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This research was funded by the Vice-Presidency of Environment, Care and Health Promotion (VPPAS) of Fundacao Oswaldo Cruz (Fiocruz) through Decentralized Execution of Resources Document No. 175/2018, Process: 25000.209221/2018-18, signed between the Fiocruz and the Special Department for Indigenous Health, both under the Ministry of Health. The non-governmental organization WWF-Brazil offered financial support to disseminate the results of the research.

Analysis of institutional authors

De Paiva Lopo Ferreira, NataliaAuthor

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November 23, 2021
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Mercury Exposure in Munduruku Indigenous Communities from Brazilian Amazon: Methodological Background and an Overview of the Principal Results

Publicated to:International Journal of Environmental Research and Public Health. 18 (17): 9222- - 2021-09-01 18(17), DOI: 10.3390/ijerph18179222

Authors: Basta, Paulo Cesar; de Sousa Viana, Paulo Victor; Santiago de Vasconcellos, Ana Claudia; Santos Perisse, Andre Reynaldo; Hofer, Cristina Barroso; Paiva, Natalia Santana; Kempton, Joseph William; de Andrade, Daniel Ciampi; Ayres de Oliveira, Rogerio Adas; Achatz, Rafaela Waddington; Perini, Jamila Alessandra; de Moura Meneses, Heloisa do Nascimento; Hallwass, Gustavo; Lima, Marcelo de Oliveira; de Jesus, Iracina Maura; Ribeiro dos Santos, Cleidiane Carvalho; Hacon, Sandra de Souza;

Affiliations

Ctr Univ Estadual Zona Oeste UEZO, Lab Pesquisa Ciencias Farmaceut LAPESF, Av Manuel Caldeira Alvarenga 1-203, BR-23070200 Rio De Janeiro, Brazil - Author
Fundacao Oswaldo Cruz CRPHF ENSP Fiocruz, Ctr Referencia Prof Helio Fraga, Escola Nacl Saude Publ, Estr Curic 2000, BR-22780195 Rio De Janeiro, Brazil - Author
Fundacao Oswaldo Cruz ENSP Fiocruz, Dept Endemias Samuel Pessoa, Escola Nacl Saude Publ, Rua Leopoldo Bulhoes 1480, BR-21041210 Rio De Janeiro, Brazil - Author
Fundacao Oswaldo Cruz EPSJV Fiocruz, Lab Educ Profiss Vigilancia Saude, Escola Politecn Saude Joaquim Venancio, Av Brazil 4365, BR-21040900 Rio De Janeiro, Brazil - Author
Imperial Coll London, Fac Med, St Marys Hosp, Med Sch Bldg,Norfolk Pl, London W2 1PG, England - Author
Minist Saude SEAMB IEC SVS MS, Inst Evandro Chagas, Secretaria Vigilancia Saude, Secao Meio Ambiente, Rodovia BR 316 Km 7 S-N, BR-67030000 Levilandia, Brazil - Author
Secretaria Especial Saude Indigena Tapajos Sesai, Dist Sanitario Especial Indigena Rio Tapajos DSEI, Av Santa Catarina 10,Rua 96, BR-68180210 Bairro Bela Vista, Itaituba, Brazil - Author
Univ Fed Oeste do Para, Programa Posgrad Biociencias PPGBio, Rua Vera Paz S-N, BR-68035110 Bairro Sale, Santarem, Brazil - Author
Univ Fed Oeste do Para, Programa Posgrad Ciencias Saude PPGCSA, Rua Vera Paz Av Vera Paz S-N,1 Pavimento, BR-68035110 Unidade Tapajos, Santarem, Brazil - Author
Univ Fed Rio de Janeiro UFRJ, Fac Med, Inst Pediat & Puericultura Martagao Gesteira, Rua Bruno Lobo 50,Cidade Univ, BR-21941912 Rio De Janeiro, Brazil - Author
Univ Fed Rio de Janeiro UFRJ, Inst Estudos Saude Colet IESC, Ave Horacio Macedo S-N, BR-21941598 Rio De Janeiro, Brazil - Author
Univ Sao Paulo, Ctr Dor, Dept Neurol, Hosp Clin,Fac Med, Av Dr Eneas Carvalho Aguiar 255, BR-05403000 Sao Paulo, Brazil - Author
Univ Sao Paulo, Programa Posgrad Psicol Clin, Inst Psicol, Av Prof Mello Moraes 1721, BR-05508030 Sao Paulo, Brazil - Author
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Abstract

The Amazonian indigenous peoples depend on natural resources to live, but human activities' growing impacts threaten their health and livelihoods. Our objectives were to present the principal results of an integrated and multidisciplinary analysis of the health parameters and assess the mercury (Hg) exposure levels in indigenous populations in the Brazilian Amazon. We carried out a cross-sectional study based on a census of three Munduruku indigenous villages (Sawre Muybu, Poxo Muybu, and Sawre Aboy), located in the Sawre Muybu Indigenous Land, between 29 October and 9 November 2019. The investigation included: (i) sociodemographic characterization of the participants; (ii) health assessment; (iii) genetic polymorphism analysis; (iv) hair mercury determination; and (v) fish mercury determination. We used the logistic regression model with conditional Prevalence Ratio (PR), with the respective 95% confidence intervals (CI95%) to explore factors associated with mercury exposure levels >= 6.0 mu g/g. A total of 200 participants were interviewed. Mercury levels (197 hair samples) ranged from 1.4 to 23.9 mu g/g, with significant differences between the villages (Kruskal-Wallis test: 19.9; p-value < 0.001). On average, the general prevalence of Hg exposure >= 6.0 mu g/g was 57.9%. For participants >= 12 years old, the Hg exposure >= 6.0 mu g/g showed associated with no regular income (PR: 1.3; CI95%: 1.0-1.8), high blood pressure (PR: 1.6; CI95%: 1.3-2.1) and was more prominent in Sawre Aboy village (PR: 1.8; CI95%: 1.3-2.3). For women of childbearing age, the Hg exposure >= 6.0 mu g/g was associated with high blood pressure (PR: 1.9; CI95%: 1.2-2.3), with pregnancy (PR: 1.5; CI95%: 1.0-2.1) and was more prominent among residents in Poxo Muybu (PR: 1.9; CI95%: 1.0-3.4) and Sawre Aboy (PR: 2.5; CI95%: 1.4-4.4) villages. Our findings suggest that chronic mercury exposure causes harmful effects to the studied indigenous communities, especially considering vulnerable groups of the population, such as women of childbearing age. Lastly, we propose to stop the illegal mining in these areas and develop a risk management plan that aims to ensure the health, livelihoods, and human rights of the indigenous people from Amazon Basin.

Keywords

aladbrazilian amazonchildren healthenvironmental pollutionfishgenetic polymorphismgold miningillegal mining activitiesindigenous peoplemercury exposureAladAlta florestaBrazilian amazonChildren healthContaminationEnvironmental pollutionFishFish consumptionGenetic polymorphismGold miningHair mercuryIllegal mining activitiesIndigenous peopleMercury exposureMethyl mercuryMethylmercuryNeurological effectsNutritional-statusOrganic mercuryPara stateTapajos river-basin

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal International Journal of Environmental Research and Public Health due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2021, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Public Health, Environmental and Occupational Health.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations provided by WoS (ESI, Clarivate), it yields a value for the citation normalization relative to the expected citation rate of: 1.74. This indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Field Citation Ratio (FCR) from Dimensions: 7.71 (source consulted: Dimensions Aug 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-08-02, the following number of citations:

  • WoS: 12

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-08-02:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 123.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 145 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 37.05.
  • The number of mentions on the social network X (formerly Twitter): 4 (Altmetric).
  • The number of mentions on Wikipedia: 2 (Altmetric).
  • The number of mentions in news outlets: 3 (Altmetric).

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Brazil; United Kingdom.