Clinical, Laboratory and Neurodevelopmental Findings in Children from the Yanomami-Ninam Population Chronically Exposed to Methylmercury

Despite legal safeguards, the Yanomami community faces challenges such as unauthorized incursions by gold miners, resulting in environmental degradation, particularly from mercury. This jeopardizes the health and food security of indigenous individuals, especially due to the consumption of contamina...

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Main Authors: Adriana Duringer Jacques, Mirian Akiko Furutani de Oliveira, Mayara Calixto da Silva, Cristina Barroso Hofer, Paulo Cesar Basta
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Toxics
Subjects:
Online Access:https://www.mdpi.com/2305-6304/12/3/193
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author Adriana Duringer Jacques
Mirian Akiko Furutani de Oliveira
Mayara Calixto da Silva
Cristina Barroso Hofer
Paulo Cesar Basta
author_facet Adriana Duringer Jacques
Mirian Akiko Furutani de Oliveira
Mayara Calixto da Silva
Cristina Barroso Hofer
Paulo Cesar Basta
author_sort Adriana Duringer Jacques
collection DOAJ
description Despite legal safeguards, the Yanomami community faces challenges such as unauthorized incursions by gold miners, resulting in environmental degradation, particularly from mercury. This jeopardizes the health and food security of indigenous individuals, especially due to the consumption of contaminated fish. Ethnic and racial disparities persist in indigenous healthcare, marked by troubling health indicators such as malnutrition, anemia, and infectious diseases. This cross-sectional study, conducted in October 2022 in the Yanomami Indigenous Territory in the Amazon Forest, Brazil, presented clinical, laboratory, and neurodevelopmental findings in Yanomami children chronically exposed to methylmercury. The results revealed that Yanomami children exhibited weights and heights below expectations (median Z-scores of −1.855 for weight for age and −2.7 for height for age), a high prevalence of anemia (25%), low vaccination coverage (15%), and low IQ (average 68.6). The Total Hair Mercury (Total Hg) levels ranged from 0.16 µg/g to 10.20 µg/g (mean: 3.30 µg/g; median: 3.70 µg/g). Of 117 children tested, 93 children (79.4%) had levels ≥ 2.0 µg/g (had no significant difference between sex). Among the 58 children for whom it was possible to estimate the Total Intelligence Quotient (TIQ), the average value was 68.6, ranging from 42 to 92 points (median: 69.5; standard deviation: 10.5). Additionally, the lowest score on the IQ test was associated with 5 times the risk of having high levels of mercury in their hair, 2,5 fold the risk of having an older age, and almost 8 times the risk of consuming fish, adjusting for nut consumption. Notwithstanding the study’s limitations, results suggest that mercury contamination from illegal mining activities on indigenous lands may negatively impact neurodevelopment in older indigenous children, particularly those fish consumers, despite the inherent benefits of fish consumption. Addressing other socio-environmental concerns is crucial for enhancing the overall health of the population.
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spelling doaj.art-78c3a028a68944f2980b443bc7e1ea012024-03-27T14:06:12ZengMDPI AGToxics2305-63042024-03-0112319310.3390/toxics12030193Clinical, Laboratory and Neurodevelopmental Findings in Children from the Yanomami-Ninam Population Chronically Exposed to MethylmercuryAdriana Duringer Jacques0Mirian Akiko Furutani de Oliveira1Mayara Calixto da Silva2Cristina Barroso Hofer3Paulo Cesar Basta4Postgraduate Program, Epidemiology in Public Health, National School of Public Health, Oswaldo Cruz Foundation (EPSJV/Fiocruz), Av. Brasil, 4365-Manguinhos, Rio de Janeiro 21040-900, RJ, BrazilPsychology Division, Central Institute of the Hospital das Clínicas, School of Medicine, University of São Paulo (DIP/ICHC-FMUSP), São Paulo 05403-000, SP, BrazilPostgraduate Program, Epidemiology in Public Health, National School of Public Health, Oswaldo Cruz Foundation (EPSJV/Fiocruz), Av. Brasil, 4365-Manguinhos, Rio de Janeiro 21040-900, RJ, BrazilDepartment of Infectious Diseases, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro 21941-630, RJ, BrazilPostgraduate Program, Epidemiology in Public Health, National School of Public Health, Oswaldo Cruz Foundation (EPSJV/Fiocruz), Av. Brasil, 4365-Manguinhos, Rio de Janeiro 21040-900, RJ, BrazilDespite legal safeguards, the Yanomami community faces challenges such as unauthorized incursions by gold miners, resulting in environmental degradation, particularly from mercury. This jeopardizes the health and food security of indigenous individuals, especially due to the consumption of contaminated fish. Ethnic and racial disparities persist in indigenous healthcare, marked by troubling health indicators such as malnutrition, anemia, and infectious diseases. This cross-sectional study, conducted in October 2022 in the Yanomami Indigenous Territory in the Amazon Forest, Brazil, presented clinical, laboratory, and neurodevelopmental findings in Yanomami children chronically exposed to methylmercury. The results revealed that Yanomami children exhibited weights and heights below expectations (median Z-scores of −1.855 for weight for age and −2.7 for height for age), a high prevalence of anemia (25%), low vaccination coverage (15%), and low IQ (average 68.6). The Total Hair Mercury (Total Hg) levels ranged from 0.16 µg/g to 10.20 µg/g (mean: 3.30 µg/g; median: 3.70 µg/g). Of 117 children tested, 93 children (79.4%) had levels ≥ 2.0 µg/g (had no significant difference between sex). Among the 58 children for whom it was possible to estimate the Total Intelligence Quotient (TIQ), the average value was 68.6, ranging from 42 to 92 points (median: 69.5; standard deviation: 10.5). Additionally, the lowest score on the IQ test was associated with 5 times the risk of having high levels of mercury in their hair, 2,5 fold the risk of having an older age, and almost 8 times the risk of consuming fish, adjusting for nut consumption. Notwithstanding the study’s limitations, results suggest that mercury contamination from illegal mining activities on indigenous lands may negatively impact neurodevelopment in older indigenous children, particularly those fish consumers, despite the inherent benefits of fish consumption. Addressing other socio-environmental concerns is crucial for enhancing the overall health of the population.https://www.mdpi.com/2305-6304/12/3/193mercury exposuremethylmercuryindigenous peopleindigenous childrenneurodevelopmentBrazilian Amazon
spellingShingle Adriana Duringer Jacques
Mirian Akiko Furutani de Oliveira
Mayara Calixto da Silva
Cristina Barroso Hofer
Paulo Cesar Basta
Clinical, Laboratory and Neurodevelopmental Findings in Children from the Yanomami-Ninam Population Chronically Exposed to Methylmercury
Toxics
mercury exposure
methylmercury
indigenous people
indigenous children
neurodevelopment
Brazilian Amazon
title Clinical, Laboratory and Neurodevelopmental Findings in Children from the Yanomami-Ninam Population Chronically Exposed to Methylmercury
title_full Clinical, Laboratory and Neurodevelopmental Findings in Children from the Yanomami-Ninam Population Chronically Exposed to Methylmercury
title_fullStr Clinical, Laboratory and Neurodevelopmental Findings in Children from the Yanomami-Ninam Population Chronically Exposed to Methylmercury
title_full_unstemmed Clinical, Laboratory and Neurodevelopmental Findings in Children from the Yanomami-Ninam Population Chronically Exposed to Methylmercury
title_short Clinical, Laboratory and Neurodevelopmental Findings in Children from the Yanomami-Ninam Population Chronically Exposed to Methylmercury
title_sort clinical laboratory and neurodevelopmental findings in children from the yanomami ninam population chronically exposed to methylmercury
topic mercury exposure
methylmercury
indigenous people
indigenous children
neurodevelopment
Brazilian Amazon
url https://www.mdpi.com/2305-6304/12/3/193
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