A total of 151 umbilical cords during the period from 1950 to 1969 were col
lected from the residents of the Minamata area (including 25 patients with
congenital Minamata disease) for methylmercury (MeHg) analysis. When the Me
Hg discharge from the Chisso Company's Minamata factory into the Minamata B
ay is compared with the incidence of congenital Minamata disease, the abrup
t increase of the former in 1952 [Nishimura H. Chem. Today 1998;323:60-66]
was found to precede that of the latter by approximately 2 years, thereby i
ndicating that MeHg is the cause of the disaster. This was confirmed by the
elevated levels of MeHg in the umbilical cords from residents of the Minam
ata area [from 0.35 +/- 0.30 (S.D.) ppm in 1952 to 0.96 +/- 0.75 ppm in 195
5], the MeHg levels (1.60 +/- 1.00 ppm) in the cords from patients with con
genital Minamata disease showing the highest values [P < 0.01 vs, acquired
Minamata disease (0.72 +/- 0.65 ppm), mental retardation (0.74 +/- 0.64 ppm
), other diseases (0.22 +/- 0.15 ppm), and no symptoms (0.28 +/- 0.20 ppm),
respectively]. Thus, in order to fill a gap, which extends over a long per
iod of time, in studies on environmental Hg pollution, umbilical cord sampl
es were considered to be a useful tool. (C) 1999 Elsevier Science B.V. All
rights reserved.