Economic evaluation of health consequences of prenatal methylmercury exposure in France

Environ Health. 2012 Aug 10:11:53. doi: 10.1186/1476-069X-11-53.

Abstract

Background: Evidence of a dose-response relationship between prenatal exposure to methylmercury (MeHg) and neurodevelopmental consequences in terms of IQ reduction, makes it possible to evaluate the economic consequences of MeHg exposures.

Objective: To perform an economic evaluation of annual national benefits of reduction of the prenatal MeHg exposure in France.

Methods: We used data on hair-Hg concentrations in French women of childbearing age (18-45 years) from a national sample of 126 women and from two studies conducted in coastal regions (n = 161and n = 503). A linear dose response function with a slope of 0.465 IQ point reduction per μg/g increase in hair-Hg concentration was used, along with a log transformation of the exposure scale, where a doubling of exposure was associated with a loss of 1.5 IQ points. The costs calculations utilized an updated estimate of €2008 17,363 per IQ point decrement, with three hypothetical exposure cut-off points (hair-Hg of 0.58, 1.0, and 2.5 μg/g).

Results: Because of higher exposure levels of women in coastal communities, the annual economic impacts based on these data were greater than those using the national data, i.e., € 1.62 billion (national), and € 3.02 billion and € 2.51 billion (regional), respectively, with the linear model, and € 5.46 billion (national), and € 9.13 billion and € 8.17 billion (regional), with the log model, for exposures above 0.58 μg/g.

Conclusions: These results emphasize that efforts to reduce MeHg exposures would have high social benefits by preventing the serious and lifelong consequences of neurodevelopmental deficits in children.

MeSH terms

  • Adolescent
  • Adult
  • Economics
  • Environmental Exposure / economics*
  • Environmental Monitoring
  • Environmental Pollutants / analysis*
  • Environmental Pollutants / toxicity
  • Female
  • France
  • Hair / chemistry*
  • Humans
  • Intelligence / drug effects
  • Intelligence Tests*
  • Maternal-Fetal Exchange
  • Methylmercury Compounds / analysis*
  • Methylmercury Compounds / toxicity
  • Middle Aged
  • Pregnancy
  • Young Adult

Substances

  • Environmental Pollutants
  • Methylmercury Compounds