What was studied?
This review focused on tremors secondary to neurotoxic exposure, specifically from mercury, lead, solvents, and pesticides. It examined the relationship between these toxic substances and the development of tremors, a common neurological symptom. The study explored the toxicological mechanisms that cause tremors, the impact on workers in industries like mining, chemical manufacturing, and agriculture, and the long-term effects of exposure to these substances on the nervous system.
Who was studied?
The study reviewed several populations exposed to mercury, lead, solvents, and pesticides, including workers in industries with known risks like gold mining, chemical plants, and pesticide application. It also included individuals with long-term exposure to these neurotoxicants in environmental settings. The study emphasized vulnerable groups, such as pregnant women and children, who may experience more severe health effects from exposure.
Most important findings
The review found significant associations between chronic exposure to mercury, lead, solvents, and pesticides and the development of tremors, often resembling essential tremor (ET). Exposure to mercury and lead, particularly in industrial settings, was linked to fine tremors in the hands and other body parts. Solvents and pesticides also contributed to tremor development, with symptoms often accompanied by cognitive decline and behavioral changes. Genetic predispositions, such as ALAD gene mutations, were found to increase susceptibility to tremors from lead exposure.
Key implications
For the Heavy Metal Tested and Certified (HTMC) program, this study highlights the need for stricter workplace safety standards to reduce mercury, lead, and solvent exposure. HTMC should advocate for regular monitoring of exposure levels and health surveillance for workers at risk, including neurological assessments. Certification programs should enforce limits on toxic substances and require protective measures like improved ventilation, PPE, and exposure monitoring. Early detection of tremors and genetic assessments for susceptible workers could also be beneficial.
Citation
Lucchini, R. G., & Hashim, D. (2015). Tremor secondary to neurotoxic exposure: Mercury, lead, solvents, pesticides. Handbook of Clinical Neurology, 131, 241-249. https://doi.org/10.1016/B978-0-444-62627-1.00014-7
Mercury (Hg) is a neurotoxic heavy metal found in various consumer products and environmental sources, making it a major public health concern. Its regulation is critical to protect vulnerable populations from long-term health effects, such as neurological impairment and cardiovascular disease. The HMTC program ensures that products meet the highest standards for mercury safety.
Lead is a neurotoxic heavy metal with no safe exposure level. It contaminates food, consumer goods and drinking water, causing cognitive deficits, birth defects and cardiovascular disease. HMTC’s rigorous lead testing applies ALARA principles to protect infants and consumers and to prepare brands for tightening regulations.