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appetite, nausea, weakness, and muscle tremors. Brief <br />exposures to very high levels of mercuryvapors an affect <br />the lungs. <br />Nervous System: Long-term Overexposure to mercury <br />vapors an cause a number of symptoms. The first <br />symptoms may be loss of appetite, fatigue, insomnia, and <br />changes in behavior or personality (nemexdt- <br />ability, and shyness). Later, more serious symptoms may <br />include nausea, abdominal cramps, diarrhea, weight loss. <br />weakness, and muscle tremors. Some of these symptoms <br />have been reported after years of exposure to mercury at <br />air levels slightly above the legal limits (see "Legal Expo- <br />sure Limits"). When overexposure stops, these symp- <br />toms will usually go away. <br />Severe mercury poisoning can permanently damage the <br />nervous system. Such damage may be accompanied by <br />hallus iaations, whole-body tremors, a tingling "pins and <br />needles" sensation, pain, tenderness, numbness, and <br />weakness. An interesting note is the past use of mercury <br />in felt production. Felt hat manufacturers suffered from <br />many symptoms -`of Wo -level mercer exposure, as wit- <br />nessed in the Mad Hatter character in Alice in Wonder- <br />land, and the popular phrase "mad as a hatter." <br />Kidney: Long-term overexposure to mercury can injure, <br />the kidneys. In most cases, this damage is reversible and <br />kidney function will gradually recover. once exposure is <br />stopped. No obvious symptoms are associated with kid- <br />ney damage, unless the injury is severe. Special urine <br />tests are used to detect this kidney damage (see "Tests <br />for Exposure and Medical Effects"). Generally you will <br />not have kidney damage if you do not have other symp- <br />toms of chronic mercury overexposure. <br />Lungs: Inhalation of very high levels of mercury vapors <br />can affect the lungs, causing coughing, chest tightness <br />and pain, difficulty in breathing, and pulmonary edema <br />(fluid in the lungs). Fever, chills, nausea, and vomiting <br />may also occur. If you develop these symptoms after an <br />exposure to mercury, see your physician immediately. <br />Eyes, Nose, and Throat; Long-term mercury overexpo- <br />sure can cause increased salivation and inflammation of <br />the mouth and gums. Repeated exposure to mercury <br />vapors may also discolor the lenses of your eyes. This dis- <br />coloration (usually brown) is a sign of mercury overexpo- <br />sure. It an occur with or without other symptoms of <br />..., ,. <br />Skin: Prolonged skin contact with liquid mercury can <br />irritate the skin and cause a rash that allows increased <br />absorption through the skin. <br />Cancer. There is little reason to think that mercury could <br />,cause cancer, although that possibility has not been <br />audirA <br />Reproductive Sysft= The effects of metallic mercury <br />on pregnancy and reproduction have not been studied <br />thoroughly. When 'c mercury vapor is absorbed <br />into your body, some of it is changed into another form„ <br />in 'c mercury. In limited studies, exposure of 1 .8 <br />nant to a levels of either metallic or in- <br />organic mercury caused growth retardation, birth <br />defects, and death of the fetus or of the offspring shortly <br />after birth. In another study, exposure of male animals <br />to inorganic mercury reduced their fertility. <br />It is not known whether mercury causes similar effects in <br />humans, but, based on the animal studies, you should <br />handle it as a potential human reproductive toxin and <br />minimize your exposure (see "Reducing Your Expo- <br />sure"). Nursing women should also avoid exposure to <br />mercury, since inhaled mercury an enter a 's <br />breast milk. <br />2 <br />a <br />The amount of mercuryin your body can be estimated by <br />measuring mercury in urine or blood Urine analyses are <br />best for assessing long-term exposures. Blood tests are <br />useful for assessingrecent high-level exposures, if the test <br />is done immediately after exposure. Tests for mercury <br />exposure should be selected and evaluated on a case-by- <br />case basis by medical personnel who are familiar with <br />these tests. Other medical tests may be needed, as deter- <br />mined by a physician. For example, follow-up of <br />neurological and kidney function may be appropriate for <br />employees with long-term exposures. More details on <br />these tests are available through HESIS. <br />California's Division of Occupational Safety and Health <br />(DOSH, or "Cal -OSHA") makes and enforces regula- <br />tions for chemical exposure in the workplace. <br />Cal/OSHA has adopted two kinds of legal limits for the <br />amount of mercury in your breathing zone. The fust is a <br />Permissible Exposure Limit (PEL) of 0.05 of <br />mercury per cubic meter of air (0.0.5 In , u an <br />average level over eight hours. This means that you may <br />be exposed to a level greater than 0.05 mg/m3 during part <br />of the work day, as long as you are exposed to less than <br />0.05 mg/m3 at other times, so that your average exposure <br />U <br />