A review of mercury exposure among artisanal small-scale gold miners in developing countries

Purpose Extraction of gold using mercury has been a way out of poverty for millions of people in developing countries. Artisanal small-scale gold mining (ASGM) has expanded during the last decades and is often carried out under primitive conditions. Thus, workers in this industry may be exposed to h...

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Published inInternational archives of occupational and environmental health Vol. 87; no. 6; pp. 579 - 590
Main Authors Kristensen, Anders Kasper Bruun, Thomsen, Jane Frølund, Mikkelsen, Sigurd
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.08.2014
Springer
Springer Nature B.V
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Abstract Purpose Extraction of gold using mercury has been a way out of poverty for millions of people in developing countries. Artisanal small-scale gold mining (ASGM) has expanded during the last decades and is often carried out under primitive conditions. Thus, workers in this industry may be exposed to high levels of mercury and suffer from toxic effects from mercury exposure. The objective of this review was to provide an outline of the studies available on elemental mercury exposure among artisanal small-scale gold miners. Methods Searching the PubMed and Embase databases, 26 studies with a total of 3,005 exposed subjects and 442 controls across 14 different developing countries were found. Urine mercury levels were used as biomarkers of exposure. Results In general, the urine mercury levels were elevated and a considerable proportion of workers had urine mercury levels above existing guidelines. Exposed subjects were stratified into residents, miners, millers, smelters, and refiners, who by work task content were expected to be increasingly exposed to mercury. This group order did show a clear trend of increasing mercury levels. Mercury levels differed substantially between studies. Possible explanations include dissimilarities in gold extraction methods, use of protective devices, and selection of participants. Conclusions This review provides evidence that artisanal gold miners and residents of the mining sites are exposed to mercury vapour to an extent where acute and long-term toxic effects of mercury are likely. Interventions aimed at reducing exposure and emission of mercury from ASGM are needed.
AbstractList Purpose: Extraction of gold using mercury has been a way out of poverty for millions of people in developing countries. Artisanal small-scale gold mining (ASGM) has expanded during the last decades and is often carried out under primitive conditions. Thus, workers in this industry may be exposed to high levels of mercury and suffer from toxic effects from mercury exposure. The objective of this review was to provide an outline of the studies available on elemental mercury exposure among artisanal small-scale gold miners. Methods: Searching the PubMed and Embase databases, 26 studies with a total of 3,005 exposed subjects and 442 controls across 14 different developing countries were found. Urine mercury levels were used as biomarkers of exposure. Results: In general, the urine mercury levels were elevated and a considerable proportion of workers had urine mercury levels above existing guidelines. Exposed subjects were stratified into residents, miners, millers, smelters, and refiners, who by work task content were expected to be increasingly exposed to mercury. This group order did show a clear trend of increasing mercury levels. Mercury levels differed substantially between studies. Possible explanations include dissimilarities in gold extraction methods, use of protective devices, and selection of participants. Conclusions: This review provides evidence that artisanal gold miners and residents of the mining sites are exposed to mercury vapour to an extent where acute and long-term toxic effects of mercury are likely. Interventions aimed at reducing exposure and emission of mercury from ASGM are needed.
Purpose Extraction of gold using mercury has been a way out of poverty for millions of people in developing countries. Artisanal small-scale gold mining (ASGM) has expanded during the last decades and is often carried out under primitive conditions. Thus, workers in this industry may be exposed to high levels of mercury and suffer from toxic effects from mercury exposure. The objective of this review was to provide an outline of the studies available on elemental mercury exposure among artisanal small-scale gold miners. Methods Searching the PubMed and Embase databases, 26 studies with a total of 3,005 exposed subjects and 442 controls across 14 different developing countries were found. Urine mercury levels were used as biomarkers of exposure. Results In general, the urine mercury levels were elevated and a considerable proportion of workers had urine mercury levels above existing guidelines. Exposed subjects were stratified into residents, miners, millers, smelters, and refiners, who by work task content were expected to be increasingly exposed to mercury. This group order did show a clear trend of increasing mercury levels. Mercury levels differed substantially between studies. Possible explanations include dissimilarities in gold extraction methods, use of protective devices, and selection of participants. Conclusions This review provides evidence that artisanal gold miners and residents of the mining sites are exposed to mercury vapour to an extent where acute and long-term toxic effects of mercury are likely. Interventions aimed at reducing exposure and emission of mercury from ASGM are needed.
Extraction of gold using mercury has been a way out of poverty for millions of people in developing countries. Artisanal small-scale gold mining (ASGM) has expanded during the last decades and is often carried out under primitive conditions. Thus, workers in this industry may be exposed to high levels of mercury and suffer from toxic effects from mercury exposure. The objective of this review was to provide an outline of the studies available on elemental mercury exposure among artisanal small-scale gold miners. Searching the PubMed and Embase databases, 26 studies with a total of 3,005 exposed subjects and 442 controls across 14 different developing countries were found. Urine mercury levels were used as biomarkers of exposure. In general, the urine mercury levels were elevated and a considerable proportion of workers had urine mercury levels above existing guidelines. Exposed subjects were stratified into residents, miners, millers, smelters, and refiners, who by work task content were expected to be increasingly exposed to mercury. This group order did show a clear trend of increasing mercury levels. Mercury levels differed substantially between studies. Possible explanations include dissimilarities in gold extraction methods, use of protective devices, and selection of participants. This review provides evidence that artisanal gold miners and residents of the mining sites are exposed to mercury vapour to an extent where acute and long-term toxic effects of mercury are likely. Interventions aimed at reducing exposure and emission of mercury from ASGM are needed.
Extraction of gold using mercury has been a way out of poverty for millions of people in developing countries. Artisanal small-scale gold mining (ASGM) has expanded during the last decades and is often carried out under primitive conditions. Thus, workers in this industry may be exposed to high levels of mercury and suffer from toxic effects from mercury exposure. The objective of this review was to provide an outline of the studies available on elemental mercury exposure among artisanal small-scale gold miners.PURPOSEExtraction of gold using mercury has been a way out of poverty for millions of people in developing countries. Artisanal small-scale gold mining (ASGM) has expanded during the last decades and is often carried out under primitive conditions. Thus, workers in this industry may be exposed to high levels of mercury and suffer from toxic effects from mercury exposure. The objective of this review was to provide an outline of the studies available on elemental mercury exposure among artisanal small-scale gold miners.Searching the PubMed and Embase databases, 26 studies with a total of 3,005 exposed subjects and 442 controls across 14 different developing countries were found. Urine mercury levels were used as biomarkers of exposure.METHODSSearching the PubMed and Embase databases, 26 studies with a total of 3,005 exposed subjects and 442 controls across 14 different developing countries were found. Urine mercury levels were used as biomarkers of exposure.In general, the urine mercury levels were elevated and a considerable proportion of workers had urine mercury levels above existing guidelines. Exposed subjects were stratified into residents, miners, millers, smelters, and refiners, who by work task content were expected to be increasingly exposed to mercury. This group order did show a clear trend of increasing mercury levels. Mercury levels differed substantially between studies. Possible explanations include dissimilarities in gold extraction methods, use of protective devices, and selection of participants.RESULTSIn general, the urine mercury levels were elevated and a considerable proportion of workers had urine mercury levels above existing guidelines. Exposed subjects were stratified into residents, miners, millers, smelters, and refiners, who by work task content were expected to be increasingly exposed to mercury. This group order did show a clear trend of increasing mercury levels. Mercury levels differed substantially between studies. Possible explanations include dissimilarities in gold extraction methods, use of protective devices, and selection of participants.This review provides evidence that artisanal gold miners and residents of the mining sites are exposed to mercury vapour to an extent where acute and long-term toxic effects of mercury are likely. Interventions aimed at reducing exposure and emission of mercury from ASGM are needed.CONCLUSIONSThis review provides evidence that artisanal gold miners and residents of the mining sites are exposed to mercury vapour to an extent where acute and long-term toxic effects of mercury are likely. Interventions aimed at reducing exposure and emission of mercury from ASGM are needed.
Extraction of gold using mercury has been a way out of poverty for millions of people in developing countries. Artisanal small-scale gold mining (ASGM) has expanded during the last decades and is often carried out under primitive conditions. Thus, workers in this industry may be exposed to high levels of mercury and suffer from toxic effects from mercury exposure. The objective of this review was to provide an outline of the studies available on elemental mercury exposure among artisanal small-scale gold miners. Searching the PubMed and Embase databases, 26 studies with a total of 3,005 exposed subjects and 442 controls across 14 different developing countries were found. Urine mercury levels were used as biomarkers of exposure. In general, the urine mercury levels were elevated and a considerable proportion of workers had urine mercury levels above existing guidelines. Exposed subjects were stratified into residents, miners, millers, smelters, and refiners, who by work task content were expected to be increasingly exposed to mercury. This group order did show a clear trend of increasing mercury levels. Mercury levels differed substantially between studies. Possible explanations include dissimilarities in gold extraction methods, use of protective devices, and selection of participants. This review provides evidence that artisanal gold miners and residents of the mining sites are exposed to mercury vapour to an extent where acute and long-term toxic effects of mercury are likely. Interventions aimed at reducing exposure and emission of mercury from ASGM are needed. [PUBLICATION ABSTRACT]
Author Mikkelsen, Sigurd
Thomsen, Jane Frølund
Kristensen, Anders Kasper Bruun
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  givenname: Anders Kasper Bruun
  surname: Kristensen
  fullname: Kristensen, Anders Kasper Bruun
  email: kasperkristensen4@gmail.com
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  givenname: Jane Frølund
  surname: Thomsen
  fullname: Thomsen, Jane Frølund
  organization: Department of Occupational and Environmental Medicine, Bispebjerg Hospital
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  givenname: Sigurd
  surname: Mikkelsen
  fullname: Mikkelsen, Sigurd
  organization: Department of Occupational and Environmental Medicine, Bispebjerg Hospital
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IsPeerReviewed true
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Issue 6
Keywords Mining
Developing countries
Occupational health
Biomonitoring
Mercury
Human
Gold
Vapor
Transition metal
Review
Occupational exposure
Biological monitoring
Heavy metal
Mine
Environment
Occupational medicine
Bibliographic review
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CC BY 4.0
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PublicationDate 2014-08-01
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  year: 2014
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PublicationTitle International archives of occupational and environmental health
PublicationTitleAbbrev Int Arch Occup Environ Health
PublicationTitleAlternate Int Arch Occup Environ Health
PublicationYear 2014
Publisher Springer Berlin Heidelberg
Springer
Springer Nature B.V
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ParuchuriYSiuniakAJohnsonNLevinEMitchellKGoodrichJMRenneEPBasuNOccupational and environmental mercury exposure among small-scale gold miners in the Talensi-Nabdam District of Ghana’s Upper East regionSci Total Environ201040824607960851:CAS:528:DC%2BC3cXhtlaqt73I10.1016/j.scitotenv.2010.08.022
Bose-O’ReillySDraschGBeinhoffCRodrigues-FilhoSRoiderGLettmeierBMaydlAMaydlSSiebertUHealth assessment of artisanal gold miners in IndonesiaSci Total Environ2010408471372510.1016/j.scitotenv.2009.10.070
Kwaansa-AnsahEEBasuNNriaguJOEnvironmental and occupational exposures to mercury among indigenous people in Dunkwa-On-Offin, a small scale gold mining area in the South–West of GhanaBull Environ Contam Toxicol20108554764801:CAS:528:DC%2BC3cXhsV2ktLzL10.1007/s00128-010-0141-7
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TomicicCVernezDBelemTBerodeMHuman mercury exposure associated with small-scale gold mining in Burkina FasoInt Arch Environ Occup Health20118455395461:CAS:528:DC%2BC3MXmtFahtb0%3D10.1007/s00420-011-0615-x
Rodrigues-Filho S, Castilhos Z, Santos R, Egler S, Yallouz A, Pedroso L, Pereira D, Santos E, Brabo E (2004) Environmental and health assessment in two small scale gold mining areas of the Brazilian Amazon. Final Report of the Global Mercury Project. UNIDO, Rio de Janiero
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de JesusIMde Oliveira SantosECda SilvaBrabo ELoureiroECde MagalhaesCamara VMascarenhasAFda SilvaDFClearyDExposure to elemental mercury in urban workers and gold miners from the Tapajos Region, Para, BrazilBull Environ Contam Toxicol2001673317323
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References_xml – reference: CustodioHMHarariRGerhardssonLSkerfvingSBrobergKGenetic influences on the retention of inorganic mercuryArch Environ Occup Health200560117231:CAS:528:DC%2BD28XhtVyns7vJ10.3200/AEOH.60.1.17-23
– reference: DrakePLRojasMRehCMMuellerCAJenkinsFMOccupational exposure to airborne mercury during gold mining operations near El Callao, VenezuelaInt Arch Environ Occup Health20017432062121:CAS:528:DC%2BD3MXitl2ntrc%3D10.1007/s004200000206
– reference: AksSEEricksonTBranchesFJNalewayCChouHNLevyPHryhorczukDFractional mercury levels in Brazilian gold refiners and minersJ Clin Toxicol19953311101:CAS:528:DyaK2MXksVOktL8%3D10.3109/15563659509020208
– reference: van StraatenPHuman exposure to mercury due to small scale gold mining in northern TanzaniaSci Total Environ20002591–3455310.1016/S0048-9697(00)00548-9
– reference: IkinguraJRAkagiHMonitoring of fish and human exposure to mercury due to gold mining in the Lake Victoria goldfields, TanzaniaSci Total Environ19961911–259681:CAS:528:DyaK28Xlsl2luro%3D10.1016/0048-9697(96)05178-9
– reference: de JesusIMde Oliveira SantosECda SilvaBrabo ELoureiroECde MagalhaesCamara VMascarenhasAFda SilvaDFClearyDExposure to elemental mercury in urban workers and gold miners from the Tapajos Region, Para, BrazilBull Environ Contam Toxicol2001673317323
– reference: Telmer KH, Veiga MM (2009) World Emissions of Mercury from Artisanal and Small Scale Gold Mining. In: Pirrone N, Mason RP (eds) Mercury fate and transport in the global atmosphere: emissions, measurements and models. Springer, Dordrecht, pp 131-173. doi:10.1007/978-0-387-93958-2_6
– reference: TomicicCVernezDBelemTBerodeMHuman mercury exposure associated with small-scale gold mining in Burkina FasoInt Arch Environ Occup Health20118455395461:CAS:528:DC%2BC3MXmtFahtb0%3D10.1007/s00420-011-0615-x
– reference: WHO (2003) Elemental mercury and inorganic mercury compounds: Human health aspects. Concise international chemical assessment document 50. Geneva
– reference: ACGIH (2007) TLVs® and BEIs®. Based on the Documentation of the Threshold Limit Values for Chemical Substances and Physical Agents and Biological Exposure Indices. American Conference of Governmental and Industrial Hygienists, Cincinnati (OH)
– reference: VeigaMMBakerRFProtocols for environmental and health assessment of mercury released by artisanal and small scale miners2004ViennaGEF/UNDP/UNIDO
– reference: Rodrigues-Filho S, Castilhos Z, Santos R, Egler S, Yallouz A, Pedroso L, Pereira D, Santos E, Brabo E (2004) Environmental and health assessment in two small scale gold mining areas of the Brazilian Amazon. Final Report of the Global Mercury Project. UNIDO, Rio de Janiero
– reference: StecklingNBoese-O’ReillySGradelCGutschmidtKShineeEAltangerelEBadrakhBBonduushISurenjavUFerstlPRoiderGSakamotoMSepaiODraschGLettmeierBMortonJJonesKSiebertUHornbergCMercury exposure in female artisanal small-scale gold miners (ASGM) in Mongolia: an analysis of human biomonitoring (HBM) data from 2008Sci Total Environ2011409599410001:CAS:528:DC%2BC3MXnvVensg%3D%3D10.1016/j.scitotenv.2010.11.029
– reference: BranchesFJEricksonTBAksSEHryhorczukDOThe price of gold: mercury exposure in the Amazonian rain forestJ Clin Toxi19933122953061:STN:280:DyaK3s3mtVOmsg%3D%3D10.3109/15563659309000396
– reference: Meyer-BaronMSchaeperMSeeberAA meta-analysis for neurobehavioural results due to occupational mercury exposureArch Toxicol20027631271361:CAS:528:DC%2BD38Xks1Krtb8%3D10.1007/s00204-002-0327-9
– reference: Rojas M, Drake PL, Roberts SM (2001) Assessing mercury health effects in gold workers near El Callao, Venezuela. J Occup Environ Med/American College of Occupational and Environmental Medicine 43 (2):158-165. doi:10.1097/00043764-200102000-00016
– reference: TsujiJSWilliamsPREdwardsMRAllamneniKPKelshMAPaustenbachDJSheehanPJEvaluation of mercury in urine as an indicator of exposure to low levels of mercury vaporEnviron Health Perspect200311146236301:CAS:528:DC%2BD3sXjtlKrsrg%3D10.1289/ehp.5717
– reference: LinYGuoMGanWMercury pollution from small gold mines in ChinaWater Air Soil Pollut1997972332391:CAS:528:DyaK2sXltlGlsrg%3D
– reference: ParuchuriYSiuniakAJohnsonNLevinEMitchellKGoodrichJMRenneEPBasuNOccupational and environmental mercury exposure among small-scale gold miners in the Talensi-Nabdam District of Ghana’s Upper East regionSci Total Environ201040824607960851:CAS:528:DC%2BC3cXhtlaqt73I10.1016/j.scitotenv.2010.08.022
– reference: CorbettCEEl KhouriMCostaANGyuriczaJVCorbettJFFrizzariniRde Araujo AndradeDCCordeiroQStravogiannisAChassotCAVieiraJLPinheiro MdaCHealth evaluation of gold miners living in a mercury-contaminated village in Serra Pelada, Para, BrazilArch Environ Occup Health200762312112810.3200/AEOH.62.3.121-128
– reference: MalmOCastroMBBastosWRBranchesFJPGuimaraesJRDZuffoCEPfeifferWCAn assessment of Hg pollution in different goldmining areas, Amazon BrazilSci Total Environ199517521271401:CAS:528:DyaK28XnsFCr10.1016/0048-9697(95)04909-6
– reference: DraschGBose-O’ReillySBeinhoffCRoiderGMaydlSThe Mt. Diwata study on the Philippines 1999–assessing mercury intoxication of the population by small scale gold miningSci Total Environ20012671–31511681:CAS:528:DC%2BD3MXhsV2qs78%3D10.1016/S0048-9697(00)00806-8
– reference: UNEPThe global atmospheric mercury assessment: sources, emissions, and transport2008GenevaUNEP Chemicals Branch
– reference: AppelPWUNa-OyLThe borax method of gold extraction for small-scale minersBlacksmith Inst J Health Pollut201223510
– reference: AkagiHMalmOBranchesFJPKinjoYKashimaYGuimaraesJRDOliveiraRBHaraguchiKPfeifferWCTakizawaYKatoHHuman exposure to mercury due to goldmining in the Tapajos River basin, Amazon, Brazil: speciation of mercury in human hair, blood and urineWater Air Soil Pollut1995801–485941:CAS:528:DyaK2MXnsVChs7Y%3D10.1007/BF01189656
– reference: Boese-O ReillySDahlmannFLettmeierBDraschGRemoval of barriers to the introduction of cleaner artisanal gold mining and extraction technology in Kadoma, Zimbabwe part B: health assessment. Final report2004MunichUNIDO
– reference: Bose-O’ReillySDraschGBeinhoffCRodrigues-FilhoSRoiderGLettmeierBMaydlAMaydlSSiebertUHealth assessment of artisanal gold miners in IndonesiaSci Total Environ2010408471372510.1016/j.scitotenv.2009.10.070
– reference: AkagiHNaganumaAHuman exposure to mercury and the accumulation of methylmercury that is associated with gold mining in the Amazon Basin BrazilJ Health Sci20004653233281:CAS:528:DC%2BD3cXntVOmsL4%3D10.1248/jhs.46.323
– reference: RohlingMLDemakisGJA meta-analysis of the neuropsychological effects of occupational exposure to mercuryClin Neuropsychol200620110813210.1080/13854040500203324
– reference: Veiga MM, Bermudez D, Pacheco-Ferreira H, Pedroso LRM, Gunson AJ, Berrios G, Vos L, Huidobro P, Roeser M (2005) Mercury Pollution from artisanal gold mining in Block B, El Callao, Bolívar State, Venezuela. In: Dynamics of Mercury Pollution on Regional and Global Scales: Atmospheric Processes, Human Exposure Around the World. Springer Publisher, Norwell, MA, USA, pp 421-450. doi:10.1007/0-387-24494-8_19
– reference: Meyer-BaronMSchaeperMvan ThrielCSeeberANeurobehavioural test results and exposure to inorganic mercury: in search of dose-response relationsArch Toxicol20047842072111:CAS:528:DC%2BD2cXjtVWlsbc%3D10.1007/s00204-003-0531-2
– reference: HurtadoJGonzalesGFSteenlandKMercury exposures in informal gold miners and relatives in southern PeruInt J Occup Environ Health20061243403451:CAS:528:DC%2BD2sXislyitQ%3D%3D10.1179/oeh.2006.12.4.340
– reference: Kwaansa-AnsahEEBasuNNriaguJOEnvironmental and occupational exposures to mercury among indigenous people in Dunkwa-On-Offin, a small scale gold mining area in the South–West of GhanaBull Environ Contam Toxicol20108554764801:CAS:528:DC%2BC3cXhsV2ktLzL10.1007/s00128-010-0141-7
– reference: ClarksonTWThe three modern faces of mercuryEnviron Health Perspect2002110Suppl 111231:CAS:528:DC%2BD38Xnt1Srt78%3D10.1289/ehp.02110s111
– reference: UmbangtaladSParkpianPVisvanathanCDelauneRDJugsujindaAAssessment of Hg contamination and exposure to miners and schoolchildren at a small-scale gold mining and recovery operation in ThailandJ Environ Sci Health A Tox Hazard Subst Environ Eng20074214207120791:CAS:528:DC%2BD2sXhsVWgs73L10.1080/10934520701626985
– reference: SCOEL (2007) Recommendation from the Scientific Committee on Occupational Exposure Limits for elemental mercury and inorganic divalent mercury compounds. SCOEL/SUM/84
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Snippet Purpose Extraction of gold using mercury has been a way out of poverty for millions of people in developing countries. Artisanal small-scale gold mining (ASGM)...
Extraction of gold using mercury has been a way out of poverty for millions of people in developing countries. Artisanal small-scale gold mining (ASGM) has...
Purpose: Extraction of gold using mercury has been a way out of poverty for millions of people in developing countries. Artisanal small-scale gold mining...
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StartPage 579
SubjectTerms Biological and medical sciences
Biomarkers - urine
Chemical and industrial products toxicology. Toxic occupational diseases
Developing Countries
Earth and Environmental Science
Environment
Environmental Health
Gold
Gold mines & mining
Humans
LDCs
Medical sciences
Mercury
Mercury - toxicity
Mercury - urine
Metals and various inorganic compounds
Mining
Occupational diseases
Occupational exposure
Occupational Exposure - adverse effects
Occupational Exposure - analysis
Occupational hazards
Occupational medicine
Occupational Medicine/Industrial Medicine
Occupations
Poverty
Public health. Hygiene-occupational medicine
Rehabilitation
Review Article
Smelters
Toxicology
Urine
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Title A review of mercury exposure among artisanal small-scale gold miners in developing countries
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