Levels of toxic and essential metals in maternal and umbilical cord blood from selected areas of South Africa - Results of a pilot study

South African Medical Research Council, PO Box 87373, Houghton, 2041, South Africa.
Journal of Environmental Monitoring (Impact Factor: 2.18). 03/2009; 11(3):618-27. DOI: 10.1039/b816236k
Source: PubMed


This pilot study uses concentrations of metals in maternal and cord blood at delivery, in seven selected geographical areas of South Africa, to determine prenatal environmental exposure to toxic metals. Samples of maternal and cord whole blood were analysed for levels of cadmium, mercury, lead, manganese, cobalt, copper, zinc, arsenic and selenium. Levels of some measured metals differed by site, indicating different environmental pollution levels in the regions selected for the study. Mercury levels were elevated in two coastal populations studied (Atlantic and Indian Ocean sites) with mothers from the Atlantic site having the highest median concentration of 1.78 microg/L ranging from 0.44 to 8.82 microg/L, which was found to be highly significant (p < 0.001) when compared to other sites, except the Indian Ocean site. The highest concentration of cadmium was measured in maternal blood from the Atlantic site with a median value of 0.25 microg/L (range 0.05-0.89 microg/L), and statistical significance of p < 0.032, when compared to all other sites studied, and p < 0.001 and p < 0.004 when compared to rural and industrial sites respectively, confounding factor for elevated cadmium levels was found to be cigarette smoking. Levels of lead were highest in the urban site, with a median value of 32.9 microg/L (range 16-81.5 microg/L), and statistically significant when compared with other sites (p < 0.003). Levels of selenium were highest in the Atlantic site reaching statistical significance (p < 0.001). All analysed metals were detected in umbilical cord blood samples and differed between sites, with mercury being highest in the Atlantic site (p < 0.001), lead being highest in the urban site (p < 0.004) and selenium in the Atlantic site (p < 0.001). To the best of our knowledge this pilot investigation is the first study performed in South Africa that measured multiple metals in delivering mothers and umbilical cord blood samples. These results will inform the selection of the geographical sites requiring further investigation in the main study.

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    • "What research has been carried out has focused on blood manganese monitoring which can only be compared to bone manganese data insofar as it highlights broad regional trends in exposure. Röllin et al. (2009) found that blood manganese and cord blood manganese levels in women and infants from urban Gauteng were substantially lower than those in women and infants from any other region, including mining and industrial areas. Notably, this does not follow the same trend as lead which shows a clear urban/rural, high/low dichotomy in regards to blood lead concentration, though this may change over time with cumulative exposure (Grobler et al., 1986; Monna et al., 2006). "
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    ABSTRACT: Manganese is a potent environmental toxin, with significant effects on human health. Manganese exposure is of particular concern in South Africa where in the last decade, lead in gasoline has been replaced by methylcyclopentadienyl manganese tricarbonyl (MMT). We investigated recent historical levels of manganese exposure in urban Gauteng, South Africa prior to the introduction of MMT in order to generate heretofore non-existent longitudinal public health data on manganese exposure in urban South Africans. Cortical bone manganese concentration was measured by inductively coupled plasma mass spectrometer in 211 deceased adults with skeletal material from a fully identified archived tissue collection at the University of Pretoria, South Africa. All tissues came from individuals who lived and died in urban Gauteng (Transvaal), between 1958 and 1998. Median Mn concentration within the sampled tissues was 0.3 μg g−1, which is within reported range for bone manganese concentration in non-occupationally exposed populations and significantly below that reported in individuals environmentally exposed to MMT. No significant differences were seen in bone Mn between men and women or in individuals of different ethnicity, which further suggests environmental, as opposed to occupational exposure. There were no significant temporal or geographic differences in bone Mn. The results suggest that Mn exposure was low and uniformly distributed across the whole population prior to the introduction of MMT as a gasoline additive. In addition, should manganese exposure follow the same patterns as vehicle-emitted lead, a clear pattern of exposure will emerge with individuals in the urban core facing the greatest manganese exposure.
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    • "The end result provided the basis for this systematic review of nine relevant papers (Pfitzner et al. 2000; Wright et al. 2005; Olewe et al. 2009; R€ ollin et al. 2009; Naicker et al. 2010; Tuakuila et al. 2010, 2013; Keating et al. 2011; Dooyema et al. 2012). Most studies had a cross-sectional design (N = 7) (Pfitzner et al. 2000; Wright et al. 2005; Olewe et al. 2009; R€ ollin et al. 2009; Tuakuila et al. 2010, 2013; Dooyema et al. 2012), and four were conducted in Nigeria (Pfitzner et al. 2000; Wright et al. 2005; Keating et al. 2011; Dooyema et al. 2012). The age of children ranged from birth to 60 months. "
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    Tropical Medicine & International Health 08/2013; 18(10). DOI:10.1111/tmi.12179 · 2.33 Impact Factor
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    • "pregnancy and the ability of mercury to transfer through the placenta to the foetus. It was found that the overall GM for mercury in cord blood (0.84 μg/l) was 1.4 times higher than the GM for maternal mercury (0.60 μg/l) level, in agreement with other studies (Jedrychowski et al., 2006; Ramon et al., 2008; Rollin et al., 2009). It is postulated that mercury binds to haemoglobin and glutathione in red blood cells, and since foetuses have higher haemoglobin levels than their mothers, they are more likely to have higher mercury levels (Sakamoto et al., 2007; Vahter et al., 2000). "
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