Information Sources for Health Professionals
Organizations with information:
Agency for Toxic Substances and Disease Registry
Provides information on all forms of mercury (elemental and inorganic as well as organic) and the medical management of exposures from the different forms.
American Association of Medical Colleges MedEdPortal
"MedEdPORTAL promotes educational scholarship and collaboration by facilitating the open exchange of peer-reviewed health education teaching and assessment resources. MedEdPORTAL is a free and open education resource and publication service provided by the Association of American Medical Colleges in partnership with the American Dental Education Association." "Eating Fish: Maximizing the Benefits and Minimizing the Risks" contains information to help guide patients to healthy seafood choices.
American Medical Association
Report 13 of the Council on Scientific Affairs "summarizes the key findings of the April 2004 Conference on Mercury: Medical and Public Health Issues, co-sponsored by the EPA and the U.S. Department of Health and Human Services."
Association of Reproductive Health Professionals
Created a “Quick reference guide for Clinicians: Fish Consumption to Promote Good Health and Minimize Contaminants” (2008).
Fish Facts for Health Professionals (2009) is an EPA-funded project that offers four 3-5 minute video modules that cover topics about methylmercury, including: (1) toxicology and epidemiology, (2) hazard identification and exposure assessment, (3) a clinical perspective, and (4) risk communication and fish advisories. A downloadable workbook provides more in depth information.
Health Care Provider Information on all forms of mercury.
New York City Department of Health and Mental Hygiene Guidelines
Conducted a study of blood mercury levels in NYC residents and found that almost 50% of Asians and 25% of adults were estimated to be over the EPA’s recommended blood mercury level. They produced guidelines for physicians and “Information for Health Care Providers on Mercury Poisoning.”
Physicians for Social Responsibility and Association for Reproductive Health Professionals
“Fish Consumption to Promote Good Health and Minimize Contaminants”(2004).
Journal of Toxicology Special Issue on Metals and Disease
"Recognizing and Preventing Overexposure to Methylmercury: Information for Physicians" provides information on monitoring blood mercury levels in seafood consumers, symptoms of overexposure to methylmercury, and how to guide people to low mercury seafood choices to maximize health benefits. Silbernagel, S.M. et al., Journal of Toxicology,volume 2011 (2011), Article ID 983072, 7 pages, doi:10.1155/2011/983072
Downloadable card with fish choice advice on one side and list of signs and symptoms of MeHg Poisoning on other side: Click here (Adjust print size to 4 x 5.5" for 'card'. This card was adapted from tables in the journal article above.)
Transactions of the American Clinical and Climatological Association
"Mercury Exposure: Medical and Public Health issues" provides an overview of human mercury exposure pathways but focuses on exposure to methylmercury from seafood consumption, identifies those at highest risk of overexposure in the US, describes appropriate laboratory diagnostic methods, and discusses health implications. Mahaffey, K.R., Transactions of the American Clinical and Climatological Association, Vol. 116, 2005.
Journal of Occupational and Environmental Medicine
"Mercury Exposure: Current Concepts, Controversies, and a Clinic's Experience" describes a chart review study of a clinic's experience with a variety of patients presenting with possible mercury toxicity and discusses how they evaluated their exposures. S.N. Kales, MD, MPH and R.H. Goldman, MD, MPH, "Mercury exposure: Current Concepts, Controversies, and a Clinic's Experience", JOEM, Vol. 44, 2, 2002.