Contaminación por mercurio de leche materna de madres lactantes de municipios de Antioquia con explotación minera de oro
Resumen
Introducción. La leche materna es esencial para el desarrollo del ser humano, pero puede contener sustancias tóxicas provenientes de la contaminación ambiental, especialmente en las áreas mineras.
Objetivo. Determinar la prevalencia de la contaminación con mercurio de la leche materna de mujeres lactantes residentes en los municipios con explotación minera de oro.
Materiales y métodos. Se hizo un estudio transversal de 150 madres lactantes de cuatro municipios mineros de Antioquia (El Bagre, Segovia, Remedios y Zaragoza), a quienes se les hizo una encuesta sobre factores sociodemográficos, ocupacionales y ambientales relacionados con el mercurio, y se les tomaron muestras de leche materna, de orina y de cabello. Se calculó el promedio de la concentración de mercurio y las prevalencias municipales de contaminación.
Resultados. El promedio de la concentración de mercurio en la leche materna fue de 2,5 (± desviación estándar 9,2) μg/L. La prevalencia de muestras de leche materna con niveles altos de mercurio fue de 11,7 %.
Conclusión. En este estudio se evidencia un grave problema en las regiones mineras auríferas de Antioquia por el efecto de la contaminación con mercurio en sectores de la población más vulnerable.
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Referencias bibliográficas
Crespo-López ME, Herculano AM, Corvelo TC, Do Nascimento JL. Mercurio y neurotoxicidad. Rev Neurol. 2005;40:441-7.
Clarkson TW, Magos L. The toxicology of mercury and its chemical compounds. Crit Rev Toxicol. 2006;36:609-62. https://doi.org/10.1080/10408440600845619
Clarkson TW, Magos L, Myers GJ. The toxicology of mercury --current exposures and clinical manifestations. N Engl J Med. 2003;349:1731-7. https://doi.org/10.1056/NEJMra022471
Clarkson TW. The three modern faces of mercury. Environ Health Perspect. 2002;110(Suppl.1):11-23.
Castoldi AF, Johansson C, Onishchenko N, Coccini T, Roda E, Vahter M, et al. Human developmental neurotoxicity of methylmercury: Impact of variables and risk modifiers. Regul Toxicol Pharmacol. 2008;51:201-14.
https://doi.org/10.1016/j.yrtph.2008.01.016
Oskarsson A, Palminger Hallén I, Sundberg J, Petersson Grawé K. Risk assessment in relation to neonatal metal exposure. Analyst. 1998;123:19-23.
Castilhos ZC, Rodrigues-Filho S, Rodrigues APC, Villas-Bôas RC, Siegel S, Veiga MM, et al. Mercury contamination in fish from gold mining areas in Indonesia and human health risk assessment. Sci Total Environ. 2006;368:320-5. https://doi.org/10.1016/j.scitotenv.2006.01.039
Li P, Feng XB, Qiu GL, Shang LH, Li ZG. Mercury pollution in Asia: A review of the contaminated sites. J Hazard Mater. 2009;168:591-601. https://doi.org/10.1016/j.jhazmat.2009.03.031
Cortés-Maramba N, Reyes JP, Francisco-Rivera AT, Akagi H, Sunio R, Panganiban LC. Health and environmental assessment of mercury exposure in a gold mining community in Western Mindanao, Philippines. J Environ Manage. 2006;81:126-34. https://doi.org/10.1016/j.jenvman.2006.01.019
Drasch G, Böse-O’Reilly S, Beinhoff C, Roider G, Maydl S. The Mt. Diwata study on the Philippines 1999 --assessing mercury intoxication of the population by small scale gold mining. Sci Total Environ. 2001;267:151-68. https://doi.org/10.1016/S0048-9697(00)00806-8
Steckling N, Boese-O’Reilly S, Gradel C, Gutschmidt K, Shinee E, Altangerel E, et al. Mercury exposure in female artisanal small-scale gold miners (ASGM) in Mongolia: An analysis of human biomonitoring (HBM) data from 2008. Sci Total Environ. 2011;409:994-1000. https://doi.org/10.1016/j.scitotenv.2010.11.029
Vieira SM, de Almeida R, Holanda IB, Mussy MH, Galvão RC, Crispim PT, et al. Total and methyl-mercury in hair and milk of mothers living in the city of Porto Velho and in villages along the Rio Madeira, Amazon, Brazil. Int J Hyg Environ Health. 2013;216:682-9. https://doi.org/10.1016/j.ijheh.2012.12.011
Li P, Feng X, Shang L, Qiu G, Meng B, Zhang H, et al. Human co-exposure to mercury vapor and methylmercury in artisanal mercury mining areas, Guizhou, China. Ecotoxicol Environ Saf. 2011;74:473-9. https://doi.org/10.1016/j.ecoenv.2010.10.030
Cordy P, Veiga MM, Salih I, Al-Saadi S, Console S, García O, et al. Mercury contamination from artisanal gold mining in Antioquia, Colombia: The world’s highest per capita mercury pollution. Sci Total Environ. 2011;410:154-60. https://doi.org/10.1016/j.scitotenv.2011.09.006
Cordy P, Veiga M, Crawford B, García O, González V, Moraga D, et al. Characterization, mapping, and mitigation of mercury vapour emissions from artisanal mining gold shops. Environ Res. 2013;125:82-91. https://doi.org/10.1016/j.envres.2012.10.015
Ministerio de Minas y Energía. Anuario estadístico minero de Colombia. Fecha de consulta: 28 de noviembre de 2016. Disponible en: https://www.minminas.gov.co/anuarioestadistico-minero
América Economía. El lado oscuro y venenoso del boom del oro en Colombia. Fecha de consulta: 28 de noviembre de 2016. Disponible en: http://www.americaeconomia.com/negocios-industrias/el-lado-oscuro-y-venenoso-del-boomdel-oro-en-colombia
Jensen TK, Grandjean P, Jørgensen EB, White RF, Debes F, Weihe P. Effects of breast feeding on neuropsychological development in a community with methylmercury exposure
from seafood. J Expo Anal Environ Epidemiol. 2005;15:423-30. https://doi.org/10.1038/sj.jea.7500420
Marques RC, Dórea JG, Bernardi JV, Bastos WR, Malm O. Prenatal and postnatal mercury exposure, breastfeeding and neurodevelopment during the first 5 years. Cogn Behav Neurol. 2009;22:134-41. https://doi.org/10.1097/WNN.0b013e3181a72248
Al-Saleh I, Shinwari N, Mashhour A. Heavy metal concentrations in the breast milk of Saudi women. Biol Trace Elem Res. 2003;96:21-37. https://doi.org/10.1385/BTER:96:1-3:21
García-Esquinas E, Pérez-Gómez B, Fernández MA, Pérez-Meixeira AM, Gil E, de Paz C, et al. Mercury, lead and cadmium in human milk in relation to diet, lifestyle habits and sociodemographic variables in Madrid (Spain). Chemosphere. 2011;85:268-76. https://doi.org/10.1016/j.chemosphere.2011.05.029
Yang J, Jiang Z, Wang Y, Qureshi IA, Wu XD. Maternalfetal transfer of metallic mercury via the placenta and milk. Ann Clin Lab Sci. 1997;27:135-41.
Bose-O’Reilly S, Lettmeier B, Roider G, Siebert U, Drasch G. Mercury in breast milk - a health hazard for infants in gold mining areas? Int J Hyg Environ Health. 2008;211:615-23.
https://doi.org/10.1016/j.ijheh.2007.09.015
Veiga MM, Baker RF. Protocols for environmental and health assessment of mercury released by artisanal and small-scale gold miners. Vienna, Austria: GEF/UNDP/UNIDO; 2004. p. 77-155.
United Nations Environment Programme (UNEP). Guidance for identifying populations at risk from mercury exposure. Geneva: UNEP; 2010. p. 119-50.
Oskarsson A, Schültz A, Skerfving S, Hallén IP, Ohlin B, Lagerkvist BJ. Total and inorganic mercury in breast milk in relation to fish consumption and amalgam in lactating women. Arch Environ Health. 1996;51:234-41. https://doi.org/10.1080/00039896.1996.9936021
da Costa SL, Malm O, Dórea JG. Breast-milk mercury concentrations and amalgam surface in mothers from Brasilia, Brazil. Biol Trace Elem Res. 2005;106:145-51.
https://doi.org/10.1385/BTER:106:2:145
Vahter M, Akesson A, Lind B, Björs U, Schütz A, Berglund M. Longitudinal study of methylmercury and inorganic mercury in blood and urine of pregnant and lactating women, as well as in umbilical cord blood. Environ Res. 2000;84:186-94. https://doi.org/10.1006/enrs.2000.4098
Okati N, Sari AE, Ghasempouri SM. Hair mercury concentrations of lactating mothers and breastfed infants in Iran (fish consumption and mercury exposure). Biol Trace Elem Res. 2012;149:155-62. https://doi.org/10.1007/s12011-012-9424-7
Norouzi E, Bahramifar N, Ghasempouri SM. Effect of teeth amalgam on mercury levels in the colostrums human milk in Lenjan. Environ Monit Assess. 2012;184:375-80.
https://doi.org/10.1007/s10661-011-1974-1
Chien L-C, Han B-C, Hsu C-S, Jiang C-B, You H-J, Shieh M-J, et al. Analysis of the health risk of exposure to breast milk mercury in infants in Taiwan. Chemosphere. 2006;64:79-85. https://doi.org/10.1016/j.chemosphere.2005.11.059
Behrooz RD, Esmaili-Sari A, Peer FE, Amini M. Mercury concentration in the breast milk of Iranian women. Biol Trace Elem Res. 2012;147:36-43. https://doi.org/10.1007/s12011-011-9283-7
McDowell MA, Dillon CF, Osterloh J, Bolger PM, Pellizzari E, Fernando R, et al. Hair mercury levels in U.S. children and women of childbearing age: Reference range data from NHANES 1999-2000. Environ Health Perspect. 112:1165-71. https://doi.org/10.1289/ehp.7046
United States Environmental Protection Agency - EPA. Method 7473 (SW-846): Mercury in solids and solutions by thermal decomposition, amalgamation, and atomic absorption spectrophotometry | Homeland Security Research | US EPA. Fecha de consulta: 30 de noviembre de 2016. Disponible en: https://www.epa.gov/homelandsecurity-research/epa-method-7473-sw-846-mercurysolids-and-solutions-thermal-decomposition
Agency for Toxic Substances and Disease Registry. ATSDR Tox Profiles 2004. Atlanta, GA: US Department of Health and Human Services; 2004. p. 445.
Committee on the Toxicological Effects of Methylmercury. Toxicological effects of methylmercury. National Academy of Sciences, 2000. Fecha de consulta: 28 de noviembre de 2016. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK225773/
American Conference of Governmental Industrial Hygienists (ACGIH®). TLV® and BEI® guidelines. Cincinnati: ACGIH; 2015. p. 9-97.
Barbosa AC, Silva SR, Dórea JG. Concentration of mercury in hair of indigenous mothers and infants from the Amazon basin. Arch Environ Contam Toxicol.1998;34:100-5.
Ramírez GB, Cruz MC, Pagulayan O, Ostrea E, Dalisay C. The Tagum study I: Analysis and clinical correlates of mercury in maternal and cord blood, breast milk, meconium, and infants’ hair. Pediatrics. 2000;106:774-81. https://doi.org/10.1542/peds.106.4.774
Sharma R, Pervez S. Toxic metals status in human blood and breast milk samples in an integrated steel plant environment in Central India. Environ Geochem Health. 2005;27:39-45. https://doi.org/10.1007/s10653-004-1628-0
Björnberg KA, Vahter M, Berglund B, Niklasson B, Blennow M, Sandborgh-Englund G. Transport of methylmercury and inorganic mercury to the fetus and breast-fed infant. Environ Health Perspect. 2005;113:1381-5. https://doi.org/10.1289/ehp.7856
Miklavčič A, Cuderman P, Mazej D, Snoj Tratnik J, Krsnik M, Planinšek P, et al. Biomarkers of low-level mercury exposure through fish consumption in pregnant and lactating Slovenian women. Environ Res. 2011;111:1201-7. https://doi.org/10.1016/j.envres.2011.07.006
Valent F, Mariuz M, Bin M, Little D, Mazej D, Tognin V, et al. Associations of prenatal mercury exposure from maternal fish consumption and polyunsaturated fatty acids with child neurodevelopment: A prospective cohort study in Italy. J Epidemiol. 2013;23:360-70. https://doi.org/10.2188/jea.JE20120168
Li M, Wu M, Xu J, Du J, Yan C. Body burden of hg in different bio-samples of mothers in Shenyang city, China. PLoS ONE. 2014;9:e98121. https://doi.org/10.1371/journal.pone.0098121
De Felip E, Bianchi F, Bove C, Cori L, D’Argenzio A, D’Orsi G, et al. Priority persistent contaminants in people dwelling in critical areas of Campania Region, Italy (SEBIOREC biomonitoring study). Sci Total Environ. 2014;487:420-35. https://doi.org/10.1016/j.scitotenv.2014.04.016
Al-Saleh I, Abduljabbar M, Al-Rouqi R, Elkhatib R, Alshabbaheen A, Shinwari N. Mercury (Hg) exposure in breast-fed infants and their mothers and the evidence of oxidative stress. Biol Trace Elem Res. 2013;153:145-54. https://doi.org/10.1007/s12011-013-9687-7
Al-Saleh I, Nester M, Abduljabbar M, Al-Rouqi R, Eltabache C, Al-Rajudi T, et al. Mercury (Hg) exposure and its effects on Saudi breastfed infant’s neurodevelopment. Int J Hyg Environ Health. 2016;219:129-41. https://doi.org/10.1016/j.ijheh.2015.10.002
Vimy MJ, Hooper DE, King WW, Lorscheider FL. Mercury from maternal «silver» tooth fillings in sheep and human breast milk. A source of neonatal exposure. Biol Trace Elem Res.1997;56:143-52. https://doi.org/10.1007/BF02785388
Gaxiola-Robles R, Labrada-Martagón V, Celis de la Rosa A de J, Acosta-Vargas B, Méndez-Rodríguez LC, Zenteno-Savín T. Interaction between mercury (Hg), arsenic (As) and selenium (Se) affects the activity of glutathione S-transferase in breast milk; possible relationship with fish and sellfish intake. Nutr Hosp. 2014;30:436-46. https://doi.org/10.3305/nh.2014.30.2.7441
Boischio AA, Henshel DS. Linear regression models of methyl mercury exposure during prenatal and early postnatal life among riverside people along the upper Madeira river, Amazon. Environ Res. 2000;83:150-61. https://doi.org/10.1006/enrs.2000.4050
Clarkson TW. Metal toxicity in the central nervous system. Environ Health Perspect. 1987;75:59-64. https://doi.org/10.2307/3430577
Daniels JL, Longnecker MP, Rowland AS, Golding J, ALSPAC Study Team. University of Bristol Institute of Child Health. Fish intake during pregnancy and early cognitive development of offspring. Epidemiology. 2004;15:394-402. https://doi.org/10.1097/01.ogx.0000151643.24743.40
Tatsuta N, Nakai K, Murata K, Suzuki K, Iwai-Shimada M, Yaginuma-Sakurai K, et al. Prenatal exposures to environmental chemicals and birth order as risk factors for child behavior problems. Environ Res. 2012;114:47-52. https://doi.org/10.1016/j.envres.2012.02.001
Pugach S, Clarkson T. Prenatal mercury exposure and postnatal outcome: Clinical case report and analysis. Clin Toxicol (Phila). 2009;47:366-70. https://doi.org/10.1080/15563650902866911
Ibrahim D, Froberg B, Wolf A, Rusyniak DE. Heavy metal poisoning: Clinical presentations and pathophysiology. Clin Lab Med. 2006;26:67-97. https://doi.org/10.1016/j.cll.2006.02.003
Counter SA. Neurophysiological anomalies in brainstem responses of mercury-exposed children of Andean gold miners. J Occup Environ Med. 2003; 45:87-95. https://doi.org/10.1097/00043764-200301000-00017
Gundacker C, Fröhlich S, Graf-Rohrmeister K, Eibenberger B, Jessenig V, Gicic D, et al. Perinatal lead and mercury exposure in Austria. Sci Total Environ. 2010;408:5744-9.
https://doi.org/10.1016/j.scitotenv.2010.07.079
Miklavčič A, Casetta A, Snoj Tratnik J, Mazej D, Krsnik M, Mariuz M, et al. Mercury, arsenic and selenium exposure levels in relation to fish consumption in the Mediterranean area. Environ Res. 2013;120:7-17. https://doi.org/10.1016/j.envres.2012.08.010
Iwai-Shimada M, Satoh H, Nakai K, Tatsuta N, Murata K, Akagi H. Methylmercury in the breast milk of Japanese mothers and lactational exposure of their infants. Chemosphere. 2015;126:67-72. https://doi.org/10.1016/j.chemosphere.2014.12.086
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