Mercury is used widely for gold extraction in French Guiana and throug
hout the entire Amazon basin. To evaluate contamination among the gene
ral population, the authors chose individuals who attended 13 health c
enters and maternity hospitals dispersed geographically across the ter
ritory and served Guiana's different populations. Five hundred individ
uals (109 pregnant women, 255 ''other'' adults, and 136 children) who
received care at one of the centers were selected randomly for this st
udy. Each individual answered a questionnaire and provided a hair samp
le. The authors determined mercury in hair with atomic absorption spec
trometry. The following mean levels of mercury were observed: 1.6 mu g
/g (95% confidence interval [CI] = 1.3, 1.9) among pregnant women; 3.4
mu g/g (95% CI = 3.0, 3.9) among other adults; and 2.5 mu g/g (95 % C
I = 2.1, 3.0) among children. Diet factors contributed the most to mer
cury levels, especially consumption of freshwater fish (mean = 6.7 mu
g/g for individuals who ate fish more than 5 times/wk) and livers from
game. Other factors, including age, dental amalgams, use of skin-ligh
tening cosmetics, and residence near a gold-mining community, did not
contribute significantly to mercury levels. Overall, 12% of the sample
s contained mercury levels in excess of 10 mu g/g, but in some Amerind
ian communities up to 79% of the children had hair mercury levels that
exceeded 10 mu g/g. The results of this study indicated that (a) diet
played a predominant role in total mercury burden, and (b) in some co
mmunities, mercury contamination exceeded safe levels.