Minimal health impact from exposure to diet-sourced cadmium on a population in central Jamaica.

Elevated concentrations of naturally occurring Cd have been found mainly in the bauxitic soils of central Jamaica at levels up to 100-1,000 times higher than typical worldwide averages. Some food crops cultivated on these soils absorb significant amounts of Cd. Autopsy studies of kidney Cd concentrations confirm elevated human exposure, and some long-term residents in central Jamaica exceed the general population average by a factor of two. Diet studies have ascertained that a population in central Jamaica is at risk of being exposed to Cd levels in excess of the Provisional Tolerable Weekly Intake (PTWI) set by the WHO of 7 µgCd/kg bodyweight/week, and the EU TWI of 2.5 µgCd/kg bodyweight/week. Elevated levels of urine cadmium (U-Cd) and beta-2 microglobulin (ß2-MG) concentrations were confirmed with a strong correlation between soil Cd and the U-Cd. Also, higher ß2-MG concentrations (>200µg/g creatinine) were found in the population with U-Cd concentrations greater than 2.5µg/L. While this identification is often taken to indicate impairment in the reabsorption capacity of the renal tubules leading to renal disease, there is no evidence in the mortality records of enhanced deaths in central Jamaica compared with the general population resulting from renal disease or diabetes related complications. The highest median age of death in the island is found in Manchester, the parish with the highest average Cd concentration. While we have identified a possible Cd linked renal dysfunction, significant indications of morbidity are not present in the general population.

Levels of As, Cd, Pb, Cu, Se and Zn in bovine kidneys and livers in Jamaica.

Paired liver and kidney samples from 100 free-range cattle in different parts of Jamaica were analyzed for essential and non-essential trace elements. We found significant enrichment of elements in the kidney (K) compared to the liver (L) with the K/L concentration ratios being 5.2 for Cd, 4.1 for Pb, 3.5 for Se and 2.1 for As, but the Cu contents of the kidney were significantly higher with the K/L ratio of 0.45. A large number of kidney and liver samples showed Cu concentrations in the ranges that were associated with deficiency effects in mammals. About 15% of the hepatic samples had Zn concentrations below 20 microg/g, suggesting that there might be zinc insufficiency in some of the animals. Positive associations were found between the metals in both the kidney and liver. On average, the intake of Cd from consumption of both bovine kidney and liver from the island was estimated to be 5.2 microg/day, equivalent to about 7% of the provisional tolerable daily intake (PTDI), although anyone who habitually consumed the few kidneys or livers with >40 microg/g cadmium may be at some risk of exceeding the PTDI. The consumption of offal from local animals did not appear to be an important dietary source of any of the essential microelements.

Review of cadmium transfers from soil to humans and its health effects and Jamaican environment.

Concerns about the effects of cadmium on human health have led to numerous guidelines and regulations limiting its concentrations in soils and food and allowable human intakes. These have socio-economic consequences in terms of land use and the marketing of food. The bauxite soils in Jamaica, which are both aluminium ores and agricultural soils contain orders of magnitude higher than world normal concentrations of cadmium resulting in elevated Cd concentrations in several foodstuffs and significant transfers to humans, which would seem to represent a risk factor for increased mortality and/or morbidity in the local populations. But, as in Shipham and other examples, there is no evidence of cadmium-related human distress. Macro-indicators like life expectancy and median ages of death do not show cadmium related geographical distributions. The present review focuses on the soils and foods and illnesses of high incidence especially cancers and renal disease that have been traditionally associated with cadmium. In view of the remarkable concentrations of cadmium involved in Jamaica, and often contradictory reports in the literature, it appears that much remains to be learned about certain details of cadmium toxicity.

Blood lead levels of Jamaican children island-wide.

An island-wide survey of 1081 basic school children, mainly in the age group 2-6 years, is reported. The range of blood lead levels (BLLs) was 1.4 to 202 microg/dL with arithmetic and geometric means of 7.3 microg/dL (standard deviation, 13 microg/dL) and 4.35 microg/dL respectively. Two hundred and thirty children were identified with blood lead levels above 10 microg/dL and among these, 80 were provided with medical attention and of eleven who received chelation, six children were desperately ill from acute lead poisoning necessitating repeated sessions of chelation therapy. The higher blood lead values were found mainly in poor areas of the urban Kingston and St. Andrew Corporate Area, and in St. Catherine where there remain observable though reduced effects from a lead-contaminated area. Environmental interventions, including building an increased national awareness, have also been carried out to reduce the immediate and future dangers of lead poisoning. The most important source of the lead exposure is the recovery of lead from old automobile batteries and even a quite small smelter can contaminate a significant area. Further work is in progress to identify and examine historical and active smelter sites, their possible effects on childhood health, and their remediation.

Seafood consumption and blood mercury concentrations in Jamaican children with and without autism spectrum disorders.

Mercury is a toxic metal shown to have harmful effects on human health. Several studies have reported high blood mercury concentrations as a risk factor for autism spectrum disorders (ASDs), while other studies have reported no such association. The goal of this study was to investigate the association between blood mercury concentrations in children and ASDs. Moreover, we investigated the role of seafood consumption in relation to blood mercury concentrations in Jamaican children. Based on data for 65 sex- and age-matched pairs (2-8 years), we used a General Linear Model to test whether there is an association between blood mercury concentrations and ASDs. After controlling for the child's frequency of seafood consumption, maternal age, and parental education, we did not find a significant difference (P = 0.61) between blood mercury concentrations and ASDs. However, in both cases and control groups, children who ate certain types of seafood (i.e., salt water fish, sardine, or mackerel fish) had significantly higher (all P < 0.05) geometric means blood mercury concentration which were about 3.5 times that of children living in the US or Canada. Our findings also indicate that Jamaican children with parents who both had education up to high school are at a higher risk of exposure to mercury compared to children with at least one parent who had education beyond high school. Based on our findings, we recommend additional education to Jamaican parents regarding potential hazards of elevated blood mercury concentrations, and its association with seafood consumption and type of seafood.

Elemental composition of Jamaican foods 1: a survey of five food crop categories.

The concentrations of 27 elements in Jamaican food categories consisting of fruit, legumes, leafy and root vegetables and other root crops are reported. The main analytical techniques used were neutron activation analysis and flame and graphite furnace atomic absorption spectrophotometry. The results are compared, where possible, with values from Denmark, the United Kingdom, the United States and Nigeria, and with some regulatory limits. Over 75% of the results for antimony, arsenic, barium, cerium, thorium and uranium were below the respective sample detection limits but even among these, some of the maximum values observed indicate that further examination may be useful for those foods grown in the regions of highest uptake and consumed in large amounts. The other elements reported are bromine, cadmium, calcium, caesium, cerium, chromium, copper, europium, hafnium, iron, lanthanum, lead, magnesium, manganese, phosphorus, potassium, rubidium, scandium, samarium, sodium, strontium, thorium, uranium, and zinc. Many of these elements occur at concentration levels above those reported from the other countries but it seems unlikely that most of these will contribute significantly to public health risk. However, at this stage cadmium clearly appears to be the element of greatest concern in the Jamaican food chain. The observed range of cadmium concentrations suggests that factors such as land selection, coupled perhaps where necessary, with suitably modified agricultural practices, is a feasible way to reduce the cadmium content of certain local foods.