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Blood mercury concentrations in preschool children and potential risk factors in São Paulo, Brazil
Fernanda Junqueira Salles1, Elizeu Chiodi Pereira1, Allan Santos de Oliveira2
1Department of Environmental Health, School of Public Health, University of Sao Paulo, Av. Dr. Arnaldo, 715, Cerqueira César, SP, Brazil; The Human Exposome Research Group/ Expossoma e Saúde do Trabalhador - eXsat, School of Public Health, University of Sao Paulo, Av. Dr. Arnaldo, 715, Cerqueira César, SP, Brazil.
Insights
Environmental mercury exposure is a concern for preschool children in São Paulo, Brazil. This study found elevated blood mercury levels (BML) linked to specific city zones and fish consumption, highlighting the need for targeted interventions.
Area of Science:
- Environmental Health
- Pediatric Toxicology
- Public Health
Background:
- Environmental mercury exposure poses risks to preschool children's health, potentially impacting neurodevelopment.
- Elevated blood mercury levels (BML) in children are a significant public health concern, particularly in urban environments.
Purpose of the Study:
- To determine BML in preschool children in São Paulo, Brazil.
- To identify sociodemographic, dietary, and environmental risk factors associated with elevated BML.
- To evaluate the spatial distribution of BML and its correlation with air pollution and wind patterns.
Main Methods:
- Blood samples were collected from 2436 preschool children (age 1-5 years) across 50 daycare centers in São Paulo.
- Blood mercury levels were measured using Cold Vapor Atomic Absorption Spectrophotometry (CV-AAS).
- Data on sociodemographics, diet (including fish consumption), and location were collected via questionnaires and georeferenced; statistical analyses included multiple logistic regression and spatial analysis.
Main Results:
- The geometric mean BML was 1.65 μg L⁻¹ and the 95th percentile was 5.51 μg L⁻¹, exceeding the U.S. 95th percentile by fivefold.
- Daycare centers in the Northwest and East zones of São Paulo were associated with higher BML.
- Recent fish consumption (past two days) and proximity to a petrochemical complex (inferred via wind patterns in the East zone) were linked to elevated BML.
Conclusions:
- Preschool children in São Paulo exhibit elevated BML, associated with both individual (fish consumption) and environmental (geographic zone, potential industrial proximity) factors.
- The findings underscore the need to identify and mitigate mercury exposure 'hot spots' in urban areas, particularly in vulnerable peripheral zones.
- Further research in Latin America is crucial to pinpoint urban mercury sources and implement effective public health interventions to protect children's health.
Abstract:
Environmental exposure of preschool children to mercury can elevate blood mercury levels (BML) and negatively affect their health. This study aimed to determine BML in preschool children from Brazil's largest city and explore potential associated risk factors. Blood samples were collected in 2013 from 2436 children (age 1-5 years) attending 50 daycare centers (DCC) located in São Paulo, Brazil. Parents or guardians answered questionnaires collecting information on sociodemographics and potential risk factors. BML was determined by Cold Vapor Atomic Absorption Spectrophotometry (CV-AAS) and categorized using a cutoff point of 2.77 μg L⁻1, corresponding to the 75th percentile. Multiple logistic regression was performed (p < 0.05). Data were georeferenced and associations with air pollution, wind frequency and direction were evaluated. The results showed a geometric mean for BML of 1.65 μg L⁻1 (95% CI: 1.60-1.70), arithmetic mean of 2.15 μg L⁻1 (95% CI: 2.09-2.22), 75th percentile of 2.77 μg L⁻1 (95% CI: 2.67-2.91) and 95th percentile of 5.51 μg L⁻1 (95% CI: 5.18-5.92). DCCs located in the Northwest and East zones (p < 0.001) and fish consumption in the past two days (p = 0.04) were associated with high BML. The elevated BML observed in children living in the eastern zone might be attributed to the southeasterly winds passing through a petrochemical complex located nearby. The 95th percentile of BML in this study exceeded the U.S. 95th percentile by five times. BML in São Paulo preschool children was associated with individual and environmental risk factors. This finding highlights the need to identify and control hot spots in São Paulo, Brazil, especially in peripheral and surrounding areas, where individuals are more vulnerable. Further research is needed in Latin America to identify additional sources of urban environmental mercury exposure and guide interventions for protecting the environment and safeguarding children's health.
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