Exposure Patterns and Long Term Sequelae on Adults and Children in Two Canadian Indigenous Communities Exposed to Methylmercury

Abstract

Health Canada has been collecting data on Inuit and First Nations' methylmercury (MeHg) levels for 25 years. A national overview has been completed and more focussed analyses have now been initiated. This paper deals with two interdependent analytical components: 1) a longitudinal overview of the two most extensively sampled communities in Canada: Grassy Narrows and Whitedog, the residents of which were exposed to ‘point source’ mercury pollution in the 1970's; 2) fetal and post-natal exposure to mercury in these two communities including an outline of the First Nation MeHg child development pilot project in the two communities. A retrospective analysis of Grassy Narrows and Whitedog shows a decreasing MeHg trend in both communities. In Grassy Narrows the average individual annual peak methylmercury level in blood has decreased significantly, from 23.80 ppb (range 1.50-322.90) in 1976 to 7.5 ppb (1.7-46.7) in 1995 (r=0.65, p<0.001). In Whitedog the average peak has also decreased significantly, from 12.87 ppb (1.50-172.00) in 1976 to 6.1 ppb (1.7-33.3) in 1995 (r=-0.59, p<0.005). However, behind these positive trends is the reality of two communities still suffering the effects of disrupted lifestyles and socio-cultural damage. A number of cord blood samples, maternal blood samples, and samples from women of child-bearing age from these communities have been in the "risk" group (according to the 1990 WHO guidelines). We are therefore now assessing the long term effects of fetal exposure in the communities. Standard clinical examinations in the past failed to prove abnormalities attributable to methylmercury but did not include subtle neuropsychological development tests. Many of the fetally exposed children are now in secondary school. Therefore, we have initiated a pilot project to assess long term effects of methylmercury exposure on the neuropsychological development of these children whose fetal exposure we know. The pilot child development project which was initiated in 1995 in Grass y Narrows and Whitedog, with community support, includes four main components: i) a school records review, looking at attendance, marks, and atypical behaviour; ii) teachers' questionnaires, targeting child behaviour; iii) an in-depth neuropsychological test battery focussing on subtle factors, such as memory, attention, executive functions, perceptual functions and sensory/motor development; and iv) hair sampling, providing current MeHg levels to correlate with results from the previous sampling and findings from the first three components. An overview of progress is given.