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revised final - Agency for Toxic Substances and Disease Registry ...

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MERCURY 232<br />

2. HEALTH EFFECTS<br />

Employment of the Chronic Inhalation MRL <strong>for</strong> Metallic Mercury<br />

ATSDR emphasizes that the MRL is not intended to be used as an estimation of a threshold level.<br />

Exceeding the MRL does not necessarily mean that a health threat exists. However, the greater the amount<br />

by which the MRL is exceeded <strong>and</strong> the longer or more frequent the individual exposures, the greater the<br />

likelihood that some adverse health outcome may occur. Secondly, the chronic inhalation MRL is, by<br />

definition, a level that is considered to be without appreciable (or significant) health risk over a lifetime of<br />

exposure at that level. It is further considered to be a "safe" level <strong>for</strong> all factions of the exposed human<br />

population, when exposure exists <strong>for</strong> 24 hours a day, 7 days a week <strong>for</strong> an extended period of years. The<br />

employment of the MRL, there<strong>for</strong>e, must be geared to the particular exposure scenario at h<strong>and</strong>. For<br />

example, people may be able to "tolerate" metallic mercury levels above the MRL <strong>for</strong> intermittent periods<br />

of exposure (e.g., 1 or 2 hours per day, 5 days per week) without any adverse health sequelae, either overt<br />

or covert. The use of the "contaminated area" (e.g., storage versus exercise room versus day care) will<br />

largely influence the use of the MRL. Finally, the MRL is intended primarily as a "screening value" <strong>for</strong><br />

public health officials to use in their assessment of whether further evaluation of the potential risk to public<br />

health is warranted in a hazardous waste site scenario. The MRL is not intended, nor should it be<br />

indiscriminately used, as a clean-up or remediation level, or as a predictor of adverse health effects. While<br />

it is considered to af<strong>for</strong>d an adequate degree of protection <strong>for</strong> the health of all potentially exposed<br />

individuals, it might be unnecessarily stringent <strong>for</strong> application to some exposure situations (i.e., higher air<br />

concentrations might af<strong>for</strong>d a similar degree of protection in some exposure scenarios); thus, its relevance<br />

in any specific environmental situation is intended to be determined by an experienced public health or<br />

medical official.<br />

Oral MRLs<br />

Metallic Mercury<br />

No oral MRLs were derived <strong>for</strong> metallic (elemental) mercury due to the lack of data. Oral exposure to<br />

liquid metallic mercury would be expected to present little health risk, since it is so poorly absorbed<br />

(

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