PMID- 22258417 OWN - NLM STAT- MEDLINE DCOM- 20120224 LR - 20220330 IS - 1545-861X (Electronic) IS - 0149-2195 (Linking) VI - 61 IP - 2 DP - 2012 Jan 20 TI - Mercury exposure among household users and nonusers of skin-lightening creams produced in Mexico - California and Virginia, 2010. PG - 33-6 AB - Mercury exposure has been reported among users of skin-lightening creams produced outside the United States but not among nonusers in their households. Mercury exposure can result in irreversible renal and central nervous system damage or death. In March 2010, coordinators of a health study notified members of a Mexican-American family in California with four study participants that they had elevated blood mercury levels and also notified the local health department, which in turn asked the California Department of Public Health (CDPH) to investigate. CDPH interviewed the four study participants and a fifth household member and identified unlabeled skin-lightening creams with mercury content measured at 2.0%-5.7% by weight as the likely source of mercury exposure. CDPH also interviewed friends of the study participants in California who had used similar skin-lightening products, and the Virginia Department of Health (VDH) interviewed relatives in that state who had used skin-lightening products. In all, investigators in the two states collected information and urine specimens for 22 persons in five households. The results indicated that 15 persons had elevated urinary mercury concentrations, including nine users of the cream (six with nonspecific symptoms) and six nonusers. Mercury vapor concentrations as high as 50 microg/m3 were measured in spot household locations; however, the overall concentration for each room in all five households was <1.0 microg/m3, considered a safe level. Both health departments advised users and the public to stop using these creams and issued clinical health alerts notifying physicians about this potential cause of mercury toxicity. CN - Centers for Disease Control and Prevention (CDC) LA - eng PT - Case Reports PT - Journal Article PL - United States TA - MMWR Morb Mortal Wkly Rep JT - MMWR. Morbidity and mortality weekly report JID - 7802429 RN - 0 (Bleaching Agents) RN - 0 (Cosmetics) RN - FXS1BY2PGL (Mercury) SB - IM MH - Adolescent MH - Adult MH - Air Pollution, Indoor/analysis MH - Bleaching Agents/*chemistry MH - California MH - Child MH - Child, Preschool MH - Cosmetics/*chemistry MH - Environmental Exposure/*analysis MH - Family MH - Female MH - Humans MH - Infant MH - Male MH - Mercury/*analysis/blood/urine MH - Mercury Poisoning/*etiology MH - Mexico MH - Middle Aged MH - Skin Pigmentation MH - Virginia MH - Young Adult EDAT- 2012/01/20 06:00 MHDA- 2012/03/01 06:00 CRDT- 2012/01/20 06:00 PHST- 2012/01/20 06:00 [entrez] PHST- 2012/01/20 06:00 [pubmed] PHST- 2012/03/01 06:00 [medline] AID - mm6102a3 [pii] PST - ppublish SO - MMWR Morb Mortal Wkly Rep. 2012 Jan 20;61(2):33-6.