Evidence map›Paper›PMID 32467625›Full record

ArticleJournal of exposure science & environmental epidemiology2021

A population-based mercury exposure assessment near an artisanal and small-scale gold mining site in the Peruvian Amazon.

Caren Weinhouse, John A Gallis, Ernesto Ortiz, Axel J Berky, Ana Maria Morales, Sarah E Diringer, James Harrington, Paige Bullins, Laura Rogers, John Hare-Grogg and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of exposure science & environmental epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Mercury Levels in Hair of Pregnant Women in Tumbes, Peru: A Cross-Sectional Study.The American journal of tropical medicine and hygiene · 2025
    Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Annals of global health · 2021
    Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Caren Weinhouse *Duke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA. weinhous@ohsu.edu.
John A GallisDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA.
Ernesto OrtizDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA.
Axel J BerkyNicholas School of the Environment, Duke University, 9 Circuit Drive, Durham, NC, 27710, USA.
Ana Maria MoralesCentro de Estudios, Investigación y Servicios en Salud, Cusco, Peru.
Sarah E DiringerPacific Institute, 654 13th Street, Preservation Park, Oakland, CA, 94612, USA.
James HarringtonResearch Triangle Institute, 3040 East Cornwallis Road, Research Triangle Park, NC, 27709, USA.
Paige BullinsDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA.
Laura RogersCivil and Environmental Engineering, Pratt School of Engineering, Duke University, 121 Hudson Hall, Durham, NC, 27708, USA.
John Hare-GroggCivil and Environmental Engineering, Pratt School of Engineering, Duke University, 121 Hudson Hall, Durham, NC, 27708, USA.
Heileen Hsu-KimNicholas School of the Environment, Duke University, 9 Circuit Drive, Durham, NC, 27710, USA.
William K Pan *Duke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA.
Duke University · USDuke Institute for Health Innovation · USPratt Institute · USRTI International · USUniversidad Andina del Cusco · PE

Funding

Zebrafish as a Detector of Organophosphate ExposureP42ES010356 · NIEHS · DUKE UNIVERSITY · PI EDWARD D LEVIN · 2000 to 2026
$56.2M
Science CoreP2CHD065563 · NICHD · DUKE UNIVERSITY · PI James Moody · 2015 to 2026
$5.7M
Understanding the causes of DNA methylation response to methylmercury: a novel approach to quantify genetic, environmental, and stochastic factorsK01ES032044 · NIEHS · OREGON HEALTH & SCIENCE UNIVERSITY · PI WEINHOUSE, CAREN · 2020 to 2022
$465k
NICHD NIH HHS P2C HD065563NIEHS NIH HHS K01 ES032044NIEHS NIH HHS P42 ES010356
6 · The paper itself

Abstract

Human exposure to mercury is a leading public health problem. Artisanal and small-scale gold mining (ASGM) is a major source of global mercury emissions. Although occupational mercury exposure to miners (via mercury vapor inhalation) is known, chronic mercury exposure to nearby residents that are not miners (via mercury-contaminated fish consumption) is poorly characterized. We conducted a population-based mercury exposure assessment in 23 communities (19 rural, 4 urban) around the Amarakaeri Communal Reserve, which is bordered on the east by heavy ASGM activity. We measured total mercury in hair (N = 2083) and blood (N = 476) from March-June 2015 and performed follow-up measurements (N = 723 hair and N = 290 blood) from February-April 2016. Mercury exposure risk was highest in communities classified as indigenous, or native, regardless of proximity to mining activity. Residence in a native community (vs. non-native) was associated with mercury levels 1.9 times higher in hair (median native 3.5 ppm vs. median non-native 1.4 ppm total mercury) and 1.6 times higher in blood (median native 7.4 ng/mL vs median non-native 3.2 ng/mL total mercury). Unexpectedly, proximity to mining was not associated with exposure risk. These findings challenge common assumptions about mercury exposure patterns and emphasize the importance of population-representative studies to identify high risk sub-populations.

Indexed as

GoldMercuryAnimalsEnvironmental ExposureHumansMiningPeruGoldMercury

Identifiers

PMID32467625
PMCPMC8281380
OpenAlexW3028611200

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.