents and factors
    that may adversely influence human health, a practical programme for
    the preparation of criteria documents must be based on clearly defined
    priorities. The list of priorities has been established by a WHO
    Scientific Group (10), and is based on the following considerations:

    --  " Severity and frequency of observed or suspected adverse effects
         on human health. Of importance are irreversible or chronic
        effects, such as genetic, neurotoxic, carcinogenic, and
        embryotoxic effects including teratogenicity. Continuous or
        repeated exposures generally merit a higher priority than isolated
        or accidental exposures.

    --   Ubiquity and abundance of the agent in man's environment. Of
        special concern are inadvertently produced agents, the levels of
        which may be expected to increase rapidly, and agents that add to
        a natural hazard.

    --   Persistence in the environment. Pollutants that resist
        environmental degradation and accumulate, in man, in the
        environment, or in food chains, deserve attention.

    --   Environmental transformations or metabolic alterations. Since
        these alterations may lead to the production of chemicals that
        have greater toxic potential, it may be more important to
        ascertain the distribution of the derivatives than that of the
        original pollutant.

    --   Population exposed. Attention should be paid to exposures
        involving a large portion of the general population, or
        occupational groups, and to selective exposures of highly
        vulnerable groups represented by pregnant women, the newborn,
        children, the infirm or the aged."

        The full list contains some 70 chemicals and physical hazards, and
    it will be periodically reviewed. In preparing this list, it was
    realized that each country must assess environmental health problems
    in the light of its own national situation and establish its own
    priorities, which may not have been covered by this list.

    SCOPE AND CONTENT OF ENVIRONMENTAL HEALTH CRITERIA DOCUMENTS

    Scope

        As stated on page 5, the purpose of the criteria documents is to
    compile, review, and evaluate available information on the biological
    effects of pollutants and other environmental factors that may
    influence man's health, and to provide a scientific basis for
    decisions aimed at protecting man from the adverse consequences of
    exposure to such environmental factors, both in the occupational and
    general environment. Although attainment of this objective entails
    consideration of a wide range of data, no attempt is made to include
    in the documents an exhaustive review of all published information on
    the environmental and health aspects of specific agents. In the
    process of collecting the required information, the available
    literature has been carefully evaluated and selected as to its
    validity and its relevance to the assessment of human exposure, to the
    understanding of the mechanism of biological effects, and to the
    establishment of dose-effect and dose-response relationships.
    Environmental considerations are limited to information that can help
    in understanding the pathways leading from the natural and man-made
    sources of pollutants to man. Non-human targets (e.g., plants,
    animals) are not considered unless the effects of their contamination
    are judged to be of direct relevance to human health. For similar
    reasons much of the published information on the effects of chemicals
    on experimental animals has been omitted.

    Content

        The criteria documents consist of three parts:

    (i)     A summary, which highlights the major issues, followed by
            recommendations for research to fill existing gaps in
            knowledge;

    (ii)    The bulk of the report, which contains the findings on which
            the evaluation of the health risks is based. This part has a
            similar structure in all the criteria documents on chemical
            agents and contains the following chapters: chemical and
            physical properties and analytical methods; sources of
            environmental pollution; environmental transport, distribution
            and transformation; metabolism; experimental studies of
            effects; and epidemiological and clinical studies of the
            effects. The subdivision of these chapters differs from
            document to document.

    (iii)   Evaluation of health risks to man from exposure to the
            specific agent. This part of the criteria document states the
            considered opinion of the task group, which examined the
            findings contained in the second part (see (ii) above), and
            typically contains the following sections: relative
            contributions to the total dose from air, food, water, and
            other exposures; dose-effect relationships; dose-response
            relationships and, whenever possible, guidelines on exposure
            or dose limits.

    Chemical and physical data

        The chemical and physical data included in the criteria documents
    are limited to the properties that are considered relevant to the
    assessment of exposure and to the understanding of the effects. Where
    applicable, the impurities that may occur in commercial products are
    examined. Analytical techniques are discussed only to the extent
    needed to understand and evaluate data on levels in the environment
    and biological samples. The methods described should not be considered
    as recommended procedures. Where feasible, information is included on
    the applicability of a given method for the analysis of different
    types of sample, on detection limits, precision, and accuracy. The
    detection limit represents the smallest total amount the method is
    able to determine. In most cases, the amount of sample is limited so
    that it is useful in practice to express the smallest concentration
    that can be determined by that method. Precision of a method is
    defined in terms of the standard deviation or the coefficient of
    variation of a number of analyses made on the sample. Accuracy denotes
    systematic deviation of the measured values from the true value. It is
    impossible to ascertain the accuracy with absolute certainty; the
    evidence for the accuracy of a method is often circumstantial and is
    based either on inter-laboratory data-quality control studies or on
    the agreement of results obtained with procedures using different
    approaches. The results of one "accurate" procedure should agree with
    those of another "accurate" procedure for a given set of samples.

    Production, use, and environmental levels

        Data on the production, use, and levels in the environment of
    pollutants are reported only to illustrate the magnitude and extent of
    the problem and are not meant to represent an exhaustive and critical
    review. It is hoped that, in the future, better data will be available
    and that closer collaboration will be established with other
    governmental and non-governmental organizations qualified to supply
    such information.

    Biological data

        Although every effort is made to review the whole literature, it
    is possible that some publications have been overlooked. Some studies
    have purposely been omitted because the information contained therein
    was not considered valid or relevant to the scope of the criteria
    documents, or because they only confirmed findings already described.
    In general, the information is summarized as given by the author;
    however, certain shortcomings of reporting or of experimental design
    are also pointed out. The data on carcinogenicity have been examined
    and evaluated in consultation with the International Agency for
    Research on Cancer.

        Whenever possible, the dose-effect and the dose-response
    relationships reported in the criteria documents are based on
    epidemiological and other human studies, and animal data are used, in
    general, as supporting evidence.

    ARRANGEMENTS FOR THE PREPARATION OF CRITERIA DOCUMENTS

        In order to obtain balanced and unbiased information, the
    collection and evaluation of information is done in close
    collaboration with national scientific and health institutions. About
    20 Member States of WHO have designated national focal points for
    collaboration in the WHO Environmental Health Criteria Programme.
    Without this collaboration no progress could have been made in its
    implementation.

        In addition, a number of WHO collaborating centres on
    environmental health effects have been designated to extend and
    complement the expertise available in the WHO Secretariat.

        Two procedures have been used in preparing the criteria documents.
    One is based on the consolidation of national contributions and the
    other on a draft criteria document prepared by consultants or the
    collaborating centres in association with the Secretariat.

    Procedure based on national contributions

        Criteria documents are prepared in four stages: (1) the
    preparation of national contributions by focal points in the Member
    States reviewing all relevant research results obtained in these
    countries; (2) consolidation of the national contributions into a
    draft document, which is done on a contractual basis with individual
    experts or WHO collaborating centres; (3) the draft criteria documents
    are circulated to the national focal points for comments and
    additions, based on which a second draft is prepared, and (4) the
    second draft document is reviewed and the information assessed at a
    meeting of internationally recognized experts (the task group
    meetings).

        National contributions to the criteria documents consist of a
    review of data on health effects of environmental agents, as revealed
    by experimental, clinical, and epidemiological studies, and of other
    relevant information on research carried out in each country and
    published in scientific journals or official publications. In order to
    facilitate the integration of national contributions into draft
    criteria documents, detailed outlines are prepared for each
    environmental agent considered, and the national focal points are
    requested to follow these outlines as closely as possible and to
    attach all publications referred to in the review in the form of
    reprints or microfiches.

    Procedure for drafts prepared by the Secretariat

        With the exception of steps 1 and 2 (which are replaced by the
    preparation of a draft criteria document by individual experts or WHO
    collaborating centres), the procedure is the same as described above.
    This procedure is applied in cases where much preparatory work has
    been done in Member States and where criteria-like documents (WHO or
    national) already exist.

    Task group meetings

        The task group meetings that are convened to complete the criteria
    documents have the following terms of reference:

    (i)     to verify, as far as possible, that all available data have
            been collected and examined;

    (ii)    to select those data relevant to the criteria documents;

    (iii)   to determine whether the data, as summarized in the draft
            criteria document, will enable the reader to make his own
            judgement concerning the adequacy of an experimental,
            epidemiological, or clinical study;

    (iv)    to judge the health significance of the information contained
            in the draft criteria document, and

    (v)     to make an evaluation of the dose-effect, dose-response
            relationships and of the health risks from exposure to the
            environmental agents under examination.

        Members of task groups serve in a personal capacity, as experts
    and not as representatives of their governments or of any organization
    with which they are affiliated. In addition to the first and second
    draft criteria documents, the members of the task group are requested
    to refer to the original publications whenever they deem that
    necessary, and to review national and other comments on the first
    draft criteria document to make sure that no significant information
    is omitted and that the final document properly reflects the work done
    in different countries.

    Collaboration with the United Nations Environment Programme (UNEP) and
    other international organizations

        The WHO Environmental Health Criteria Programme has received
    substantial financial assistance from UNEP which is acknowledged with
    appreciation. In addition, the programme has been planned from the
    outset in consultation with the UNEP Secretariat. The UNEP Secretariat
    receives all the drafts of criteria documents and their comments are
    carefully considered in the preparation of the final documents. UNEP
    is regularly invited to be represented at the task group meetings.

        The United Nations, their subsidiary bodies and specialized
    agencies, and the IAEA are as a rule invited to provide comments on
    the draft criteria documents and to participate in the task group
    meetings. The same applies to selected nongovernmental organizations
    in official relationship with WHO.

    Note to readers of the criteria documents

        While every effort has been made to present information in the
    criteria documents as accurately as possible without unduly delaying
    their publication, mistakes might have occurred and are likely to
    occur in the future. In the interest of all users of the environmental
    health criteria documents, readers are kindly requested to communicate
    any errors found to the Division of Environmental Health, World Health
    Organization, Geneva, Switzerland, in order that they may be included
    in corrigenda which will appear in subsequent volumes.

        In addition, experts in any particular field dealt with in the
    criteria documents are kindly requested to make available to the WHO
    Secretariat any important published information that may have
    inadvertently been omitted and which may change the evaluation of
    health risks from exposure to the environmental agent under
    examination, so that the information may be considered in the event of
    updating and re-evaluation of the conclusions contained in the
    criteria documents.

    REFERENCES

    1.   International Standards for Drinking Water, third edition,
            Geneva, World Health Organization, 1971.

    2.  WHO Technical Report Series, Nos: 129 (1957), 228 (1962), 281
            (1964), 309 (1965), 339 (1966), 373 (1967), 383 (1968), 430
            (1969), 445 (1970), 462 (1971), 488 (1972), 505 (1972), 539
            (1974).

    3.  WHO Technical Report Series, Nos: 370 (1967), 391 (1968), 417
            (1969), 458 (1970), 474 (1971), 502 (1972), 525 (1973), 545
            (1974), 574 (1975), 592 (1976).

    4.  WHO Technical Report Series, No.: 415 (1969).

    5.  WHO Technical Report Series, No.: 506 (1972).

    6.  INTERNATIONAL AGENCY FOR RESEARCH ON CANCER.  IARC Monographs on
             the Evaluation of Carcinogenic Risk of Chemicals to Man,
            Vol. 1-11 (1972-76).

    7.  UNITED NATIONS GENERAL ASSEMBLY.  Report of the United Nations
             Conference on the Human Environment held at Stockholm, 5-16
            June 1972 A/CONF.48/14, 3 July 1972.

    8.  UNITED NATIONS ENVIRONMENT PROGRAMME.  Report of the Governing
             Council of the United Nations Environment Programme (First
             session) UNEP/GC/10, 3 July 1973.

    9.   The WHO Environmental Health Criteria Programme (unpublished
            WHO document EP/73.1).

    10.  Environmental Health Criteria. Report of a WHO Scientific Group
            (unpublished WHO document EP/73.2).

    11. UNITED NATIONS GENERAL ASSEMBLY.  Report of the Preparatory
             Committee for the United Nations Conference on the Human
             Environment on its Third Session. United Nations document
            A/CONF.48/PC/13, 30 September 1971.

    12. NORDBERG, G. F., ed.  Effects and dose-response relationships of
             toxic metals, Proceedings from an international meeting
             organized by the Sub-committee on the Toxicology of Metals
             of the Permanent Commission and International Associations
             on Occupational Health, Tokyo, 18-23 November 1974.
            Amsterdam, Oxford, New York, Elsevier Scientific Publishing
            Company, 1976.

    13. LOWE, D. A.  A guide to international recommendations on names and
             symbols for quantities and on units of measurement. Geneva,
            World Health Organization, 1975, 314pp.  (Progress in
             Standardization No. 2.)


    WHO TASK GROUP ON ENVIRONMENTAL HEALTH CRITERIA FOR MERCURY

     Geneva 4-10 February 1975

    Participants:

     Members

        Professor T. Beritic, Institute for Medical Research and
            Occupational Medicine, Zagreb, Yugoslavia

        Dr H. Blumenthal, Division of Toxicology, Bureau of Foods, Food
            and Drug Administration, Department of Health, Education and
            Welfare, Washington, DC, USA  (Rapporteur)

        Dr J. Bouquiaux, Department of the Environment, Institute of
            Hygiene and Epidemiology, Brussels, Belgium

        Dr G. J. van Esch, Laboratory for Toxicology, National Institute
            of Public Health, Bilthoven, Netherlands

        Professor L. Friberg, Department of Environmental Hygiene,
            Karolinska Institute, Stockholm, Sweden  (Chairman)

        Professor G. L. Gatti, Istituto Superio di Sanità, Rome, Italy

        Dr L. Magos, Toxicology Research Unit, Medical Research Council
            Laboratories, Carshalton, Surrey, England

        Dr J. Parizek, Institute of Physiology, Czechoslovak Academy of
            Sciences, Prague, Czechoslovakia

        Dr J. K. Piotrowski, Department of Biochemistry, Institute of
            Environmental Research, Medical Academy in Lodz, Lodz, Poland
             (Vice-Chairman)

        Dr E. Samuel, Health Protection Branch, Department of National
            Health and Welfare, Ottawa, Ontario, Canada

        Dr S. Skerfving, Department of Internal Medicine, University
            Hospital, Lund, Sweden

        Dr T. Tsubaki, Brain Research Insitiute, Niigata University,
            Niigata, Japan

        Professor H. Valentin, Institute for Occupational and Social
            Medicine, Erlangen, Federal Republic of Germany

     Representatives from other organizations

        Dr A. Berlin, Health Protection Directorate, Commission of the
            European Communities, Luxembourg

        Dr D. Djordjevic, Occupational Health and Safety Branch, ILO,
            Geneva, Switzerland

        Dr W. J. Hunter, Commission of the European Communities,
            Luxembourg

        G. D. Kapsiotis, Senior Officer, Food Policy and Nutrition
            Division, FAO, Rome, Italy

        Dr E. Mastromatteo, Chief, Occupational Health and Safety Branch,
            ILO, Geneva, Switzerland

     Secretariat

        Dr T. Clarkson, University Center in Environmental Health
            Sciences, The University of Rochester, School of Medicine and
            Dentistry, Rochester NY, USA  (Temporary Adviser)

        Dr F. C. Lu, Chief, Food Additives, WHO, Geneva, Switzerland
             (Secretary)

        Dr B. Marschall, Medical Officer, Occupational Health, WHO,
            Geneva, Switzerland

    ENVIRONMENTAL HEALTH CRITERIA FOR MERCURY

        A WHO Task Group on Environmental Health Criteria for Mercury met
    in Geneva from 4-10 February 1975. Dr B. H. Dietrich, Director,
    Division of Environmental Health, opened the meeting on behalf of the
    Director-General. The Task Group reviewed and amended the second draft
    criteria document and made an evaluation of health risks from exposure
    to mercury and its compounds. The revised draft was sent for comments
    to all members of the Task Group.

        A group of WHO temporary advisers (Dr T. Clarkson, Dr L. Friberg,
    Dr A. Jernelöv,a Dr L. Magos, and Dr G. Nordbergb) assisted the
    Secretariat in the final scientific editing of the document. They met
    in Geneva on 13 and 14 November 1975.

        The first and second draft criteria documents were prepared by
    Dr T. Clarkson, Environmental Health Sciences Centre, the University
    of Rochester School of Medicine and Dentistry, Rochester, New York,
    USA. The comments on which the second draft was based were received
    from the national focal points for the WHO Environmental Health
    Criteria Programme in Bulgaria, Czechoslovakia, the Federal Republic
    of Germany, Italy, Japan, the Netherlands, New Zealand, Poland,
    Sweden, the USA, and the USSR; and from the United Nations
    Industrial Development Organization (UNIDO), Vienna, and the United
    Nations Scientific, Educational and Cultural Organization (UNESCO),
    Paris. Comments from the International Labour Organisation, Geneva,
    the United Nations Food and Agriculture Organization, Rome, and the
    Commission of the European Communities Health Protection Directorate,
    Luxembourg, were submitted at the task group meeting.

        Comments were also received, at the request of the Secretariat,
    from Dr L. Amin-Zaki, Iraq, Dr G. J. van Esch, Netherlands, Dr K.
    Kojima, Japan, and Dr S. I. Shibko, USA.

        The collaboration of these national institutions, international
    organizations, WHO collaborating centres and individual experts is
    gratefully acknowledged. Without their assistance the document could
    not have been completed. The Secretariat wishes to thank in particular
    Dr T. Clarkson for his help in all phases of the preparation of the
    document.

                 

    a Institute for Water and Air Pollution Research, Stockholm, Sweden.

    b Department of Environmental Hygiene, Karolinska Institute,
      Stockholm, Sweden.

        This document is based primarily on original publications listed
    in the reference section. However, several recent publications broadly
    reviewing health aspects of mercury and its compounds have also been
    used. These include reviews by the Swedish Expert Group (1971).,
    Hartung & Dinman (1972), IAEA (1972), and Wallace et al. (1971).
    Reviews devoted primarily to the biological effects of mercury have
    been published by Clarkson (1972a, 1972b) and Miller & Clarkson
    (1973). Furthermore, several recent symposia have provided extensive
    reviews of the environmental aspects of mercury (Bouquiaux, 1974;
    D'Itri, 1972; Krenkel, 1975). A systematic review of various
    environmental health aspects of mercury, including a broad review of
    the accessible literature up to 1971, has been presented by Friberg &
    Vostal (1972).

    1.  SUMMARY AND RECOMMENDATIONS FOR FURTHER RESEARCH

    1.1  Some definitions

        In order to clarify the meaning of certain terms used in the
    document, some definitions are given below. However, it should be
    noted that these definitions have not been formally adopted by WHO.

        The terms  critical effects, critical organ, and  critical organ
     concentration have recently been defined by the Sub-Committee on
    Toxicology of Metals of the Permanent Commission and International
    Association of Occupational Health (Nordberg, 1976). The term
    "critical" as defined by the Committee differs from its usual meaning
    in clinical medicine, where it refers to a situation in which the
    patient's condition may deteriorate suddenly and dramatically. It also
    differs in meaning from that used in the field of radiation
    protection, where the "critical" organ is defined as the organ of the
    body whose damage by radiation results in the greatest injury to the
    individual. In this document, the term "critical" does not refer to a
    life-threatening situation, but to a key decision point for taking
    preventive action. For example, at some point in the dose-effect
    relationship, a critical effect can be identified. The appearance of
    an effect in an individual signals the point at which measures should
    be taken to reduce or prevent further exposure.

    1.2  Summary

    1.2.1  Analytical methods

        The method of choice for determining total mercury in
    environmental and biological samples is flameless atomic absorption.
    The technique is rapid and sensitive and the procedure is technically
    simple. Neutron activation is now principally used as a reference
    method against which the accuracy of atomic absorption procedures may
    be checked. Gas-liquid chromatography combined with an
    electron-capture detector is the most widely used method for
    identifying methylmercury in the presence of other compounds of
    mercury.

        The methods of sampling require careful consideration of the type
    of exposure to be monitored and the material to be analysed. Errors
    arising in collection, storage, and transportation of samples may be
    as important as instrument errors in contributing to the total error
    in the measurement of mercury in the sample. These include
    contamination of the sample, and the loss of mercury by adsorption on
    the walls of the container, and by volatilization. In estimating human
    exposure, special care should be taken to see that the sample is truly
    representative, e.g. the mercury vapour concentration in the breathing
    zone and the concentration of methylmercury in the daily diet.

    1.2.2  Sources of environmental pollution

        The major source of mercury is the natural degassing of the
    earth's crust and amounts to between 25 000 and 125 000 tonnes per
    year. Anthropogenic sources are probably less than natural sources.
    World production of mercury by mining and smelting was estimated at
    10 000 tonnes per year in 1973 and has been increasing by an annual
    rate of about 2%. The chloralkali, electrical equipment, and paint
    industries are the largest consumers of mercury, accounting for about
    55% of the total consumption. Mercury has a wide variety of other uses
    in industry, agriculture, military applications, medicine, and
    dentistry.

        Several of man's activities not directly related to mercury
    account for substantial releases into the environment. These include
    the burning of fossil fuel, the production of steel, cement, and
    phosphate, and the smelting of metals from their sulfide ores. It was
    extimated that the total anthropogenic release of mercury would amount
    to 20 000 tonnes per year in 1975.

    1.2.3  Environmental distribution and transport

        Two cycles are believed to be involved in the environmental
    transport and distribution of mercury. One is global in scope and
    involves the atmospheric circulation of elemental mercury vapour from
    sources on land to the oceans. However, the mercury content of the
    oceans is so large, at least seventy million tonnes, that the yearly
    increases in concentration due to deposition from the global cycle are
    not detectable.

        The other cycle is local in scope and depends upon the methylation
    of inorganic mercury mainly from anthropogenic sources. Many steps in
    this cycle are still poorly understood but it is believed to involve
    the atmospheric circulation of dimethylmercury formed by bacterial
    action.

        The methylation of inorganic mercury in the sediment of lakes,
    rivers, and other waterways and in the oceans is a key step in the
    transport of mercury in aquatic food chains leading eventually to
    human consumption. Methylmercury accumulates in aquatic organisms
    according to the trophic level, the highest concentrations being found
    in the large carnivorous fish.

        Alkylmercury fungicides used as seed dressings are important
    original sources of mercury in terrestrial food chains. Mercury is
    passed first to seed eating rodents and birds and subsequently to
    carnivorous birds.

        Accumulation of methylmercury in aquatic and terrestrial food
    chains represents a potential hazard to man by consumption of certain
    species of oceanic fish, of fish or shellfish from contaminated
    waters, and of game birds in areas where methylmercury fungicides are
    used.

    1.2.4  Environmental exposure levels

        The concentration of mercury in the atmosphere is usually below
    50 ng/m3 and averages approximately 20 ng/m3. A concentration of
    50 ng/m3 would lead to a daily intake of about 1 µg. "Hot spots" near
    mines, smelting works, and refineries require further investigation
    but could lead to daily intakes as high as 30 µg. Daily intakes would
    be higher for occupational exposures to mercury vapour. An average
    mercury concentration in air of 0.05 mg/m3 would lead to an average
    daily intake via inhalation of about 480 µg. The highest occupational
    exposures usually occur in mining operations but over 50 specific
    occupations or trades involve frequent exposure to mercury vapour.

        Mercury in drinking water would contribute less than 0.4 µg to the
    total daily intake. Bodies of fresh water for which there is no
    independent evidence of contamination contain mercury at less than
    200 ng/litre. Oceanic mercury is usually less than 300 ng/litre.

        Food is the main source of mercury in nonoccupationally exposed
    populations, and fish and fish products account for most of the
    methyl-mercury in food. Mercury in food other than fish is usually
    present at concentrations below 60 µg/kg. Mercury is present in
    freshwater fish from uncontaminated waters at concentrations of
    between 100 and 200 µg/kg wet weight. In contaminated areas of
    freshwater, mercury levels between 500 and 700 µ/kg wet weight are
    often described and in some cases, concentrations are even higher.
    Most species of oceanic fish have mercury levels of about 150 µg/kg.
    However, the large carnivorous species (e.g. swordfish and tuna)
    usually fall in the range of 200-1500 µg/kg. With few exceptions
    methylmercury accounts for virtually all the mercury in both
    freshwater and marine fish.

        Intake of mercury from food is difficult to estimate with
    precision. Daily intake from food other than fish is estimated as 5 µg
    but the chemical form of mercury is not known. Most of the
    methylmercury in diet probably comes from fish and fish products. The
    median daily intake of methylmercury in Sweden has been estimated as
    5 µg. In most countries the daily intake is less than 20 µg but in
    subgroups in certain countries where there is an unusually high fish
    intake (dieters) the daily intake may rise to 75 µg and may even be as
    high as 200-300 µg (in coastal villages dependent on large oceanic
    fish as the main source of protein). In areas of high local pollution,
    daily intakes could be well in excess of 300 µg and these levels have
    led to two recorded outbreaks of methylmercury poisoning.

    1.2.5  Metabolism of mercury

        Approximately 80% of inhaled mercury vapour is retained.
    Information on pulmonary retention of other forms of mercury in man is
    lacking. Absorption of inorganic mercury compounds from foods is about
    7% of the ingested dose. In contrast, gastrointestinal absorption of
    methylmercury is practically complete. Little information is available
    on skin absorption although it is suspected that most forms of mercury
    can penetrate the skin to some extent. In the case of methylmercury,
    poisoning has resulted from skin application.

        Animal data indicate that the kidneys accumulate the highest
    tissue concentrations no matter what form of mercury is administered.
    The distribution of mercury between red cells and plasma depends upon
    the form of mercury. The red cell to plasma ratio is highest for
    methylmercury (approximately 10) and lowest for inorganic mercury
    (approximately 1) in man.

        The hair is a useful indicator medium for people exposed to
    methylmercury. The concentration of mercury in hair is proportional to
    the concentration in the blood at the time of formation of the hair.
    The relationship between hair and blood concentrations is not known
    for other forms of mercury.

        Most forms of mercury are predominantly eliminated with urine and
    faeces. In workers exposed over a long period to mercury vapour,
    urinary excretion slightly exceeds faecal elimination. On a group
    basis, mercury excretion in urine is proportional to the time-weighted
    average air concentration. Large individual fluctuations are common in
    daily mercury excretion in urine in people under the same exposure
    conditions.

        Faecal elimination accounted for approximately 90% of total
    mercury elimination in volunteers given a single dose of
    methylmercury. Urinary concentrations of total mercury do not
    correlate with blood levels after exposure to methylmercury.

        Animal data indicate that elemental mercury vapour rapidly crosses
    the placenta. The transplacental transfer of methylmercury compounds
    is well documented in man. The mercury concentrations in plasma in the
    mother and the newborn infant are similar but the concentration in the
    fetal red blood cells is approximately 30% higher than in those of the
    mother.

        Details on transmission into breast milk are available only for
    methylmercury. The concentration of mercury in breast milk is
    approximately 5% of the simultaneous mercury level in blood in the
    mother, and infants can accumulate dangerously high blood
    concentrations by suckling if their mothers are heavily exposed.

        Tracer studies in volunteers and in exposed populations have
    established the main features of the metabolic model for methylmercury
    in man. Clearance half-times from the whole body and from blood are
    about 70 days. Daily intakes of methylmercury will lead to a
    steady-state balance in about one year, when the body burden will be
    approximately one hundred times the daily intake. In steady-state, the
    numerical value of the concentration of mercury in whole blood in
    µg/litre is virtually equal to the numerical value of the daily intake
    in µg/day/70 kg body weight. Considerable individual variation around
    these average values has been noted, which must be taken into account
    in the estimation of risk in exposed populations.

        The metabolic models for other forms of mercury are less well
    developed.

    1.2.6  Experimental studies on the effects of mercury

        Reversible and irreversible toxic effects may be caused by mercury
    and its compounds, depending upon the dose and duration of exposure.
    Reversible behavioural changes may be produced in animals by exposure
    to mercury vapour.

        Methylmercury compounds produce irreversible neurological damage
    in animals. Many of the neurological signs seen in man have been
    reproduced in animals. Methylmercury is equally toxic to animals
    whether it is given in the pure chemical state or in fish where it has
    accumulated naturally. A latent period lasting weeks or months is
    observed between cessation of exposure and onset of poisoning.
    Morphological changes have been seen in the brain before onset of
    signs. This phenomenon has been referred to as "silent damage". Animal
    data support epidemiological evidence from Japan, that the fetus is
    more sensitive than the adult.

        Little is known about the physical and chemical factors affecting
    the toxicity of mercury. Selenium is believed to be protective against
    inorganic and methylmercury compounds.

    1.2.7  Epidemiological and clinical studies

        The classic symptoms of poisoning by mercury vapour are erethism
    (irritability, excitability, loss of memory, insomnia), intentional
    tremor, and gingivitis. Most effects of mercury vapour are reversible
    on cessation of exposure, although complete recovery from the
    psychological effects is difficult to determine. Recovery may be
    accelerated by treatment with penicillamine and unithiol
    (2,3,dimercaptopropansulfonate).

        Studies of occupational exposure to mercury vapour reveal that the
    classic symptoms of mercurialism do not occur below a time-weighted
    average mercury concentration in air of 0.1 mg/m3. Symptoms such as
    loss of appetite and psychological disturbance have been reported to
    occur at mercury levels below 0.1 mg/m3.

        The most common signs and symptoms of methylmercury poisoning are
    paraesthesia, constriction of the visual fields, impairment of
    hearing, and ataxia. The effects are usually irreversible but some
    improvement in motor coordination may occur. Complexing and chelating
    agents may be useful in prevention if given early enough after
    exposure but BAL is contraindicated in cases of methylmercury
    poisoning as it leads to increased brain levels of mercury.

        Epidemiological investigations have been made on populations in
    whom the intensity and duration of exposure to methylmercury through
    diet differs, for example, a population in Iraq having-high daily
    mercury intakes (as high as 200 µg/kg/day) for a brief period (about 2
    months), populations in Japan having lower daily intakes with exposure
    for several months or years, and several fish-eating populations
    having daily intakes of mercury usually below 5 µg/kg but with
    exposure lasting for the lifetime of the individual. The results of
    these studies indicate that the effects of methylmercury in adults
    become detectable in the most sensitive individuals at blood levels of
    mercury of 20-50 µg/100 ml, hair levels from 50-120 mg/kg, and body
    burdens between about 0.5 and 0.8 mg/kg body weight.

        Observations on the Minamata outbreak in Japan indicate that the
    fetus is more sensitive to methylmercury than the adult but the
    difference in degree of sensitivity has not yet been established.

    1.2.8  Evaluation of health risks to man from exposure to mercury
           and its compounds

        Adverse health effects have not yet been identified in workers
    occupationally exposed to a time-weighted average air concentration of
    mercuryof 0.05mg/m3. This air concentration is equivalent to an
    average mercury concentration in blood of 3.5 µ/100 ml and an average
    mercury concentration in urine of 150 µg/litre on a group basis. The
    corresponding ambient air concentration of mercury for exposure of the
    general population would be 0.015 mg/m3.

        It is estimated that the first effects associated with long-term
    daily intake of methylmercury should occur at intake levels between 3
    and 7 µg/kg/day. The probability of an effect (paraesthesia) at this
    intake level is about 5% or less in the general population. These
    figures apply only to adults. Prenatal life may be the most sensitive
    stage of the life cycle to methylmercury. Furthermore experiments on
    animals indicate a potential for genetic damage by methylmercury.

    1.3  Recommendations for Further Research

    1.3.1  Environmental sources and pathways of mercury intake

        More information is needed on the physical and chemical forms of
    mercury in air, food, and water. With the exception of fish tissue,
    little is known of the proportion of total mercury in the diet that is
    in the form of methylmercury.

        The concentration of mercury in the air in "hot spots" near points
    of industrial release is not yet adequately documented. The few
    reports reviewed in this criteria document indicate that people living
    near points of emission may receive substantial exposure to airborne
    mercury. Levels of mercury in the oceans are still inadequately
    documented. The pathways of methylation of mercury in the ocean and
    its uptake by fish of different trophic levels are poorly understood.

        Studies are needed to estimate quantitatively the dietary intake
    of methylmercury in populations dependent on fish for their main
    source of protein. Average dietary intakes for the populations of
    several industrialized countries have been reported. However, of much
    greater importance are the identification of those subgroups of the
    population having unusually high dietary intakes of methylmercury and
    the careful quantitative estimation of average daily intake in these
    groups.

    1.3.2  Metabolic models in man

        The kinetic parameters of uptake, distribution, and excretion of
    methylmercury in man are documented in much more detail than for other
    forms of mercury. However, questions still remain on the linearity of
    this metabolic model at high toxic doses of methylmercury.
    Specifically, the applicability of the metabolic model derived from
    human tracer-dose studies should be verified at higher dose levels.
    Information on this point would greatly facilitate the interpretation
    of results of epidemiological studies on heavily exposed populations.

        Recent findings of large individual variations in clearance
    half-times of methylmercury from blood are of considerable importance
    in the estimation of risks from long-term dietary intake. Further
    studies are needed to establish the statistical parameters of the
    distribution of individual clearance half-times, and on the biological
    mechanisms underlying these differences.

        A more complete metabolic model for inhaled mercury vapour in man
    is urgently needed. Despite the continuous occupational exposure of
    thousands of workers annually and the long history of man's exposure
    to this form of mercury, we still do not have sufficient information
    to relate mercury concentrations in air to accumulated body burdens
    and to identify the most appropriate indicator media for levels of
    mercury vapour in the target organ (the brain). Animal experiments
    have indicated the ability of the inhaled vapour to cross the
    placenta; no information is available on human subjects concerning
    this important question.

    1.3.3  Epidemiological studies

        Several types of epidemiological study are needed. Long-term
    studies on adults should concentrate on those areas of the
    dose-response relationship where the effects of methylmercury become
    just detectable. There are still uncertainties concerning the
    concentrations of total mercury in indicator media and the equivalent
    long-term daily intake of mercury as methylmercury associated with the
    earliest effects in the most sensitive group in the adult population.

        So far, dose-response relationships in human populations have been
    based on outbreaks of poisoning in which daily exposure was high and
    limited to months or a few years at the most. To extrapolate these
    relationships to the general population, more information is needed on
    the potential influence of long-term exposure.

        In addition to continuing studies on mature adults, groups of the
    population specially sensitive to methylmercury should be identified.
    Special studies should be made on the relationship between the dose
    received by the expectant mother and the effect on her infant
    including the development and growth of the child.

        Further epidemiological studies are needed on groups
    occupationally exposed to mercury vapour. Whenever possible,
    collaborative studies should be carried out in which cohorts should be
    followed in time and different groups related to each other.

    1.3.4  Interaction of mercury with other environmental factors

        The extrapolation to the general population of epidemiological
    data from outbreaks of methylmercury poisoning that have occurred in
    certain parts of the world is fraught with uncertainties, unless the
    possible interaction of local environmental factors can be taken into
    account. For example, the conditions under which selenium exerts
    antagonistic and synergistic effects and its mode of action should be
    studied. Alcohol influences the metabolism of mercury and may affect
    the toxicity of inhaled vapour in man. Genetic factors should also be
    considered. Acatalasaemic individuals may metabolize inhaled mercury
    vapour differently from normal individuals.

        Mercury, along with other heavy metals, has the potential to alter
    the activity of drug metabolizing enzymes. Studies should be made on
    these potential effects with special emphasis on those individuals
    carrying high body burdens of mercury.

    1.3.5  Biochemical and physiological mechanisms of toxicity

        Long-term investigations of the mode of toxic action of mercury
    and its compounds are needed to give an insight into the causes of
    individual differences in sensitivity to mercury and into differences
    in metabolism such as clearance half-times. Methylmercury is known to
    produce "silent damage" in that morphological changes can be seen in
    the brains of experimental animals before functional disturbances are
    detectable. Biochemical disturbances such as inhibition of protein
    synthesis precede overt signs of damage. There is a great need to
    develop sensitive biochemical and physiological tests, especially in
    the case of methylmercury poisoning.

        A deeper understanding of the toxic action of mercury should lead
    to the development of more effective means of treatment. Present
    methods depend mainly on prevention, using complexing and chelating
    agents to remove the metal from the body before serious damage has
    occurred.

    2.  PROPERTIES AND ANALYTICAL METHODS

    2.1  Chemical and Physical Properties

        Mercury can exist in a wide variety of physical and chemical
    states. This property presents special problems to those interested in
    assessing the possible risk to public health. The different chemical
    and physical forms of this element all have their intrinsic toxic
    properties and different applications in industry, agriculture, and
    medicine, and require a separate assessment of risk.

        The chemistry of mercury and its compounds has been outlined in
    several standard chemistry texts (Rochow et al., 1957; Gould, 1962;
    Cotton & Wilkinson, 1972). Mercury, along with cadmium and zinc, falls
    into Group IIb of the Periodic Table. In addition to its elemental
    state, mercury exists in the + 1 (mercury(I)) and +2 (mercury(II))
    states in which the mercury atom has lost one and two electrons,
    respectively. The chemical compounds of mercury(II) are much more
    numerous than those of mercury(I).

        In addition to simple salts, such as chloride, nitrate, and
    sulfate, mercury(II) forms an important class of organometallic
    compounds. These are characterized by the attachment of mercury to
    either one or two carbon atoms to form compounds of the type RHgX and
    RHgR' where R and R' represent the organic moiety. The most numerous
    are those of the type RHgX. X may be one of a variety of anions. The
    carbon-mercury bond is chemically stable. It is not split in water nor
    by weak acids or bases. The stability is not due to the high strength
    of the carbon-mercury bond (only 15-20 cal/mol and actually weaker
    than zinc and cadmium bonds) but to the very low affinity of mercury
    for oxygen. The organic moiety, R, takes a variety of forms, some of
    the most common being the alkyl, the phenyl, and the methoxyethyl
    radicals. If the anion X is nitrate or sulfate, the compound tends to
    be "salt like" having appreciable solubility in water; however, the
    chlorides are covalent non-polar compounds that are more soluble in
    organic solvents than in water. From the toxicological standpoint, the
    most important of these organometallic compounds is the subclass of
    short-chain alkylmercurials in which mercury is attached to the carbon
    atom of a methyl, ethyl, or propyl group.

        An expert committee, considering occupational hazards of mercury
    compounds, distinguished two major classes of mercury compounds --
    "organic" and "inorganic" (MAC Committee, 1969). Inorganic mercury
    compounds included the metallic form, the salts of mercury(I) and
    mercury(II) ions, and those complexes in which mercury(II) was
    reversibly bound to such tissue ligands as thiol groups and protein.
    Compounds in which mercury was directly linked to a carbon atom by a

    covalent bond were classified as organic mercury compounds. This
    distinction is of limited value because the toxic properties of
    elemental mercury vapour differ from those of the inorganic salts and,
    furthermore, the short-chain alkylmercurials differ dramatically from
    other mercurials that fall within the definition of organic mercury.
    From the standpoint of risk to human health, the most important forms
    of mercury are elemental mercury vapour and the short-chain
    alkylmercurials.

        Mercury in its metallic form is a liquid at room temperature. Its
    vapour pressure is sufficiently high to yield hazardous concentrations
    of vapour at temperatures normally encountered both indoors and
    outdoors under most climatic conditions. For example, at 24°C, a
    saturated atmosphere of mercury vapour would contain approximately
    18 mg/m3 -- a level of mercury 360 times greater than the average
    permissible concentration of 0.05 mg/m3 recommended for occupational
    exposure by the National Institutes of Safety and Health, USA (NIOSH,
    1973). Apart from the noble gases, mercury is the only element having
    a vapour which is monatomic at room temperature. However, little is
    known about the chemical and physical states of mercury found in the
    ambient air and in the air where occupational exposure occurs.

        Elemental mercury vapour is generally regarded as insoluble.
    Nevertheless, small amounts dissolved in water and other solvents are
    important from the toxicological point of view. At room temperatures,
    in air-free water, its solubility is approximately 20 µg/litre. In the
    presence of oxygen, metallic mercury is rapidly oxidized to the ionic
    form -- mercury(II) -- and may attain concentrations in water as high
    as 40 µg/litre.

        Calomel or mercury(I) chloride (Hg2Cl2) is the best known
    mercury(I) salt. Widely used in the first half of this century in
    teething powders and in anthelmintic preparations, the low toxicity of
    this compound is due principally to its very low solubility in water.
    Mercury(I) forms few complexes with biological molecules. However, in
    the presence of protein and other molecules containing SH groups, it
    gives one atom of metallic mercury and one mercury(II) ion. In
    general, an equilibrium is established between Hg0, Hg2++ and Hg++
    in aqueous solution. The distribution of mercury between the three
    oxidation states is determined by the redox (oxidation-reduction)
    potential of the solution and the concentration of halide, thiol, and
    other groups that form complexes with Hg++. The dissociation of
    mercury(I) chloride by thiol groups should be understood in this
    context. Extra halide and thiol compounds, added to solution, form
    complexes with mercury(II) ions and the mercury(I) chloride splits to
    restore the equilibrium between Hg0, Hg2++ and Hg++. The split
    results in the formation of one atom of mercury for every mercury(I)
    chloride molecule dissociated.

        The mercury(II) ion, Hg++, is able to form many stable complexes
    with biologically important molecules. Mercury(II) chloride (corrosive
    sublimate), a highly reactive compound, readily denatures proteins and
    was extensively used in the past century as a disinfectant. It is
    soluble in water and, in solution, forms four different complexes with
    chloride, HgCI+, HgCl2, HgCl3- and HgCl4=. It has been
    suggested that the negatively charged chlorine complexes are present
    in sea water (see section 5).

        Phenylmercury compounds have a low volatility. However, the halide
    salts of methyl-, ethyl-, and methoxyethylmercury can give rise, at
    20°C, to saturated mercury vapour concentrations of the order of 90,
    8, and 26 mg/m3, respectively (Swensson & Ulfvarsson, 1968). In the
    case of methylmercury this saturated vapour concentration is several
    orders of magnitude greater than the maximum allowable concentration
    in the working atmosphere. This hazardous property of the halide salts
    of the short-chain alkylmercurials is not always fully appreciated in
    industrial and agricultural use and even in research laboratories
    (Klein & Hermen, 1971). In contrast, methylmercury dicyandiamide,
    previously widely used as a fungicide, has a much lower vapour
    pressure, being 340 times less volatile than the chloride salt.

        Although the carbon-mercury bond is chemically stable, in the
    living animal, the bond is subject to cleavage (for review, see
    Clarkson, 1972a). The nature of the R radical is all important. If R
    is a phenyl or methoxyalkyl group, rapid breakdown occurs in animal
    tissues so that most of the organic compound has disappeared within a
    few days. Enzymes that break the carbon mercury bond have been
    discovered and isolated (Tonomura et al., 1968a, 1968b, 1968c). The
    short-chain alkylmercurials undergo the slowest breakdown  in vivo
    with methylmercury being the most stable. Differences in the stability
    of the carbon-mercury bond play an important role in determining the
    toxicity and mode of action in man. The rapid breakdown of phenyl- and
    methoxymercury results in toxic effects similar to those of inorganic
    mercury salts. The relative stability of the alkylmercurials is one
    important factor in their unique position with regard to toxicity and
    risks to human health.

        The organic and inorganic cations of mercury, in common with other
    heavy metal cations, will react reversibly with a variety of organic
    ligandsa found in biologically important molecules. The chemical
    affinity of mercury(II) and of its monovalent alkylmercury cations for
    a variety of biologically occurring ligands is so great that free
    mercury would be present  in vivo at concentrations so low as to be
    undetectable by present methods.

    2.2  Purity of Compounds

        Impurities in mercury and its compounds are not important in
    assessing the hazards to man. Those compounds of mercury used in
    industry and agriculture have impurities of less than 10%. Bakir et
    al. (1973) reported that a methylmercury fungicide responsible for an
    epidemic of poisoning in Iraq contained 10% or less of ethylmercury as
    an impurity. Inorganic mercury usually amounts to no more than 1% of
    the total mercury in organomercurial preparations and rarely exceeds
    5%.

        Impurities are of importance in the preparation of standard
    solutions for analytical procedures and in experimental research in
    animals where impurities in radioactive mercury may give misleading
    results. Preparations of methylmercury labelled with the isotope 203Hg
    are subject to radiolytic breakdown to inorganic compounds depending
    on the pH. This instability must be taken into account in the
    interpretation of some original reports in which the purity of the
    radioisotope was not checked properly.

    2.3  Sampling and Analysis

        Before reviewing various aspects of sample collection and analysis
    it may be worth taking an overview of the various sources of error in
    the determination of mercury content. Not only are there errors in the
    instrumental determination of mercury and in the laboratory
    procedures, but significant and often major errors occur during the
    collection, transportation, and storage of the samples. The accuracy
    of the determination of mercury in environmental samples should be
    assessed from this broad point of view. The error will be the sum of

                 

    a Ligands are chemical groups within a molecule that are capable of
      donating electrons to a metal cation to form a chemical bond.
      Examples of biologically important ligands are the carboxyl, and
      especially with regard to heavy metals, the sulfhydryl (SH)
      groups.

    the errors in collection, storage, transportation and, in the
    instrumental determination. It is of the greatest importance to
    determine the greatest source of error in each particular case. This,
    in itself, may lead to considerable improvement in the overall
    accuracy of the determination. For example, the introduction of a new
    and more sensitive instrumental technique may allow the collection of
    smaller samples and thus facilitate storage and transport. On the
    other hand, there is little value in proceeding further with
    improvements in instrumental measurements if major errors remain at
    the collection, storage, or transport stages.

    2.3.1  Sample collection

        Methods of sample collection for the determination of mercury in
    air have recently been reviewed (NIOSH, 1973). A recommended method
    for the determination of total mercury in air is presented.
    Essentially the method consists of using two bubblers in series,
    containing sulfuric acid and potassium permanganate. The mercury in
    these traps is subsequently determined by atomic absorption
    procedures. Problems of the determination of mercury in air are
    critically evaluated. Included in these problems is the fact that
    numerous chemical and physical forms of mercury may exist in air and
    that these are subject to interconversion. The volatility of mercury
    and its compounds is a special problem in the determination of mercury
    bound to particles. The separation of particulates from air, such as
    by filtration, may result in the loss of mercury by volatilization
    from the particulate. Published methods of sample collection consist
    of removal of mercury from the air by passing it through scrubbing
    devices, or direct collection of the air sample, for example in a
    plastic bag or syringe. The scrubbing device may take the form of
    bubblers, filters, absorbants, or amalgam collectors. Unfortunately
    many of the published procedures do not report collection efficiency.
    Attention is drawn to the importance of the use of standard dust
    chambers to check the efficiency of absorption.

        The procedure recommended by NIOSH (1973) has a collection
    efficiency for total mercury of more than 90%, when mercury is in the
    form of elemental vapour or inorganic salts. Organomercurials in air
    are collected with an efficiency of more than 80%, except in the case
    of the short-chain alkylmercurials. Bramen (1974) has described a
    procedure for separating and measuring different physical and chemical
    forms of mercury in air. Previous reports distinguishing between
    mercury vapour and particle-bound mercury have not reported the
    efficiency of collection.

        An early method (Polesajev, 1936) for the determination of mercury
    in air involved absorption in iodine and subsequent determination of
    the coloured complex in the sediment. This method is still widely used
    in the Soviet Union and some countries of eastern Europe.

        Commercially available portable monitoring devices are used to
    determine mercury directly in air. The air is pumped through an
    optical cell that measures the absorption of light emitted from a
    mercury vapour lamp. These units, although convenient, measure only
    elemental mercury vapour and are subject to a wide variety of
    interferences and interfering substances many of which are likely to
    be present in the working environment. These units should be
    calibrated each time before use. The commercial units also suffer from
    the deficiency that they sample only small volumes of air that may not
    give a representative picture of the working environment. Research
    should be directed towards the development of personal monitoring
    devices. These devices should be small and portable so that they can
    be carried by workmen throughout the working day and thereby give a
    cumulative picture of the exposure of each individual. In most cases
    it would be necessary only to devise systems for collecting total
    mercury.

        The method of Wolf et al. (1974) allows the direct detection of
    mercury using reactive tubes (Draeger tubes) providing a simple
    screening method for determining mercury in working places at sporadic
    intervals.

        The collection of samples for the determination of mercury in
    water must take into account the following factors; (a) the low
    concentration of mercury in water, normally of the order of
    10 ng/litre; (b) the tendency of mercury to adsorb on to the surface
    of the collection vessel at these low concentrations; (c) the
    possibility, if not likelihood, of volatilization of mercury from the
    sample (Toribara et al., 1970) and (d) the type of collection vessel.
    Greenwood & Clarkson (1970) have reported on the rates of loss of
    mercury from containers made from ten different materials and
    suggested that Pyrex, polycarbonate, and Teflon are the best materials
    for storing and handling mercury. Further studies of possible losses
    of organomercurials through the walls of some plastic containers
    should, however, be studied. Losses due to volatilization may be
    reituced by the addition of oxidizing substances such as potassium
    permanganate (Toribara et al., 1970). Lamm & Ruzika (1972) have
    recommended that radioactive-tracer mercury be added to the sample to
    check the losses discussed above. They note that this procedure has
    rarely been adopted to date.

        For the collection and storage of food samples, acceptable
    procedures are usually followed. The most important food items for
    determination of mercury are those containing fish and fish products.
    Mercury levels in other foodstuffs usually do not amount to a
    significant fraction of daily exposure unless the food has accidently
    been contaminated, such as by the use of pesticides. In the collection
    and storage of food samples prior to analysis, care should be taken to
    avoid bacterial growth leading either to the breakdown of organic
    mercury compounds or to the volatilization of mercury (Magos et al.,
    1964).

        Samples of blood, hair, and urine have been used to monitor the
    exposure of human beings to mercury. The methods of collecting and
    storing these samples are of great importance. With respect to blood
    samples, care should be exercised to avoid any clot formation. If this
    does occur, the sample should be homogenized thoroughly before
    analysis. It is useful, in certain situations, to determine mercury in
    the red cells and plasma and it is thus important to avoid any
    haemolysis of the blood sample. The nature of the anticoagulants used
    does not affect the mercury determinations, of either the total
    mercury in whole blood or the distribution of mercury between plasma
    and red blood cells. "Vacutainers"a are convenient for blood
    collection and allow storage of the blood samples in Pyrex tubing
    under aseptic conditions. Blood samples that have been contaminated by
    microorganisms and stored in the refrigerator at 4°C for a month or
    more may give misleading results due to the breakdown of methylmercury
    and other organic mercury compounds (Clarkson, personal communication,
    1974). The storage of blood samples in the frozen state or
    freeze-dried is suitable providing that mercury is determined only for
    whole blood. Significant losses of mercury do not occur during
    freeze-drying procedures (Albanus et al., 1972).

        Measurement of mercury in urine samples has been used as a measure
    of exposure to mercury under industrial conditions. The popularity of
    this approach in early studies was mainly due to the case of digestion
    of the urine sample. However, there are serious problems in the
    collection and storage of urine samples that may seriously influence
    the results. The following factors have been recognized;  (a) the
    time of day of urine collection (Piotrowski et al., 1975),
     (b) bacterial contamination, which might give rise to significant
    losses of mercury by volatilization (Magos et al., 1964),  (c) the
    nature of the container (Greenwood & Clarkson, 1970),
     (d) contamination from mercury in workers' clothing and from the
    collection of urine samples under working conditions. It should be
    noted that urine samples do not give a reliable indication of exposure
    to methylmercury (Bakir et al., 1973).

        Hair samples are becoming the samples of choice in determining
    exposure to methylmercury through diet. Depending upon the length of
    the hair sample, it is possible to recapitulate exposure to
    methylmercury for several yearsb. The concentration of mercury in
    hair when formed is directly proportional to the concentration of

                 

    a Trade name of heparinized test-tube manufactured by Becton &
      Dickinson, USA, and used for collection of blood samples.

    b The average rate of growth of hair is approximately 1 cm
      per month (Giovanoli et al., 1974; Shahristani & Shihab,
      1974).

    mercury in the blood, the concentration in hair being about 250 times
    the concentration in blood. The ratios are well established for
    exposure to methylmercury but only limited information is available
    for inorganic mercury. Attention has been drawn to the errors
    introduced during the collection and transportation of hair samples
    (Giovanoli & Berg, 1974). Usually 50-100 strands of hair are needed
    for analysis. Differential rates of growth for each strand and lateral
    displacement of the samples during cutting and transportation of the
    hair will affect the longitudinal profiles of mercury in the hair
    sample. Giovanoli & Berg (1974) have described a computerized
    procedure for the correction of these artifacts.

    2.3.2  Analytical methods

        Methods of analysis are usually classified according to the type
    of instrument used in the final measurement. This convenient
    classification will be used here. However this approach tends to
    belittle the role of the skill and experience of the analyst. In fact
    a poor method in the hands of a highly skilled analyst is more likely
    to yield accurate results than a good method in the hands of a poor
    analyst. In recent years it has become a practice to test methods by a
    "round robin" distribution of a standard sample. Comparison of results
    from the participating laboratories is more likely to give information
    on the competence of the analysts in the laboratory than it is to give
    a critical evaluation of the method itself.

        Measurement of the very low levels of mercury found in the
    non-contaminated environment makes special demands both on the skills
    of the analyst and the resources of the method employed. No matter how
    frequently used, a method for the determination of mercury in nanogram
    quantities cannot be regarded as a routine procedure. Continued
    vigilance over the results is an absolute requirement. Furthermore,
    where conditions allow, it is highly desirable that the results with
    one method and from one laboratory be checked against those with a
    different method from another laboratory. One useful combination of
    different procedures is the analysis of total and inorganic mercury by
    selective atomic absorption and the selective analysis of organic
    mercury compounds (usually methylmercury and other short-chain
    mercurials) by gas chromatography (Giovanoli et al., 1974).

        The literature is full of papers concerning methods of determining
    mercury. Several recent reviews have appeared (D'Itri, 1972; NIOSH,
    1973; Burrows, 1975, Swedish Expert Group, 1971; Wallace et al., 1971;
    CEC Working Group of Experts, 1974). The most frequently used methods
    for measurements of total mercury are colorimetric (dithizone),
    flameless atomic absorption, and neutron activation. The flameless
    atomic absorption method has become the "work-horse" for measurement
    of environmental samples. Difficulties might arise in the measurement
    of mercury owing to the fact that it is strongly bound to the organic
    materials in most samples. Many procedures require the destruction of

    organic materials by wet oxidation or by high temperatures. Loss of
    mercury by volatilization may occur. If the wet oxidation is too mild
    the result will be inadequate recovery. A high reagent blank may be
    introduced by the chemicals used for oxidation. In certain procedures
    involving atomic absorption or neutron activation the digestion of the
    sample or heating of the sample is not necessary. These procedures
    have the advantage of having a low blank but problems of variable
    recovery or interference may arise.

        The determination of mercury by colorimetric measurement of a
    mercury dithizonate complex has been the basis of most of the methods
    in the 1950s and in the 1960s. Other related methods using dithizone
    for measuring mercury in environmental samples have been described by
    Kudsk (1964) and Smart et al. (1969). The above procedures all make
    use of wet oxidation of the sample followed by extraction of mercury
    in an organic solvent as a dithizonate complex and finally the
    colorimetric determination of the complex itselfa. Selectivity for
    mercury is obtained by adjusting the conditions of extraction. Copper
    is the metal most likely to interfere with mercury measurement by
    dithizone.

        The dithizone procedure has an absolute sensitivity of about
    0.5 µg of mercury. A sample size of 10 g is suitable for most
    digestion procedures so that mercury can be determined at the
    0.05 mg/kg level in most foodstuffs and tissues.

        Kudsk (1964) has described a dithizone procedure for measuring
    mercury in air that will measure as little as 0.05 µg of mercury. With
    the usual sample size of 0.1 m3, the detection limit would be
    0.5 µg/m3. This is more than adequate sensitivity for monitoring air
    in the working environment with the MAC levels in force. The quoted
    recovery rates from foodstuffs and tissues are in the range of 85-99%
    and the reproducibility can yield a coefficient of variation of as low
    as 2%. On account of its long history of use, the dithizone procedure
    has been used to measure mercury in virtually all types of
    environmental samples including air, water, food, tissues, and soils.
    It suffers from the disadvantage that it is time consuming and its
    sensitivity is not high when compared with atomic absorption
    procedures.

                 

    a The organic material may also be destroyed by combustion in an
      oxygen flask (Gutenmann & Lisk, 1960; White & Lisk, 1970; and
      Fujita et al., 1968). This allows all biological materials to be
      treated alike but has the disadvantage of requiring dried
      material.

        The latest developments in atomic absorption procedures have
    recently been reviewed by Burrows (1975). The most commonly used
    method in the USA is that of Hatch & Ott (1968) as modified by Uthe et
    al. (1970). The procedure involves oxidative digestion ("wet ashing"),
    followed by reduction, aeration, and measurement of mercury vapour
    absorption at 253.7 nm. The detection limit is approximately 1-5 ng of
    mercury. The wide popularity of cold vapour atomic absorption has
    resulted in a large number of publications dealing with various
    applications of this procedure to the measurement of mercury in
    sediments, soils, and biological samples (including foodstuffs). Of
    the 16 publications reviewed by Burrows (1975), 13 reported recoveries
    of 90% or more. The relative standard deviation was 10% or less in
    half of the published procedures, and was less than 20% in more than
    90% of these procedures.

        The measurement of very low levels of mercury in water samples
    requires some preconcentration. This may be achieved by dithizone
    extraction (Chau & Saiton, 1970; Thomson & McComas, 1973), by
    electrodeposition (Doherty & Dorsett, 1971) and by an amalgamation on
    silver wire (Hinkle & Learned, 1969; Fishman, 1970), in each case
    permitting detection limits of 1 ng/litre-10 ng/litre. Winter &
    Clements (1972) have described a procedure that will measure mercury
    in water in the range of 200 ng/litre and does not require
    preconcentration.

        Magos (1971) has described a reduction technique that selectively
    determines total and inorganic mercury in biological samples without
    digestion of the material. This technique has been modified by Magos &
    Clarkson (1972) to permit determination of mercury in blood samples at
    the low levels found in unexposed populations (0.1-1.0 µg/100 ml). The
    technique has a sensitivity of approximately 0.5 ng of mercury.
    Recently it has been successfully applied to the measurement of total
    and inorganic mercury in hair samples (Giovanoli et al., 1974). The
    relative standard deviation was 2% and the recovery rates were quoted
    as being close to 100%. The technique has the advantage of high speed
    -- each determination taking less than 2 minutes -- high sensitivity,
    and the apparatus involved is light, portable, and suitable for field
    applications. Its widest application to date has been in the
    measurement of mercury in biological samples in the large Iraq
    outbreak (Bakir et al., 1973). Since the procedure does not require
    digestion of the biological sample, internal standards are used in
    each determination. The rates in this procedure must be checked for
    each new biological matrix.

        The atomic absorption techniques referred to above are subject to
    interference. The most common interfering substances are benzene and
    other aromatic hydrocarbons that absorb strongly in the 253.7 nm
    region. Interference from a variety of organic solvents has been
    reported by Kopp et al. (1972).

        The combustion-amalgamation method has undergone a series of
    developments to avoid difficulties due to interfering substances.
    Reference may be made to the work of Lidmus & Ulfvarson (1968), Okuno
    et al. (1972), and Willford (1973) who developed techniques for
    oxidation of the biological sample, and the trapping of mercury vapour
    on silver or gold followed by its release into an atomic absorption
    measuring device. All these methods have sensitivities down to the
    1 µg/litre level and avoid the risk of interference from other
    substances. However, as pointed out by Burrows (1975), care must be
    taken in the design and operation of the combustion tube to avoid
    losses of volatile mercury derivatives.

        In summary, a wide variety of applications of atomic absorption
    procedures have now been published. The technique is rapid and
    sensitive and the procedure is technically simple. Procedures are
    available for avoiding difficulties due to interfering substances.
    Most procedures have a detection limit in the range of 0.5-5 ng of
    mercury and a relative standard deviation of about 10% or less.
    Recovery rates are usually of the order of 95-100% depending on the
    technique used in the preparation of the biological sample and the
    rate of release of mercury from it.

        Procedures for neutron activation analysis of total mercury have
    recently been reviewed by Wallace et al. (1971), Swedish Expert Group
    (1971), Westermark & Ljunggren (1972), and Burrows (1975). The method
    is based on the principle that when natural mercury (a mixture of
    stable isotopes) is exposed to a high flux of thermal (slow) neutrons,
    it is converted to a mixture of radioactive isotopes, principally
    197Hg and 203Hg, which have decay half-lives of 65 hours and 47 days,
    respectively. The Sjostrand (1964) technique has been used most in the
    measurement of environmental samples. After the sample has been
    irradiated with neutrons, a precise weight of carrier mercury is added
    and the sample subjected to digestion and organic destruction. On
    completion of digestion, mercury is isolated by electrodeposition on a
    gold foil and the radioactivity is determined with a gamma counter.
    The use of carrier mercury corrects for any losses of mercury during
    the digestion, extraction, and isolation procedures. The limit of
    detection is 0.1-0.3 ng of mercury. The sample size is 0.3 g giving a
    concentration limit of 0.3-1 µg/kg in most biological samples. The
    relative standard deviation in samples of kale, fish, minerals, oil,
    blood, and water is less than 10%. Samuel (unpublished data)
    decomposed biological material irradiated with neutrons using fuming
    sulfuric acid and hydrogen peroxide and after the addition of hydrogen
    bromide, distilled the mercury as bromide together with other trace
    elements. This method, which is suitable for series analysis, is
    characterized by high recovery (96%) and good reproducibility. Trace
    mercury in biological and environmental materials can also be rapidly
    and satisfactorily determined through isolation as mercury(II) oxide
    or mercury(II) sulfide after digestion and clean-up procedures
    following neutron activation (Pillay et al., 1971; Samuel, unpublished
    data).

        In general, the analyst is faced with three major options in the
    use of neutron activation procedures;  (a) destruction or
    non-destruction of the sample, (destruction and isolation of the
    mercury is usually required in samples containing less than 1 µg of
    mercury);  (b) the choice of isotope 197Hg (if the longer-lived
    isotope, 203Hg, is used the sample may be allowed to stand to avoid
    interference from short-lived elements activated along with the
    mercury -- however, 203Hg requires a more intense neutron flux or a
    longer irradiation time to achieve the same activity as the 197Hg);
     (c) the choice of detector (the sodium iodide (thallium) detector
    does not have as high a resolution as the germanium (lithium)
    detector, although its sensitivity is significantly higher).

        Interference may come from the following elements, produced at the
    same time as the radioactive mercury isotopes, 24Na, 82Br, 32P, and
    75Se. Interference from these isotopes may be avoided, as in the
    Sjostrand (1964) procedure, by chemical isolation of the radioactive
    isotope. However, 75Se may not be completely removed by the isolation
    procedures and might interfere if the sodium iodide (thallium)
    detector is used. The better resolution of the germanium (lithium)
    detector allows correction for 75Se interference through use of other
    lines in the 75Se spectrum. For samples containing more than 1 µg of
    mercury, the required selectivity can be achieved without destruction
    of the sample, i.e., by instrumental analysis only. One procedure is
    to measure the 203Hg isotope, after allowing the sample to stand for
    approximately one month to eliminate interference due to sodium,
    phosphorous, and bromine. Another procedure is to make use of the
    discriminating germanium (lithium) detector when the gamma irradiation
    from the radioactive isotope may be determined to the exclusion of
    most of the interfering radioactivity.

        A recent non-destructive procedure for measuring mercury in coal
    makes use of a low-energy photon detector to estimate levels at the
    100 µg/kg level with a precision of 10% (Weaver, 1973).

        Burrows (1975) has recently reviewed 11 publications describing
    the application of neutron activation to a variety of environmental
    samples. Non-destructive (instrumental) determination was used in only
    two of these publications. In 9 of these publications the 197Hg
    isotope was determined. Mercury levels were reported in lake water
    (4 µg/litre, relative standard deviation 23%), in glacial ice
    (0.2 µg/kg, relative standard deviation 90%), in coal (100 µg/kg,
    relative standard deviation 10%), in whole blood (0.7 µg/100 ml,a
    relative standard deviation 10%), in fish (1-3 mg/kg, relative
    standard deviation less than 10%). Many environmental samples were
    measured by neutron activation, especially in Sweden, before the
    introduction of the atomic absorption technique (Westermark &
    Ljunggren, 1972).

        Compared with other methods reviewed here, the neutron activation
    procedure has the following advantages; (1) high sensitivity
    (approximately 0.5 µg/kg); (2) no reagent blank; (3) independence from
    the chemical form of the element; and (4) non-destructive instrumental
    methods applicable to samples containing 1 µg of mercury or more. It
    has the disadvantages that it cannot be adapted to field use and, that
    if there are large numbers of samples, special radiation facilities
    and data processing are required. It is generally agreed that the
    neutron activation procedure finds its most important use as a
    reference method against which other procedures can be checked.

        A variety of other instrumental techniques, such as X-ray
    fluorescence, mass spectrometry, and atomic fluorescence, for the
    measurement of total mercury have been reviewed by Lamm & Ruzicka
    (1972) and by Burrows (1975). In general, some of these methods may
    have a potentially higher sensitivity or selectivity for mercury. The
    fact is that, at the time of writing, these procedures have not yet
    found useful application in the measurement of mercury in
    environmental samples.

        To summarize the present methods for the determination of total
    mercury in environmental samples, it would appear that the method of
    choice is that of flameless atomic absorption. No single procedure is
    appropriate, however, in all circumstances. The methods of sample
    handling depend upon the particular biological matrix to be analysed.
    Neutron activation is principally of use as a reference method against
    which atomic absorption methods may be checked.

                 

    a In this document the concentration of mercury in blood is
      expressed in µg/100 ml although in some original papers the values
      are given in µg/100 g. For practical purposes the difference of
      about 5% can be neglected.

    2.3.3  Analysis of alkylmercury compounds in the presence of
           inorganic mercury

        Techniques for the identification and measurement of alkylmercury
    compounds in the presence of other compounds of mercury have been
    reviewed recently (Swedish Export Group, 1971; Tatton, 1972; Sumino,
    1975; Westöö, 1973). In general, three methods are available for the
    identification of alkylmercury compounds. These include  (a) paper
    chromatography (Kanazawa & Sato, 1959; Sera et al., 1962),  (b) thin
    layer chromatography (Johnson & Vickery, 1970; Westöö, 1966, 1967;
    Tatton & Wagstaffe, 1969),  (c) gas-liquid chromatography (Westöö,
    1966, 1967; Sumino, 1968; Tatton & Wagstaff, 1969). The paper
    chromatographic techniques have given way to thin-layer chromatography
    (TLC) for qualitative identification of the organomercurial compounds.
    Most quantitative work is now carried out using TLC techniques, and
    also gas-liquid chromatography (Westöö, 1966, 1967; Sumino, 1968;
    Tatton & Wagstaffe, 1969; Solomon & Uthe, 1971). However, the method
    of Magos & Clarkson (1972) that selectively determines organic mercury
    by cold vapour atomic absorption is frequently applicable to the
    determination of methylmercury at levels occurring in fish and blood.
    Methylmercury is the only organic form of mercury present in fish.
    Blood samples from people exposed to methylmercury contain only
    inorganic mercury and methylmercury compounds. Thus the determination
    of organic mercury by this procedure is an accurate measure of
    methylmercury in these situations.

        The basic procedures for samples of food, soil, and biological
    materials are first, homogenization of the sample, acidification by a
    hydrogen halide acid followed by extraction with an organic solvent,
    usually benzene, a clean-up step involving the conversion of the
    organomercurial compound to a water soluble compound usually the
    hydroxide or sulfate or a cysteine complex, and re-extraction with
    benzene. The benzene layer is now ready for analysis by thin-layer
    chromatography for qualitative purposes or by gas-liquid
    chromatography if quantitative measurements are required. A recent
    variant by Rivers et al. (1972) converts the organic into inorganic
    mercury and then makes use of cold vapour atomic absorption for final
    determination.

        The gas-liquid chromatographic system is the one most commonly
    used. Problems may be encountered both in the pre-treatment of the
    sample and in the gas chromatographic determination itself. All these
    techniques involve non-destructive extraction of mercury from the
    sample. Thus recovery rates have to be checked for every different
    type of sample matrix. The efficiency of extraction of mercury is
    determined by both the nature of the sample matrix and the extraction
    procedures themselves. Von Burg et al. (1974) introduced the idea of

    adding a tracer amount of radioactively labelled methylmercury to the
    homogenate and counting the final benzene extract to check variations
    in the efficiency of extraction. This procedure is well worth
    consideration for routine use as it is most difficult to check
    extraction recovery rates.

        Acidification of the homogenate is usually achieved by the
    addition of a hydrogen halide acid (usually HCl). At this point
    mercury(II) chloride may be added to either the homogenate or the
    benzene to tie up excess sulfur compounds and prevent recombination of
    methylmercury with sulfur. Westöö (1968) has shown that this approach
    may give high recovery rates but cannot be used with liver as there is
    a danger of methylation of the inorganic mercury. Clean-up of the
    first benzene extract is usually achieved by using solutions of
    cysteine. However, this complexing agent is subject to oxidation,
    particularly by substances in muds. A more suitable system in the
    presence of oxidizing agents is the ammonium hydroxide-sodium sulfate
    solution described by Westöö. No problems are usually encountered in
    the reextraction ofmethylmercury from cysteine to benzene using
    3 mol/litre hydrochloric acid. However, in the extraction procedures,
    volumetric errors may arise especially when the concentration of
    hydrochloric acid is low (1 mol/litre) and when small amounts of
    methyl-mercury are extracted from large volumes (Westöö, 1973).

        In gas chromatography, the main object is to produce sharp peaks
    and attain high sensitivity. Tatton (1972) has noted that most
    commercial preparations ofalkylmercury salts are not pure enough to
    use as standards. Sumino (1973) prepares pure methylmercury from the
    combination of inorganic mercury with tetramethyl lead salts. The peak
    is identified by electron-capture detectors using tritium or nickel as
    the source of beta particles. These detectors are subject to
    overloading and not more than 100 ng of mercury should be determined
    at one time (Tatton, 1972). Absolute confirmation of the identity of
    the peak should be made by mass fragmentation methods (Sumino, 1975).

        The detection limit in the Westöö procedure is approximately
    1-5 µg per kilogram of sample using a 10 g sample. The precision is 3%
    at the 0.05 mg/kg level for fish samples. Recovery rates are generally
    above 90% but do vary with the sample matrix. Solomon & Uthe (1971)
    developed a semimicro-method for the rapid determination of
    methylmercury in fish tissues. Samples of about 2 g were used. A
    precision of 2% was reported with recovery rates of about 99%. Samples
    such as blood, liver, and kidney are much more difficult to extract
    than fish tissues.

        Thin-layer chromatography usually requires, for optimum spot size,
    2 µg of mercury for each type of compound.

    3.  SOURCES OF ENVIRONMENTAL POLLUTION

        The sources of mercury leading to environmental pollution have
    been the subject of several recent reviews (Wallace et al., 1971;
    D'Itri et al., 1972; Joint FAO/WHO Expert Committee on Food Additives,
    1972; Heindryckx et al., 1974; Korringa & Hagel, 1974). Estimates of
    both natural and anthropogenic sources of mercury are subject to
    considerable error. In the first place the levels of mercury in
    environmental samples such as ice from Greenland are extremely low and
    close to the limit of sensitivity of the analytical methods. These low
    values are then converted by large multiplication factors (annual
    total global rainfall, 5.2 x 105 km3) so as to obtain values for the
    global sources and turnover of mercury. Enormous fluctuations may be
    seen in samples such as coal and oil, which are believed to be an
    important anthropogenic source of mercury. Values quoted by D'Itri
    (1972) indicate ranges of concentrations of mercury in crude oil
    varying by a factor of 1000 and ranges in coal even greater than this.
    Estimates of industrial production and consumption of mercury are
    subject to the vagaries of the economic market and in recent years to
    government regulation because of concern over mercury pollution.
    Nevertheless, despite all the assumptions and approximations in these
    procedures, the general picture that emerges from a variety of
    independent calculations is that the natural sources of mercury are at
    least as great as, and may substantially outweigh, the anthropogenic
    sources. However, man-made sources may be of considerable importance
    in terms of local contamination of the environment. For example,
    Korringa & Hagel (1974) have calculated that the man-made release of
    mercury in the Netherlands is 100 times greater than the release of
    mercury by natural degassing processes.

    3.1  Natural Occurrence

        A recent review by the Joint FAO/WHO Expert Committee on Food
    Additives (1972) quotes the major source of mercury as the natural
    degassing of the earth's crust and quotes figures in the range of
    25 000-150 000 tonnes of mercury per year. These figures originate
    from a paper by Weiss et al. (1971) on concentrations of mercury in
    Greenland ice that was deposited prior to 1900. The most recent
    calculations on natural sources of mercury have been published by
    Korringa & Hagel (1974). These authors also made use of the figures of
    Weiss et al. (1971) to calculate the annual amount of mercury reaching
    the earth's surface due to precipitation of rainfall and arrived at a
    figure of approximately 30 000 tonnes. It was admitted that the
    sources of this atmospheric mercury are not yet clearly established
    but that volcanic gases and evaporation from the oceans are probably

    significant sources. It was also calculated by these authors that the
    run-off of mercury from rivers having a "natural mercury" content of
    less than 200 ng/litre would account for approximately 5000 tonnes of
    mercury per year. Measurements of the concentrations of mercury in air
    attached to aerosols (Heindryckx et al., 1974) indicate that soil
    dispersion to the atmosphere is not an important source of mercury.

        Significant local contamination may result from natural sources of
    mercury. For example, Wershaw (1970) has shown that water sources
    located near mercury ore deposits may contain up to 80 µg/litre as
    compared with the levels of 0.1 µg/litre in non-contaminated sources.

    3.2  Industrial Production

        According to a recent review by Korringa & Hagel (1974), world
    production averaged about 4000 tonnes per year over the period
    1900-1940. Production in 1968 was 8000 tonnes per year and, in 1973,
    attained 10 000 tonnes per year. Although considerable yearly
    fluctuations were noted, the average rate of increase since 1950 has
    been about 2% per year. Recent concern over environmental problems
    related to the use of mercury seems to have stabilized production
    rates and to have led to a dramatic fall in the price of mercury. For
    example, according to figures quoted by Korringa & Hagel (1974), the
    1966 price was $452 per flask (a flask is 34.5 kg), the 1969 price had
    risen to $510.00 but by 1972 it had fallen dramatically to $202 per
    flask.

        It is difficult to estimate the amount of mercury released into
    the environment as a result of the mining and smelting of this metal.
    High levels of mercury in lake and stream waters have been attributed
    to the dumping of materials and tailings (for review, see Wallace et
    al., 1971). It has been estimated that stack losses during smelting
    operations should not exceed 2-3%. Thus, based on a production figure
    for mercury of 10 000 tonnes in 1973, one might expect to find losses
    to the atmosphere of the order of 300 tonnes per year.

    3.3  Uses of Mercury

        Wallace et al. (1971) have attempted to give a picture of the use
    of mercury in the USA. They note that 26% of the mercury mined is not
    reusable. They point out, however, that at least from the theoretical
    point of view most of the remaining mercury (i.e. 74% of the mercury
    mined) is reusable. To what extent these theoretical possibilities are
    attained is debatable at the present moment.

        Rauhut & Wild (1973) reported on the consumption and fate of
    mercury in the Federal Republic of Germany in 1971. Flewelling (1975)
    noted that the chloralkali industry, one of the largest users of
    mercury, has been able to cut losses in water effluent by at least 99%
    in the last two or three years; consequently losses from chloralkali

    plants now occur predominantly by emission into the atmosphere. Losses
    by volatilization into the atmosphere have been reduced (approximately
    50%) by the introduction of cooling systems for effluent gases.
    Korringa & Hagel (1974) take a more pessimistic point of view and
    conclude that there is every reason to assume that by about 1975 all
    the 10 000 to 11 000 tonnes of mercury produced per year due to mining
    operations will finally find its way into the environment,
    predominantly via the atmosphere.

        Average consumption patterns for industrialized countries have
    been summarized by Korringa & Hagel (1974) as follows: chloralkali
    plants, 25%; electrical equipment, 20%; paints, 15%; measurements and
    control systems, such as thermometers and blood pressure meters, 10%;
    agriculture, 5%; dental, 3%; laboratory, 2%; and other uses including
    military uses as detonators, 20%. This pattern of consumption in
    industrialized countries is similar to that published by D'Itri (1972)
    for the consumption in the USA in 1968. Included in "other uses" are
    mercury compounds in catalysts, preservatives in paper pulp
    industries, pharmaceutical and cosmetic preparations, and in
    amalgamation processes. The use of mercury in the paper pulp
    industries is dramatically declining and it was banned in Sweden in
    1966 (Swedish Expert Group, 1971). Hasanen (1974) has reported that no
    mercury compounds have been used in the paper pulp industry in Sweden
    and Finland since 1968.

    3.4  Contamination by Fossil Fuels, Waste Disposal, and
         Miscellaneous Industries

        Industrial activities not directly related to mercury can give
    rise to substantial releases of this metal into the environment. The
    most significant source is probably the burning of fossil fuels.
    Heindryckx et al. (1974) calculated the following approximate figures
    based on reports published in 1971 and 1972 (Joensuu, 1971; Cardozo,
    1972): the combustion of coal and lignite, 3000 tonnes per year; the
    refining and combustion of petroleum and natural gas, 400 tonnes per
    year; the production of steel, cement, and phosphate, 500 tonnes per
    year. Korringa & Hagel (1974) made similar calculations from published
    material (Joensuu, 1971; Filby et al., 1970; Cardozo, 1972; Weiss et
    al., 1971). They estimated for the year 1970, an annual release of
    3000 tonnes of mercury from coal burning, 1250 tonnes from mineral
    oil, and 250 tonnes from the consumption of natural gas. They expected
    that, by 1975, a total of 5000 tonnes of mercury would be emitted from
    burning fossil fuels.

        Smelting of metals from their sulfate ores should contribute some
    2000 tonnes annually and the making of cement and phosphate and other
    processes involving heating should have contributed another 5000
    tonnes per year by 1975.

        D'Itri (1972) points out that the disposal of sewage might be an
    important source of environmental mercury. Calculations from data in
    the literature indicate that somewhere between 200 and 400 kg of
    mercury per million population may be released from sewage disposal
    units. This would amount to approximately 40-80 tonnes per year for
    the entire poptilation of the USA. He further points out that sewage
    sludge can retain high amounts of mercury according to published
    studies from Sweden (6-20 mg/kg). This sludge is sometimes used as a
    fertilizer resulting in widespread dispersal of mercury or is
    sometimes heated in multiple hearth furnaces when most of the mercury
    would probably be released into the atmosphere. If the United States
    production is taken as being roughly 30% of world consumption, one
    might extrapolate the sewage release figure for the United States to
    indicate that something of the order of 1000 tonnes of mercury may be
    released frow sewage systems on a global scale.

        The anthropogenic release of mercury has been well summarized in a
    recent article by Korringa & Hagel (1974) and will be briefly stated
    here. The total global release of mercury is taken as the sum of the
    global production (following their pessimistic view that all will be
    released into the environment) plus the release from fossil fuels and
    natural gas and release from non-mercury related industries.

        It was calculated that by 1975 the total anthropogenic release of
    mercury on a global scale would be about 20 000 tonnes per year. These
    figures should be compared with a minimum estimated release of 25 000
    to 30 000 tonnes per year from natural sources. The latter figure may,
    in fact, be as high as 150 000 tonnes per year, given the
    uncertainties in calculations on the natural global release of
    mercury.

    4.  ENVIRONMENTAL TRANSPORT, DISTRIBUTION, AND TRANSFORMATION

        Jenson & Jernelov (1972) have suggested different types of cycle
    for the distribution of mercury. One cycle is global in scope and
    depends upon the atmospheric circulation of elemental mercury vapour.
    The other cycle is local and is based on an assumed circulation of
    volatile dimethylmercury compounds. In the global cycle most of the
    mercury is derived from natural sources whereas the local cycle is
    predominantly concerned with man-made release.

    4.1  Distribution between Media -- the Global Mercury Cycle

        Recent calculations on the global circulation of mercury have been
    reported by Korringa & Hagel (1974). Their calculations are based
    principally on data giving mercury levels in ice samples collected in
    Greenland and in the Antarctic as reported by Weiss et al. (1971). The
    circulation of mercury from natural sources was calculated using a
    figure of 0.06 µg of mercury per kilogram of Greenland ice samples
    collected prior to the year 1900. Using a reported figure for the
    global precipitation of water as 5.2 x 105 km3 per year, they
    estimated that minimum transport from the atmosphere to the earth
    should have been about 30 000 tonnes annually, prior to 1900. The
    contribution by dust particles was regarded as insignificant, an
    assumption now supported by the findings of Heindryckx et al. (1974).
    Based on a published figure of 4.1 x 105 km3 for annual
    precipitation over the oceans, these authors estimated the annual
    delivery of mercury to the oceans as 25 000 tonnes.

        Korringa & Hagel (1974) also calculated the contribution of the
    man-made release of mercury to the atmospheric transport cycle. They
    assumed that 16 000 tonnes of mercury is now released per year to the
    atmosphere from man-made sources and that the mercury is returned to
    the continental land surfaces and would soon re-evaporate to the
    atmosphere. The 16 000 tonnes per year would eventually find its way
    into the oceans and thus the annual delivery to the oceans from both
    natural and man-made sources would be 25 000 plus 16 000 tonnes which
    on a proportional basis should increase the background level from the
    0.06 µg/kg observed prior to the 1900s in Greenland ice to a predicted
    level of 0.1 µg/kg. However, they point out that since most of the
    man-made release is probably in the northern hemisphere, the present
    level in Greenland ice should be somewhat higher than 0.1 µg/kg. They
    note that this estimate agrees well with the observations of Weiss et
    al. (1971) who found present levels in Greenland ice to range from
    0.09 to 0.23 µg/kg with an average of 0.125 µg/kg. Thus, from these
    rough estimates, it would appear that present day "background" levels
    in rainwater, and presumably in the atmosphere, have a substantial
    component related to man-made release (approximately one-third).

        Observations on "background" mercury levels in the atmosphere tend
    to confirm the quantitative features of this global picture
    (Heindryckx et al., 1974). These authors assume that 50 000 tonnes are
    released each year from the continental land masses, that the mercury
    mixes up to a height of 1 km and that, in effect, the 50 000 tonnes
    are located over the continental land masses that account for 30% of
    the earth's surface.a The assumption of the location of this mercury
    over the land masses is not in contradiction with the calculations of
    Korringa & Hagel (1974). It assumes only that the atmosphere above the
    land masses is in steady state, and receives 50 000 tonnes of mercury
    a year as evaporation and loses 50 000 tonnes per year to the
    atmosphere over the oceans. Their figure of 50 000 tonnes per year
    comes from the publication of Bertini & Goldberg (1971) and agrees
    well with the figure of 41 000 tonnes per year as indicated above.
    With these assumptions, Heindryckx et al. (1974) concluded that the
    background continental levels of mercury vapour plus aerosols should
    be 10 ng/m3. The assumed mixing height of 1 km is probably the
    maximum level and they suggest that the actual level of mercury in air
    would lie between 1 and 10 ng/m3. These figures are in good agreement
    with the published air levels as indicated in section 5.1.

        Korringa & Hagel (1974) estimate the amount of mercury transported
    by rivers to the oceans to be 5000 tonnes per year based on quoted
    figures of 37 000 km3 of water flow via the rivers and a natural
    mercury content of less than 0.2 µg/litre in river water. They note
    that this figure does not change substantially if one takes into
    account the fact that most of the mercury in river water is adsorbed
    to suspended matter with a mercury content of 200-500 µg/kg and that
    some 1010-1011 tonnes of sediment are carried each year to the
    oceans. In fact river transport of mercury to the oceans may be less
    than 5000 tonnes per year. Heindryckx et al. (1974) noted that the
    concentrations of mercury in the North Sea and in the coastal areas
    around the North Sea were far less than would be predicted if all the
    mercury in the rivers entering this area were, in fact, delivered into
    the oceans. Presumably a considerable amount of mercury observed in
    river water is retained in sediments in the rivers and estuaries and
    does not reach the ocean by normal flow of the river. Thus it would
    appear that the major pathway of global transport of mercury is
    metallic mercury transported in the atmosphere.

                 

    a Recent studies in Sweden cast some doubt on the validity of this
      assumption.

        An important conclusion from these calculations on the global
    cycle of mercury is that the concentration of mercury in the oceans
    should not change substantially in the foreseeable future, and that
    the mercury concentration in the oceans has not changed significantly
    since the beginning of the industrial era. The amount of mercury in
    the oceans has been calculated as 70 million tonnes using a figure for
    total ocean volume of 1.37 x 109 km3