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    • The love and support of a spouse during adversityThe love and support of a spouse can provide strength and hope during difficult times, as illustrated by the story of Ishimoto Michiko, who found solace in her bond despite suffering from Minamata disease.

      The love and support of a spouse can be a source of strength and hope during times of great adversity. This was poignantly illustrated in the story of Ishimoto Michiko, a woman suffering from Minamata disease, as she expressed her deep appreciation for her husband's kindness and assistance in her time of need. Despite her own helplessness and the challenges of her illness, she found solace in their bond and expressed her love for him deeply. The discussion also highlighted the emotional and historical complexities of Minamata disease, which resulted from methylmercury poisoning, and the significant impact it had on individuals and communities. The episode of This Podcast Will Kill You on Mercury further explored the biology and history of mercury and its various uses and risks, making for a thought-provoking and informative listen.

    • Understanding Mercury's Forms and Their ToxicityMercury exists in various forms, each with distinct toxicity levels and modes of exposure. Elemental mercury is the most concerning due to its ability to vaporize and be absorbed through the respiratory system, while inorganic and organic mercury have different toxicity profiles.

      Mercury, an element naturally found in the Earth's crust, comes in various forms with different levels of toxicity to humans. The most commonly known form is elemental or metallic mercury, also called quicksilver, which is liquid at room temperature and easily vaporized. Exposure to mercury vapor, not the liquid metal itself, is the primary concern as it is rapidly absorbed through the respiratory membranes and can cross other membranes, including the blood-brain barrier and placenta. Mercury vapor has a long half-life in the body, allowing it to accumulate over time, particularly in the brain. While less common, inorganic mercury, which is mercury bound to chloride or nitrite, and organic mercury, which is mercury bound to carbon and hydrogen, also have different toxicity levels and modes of exposure. Stay tuned as we dive deeper into the nitty-gritty of mercury and its impact on human health.

    • Mercury in various forms, methylmercury being the most concerning for human healthMethylmercury, an organic form of mercury, is easily absorbed by the body and bioaccumulates in the food chain, making it the primary contributor to human mercury exposure

      Mercury exists in various forms, with organic mercury, specifically methylmercury, being the most concerning for human health due to its high bioavailability and ability to bioaccumulate in the food chain. Methylmercury is formed when bacteria convert inorganic mercury into an organic form, making it easily absorbed by plants and animals. This process leads to methylmercury's presence in fish and other seafood, posing a significant health risk when consumed. Methylmercury is almost 100% absorbed through the GI tract and can cross the blood-brain barrier and placenta. Its longer half-life in the body and different excretion method also contribute to its toxicity. Unlike inorganic and elemental mercury, which are excreted through urine, methylmercury is excreted in feces. It's important to note that other forms of organic mercury, such as diethyl or dimethylmercury, can also be toxic but are less common in the environment compared to methylmercury. Overall, methylmercury's ease of absorption and bioaccumulation in the food chain make it the primary contributor to human mercury exposure.

    • Mercury binds to negatively charged molecules and disrupts their functionMercury's toxicity arises from its binding to negatively charged proteins and amino acids, causing disruption and oxidative stress

      Mercury, once it enters the body, behaves as a positively charged ion and binds to negatively charged proteins and amino acids containing sulfur and selenium groups. This binding disrupts the function of various enzymes and proteins, leading to an increase in oxidative stress and damage. Mercury's ability to cross important membranes like the blood-brain barrier and placenta contributes to its toxicity. The symptoms of Mercury toxicity can depend on the form of Mercury and the organs it accumulates in, but the neurological effects are significant due to the brain's susceptibility to Mercury's binding properties. Mercury vapor, mostly found in elemental Mercury, is the most common way to be exposed to Mercury in the lungs. Despite the various forms of Mercury and their different modes of entry into the body, Mercury's toxic effects are largely due to its binding to negatively charged molecules and the resulting disruption of their function.

    • Mercury Exposure: Acute and Chronic Health EffectsMercury exposure, whether acute or chronic, can lead to severe health consequences including respiratory symptoms, neurological issues, and GI problems, and can have long-term effects and impact the environment.

      Mercury exposure, particularly in industrial or occupational settings, can lead to severe health consequences. Acute exposure to mercury vapor at high concentrations (above 1000 micrograms per cubic meter) can cause interstitial pneumonitis, resulting in inflammation in the lungs, severe coughing, chest pain, difficulty breathing, and a metallic taste in the mouth, among other symptoms. Chronic exposure to lower levels (between 25 and 100 micrograms per cubic meter) can lead to neurological symptoms, such as tremors, memory loss, and vision and hearing impairments. Inorganic mercury, which can be found in some skincare and makeup products, can be absorbed through the skin and cause GI symptoms, severe abdominal pain, nausea, vomiting, and bloody diarrhea, potentially leading to kidney failure or cardiovascular collapse. Mercury exposure can also impact the nervous system, leading to neurological symptoms like those associated with methylmercury poisoning. It's important to note that mercury contamination can have long-term effects, even at low levels, and can work its way up the food chain, making it a significant environmental concern as well.

    • Methylmercury's harmful effects on the nervous systemMethylmercury exposure, even at low or moderate levels, can cause severe neurological damage, leading to symptoms like sensory impairments, tremors, ataxia, dysarthria, memory loss, dementia, and even death. There's no cure.

      Methylmercury, a form of mercury, can cause severe damage to the nervous system, both in adults and developing fetuses, when exposed to low or moderate levels over extended periods. Symptoms can include sensory impairments, tremors, ataxia, dysarthria, memory loss, dementia, and even death. Methylmercury poisoning can lead to permanent neurological damage, and there are currently no effective treatments. The history of mercury use is vast, with significant roles in mining, trade, chemistry, alchemy, religion, and medicine. Despite its historical uses, mercury's toxic effects, particularly methylmercury, have led to devastating consequences.

    • The Minamata Disaster: Industrial Pollution and Human HealthThe Minamata Disaster in Japan, caused by industrial mercury pollution, led to mass poisoning and neurological damage in residents. It's a reminder of the long-term dangers of pollution and the need for accountability and prioritizing public health.

      The Minamata disaster in Japan, which occurred in the late 1900s, was a devastating environmental disaster caused by the Chisso Corporation's industrial production of acetaldehyde using mercury catalysts. The resulting mercury waste was dumped into the sea, where it was transformed into methylmercury and bioaccumulated in the local fish and shellfish. Residents of Minamata, who relied heavily on these resources for their diet, began to experience symptoms of mercury poisoning, including neurological damage. The disaster highlights the dangers of industrial pollution and the potential harm it can cause to human health and the environment, even decades after the initial exposure. The incident also underscores the importance of holding corporations accountable for their actions and prioritizing public health over corporate interests.

    • The Mysterious Disease of Minamata: Industrial Pollution's Devastating ImpactIndustrial pollution from a Japanese factory caused mass fish die-offs, neurological symptoms in residents, and long-term damage or death. The rodent infestation worsened the economic impact on the fishing industry, and the delay in discovery was due to stigma and fear.

      The industrial waste from a chemical factory in Minamata, Japan, led to mass fish die-offs, bird falls, and the mysterious disappearance of cats. Residents began experiencing neurological symptoms, including convulsions, numbness, and difficulty walking or talking. The unknown disease was eventually linked to mercury poisoning from the factory's wastewater, which contaminated the local seafood and water supply. The loss of cats, which controlled rodent populations, led to a rodent infestation that damaged fishing nets, further impacting the already devastated fishing industry. The discovery of the disease was delayed due to stigma and fear, and those affected faced isolation and shame. The mystery disease, now known as Minamata Disease, caused long-term neurological damage and even death. The incident highlights the devastating effects of industrial pollution on human health and the environment.

    • Overlooked Disaster: Minamata Bay Mercury PoisoningThe Minamata Bay disaster, caused by mercury poisoning, was initially overlooked due to a focus on severe cases and complicated by the polluter's attempts to mislead investigations, resulting in a significant delay in addressing the disaster and bringing justice for the affected community.

      The Minamata Bay disaster, caused by mercury poisoning, was initially overlooked due to the focus on severe cases, making it difficult to assess the true extent of the exposure. The identification of the cause was also complicated by the proposed theories from the polluter, Chisso Corporation, who attempted to mislead investigations and hide evidence. Despite their efforts, mercury was eventually identified as the cause, and the extent of the contamination was alarming, with high levels of mercury in the environment leading to bioaccumulation in fish and devastating health effects for hundreds of people. The Chisso Corporation's actions resulted in a significant delay in addressing the disaster and bringing justice for the affected community.

    • Chisso's Denial and Resistance to CompensationThe Chisso Corporation's response to the Minamata mercury poisoning disaster was marked by denial and resistance, with small charitable payments and requirements for certification committees, leading to a decade of silence and willful ignorance.

      The Chisso Corporation's handling of the Minamata mercury poisoning disaster was marked by denial and subtle threats, even as evidence of the harm caused by their factory waste grew stronger. Despite the devastating impact on the local community, including fishing cooperatives and those affected by methylmercury poisoning, the corporation continued to undermine the findings and resist taking responsibility. They made small payments as charitable gifts, but required certification committees to decide eligibility and included clauses preventing further compensation demands. The public turned against those demanding recognition and compensation, and Chisso built a pollution control center as a public relations gesture, but it was ineffective. The decade following the initial payments is often called the decade of silence, but it was really a time of willful ignorance from the government, corporation, and many citizens, as the true extent of the disaster became clear.

    • Decades of Impact: Minamata Disease Victims' Long Fight for JusticeDecades after the initial symptoms of Minamata disease were recognized, victims' struggle for justice continued due to corporate denial of responsibility, leading to grassroots activism and international recognition.

      The Minamata disease disaster continued to impact generations even after the initial symptoms were recognized, and it wasn't until other major pollution cases came to light and public sympathy grew that the victims began to receive justice. Despite the payments made by the Chisso Corporation, they did not acknowledge full responsibility for their actions, which led to grassroots activism and international recognition through books, photographs, and films. The struggle for accountability lasted for over a decade, with the company being held legally responsible for negligently dumping between 224 to 600 tons of mercury into the sea.

    • The Minamata Disaster: A Tragic Event of Corporate Negligence and Environmental InjusticeThe Minamata Disaster exposed the need for corporate accountability and revealed the devastating consequences of progress without regard for the environment and human health, leading to ongoing concerns for mercury exposure in subsistence fishing communities and artisanal gold mining.

      The Minamata disaster, a tragic event of criminal mercury poisoning in Japan, led to the creation of an entire field of study and inspired movements for corporate accountability and environmental justice. Over 2,200 people were officially certified with Minamata disease, and many more were affected but not recognized. The disaster revealed the importance of holding corporations accountable for their actions and the devastating consequences of progress without regard for the environment and human health. Today, between 1.5 and 17 out of every 1,000 children in subsistence fishing communities are estimated to have cognitive impacts due to mercury consumption. Occupational exposure, particularly in artisanal and small scale gold mining, is also a significant concern. The history of Minamata serves as a reminder of the ongoing need for accountability and the true cost of progress.

    • Mercury: A Global Environmental IssueMercury emissions from human activities have significantly increased atmospheric concentrations, leading to health risks and a global issue. Artisanal gold mining is the largest contributor, but coal burning also plays a role.

      Mercury, a naturally occurring element, is a global environmental issue due to human activities releasing vast amounts into the atmosphere, leading to increased concentrations and potential health risks. With an estimated 15 million people involved in artisanal and small-scale gold mining, mercury exposure is not limited to occupational hazards but is widespread due to its presence in the food chain. The largest contributor to global mercury emissions, at 37.7%, is artisanal and small-scale gold mining. However, coal burning and other fossil fuel burning account for 24% of total emissions. The UN reported 2,200 tons of global mercury emissions in 2015, a 20% increase from 2010. Human activities have increased atmospheric mercury concentrations by 450% from pre-industrial levels. The impact of mercury emissions is far-reaching, with mercury traveling through the water cycle and food chain, making it a global issue with significant consequences. Decreasing emissions now will take time to show beneficial effects, as mercury already released into the environment has not yet fully entered the food chain. Additionally, mercury is also found in vaccines as a preservative called thimerosal, a topic that was briefly touched upon in a previous podcast episode.

    • Thimerosal vs Methylmercury: Different Impacts on HealthDespite initial concerns, ethylmercury in thimerosal is eliminated from the body more readily and does not cause major or long-term neurodevelopmental effects.

      Thimerosal, a mercury compound used as a preservative in multi-dose vaccine vials, is not the same as methylmercury found in fish. While concerns about the use of thimerosal in vaccines arose due to potential methylmercury accumulation, studies have since shown that ethylmercury, the form of mercury in thimerosal, is eliminated from the body more readily and does not cause major or long-term neurodevelopmental effects. The American Academy of Pediatrics recommended reducing or eliminating thimerosal in childhood vaccines in the US due to these concerns, but it is still used in some vaccines and is an important preservative in vaccines in other parts of the world. The controversy surrounding thimerosal led to numerous large-scale epidemiological studies, none of which have shown significant neurodevelopmental effects. It's important to note that the data on methylmercury, not ethylmercury, was the basis for the initial concerns.

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    (Image: Power plant emitting smoke at sunset. Credit: Enviromantic/Getty)

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    Original post: 

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    PCRM’s Exam Room Podcast: https://www.pcrm.org/podcast 

    The Physicians Committee for Responsible Medicine is a non-profit organization founded by Dr. Neal Barnard, combining the clout and expertise of more than 12,000 physicians, dietitians, and scientists and almost 200,000 members worldwide. They’re changing the way doctors treat chronic diseases such as diabetes, heart disease, obesity, and cancer - putting prevention over pills,and  empowering patients to take control of their own health. And since 1985, the Physicians Committee has worked tirelessly for alternatives to the use of animals in medical education and research, and for more effective scientific methods.

    The Physicians Committee is dedicated to saving and improving human and animal lives through plant-based diets and ethical and effective scientific research.

     

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