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Occupational Metallic Mercury Poisoning in Gilders.

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Occupational mercury poisoning can occur during shrine gilding. Prompt chelating therapy led to clinical recovery and reduced mercury levels in three patients.

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Area of Science:

  • Environmental Health
  • Occupational Medicine
  • Toxicology

Background:

  • Elemental mercury vapor inhalation is a common route for occupational exposure.
  • Gilding of shrines using elemental mercury poses a risk in some Islamic cities.
  • Adverse health effects are associated with mercury vapor exposure.

Observation:

  • Three male patients (aged 20-53) presented with neuro-psychiatric symptoms after shrine gilding.
  • Symptoms included anxiety, memory and concentration loss, and sleep disturbances.
  • High urinary mercury concentrations (326-760 μg/L) were detected 3-10 days post-exposure cessation.

Findings:

  • Patients were diagnosed with occupational metallic mercury poisoning.
  • Chelating therapy resulted in clinical recovery.
  • Urinary mercury levels decreased to non-toxic levels (<25 μg/L) after treatment.

Implications:

  • Highlights the toxicity risks of elemental mercury during gilding in enclosed spaces.
  • Stresses the need for awareness among health, environmental, and labor authorities.
  • Emphasizes the importance of protective measures for gilders to prevent mercury poisoning.