Next Article in Journal
Assessment of Food Safety Knowledge, Attitude, Self-Reported Practices, and Microbiological Hand Hygiene of Food Handlers
Next Article in Special Issue
Mercury Exposure and Heart Diseases
Previous Article in Journal
Monitoring Lead (Pb) Pollution and Identifying Pb Pollution Sources in Japan Using Stable Pb Isotope Analysis with Kidneys of Wild Rats
Previous Article in Special Issue
Gold Mining in Ecuador: A Cross-Sectional Assessment of Mercury in Urine and Medical Symptoms in Miners from Portovelo/Zaruma
Article Menu
Issue 1 (January) cover image

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2017, 14(1), 57; doi:10.3390/ijerph14010057

Disability Weights for Chronic Mercury Intoxication Resulting from Gold Mining Activities: Results from an Online Pairwise Comparisons Survey

1
Unit Paediatric Environmental Epidemiology, WHO Collaborating Centre for Occupational Health, Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, University Hospital Munich, Ziemssenstr. 1, Munich 80336, Germany
2
Department of Public Health, Health Services Research and Health Technology Assessment, Institute of Public Health, Medical Decision Making and Health Technology Assessment, UMIT—University for Health Sciences, Medical Informatics and Technology, Eduard Wallnoefer Center I, Hall in Tyrol 6060, Austria
3
Department of Environment & Health, School of Public Health, Bielefeld University, Universitätsstr. 25, Bielefeld 33615, Germany
4
Department of Public Health and Surveillance, Scientific Institute of Public Health (WIV-ISP), Rue Juliette Wytsmanstraat 14, Brussels 1050, Belgium
5
Department of Public Health Medicine, School of Public Health, Bielefeld University, Universitätsstr. 25, Bielefeld 33615, Germany
6
Pure Earth, Formerly Blacksmith Institute, 475 Riverside Drive, Suite 860, New York, NY 10115, USA
7
Section Exposure Assessment and Environmental Health Indicators, German Environment Agency, Corrensplatz 1, Berlin 14195, Germany
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 31 October 2016 / Revised: 15 December 2016 / Accepted: 3 January 2017 / Published: 10 January 2017
(This article belongs to the Special Issue Mercury and Health: Current Perspectives and Future Directions)
View Full-Text   |   Download PDF [325 KB, uploaded 10 January 2017]

Abstract

In artisanal small-scale gold mining, mercury is used for gold-extraction, putting miners and nearby residents at risk of chronic metallic mercury vapor intoxication (CMMVI). Burden of disease (BoD) analyses allow the estimation of the public health relevance of CMMVI, but until now there have been no specific CMMVI disability weights (DWs). The objective is to derive DWs for moderate and severe CMMVI. Disease-specific and generic health state descriptions of 18 diseases were used in a pairwise comparison survey. Mercury and BoD experts were invited to participate in an online survey. Data were analyzed using probit regression. Local regression was used to make the DWs comparable to the Global Burden of Disease (GBD) study. Alternative survey (visual analogue scale) and data analyses approaches (linear interpolation) were evaluated in scenario analyses. A total of 105 participants completed the questionnaire. DWs for moderate and severe CMMVI were 0.368 (0.261–0.484) and 0.588 (0.193–0.907), respectively. Scenario analyses resulted in higher mean values. The results are limited by the sample size, group of interviewees, questionnaire extent, and lack of generally accepted health state descriptions. DWs were derived to improve the data basis of mercury-related BoD estimates, providing useful information for policy-making. Integration of the results into the GBD DWs enhances comparability. View Full-Text
Keywords: mercury; artisanal small-scale gold mining; chronic metallic mercury vapor intoxication; burden of disease; disability weights; pairwise comparison; visual analogue scale mercury; artisanal small-scale gold mining; chronic metallic mercury vapor intoxication; burden of disease; disability weights; pairwise comparison; visual analogue scale
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Supplementary material

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Steckling, N.; Devleesschauwer, B.; Winkelnkemper, J.; Fischer, F.; Ericson, B.; Krämer, A.; Hornberg, C.; Fuller, R.; Plass, D.; Bose-O’Reilly, S. Disability Weights for Chronic Mercury Intoxication Resulting from Gold Mining Activities: Results from an Online Pairwise Comparisons Survey. Int. J. Environ. Res. Public Health 2017, 14, 57.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top