U.S. coal-fired power plants pump more than 48 tons of mercury into the air each year. The Martin Lake Power Plant in Tatum, Texas, spews 2,660 pounds per annum all on its own (it burns lignite, a particularly mercury-heavy form of coal). Compared with the vast amounts of mercury churning out of Asia, the U.S. contribution is fairly small—about 3 percent of the global total. Roughly a third of our emissions settles within our borders, poisoning lakes and waterways. The rest cycles through the atmosphere, with much of it eventually winding up in the world's oceans.
Inorganic mercury isn't easily assimilated into the human body, and if the mercury emitted by power plants stayed in that form, it probably wouldn't have made Gelfond and many others sick. But when inorganic mercury creeps into aquatic sediments and marshes (as well as mid-depths of oceans), bacteria convert it into methylmercury, an organic form that not only is easily assimilated but also accumulates in living tissue as it moves up the food chain: The bigger and older the fish, the more mercury in its meat. It takes only a tiny amount to do serious damage: One-seventieth of a teaspoon can pollute a 20-acre lake to the point where its fish are unsafe to eat. Thousands of tons a year settle in the world's oceans, where they bioaccumulate in carnivorous fish. Forty percent of human mercury exposure comes from a single source—Pacific tuna.
"Ninety-five to 100 percent of the methylmercury that we acquire in our bodies comes from the consumption of seafood," explains Stony Brook University professor Nicholas Fisher, director of the Consortium for Interdisciplinary Environmental Research, which oversees the (newly endowed) Gelfond Fund for Mercury Research and Education. (Seafood, in this case, includes fish from lakes and rivers.) When EPA researchers tested predatory and bottom-dwelling fish at 500 U.S. lakes and reservoirs in 2009, they found mercury in each and every one; close to half of the fish had levels so high they were unsafe to eat. Another 2009 study, by the U.S. Geological Survey, found mercury-contaminated fish in each of the 291 streams and rivers tested. Mercury pollution causes U.S. waters to be closed to fishing more often than does any other source of contamination.
In March, after more than 20 years of delay, the EPA proposed a new federal air pollution standard for power plant emissions of mercury and other toxics. The new rule, which was vigorously opposed by the coal industry, will require power plants to use "maximum achievable control technology" to filter mercury from their smokestacks by 2014. The result of a 2008 lawsuit by the Sierra Club and other environmental groups, the rule is expected to cost industry more than $10 billion to implement.
That may sound like a lot—unless you compare it with the cost of doing nothing. Dr. Leonardo Trasande, an associate professor of preventative medicine and pediatrics at Mt. Sinai Medical Center, did exactly that, in a study published in the American Journal of Industrial Medicine in 2006. He calculated that between 316,000 and 647,000 American babies are born each year with mercury levels high enough to cause measurable brain damage. Because every drop in IQ results in a loss of economic productivity, he estimated that the mercury emitted by coal-fired power plants costs the nation $1.3 billion each year. As he explained in a Senate briefing in 2005, "those costs will recur year after year, with each new birth cohort, so long as mercury emissions are not controlled. By contrast, the cost of installing stack filters is a one-time expense."
One researcher extrapolated from existing data that there are up to 184,000 people in the United States with blood mercury levels above 58 mcg/L, a level at which they would likely show adverse symptoms.
The symptoms of mercury toxicity are fairly well established. They include lack of balance and coordination, trouble concentrating, loss of fine motor skills, tremors, muscle weakness, memory problems, slurred speech, an awkward gait, hearing loss, hair loss, insomnia, tingling in the limbs, and loss of peripheral vision. Long-term exposure may also increase the risk of cardiovascular and autoimmune diseases and reduce the concentration and mobility of sperm.
What's unclear is how much mercury it takes to make you sick. Nearly everyone feels fine when the level of mercury in their blood is below 5.8 mcg/L, which the EPA says is safe for pregnant women. And most—although not all—exhibit symptoms at 100 mcg/L. But some people show symptoms with levels as low as 7 mcg/L, and others feel right as rain despite being above 100 mcg/L.
Physicians speculate that susceptibility to mercury could be genetic, or the result of diet or stress. It also seems that people can have mercury-related impairments without realizing it. In an Italian study from 2003 comparing 22 men who frequently ate tuna with 22 who didn't, the tuna eaters (who had a mean level of 41.5 mcg/L) fared significantly worse on cognitive tests, despite having no outward symptoms of poisoning.
One thing that isn't in question, though, is that developing fetuses are particularly sensitive to the toxic effects of methylmercury. Two out of three large-scale studies have found that children born with it in their system have trouble with coordination, concentration, language, and memory—and continue to have the same deficits many years later.
Nancy Lanphear is a behavioral developmental pediatrician who works at a clinic in Vancouver for children with disabilities like autism or attention-deficit/hyperactivity disorder. Several years ago, a mother came into her clinic with a four-and-a-half-year-old girl who had cerebral palsy as well as speech and motor delays. But what attracted Lanphear's attention was that the child was drooling.
"I'm looking at this four-year-old and saying, 'This is mercury,'" Lanphear recalls, hypersalivation being a classic sign of mercury poisoning. The child's chart showed that a heavy metals screening at age two had found high mercury levels in both mother and child, as well as in the child's grandfather. The mother recalled being encouraged by her physician to eat fish during her pregnancy; she ate tuna or other seafood two to four times a week, sure that she was helping her baby's development.
"She knows that she's not to blame, that it was inadvertent, but there's still some grief there," Lanphear says of the mother. "It's not something that's going away, even though the child's mercury levels are now normal. The damage was done to the developing brain." Lanphear uses the story to remind obstetricians and pediatricians to be on the lookout for mercury poisoning in their patients.
The EPA estimates that at least 8 percent of U.S. women of childbearing age have blood mercury levels above 5.8 mcg/L. If you zero in on communities that regularly eat fish, the prevalence is much higher. In the Northeast, one out of every five women has a mercury level exceeding the EPA threshold. In New York City, it's one out of every four, and close to half of the city's Asian population have elevated mercury levels, as do two-thirds of the city's foreign-born Chinese.
High-mercury pockets also exist on the West Coast. Between 2000 and 2001, San Francisco physician Jane Hightower tested 116 patients who said they frequently ate fish. She found elevated mercury levels among 89 percent of them, with half above 10 mcg/L. Many of these patients had reported nonspecific symptoms like headaches, nausea, depression, and trouble concentrating, and had been searching for an explanation for months or years.
Since that first survey, Hightower has treated hundreds of mercury-exposed people from all walks of life. Among her patients was then-five-year-old Sophie Chabon, the daughter of Pulitzer Prize-winning novelist Michael Chabon and Ayelet Waldman, whose books include the best-seller Bad Mother. Sophie had been an early talker and walker, but then she seemed to hit a wall, suddenly unable to sound out words she used to know how to read and even forgetting how to tie her shoes. A blood test turned up mercury levels of 13 mcg/L. The culprit: twice-weekly tuna sandwiches.
As Sophie cut tuna out of her diet, her mercury levels dropped, and her stalled development surged ahead again. Now in high school, she has a passion for history, film, and French and shows no sign of any lasting effects from the mercury exposure. Still, Waldman fumes when she thinks about what might have happened if they hadn't caught the problem so early. "I blame our country for not [caring] about what we're spewing into the atmosphere," she says. "This is about coal, pure and simple. You wouldn't go and break your child's bones one by one, but we tolerate this kind of poison that's ruining their minds. It's insane."
While Hightower's wealthy patients tend to eat sushi and expensive tuna, swordfish, and halibut, poor Americans eat canned light tuna—often subsidized by the federal Women, Infants, and Children nutrition program—and fish they hook themselves in local rivers, lakes, or bays. Immigrants are particularly likely to fish for food, often without understanding the risks of eating their catch. The average Latino angler, for instance, consumes twice as much mercury daily as the EPA considers safe, while a 2010 study of subsistence fishing in California found that some anglers were getting 10 times that dose. The same study found that anglers with children had a higher mercury intake than those without, probably because families with more mouths to feed rely more on food that can be caught rather than bought.
The boardwalk in Ocean City, New Jersey, is a 2.5-mile strip of salt air and stimulation, with arcades and carnival rides, pirate-themed mini golf and fried clams. It was here that a young woman named Jaime Bowen stood in front of a microphone in June and nervously contemplated the crowd. A 31-year-old home-healthcare worker with two children, Bowen had gone to a Sierra Club-sponsored hair-testing event with an environmentally minded friend a month before, more as a lark than out of any real concern for her health. "It was kind of a joke going to get my hair clipped," she says. "Then, to get the results—it was a reality check."
Of the 36 people at the event who were willing to share their results, 8 had elevated mercury levels. Bowen was one of them. Hers was 1.37 ppm—too low to cause health problems, but higher than the EPA considers safe for women of childbearing age. (Hair mercury levels are evaluated differently than blood mercury levels, but a hair level of 1.2 ppm is roughly equivalent to a blood level of 5.8 mcg/L.) Now she was concerned about her two children, who, after all, ate what she ate. "You hear, 'Don't break that thermometer.' You never hear about the fish," she says. "I made my kids tuna fish sandwiches the other day, and now I feel horrible. Tuna fish—it's just one of those things you wouldn't think to be scared of."
And so Bowen stood at the podium, gripping the paper that held her prepared remarks. She talked about fish and her fears about her children's safety, and about coal. To her surprise, she looked up to see that people up and down the boardwalk had stopped to listen. "I did want them to know," she says. "I'm just a regular person—I'm not doing anything different than those people."
Behind her, the ocean sparkled, sending salty breezes drifting over the boardwalk. A seagull circled, white and gray, its bright eyes scanning the scene below: the crowded boardwalk, a fish-filled sea, and, tucked in a bay just a little to the northwest, the lighthouse-shaped smokestack of the BL England generating station, producing 450 megawatts of electricity, powered by West Virginia coal.
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