Buyer beware: Inexpensive, high cadmium jewelry can pose severe health risks.

The use of cadmium to produce inexpensive jewelry has recently been documented. Governments have adopted varying standards, with US states focused on either total cadmium content or extractable cadmium from children's jewelry, while the European Union has adopted a limit of 100 mg/kg cadmium for all jewelry. This study evaluated 80 items purchased at a discount jewelry store. The objective was to determine prevalence of cadmium in this jewelry, the amount of cadmium released by simulated mouthing or ingestion, and to confirm previous reports that damage to jewelry can increase cadmium release. Finally, a modified toxicity characteristic leaching procedure (TCLP) assessed the potential for jewelry to release cadmium after disposal. Thirty-two (40%) items showed detectable cadmium by X-ray fluorescence. Nine high‑cadmium pendants and rings with cadmium content ranging from 31.3 to 89.2% were subjected to extractions simulating mouthing or ingestion. Seven of nine items extracted in dilute saline to simulate mouthing released more than the US recommended maximum of 18 micrograms. Damaged jewelry released more cadmium for most items tested, with one ring yielding an average of 10,600 micrograms. Two pendants small enough to be swallowed were tested using dilute HCl to simulate ingestion. While one pendant did not release cadmium in excess of the US recommended maximum of 200 micrograms even when damaged, the other released an average of 63,100 micrograms after being damaged. Fourteen of fifteen samples of two high cadmium charms extracted using a modified TCLP extraction exceeded the 1.0 mg/L TCLP limit for cadmium, averaging 13.1 and 9.6 mg/L respectively for the two charms. These results demonstrate that high‑cadmium jewelry may pose a serious hazard if mouthed or ingested, and that regulatory standards that do not take into account the potential for increased release of cadmium resulting from damage to jewelry electroplating are inadequate.