Metal toxicity

Metal toxicity or metal poisoning is toxicity affecting plants, animals, or humans due to excessive concentration of metals. At low concentrations, metals such as copper, iron, manganese, and zinc are essential nutrients obtained through the diet supporting health, but have toxicity at high exposure concentrations. Other metals having no biological roles in animals, but with potential for toxicity include arsenic, cadmium, lead, mercury, and thallium. Exposure to metals, primarily due to occupational exposure or environmental pollution, can increase metal concentration into hazardous range. Some metals are toxic when they form poisonous soluble compounds which interfere with enzyme systems, such as superoxide dismutase, catalase, or glutathione peroxidase. Only soluble metal-containing compounds are toxic by forming coordination complexes, which consist of a metal ion surrounded by ligands. Ligands can range from water in metal aquo complexes to alkyl groups, as in tetraethyl lead. Toxic metal complexes can be detoxified by conversion to insoluble derivatives or by binding them in rigid molecular environments using chelating agents. An option for treatment of metal poisoning may be chelation therapy, which involves the administration of chelation agents to remove metals from the body.

Controversial terminology A toxic heavy metal is a common but misleading term for a metal-like element noted for its potential toxicity. Not all heavy metals are toxic and some toxic metals are not heavy. The International Union of Pure and Applied Chemistry (IUPAC), which standardizes nomenclature, says the term "'heavy metals' is both meaningless and misleading". The IUPAC report focuses on the legal and toxicological implications of describing "heavy metals" as toxins when there is no scientific evidence to support a connection. The density implied by the adjective "heavy" has almost no biological consequences, and pure metals are rarely the biologically active substance. This characterization has been echoed by numerous reviews. The most widely used toxicology textbook, Casarett and Doull's Toxicology, uses "toxic metal", not "heavy metals". Nevertheless many scientific and science-related articles, including medical texts, continue to use "heavy metal" as a term for toxic substances.

Sources Unlike most other toxins, elemental metals are not created or destroyed by humans. Toxic metals are found naturally in the earth, and become concentrated as a result of human activities or altered chemically, potentially increasing toxic effects. Some natural effects also increase toxic metals, including erosion and volcanoes. In some cases geochemical processes, such as accumulation in peat soils that are then released when drained for agriculture. Sources include mining, refining, or fabrication, industrial and urban runoff, sewage, pesticides on crops, metal pipes carrying potable water, traffic pollution, coal-burning emissions, and various other industrial and urban outputs.

Occupational exposure

Gold mining Artisanal small-scale gold miners are at high risk to exposure of metal toxicants. While there is a wide array of hard metals that are toxic, mercury poses the greatest risk from inhalation and ingestion from environmental contamination.

Mercury is commonly used in small scale gold mining. To do this, large amounts of mercury are usually mixed with gold-containing materials to create a gold-mercury alloy called amalgam. To separate the gold, the amalgam is heated in a furnace causing the mercury to vaporize. During this process, miners are directly exposed to mercury vapors, and surrounding communities may be indirectly exposed through contaminated air, water, and soil. Continuous high levels of mercury vapor inhalation can cause a variety of health effects. Inhalation may result in tremors, mood swings, muscle weakness, memory loss, or headaches. Prolonged exposure can lead to kidney damage, respiratory failure, and even death. Ingestion of mercury through contaminated water, food, or soil pose great risk to pregnant women and their developing fetuses. When born, this can impair the infants' cognitive functions, memory, language development, and fine motor skills. Despite its widespread use across countries, mercury exposure in artisanal small-scale gold mining is preventable. Mercury-free techniques like direct smelting result in gold recovery without the need of mercury resulting in the elimination of mercury. In this method, borax is used to decrease the viscosity and melting temperature of non-gold minerals so they can be easily separated from the gold. This not only results in improved worker and community health but also lower in cost and eco-friendly.

Construction and renovation In a 2022 report on workplace lead exposure trends, the US CDC notes that construction is among the top four main industries at risk for lead exposure. In Ghana, workers who paint or spray/paint have been tested with the highest prevalence of elevated blood lead levels in a study conducted on blood lead levels in high-risk occupational groups. Amongst different paint usage in Iran, a small study found that car and building painters have elevated blood lead levels, in which car painters had higher blood lead levels than building painters.

Agricultural workers Arsenic exposure remains a major concern in agricultural communities that rely on untreated groundwater for crop irrigation and drinking. Studies have found higher urinary arsenic levels among farm workers exposed to contaminated well water and pesticides.

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