Abstract
We present the history of Minamata disease in a chronological order from the public health point of view. Because the appropriate public health response – to investigate and control the outbreak – as set out in the Food Sanitation Act was not conducted, no one knew how many became ill following the outbreak. Exposure could not be stopped. In our discussion, we offer two reasons as to why the Japanese public health agencies did not apply the Act: social circumstances in the 1950s and 1960s that placed emphasis on industrial development, and the Japanese medical community’s lack of knowledge about the Act. The history of Minamata disease shows us the consequences when public health responses are not implemented. Minamata disease should be an invaluable lesson for future public health responses.
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References
Harada, M. (1995) Minamata disease: Methylmercury poisoning in Japan caused by environmental pollution. Critical Reviews in Toxicology 25: 1–24.
Arima, S. (1979) Minamata Disease from the Viewpoint of the Factory's Process. In: S. Arima (ed.) Minamata Disease – Researches During 20 Years and Problems at Present. Tokyo, Japan: Seirinsha, pp. 153–198 (in Japanese).
McAlpine, D. and Araki, S. (1958) Minamata disease: An unusual neurological disorder caused by contaminated fish. Lancet 2: 629–631.
Miyazawa, N. (1996) [The Minamata Incident its 40 Years] (in Japanese). Fukuoka, Japan: Ashi-shobou.
Minamata Disease Research Group. (1966) [Minamata Disease: Studies About Methyl-Mercury Poisoning] (in Japanese). Kumamoto, Japan: Kumamoto University School of Medicine.
Kitamura, S. et al (1957) [Results of epidemiological investigation on an unknown disease affected central nerve system, which occurred in the Minamata area] (in Japanese). Kumamoto Igakkai Zasshi 31 (1): 1–9.
George, T.S. (2001) Minamata: Pollution and the Struggle for Democracy in Postwar Japan. Cambridge, MA: Harvard University Asia Center, distributed by Harvard University Press.
Kumamoto University School of Medicine. (1956) [An Interim Report About Central Nervous Disorders of Unknown Origin in Minamata] (in Japanese). Kumamoto, Japan: Kumamoto University School of Medicine, 3 November.
Kumamoto Prefecture Government. (1996) [Liaison conference about strange disease] (in Japanese). In: Research Group on Minama Disease (ed.) Collection of Materials About Minamata Disease. Fukuoka, Japan: Ashi publisher, p. 481.
Shizuoka Prefecture Government. (1996) [(Reply) About measures about shellfish poisoning] (in Japanese). In: Research Group on Minama Disease (ed.) Collection of Materials About Minamata Disease. Fukuoka, Japan: Ashi publisher, p. 1719.
Kumamoto Prefecture Government. (1996) [(Inquiry) About administrative measures against central nervous disorders in Minamata] (in Japanese). In: Research Group on Minama Disease (ed.) Collection of Materials about Minamata Disease. Fukuoka, Japan: Ashi publisher, pp. 499–500.
Chief of the Public Health Bureau of the Health and Welfare Ministry of Japan. (1996) [About administrative measures against central nervous disorders in Minamata] (in Japanese). In: Research Group on Minama Disease (ed.) Collection of Materials About Minamata Disease. Fukuoka, Japan: Ashi publisher, pp. 670–671.
Yorifuji, T., Tsuda, T., Takao, S. and Harada, M. (2008) Long-term exposure to methylmercury and neurological signs in Minamata and neighboring communities. Epidemiology 19: 3–9.
Hunter, D. and Russell, D.S. (1954) Focal cerebellar and cerebellar atrophy in a human subject due to organic mercury compounds. Journal of Neurology Neurosurgery and Psychiatry 17: 235–241.
Takeuchi, T. et al (1960) [Observations about the causes of Minamata disease from the pathological viewpoint] (in Japanese). Kumamoto Igakkai Zasshi 34 (3): 521–530.
Lasky, T. (2007) Epidemiologic Principles and Food Safety. Oxford, NY: Oxford University Press.
Kitamura, S., Ueda, K., Niino, J., Ujioka, T., Misumi, H. and Kakita, T. (1960) [Analyses of chemical toxicant regarding Minamata disease – fifth report] (in Japanese). Kumamoto Igakkai Zasshi 34 (3): 593–601.
Minamata Food Poisoning Committee. (1996) [An interim report about Minamata disease research] (in Japanese). In: Research Group on Minama Disease (ed.) Collection of Materials about Minamata Disease. Fukuoka, Japan: Ashi publisher, pp. 682–689.
Hashimoto, M. (2000) [Not to Reiterate the Tragedy of Minamata Disease – Lessons from Minamata Disease Experience] (in Japanese). Tokyo, Japan: Chuouhouki publisher.
Irukayama, K. (1969) [The course of Minamata disease and problems] (in Japanese). Koushu eisei 33: 70–76.
Irukayama, K., Kondo, T., Kai, F., Fujiki, M. and Tajima, S. (1962) [Organic mercury compounds in the sladge from the acetaldehyde plant in Minamata] (in Japanese). Nisshin Igaku 49: 536–541.
Doi, S. and Matsushima, Y. (1996) [Investigations on mercury content from hair samples regarding Minamata disease. Report 2] (in Japanese). In: Research Group on Minama Disease (ed.) Collection of Materials About Minamata Disease. Fukuoka, Japan: Ashi publisher, pp. 1508–1513.
Matsushima, Y. and Mizoguchi, S. (1996) [Investigations on mercury content from hair samples regarding Minamata disease. Report 1] (in Japanese). In: Research Group on Minama Disease (ed.) Collection of Materials About Minamata Disease. Fukuoka, Japan: Ashi publisher, pp. 1500–1507.
Ninomiya, T., Imamura, K., Kuwahata, M., Kindaichi, M., Susa, M. and Ekino, S. (2005) Reappraisal of somatosensory disorders in methylmercury poisoning. Neurotoxicology and Teratology 27: 643–653.
Doi, S., Matsushima, Y. and Chiyo, S. (1996) [Investigations on mercury content from hair samples regarding Minamata disease. Report 3] (in Japanese). In: Research Group on Minama Disease (ed.) Collection of Materials about Minamata Disease. Fukuoka, Japan: Ashi publisher, pp. 1513–1519.
Minamata Disease General Investigation and Research Liaison Council. (1996) [Summary of the first meeting of Minamata disease general investigation and research liaison council] (in Japanese). In: Research Group on Minama Disease (ed.) Collection of Materials about Minamata Disease. Fukuoka, Japan: Ashi publisher, pp. 1523.
Niigata Prefecture Government. (2007) [An Outline about Niigata Minamata Disease] (in Japanese). Niigata, Japan: Niigata Prefecture.
Health and Welfare Ministry of Japan. (1996) [An opinion regarding Minamata disease and future measures] (in Japanese). In: Research Group on Minama Disease (ed.) Collection of Materials about Minamata Disease. Fukuoka, Japan: Ashi publisher, pp. 1412–1413.
Japanese Health and Welfare Ministry. (1996) [An opinion regarding Minamata disease and future measures] (in Japanese). In: Research Group on Minama Disease (ed.) Collection of Materials about Minamata Disease. Fukuoka, Japan: Ashi publisher, pp. 1412–1413.
Okayama prefecture. (1957) [Record of poisoning by Arsenic contaminated milk in Okayama prefecture] (in Japanese).
Oguri, I., Akamine, A. and Furue, M. (2000) [Yusho research – 30 years of Yusho Research] (in Japanese). Fukuoka city, Japan: Kyushu Daigaku shuppan-kai.
Goodman, R.A., Buehler, J.W. and Koplan, J.P. (1990) The epidemiologic field investigation: Science and judgment in public health practice. American Journal of Epidemiology 132 (1): 9–16.
Acknowledgements
We appreciate valuable advice from Professor Ichiro Kawachi and Professor David Savitz. We also thank Ms Saori Kashima for her help in drawing a figure.
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The famous outbreak of mercury poisoning is dissected, revealing how faulty public health management contributed to the human harm.
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Tsuda, T., Yorifuji, T., Takao, S. et al. Minamata disease: Catastrophic poisoning due to a failed public health response. J Public Health Pol 30, 54–67 (2009). https://doi.org/10.1057/jphp.2008.30
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DOI: https://doi.org/10.1057/jphp.2008.30