Gao Yu, Yan Chong-huai, Wang Yu, Xie Han-fang, Zhou Xin, Yu Xiao-gang, Shen Xiao-ming
Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital Affiliated to Shanghai Jiaotong University, Shanghai Children Medical Center, Shanghai 200092, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2006 Jan;40(1):42-5.
To investigate the status of mercury exposure of neonates and their mothers in Zhoushan City, and analyze the related influencing factors.
From Aug to Sep, 2004, 408 neonate-mother pairs were cluster sampled at the Third People's Hospital in Dinghai region, Zhoushan City, and a further investigation for the neurobehavioral development of these children was followed up in a year. The contains of mercury of 14 kinds of fish, 5 pieces of each kind bought in markets of Dinghai region were detected.
The geometric mean of cord-blood Hg was 27.81 nmol/L (5.58 microg/L), while that of hair Hg of mothers was 1246.56 microg/kg. 69.9% of pregnant women had surpassed the RfD (reference dose, 0.1 microg/kg/day) for Hg intake. There was a strong correlation between hair and cord blood Hg levels (r = 0.821). The factors influencing cord-blood Hg levels were fish dinners, dwelling time, and fathers smoking or not, while those of hair Hg were fish dinners and dwelling time. The correlation between fish dinners and the cord blood Hg as well as hair Hg were of significance (r = 0.539, 0.481 respectively), the Hg levels were higher in more fish dinners (H = 119.805, 94.384 respectively). The mean fish Hg level at Dinghai region was low (< 0.1 mg/kg), and no samples were higher than 0.5 mg/L. Two samples of cutlassfish and dried eel contained higher Hg than the others, belonging to a middle level (0.1-0.5 mg/kg).
Hg levels in neonates and pregnant women were generally below those considered hazardous, but the safety margin was narrow for some women and supporting efforts should be made to reduce mercury exposure. The main resource of Hg was from eating fish, and it is necessary to investigate the Hg levels in large samples, as to developing the fish advisories for susceptible people.
调查舟山市新生儿及其母亲的汞暴露状况,并分析相关影响因素。
2004年8月至9月,在舟山市定海区第三人民医院对408对母婴进行整群抽样,并对这些儿童的神经行为发育进行了为期一年的随访。检测了在定海区市场购买的14种鱼类各5份样本中的汞含量。
脐血汞的几何均值为27.81 nmol/L(5.58 μg/L),母亲头发汞含量为1246.56 μg/kg。69.9%的孕妇汞摄入量超过了参考剂量(RfD,0.1 μg/kg/天)。头发汞与脐血汞水平之间存在很强的相关性(r = 0.821)。影响脐血汞水平的因素有鱼类晚餐、居住时间以及父亲是否吸烟,而影响头发汞水平的因素是鱼类晚餐和居住时间。鱼类晚餐与脐血汞以及头发汞之间的相关性均具有显著性(r分别为0.539、0.481),鱼类晚餐次数越多汞水平越高(分别为H = 119.805、94.384)。定海区鱼类汞的平均水平较低(< 0.1 mg/kg),没有样本高于0.5 mg/L。两个带鱼和鳗鱼干样本的汞含量高于其他样本,属于中等水平(0.1 - 0.5 mg/kg)。
新生儿和孕妇的汞水平总体上低于有害水平,但部分女性的安全边际较窄,应采取支持措施减少汞暴露。汞的主要来源是食用鱼类,有必要对大样本进行汞水平调查,以便为易感人群制定鱼类食用建议。