Working in a Dental Office

Selected References:  

  • American Dental Association (ADA). https://www.ada.org/resources/practice/legal-and-regulatory/amalgam [accessed May 2026]. 
  • Bjorklund G, et. al. 2019. Mercury exposure and its effects on fertility and pregnancy outcome. Basic Clin Pharmacol Toxicol 125(4):317-327 
  • Brodsky JB, et al. 1985. Occupational exposure to mercury in dentistry and pregnancy outcome. J Am Dent Assoc; 111:779-780. 
  • Centers for Disease Control and Prevention (CDC). 2003. Guidelines for Infection Control in Dental Health-Care Settings. Morbidity and Mortality Weekly Report (MMWR). 52(RR17):1-61.  
  • CDC. 2021. Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe Care. Available athttps://www.cdc.gov/oralhealth/infectioncontrol/summary-infection-prevention-practices/index.html https://www.cdc.gov/dental-infection-control/hcp/summary/index.html 
  • CDC. 2011. Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP). Morbidity and Mortality Weekly Report (MMWR); 60 (RR07):1-45. 
  • Ericson A, Kallen B. 1989. Pregnancy outcome in women working as dentists, dental assistants or dental technicians. Int Arch Occup Environ Health 61:329-33. 
  • Glick M, Goldman HS. 1993. Viral infections in the dental setting: potential effects on pregnant HCWs. J Am Dent Assoc. 124(6):79-86. 
  • Heggland I, et al. 2011. Pregnancy outcomes among female dental personnel-a registry-based retrospective cohort study. Scand J Work Environ Health; 37(6): 539-546. 
  • Knill-Jones RP, et al. 1975. Anaesthetic practice and pregnancy. Lancet; 2:807-9. 
  • LeBeau J. 2015. Laser Safety in the Dental Office. https://www.aldadmin.org/index.cfm/patients/ALD_Blog/show/blogPost/LaserSafetyInTheDentalOffice [last accessed May 2026]. 
  • Lindbohm ML, et al. 2007.Occupational exposure in dentistry and miscarriage. Occup Environ Med; 64:127-133. 
  • Mann A, et. al. 2020. Considerations for pregnant dental and health care workers amid COVID-19. JDR Clin Trans Res 5(4):300-306. 
  • Marklund S, et al. 2019. Work ability and productivity among dentists: associations with musculoskeletal pain, stress, and sleep. Int Arch Occup Environ Health. PMID: 31654126 
  • Nagpal N, et al. 2017. A Review of Mercury Exposure and Health of Dental Personnel. Saf Health Work. 8(1): 1-10. 
  • Naimi-Akbar A, et al. 2012. Cognitive function among sons of women who worked in dentistry. Scand J Work Environ Health. 38(6):546-552. 
  • Occupational Safety and Health Administration (OSHA). Dentistry Hazard Recognition, Control and Prevention: Available at: https://www.osha.gov/dentistry/hazard-control-prevention [Accessed 6/2025]. 
  • OSHA. Laser/Electrosurgery Plume. https://www.https://www.osha.gov/laser-electrosurgery-plume [Accessed May 2026].  
  • OSHA. Mercury OSHA Standards. https://www. https://www.osha.gov/mercury/standards [Accessed May 2026]. 
  • Olfert SM. 2006. Reproductive outcomes among dental personnel: a review of selected exposures. J Can Dent Assoc. 72(9):821-5. 
  • Romano F, et al. 2017. Electrosurgical Smoke: Ultrafine Particle Measurements and Work Environment Quality in Different Operating Theatres. Int J Environ Res Public Health; 14(2): 137.  
  • Rowland A et al. 1995. Nitrous oxide and spontaneous abortion in female dental assistants. Am J Epidemiol. 141(6):531-8. doi: 10.1093/oxfordjournals.aje.a117468. PMID: 7900720. 
  • Smalley P. 2011. Laser safety: Risks, hazards, and control measures. Laser Ther; 20(2): 95-106. 
  • Warwick D, et al. 2019. Mercury vapor volatilization from particulate generated from dental amalgam removal with a high-speed dental drill – a significant source of exposure. Jrnl of Occ Med & Tox. 14,22. 
  • United States Food and Drug Administration (FDA). 2017. About Dental Amalgam Fillings.  https://www.fda.gov/medical-devices/dental-devices/dental-amalgam-fillings [Accessed May 2026]. 


Working in a Dental Office

Selected References:

  • Anderson OW. 1977. Mumps mastitis. J Pediatr; 91(4):687. 
  • Beard CM, et al. 1977. The incidence and outcome of mumps orchitis in Rochester, Minnesota, 1935 to 1974. Mayo Clin Proc; 52(1):3-7.   
  • Casella R, et al. 1997. Mumps orchitis: report of a mini-epidemic. J Urol; 158(6):2158-61.  
  • Centers for Disease Control and Prevention (CDC). 2025. Mumps. Available at https://www.cdc.gov/mumps/about/index.html. [Last accessed May 2026]. 
  • CDC. 2008. Updated recommendations for isolation of persons with mumps. MMWR Morb Mortal Wkly Rep; 57(40):1103-5.  
  • Dejucq N, Jégou B. 2001. Viruses in the mammalian male genital tract and their effects on the reproductive system. Microbiol Mol Biol Rev; 65(2):208-31. 
  • Donahue M, et al. 2017. Notes from the Field: Complications of Mumps During a University Outbreak Among Students Who Had Received 2 Doses of Measles-Mumps-Rubella Vaccine – Iowa, July 2015-May 2016. MMWR Morb Mortal Wkly Rep; 66(14):390-391.  
  • Enders M, et al. 2005. [Frequency of spontaneous abortion and premature birth after acute mumps infection in pregnancy]. Gynakol Geburtshilfliche Rundsch; 45(1):39-43.  
  • Garcia AG, et al. 1980. Intrauterine infection with mumps virus. Obstet Gynecol; 56(6):756–9. 
  • Groenendaal F, et al. 1990. Congenital Mumps pneumonia: a rare cause of neonatal respiratory distress. Acta Paediatr Scand; 79(12):1252–4. 
  • Gupta RK, et al. 2005. Mumps and the UK epidemic 2005. BMJ; 330(7500):1132-5. 
  • Hall R, Richards H. 1987. Hearing loss due to mumps. Arch Dis Child; 62(2):189-91. 
  • Hill AB, et al. 1985. Virus diseases in pregnancy and congenital defects. Br J Prev Coc Med; 12:1–7. 
  • Hyatt HW. 1961. Relationship of maternal mumps to congenital defects and fetal deaths and to maternal morbidity and mortality. Am Pract; 12:359–63. 
  • Hviid A, et al. Mumps. Lancet; 371(9616):932-44. 
  • Johnstone JA, et al. 1972. Meningitis and encephalitis associated with mumps infection. A 10-year survey. Arch Dis Child; 47(254):647-51. 
  • Kilham L. 1951. Mumps virus in human milk and in milk of infected monkey. J Am Med Assoc; 146(13):1231-2.   
  • Kutty PK, et al. 2010. Guidance for isolation precautions for mumps in the United States: a review of the scientific basis for policy change. Clin Infect Dis; 50(12):1619-28 
  • Manson AL. 1990. Mumps orchitis. Urology; 36(4):355-8. 
  • Manson MM, et al. 1988. Rubella and other virus infections during pregnancy. Report on public health and medical subjects No 101. Ministry of Health, her Majesty’s Stationary Office, 1960. Cited by Korones SB: Uncommon virus infections of the mother, fetus and newborn: Influenza, Mumps and measles. Clinics in Perinatology; 15(2)259–72. 
  • McPherson TD, et al. 2020. Mumps Cases Disproportionately Affecting Persons Living with HIV Infection and Men Who Have Sex with Men – Chicago, Illinois, 2018. MMWR Morb Mortal Wkly Rep; 69(28):909-912. 
  • Ornoy A, Tenenbaum A. 2006. Pregnancy outcome following infections by coxsackie, echo, measles, mumps, hepatitis, polio and encephalitis viruses. Reprod Toxicol; 21:446–457.  
  • Russell RR, Donald JC. 1958. The neurological complications of mumps. Br Med J; 2(5087):27-30. 
  • Siegel M. 1973. Congenital malformations following chickenpox, measles, mumps, and hepatitis. Results of a cohort study. JAMA; 226(13):1521-4.  
  • Siegel M, et al. 1966. Comparative fetal mortality in maternal virus diseases. A prospective study on rubella, measles, mumps, chicken pox and hepatitis. N Engl J Med; 274(14):768-71.  
  • Takahashi Y, et al. 1998. A case of congenital mumps infection complicated with persistent pulmonary hypertension. Am J Perinatol; 15(7):409–12. 
  • Taparelli F, et al. 1988. Isolation of mumps virus from vaginal secretions in association with oophoritis. J Infect; 17:255-8.  
  • Ternavasio-de la Vega HG, et al. 2010. Mumps orchitis in the post-vaccine era (1967-2009): a single-center series of 67 patients and review of clinical outcome and trends. Medicine (Baltimore); 89(2):96-116.  
  • Utz JP, et al. 1964. Clinical and Laboratory Studies of Mumps. N Engl J Med; 270:1283-6.  
  • Vuori M, et al. 1962. Perceptive deafness in connection with mumps. A study of 298 servicemen suffering from mumps. Acta Otolaryngol; 55:231-6. 
  • Westmore GA, et al, 1979. Isolation of mumps virus from the inner ear after sudden deafness. Br Med J;1(6155):14-5.  
  • White SJ, et al. 2012. Measles, mumps, and rubella. Clin Obstet Gynecol; 55(2):550-9.  
  • Wu H, et al. 2021. Mumps Orchitis: Clinical Aspects and Mechanisms. Front Immunol; 12:582946.  


Working in a Dental Office

Selected References:

  • Carvajal A, et al. 2015. Emergency contraceptive pill safety profile. Comparison of the results of a follow-up study to those coming from spontaneous reporting. Pharmacoepidemiology and Drug Safety; 24(1): 93–97. 
  • De Santis M, et al. 2005. Failure of the emergency contraceptive levonorgestrel and the risk of adverse effects in pregnancy and on fetal development: an observational cohort study. Fertility and Sterility; 84(2):296–299. 
  • Endler M, et al. 2022. Effect of levonorgestrel emergency contraception on implantation and fertility: A review. Contraception; 109:8-18.  
  • Gainer E, et al. 2007. Levonorgestrel pharmacokinetics in plasma and milk of lactating women who take 1.5 mg for emergency contraception. Hum Reprod; 22(6):1578-84. 
  • Leelakanok N. & Methaneethorn J. 2020. A systematic review and meta-analysis of the adverse effects of levonorgestrel emergency oral contraceptive. Clinical Drug Investigation; 40(5):395–420. 
  • Mierzejewska A, et al. 2024. Emergency contraception – a narrative review of literature. Eur J Obstet Gynecol Reprod Biol; 299:188-192. 
  • Polakow-Farkash S et al. 2013. Levonorgestrel used for emergency contraception during lactation-A prospective observational cohort study on maternal and infant safety. J Matern Fetal Neonatal Med; 26:219-221.  
  • Shohel M, et al. 2014. A systematic review of effectiveness and safety of different regimens of levonorgestrel oral tablets for emergency contraception. BMC Women’s Health; 14(54).  
  • Shurie S, et al. 2018. Levonorgestrel only emergency contraceptive use and risk of ectopic pregnancy in Eldoret Kenya: a case-control study. The Pan African Medical Journal; 31(214).  
  • Shaaban OM et al. 2019. Levonorgestrel emergency contraceptive pills use during breastfeeding; effect on infants’ health and development. J Matern Fetal Neonatal Med; 32:2524–2528.  
  • Trussell J, et al. 2003. Ectopic pregnancy following use of progestin-only ECPs. J Fam Plann Reprod Health Care; 29(4):249. 
  • von Hertzen H, et al. 2002. Low dose mifepristone and two regimens of levonorgestrel for emergency contraception: a WHO multicentre randomised trial. Lancet; 360(9348):1803-1810. 
  • Zhang J, et al. 2015. Association between levonorgestrel emergency contraception and the risk of ectopic pregnancy: a multicenter case-control study. Sci Rep; 5(8487).  


Working in a Dental Office

Selected References:  

  • American College of Obstetricians and Gynecologists (ACOG). 2018. ACOG Committee Opinion No. 733: Employment Considerations During Pregnancy and the Postpartum Period. Obstet Gynecol; 131(4):e115-e123, reaffirmed 2023.  
  • Centers for Disease Control and Prevention (CDC). 2025. Breastfeeding and special circumstances- occupational exposures. Available at URL: https://www.cdc.gov/breastfeeding-special-circumstances/hcp/exposures/occupational.html [Last accessed May 2026]. 
  • Charkiewicz AE, et al. 2020. Lead Toxicity and Pollution in Poland. Int J Environ Res Public Health. 17(12):4385.  
  • Dietz M, et al. 2023. The relevance of oral exposure in the workplace: a systematic review and meta-analysis. Front Public Health.11:1298744.  
  • Goede H, et al. 2024. Meta-analysis of the quantitative effectiveness of risk management measures (RMM) in the workplace. Annals of Work Exposures and Health; 68(5), 495–509. 
  • Grajewski B, et al. 2005. Occupational exposures and reproductive health: 2003 Teratology Society Meeting Symposium summary. Birth Defects Res B Dev Reprod Toxicol; 74(2):157-63. 
  • Günal A, Demirtürk F. 2022. Occupational hazards, sleep quality and musculoskeletal problems of pregnant workers. J Obstet Gynaecol; 42(2):215-219. 
  • Holland MG, et al. 2016. Workplace Lead Exposure. J Occup Environ Med. 58(12):e371-e374.  
  • Occupational Safety and Health (OSHA) Reproductive Hazards Overview: https://www.osha.gov/reproductive-hazards [Last accessed May 2026]. 
  • Ohlander J, et al. 2020. Interventions to Reduce Exposures in the Workplace: A Systematic Review of Intervention Studies Over Six Decades, 1960-2019. Front Public Health. 8:67.  
  • Paul M. 1997. Occupational reproductive hazards. Lancet; 349(9062):1385-8.  
  • Rice HR, Baker BA. 2007. Workplace hazards to women’s reproductive health. Minn Med; 90(9):44-7.  
  • U.S. Centers for Disease Control National Institute for Occupational Safety and Health (NIOSH). 2024. Reproductive Health and The Workplace. About Reproductive Health in the Workplace. https://www.cdc.gov/niosh/reproductive-health/about/. [Last accessed May 2026].  
  • US Department of Health and Human Services, Cincinnati (OH), 1995NIOSH. The National Institute for Occupational Safety and Health (2024). Hierarchy of Controls https://www.cdc.gov/niosh/hierarchy-of-controls/about/. [Last accessed May 2026]. 

 


Working in a Dental Office

Selected References:

  • Al-Saleh I, et al. 2020. Effects of early and recent mercury and lead exposure on the neurodevelopment of children with elevated mercury and/or developmental delays during lactation: A follow-up study. Int J Hyg Environ Health 230:113629.  
  • Ashrap P, et al. 2020. Maternal blood and metalloid concentrations in association with birth outcomes in Northern Puerto Rico. Environ Int 138:105606.  
  • Buck Louis GM, et al. 2017. Low-level environmental metals and metalloids and incident pregnancy loss. Reprod Toxicol 69:68-74.  
  • Byeong-Jin Y, et al. 2016. Evaluation of mercury exposure level, clinical diagnosis and treatment for mercury intoxication. Ann Occup Environ Med 28:5. 
  • Choy CMY, et al. 2002. Relationship between semen parameters and mercury concentration in blood and in seminal fluid from subfertile males in Hong Kong. Fertil Steril 78(2):426-428. 
  • Choy CM, et al. 2002. Infertility, blood mercury concentrations and dietary seafood consumption: a case-control study. BJOG: an international journal of obstetrics and gynaecology; 109(10), 1121–1125.  
  • Cox C, et al. 199. Prenatal and postnatal methyl mercury exposure and neurodevelopmental outcomes. JAMA 282:1333-1334. 
  • Crump KS, et al. 1998. Influence of prenatal mercury exposure upon scholastic and psychological test performance: Benchmark analysis of a New Zealand cohort. Risk Anal 18:701-713. 
  • Davidson PW, et al. 1998. Effects of prenatal and postnatal methyl mercury exposure from fish consumption on neurodevelopment. JAMA 280:701-707. 
  • Davidson PW, et al. 2006. Prenatal methylmercury exposure from fish consumption and child development: A review of evidence and perspectives from the Seychelles Child Development Study. Neurotoxicology 27:1106-1109.  
  • Debes F, et al. 2016. Cognitive deficits at age 22 years associated with prenatal exposure to methylmercury. Cortex 74:358-69.  
  • Dorea JG, 2004. Mercury and Lead during breast-feeding. British J of Nutr 92(1):21-40. 
  • Dorea JG. 2021. Exposure to environmental neurotoxic substances and neurodevelopment in children from Latin America and the Caribbean. Environ Res 192:110199.  
  • Food and Drug Administration (FDA). 2017. Mercury levels in commercial fish and shellfish (1990–2012). Available at: https://www.fda.gov/food/foodborneillnesscontaminants/metals/ucm115644.htm 
  • Golding J, et al. 2017. Maternal prenatal blood mercury is not adversely associated with offspring IQ at 8 years provided the mother eats fish: A British prebirth cohort study. Int J Hyg Environ Health 220(7): 1161-1167.  
  • Golding J, et al. 2022. The benefits of fish intake: Results concerning prenatal mercury exposure and child outcomes from the ALSPAC prebirth cohort. Neurotoxicology 91:22-30. 
  • Gokoel AR, et al. 2020. Influence of prenatal exposure to mercury, perceived stress and depression on birth outcomes in Suriname: Results from the MeKiTamara Study. Int J Environ Res Public Health 17(12):4444.   
  • Grandjean P, et al. 1997. Cognitive deficit in 7-year-old children with prenatal exposure to methyl mercury. Neurotoxicol Teratol 19:417-428. 
  • Grandjean P, et al. 1999. Methylmercury exposure biomarkers as indicators of neurotoxicity in children aged 7 years. Am J Epidemiol 149:301-305. 
  • Grandjean P, et al. 2003. Attenuated growth of breast-fed children exposed to increased concentrations of methylmercury and polychlorinated biphenyls. FASEB J 17(6):699-701.  
  • Henriques MC, et al. 2019. Exposure to mercury and human reproductive health: a systematic review. Reprod Toxicol; 85:93-103. 
  • Hibbeln J, et al. 2018. Total mercury exposure in early pregnancy has no adverse association with scholastic ability of the offspring particularly if the mother eats fish. Environ Int 116:108-115. 
  • Hibbeln JR, et al. 2019. Relationship between seafood consumption during pregnancy and childhood neurocognitive development: Two systematic reviews. Prostaglandins Leuko Essent Fatty Acids 151:14-36.  
  • Howe CG, et al. 2021. Prenatal metal mixtures and birth weight for gestational age in a predominately lower-income Hispanic pregnancy cohort in Los Angeles. Environ Health Perspect 128(11):117001.  
  • Hsi HC, et al. 2014. The neurological effects of prenatal and postnatal mercury/methylmercury exposure on three-year-old children in Taiwan. Chemosphere; 100:71-76. 
  • Hu Y, et al. 2016. Prenatal low-level mercury exposure and infant neurodevelopment at 12 months in rural northern China. Environ Sci Pollut Res Int 23(12): 12050-12059. 
  • Iwai-Shimada M, et al. 2015. Methylmercury in the breast milk of Japanese mothers and lactational exposure of their infants. Chemosphere; 126:67-72. 
  • Jensen TK, et al. 2005. Effects of breast feeding on neuropsychological development in a community with methylmercury exposure from seafood. J Expo Anal Environ Epidemiol; 15(5):423-430. 
  • Jin L, et al. 2016. Exposure of methyl mercury in utero and the risk of neural tube defects in a Chinese population. Reprod Toxicol; 61:131-135 
  • Jin L, et al. 2013. Placental concentrations of mercury, lead, cadmium, and arsenic and the risk of neural tube defects in a Chinese population. Reprod Toxicol; 35:25-31. 
  • Kim B, et al. 2020. Adverse effects of prenatal mercury exposure on neurodevelopment during first 3 years of life modified by early growth velocity and prenatal maternal folate level. Environ Res 191:109909.  
  • Klus JK, et al. 2023. Postnatal methylmercury exposure and neurodevelopmental outcomes at 7 years of age in the Seychelles Child Development Study Nutrition Cohort 2, NeuroToxicology; 99: 115-119, 
  • Koos BJ & Longo LD. 1976. Mercury toxicity in the pregnant woman, fetus, and newborn infant. Am J Obstet Gynecol; 390(5):390-409. 
  • Kopylev L, & Segal D. 2025. Relationship of prenatal methylmercury exposure and language/verbal function: a meta-analysis. Environmental health : a global access science source; 24(1), 68.  
  • Kushawaha B, et al. 2025. The impact of mercury exposure on male reproduction: mechanistic insights. J Trace Elem Med Biol; 87:127598. 
  • Lamoureux-Tremblay V, et al. 2021. Altered functional activations of prefrontal brain areas during emotional processing of fear in Inuit adolescents exposed to environmental contaminants. Nurotoxicol Teratol; 85:106973.  
  • Li S, et al. 2022. Relationship between maternal heavy metal exposure and congenital heart defects: a systematic review and meta-analysis. Environ Sci Pollut Res Int; 29(37):55348-55366. 
  • Maeda E, et al. 2019. Associations of environmental exposures to methylmercury and selenium with female infertility: A case-control study. Environmental research; 168,357–363.  
  • Minguez-Alarcon L et al; Earth Study Team. 2017. Hair mercury (Hg) levels, fish consumption and semen parameters among men attending a fertility center. Int J Hyg Environ Health; pii:S1438-4639(17)30315-2.Myers GJ, et al. 2003. Prenatal methyl mercury exposure from ocean fish consumption in the Seychelles child development study. Lancet 361:1686-1692. 
  • Myers, et al. 2009. Postnatal exposure to methyl mercury from fish consumption: a review and new data from the Seychelles Child Development Study. Neurotoxicology; 30(3):338-349  
  • Myers GJ, et al. 2007. Nutrient and methyl mercury exposure from consuming fish. J Nutr; 137(12):2805-2808. 
  • Nišević RJ, et al. 2019. Combined prenatal exposure to mercury and LCUPUFA on newborn’s brain measures and neurodevelopment at the age of 18 months. Environ Res; 178:108682.  
  • O’Connor LE, et al. 2025. Mercury exposure and childhood outcomes: an overview of systematic reviews. Environ Res; 274:121196. 
  • Oken E and Bellinger DC.2008. Fish consumption, methylmercury and child neurodevelopment. Curr Opin Pediatr 20(2):178-183. 
  • Papadopoulou E, et al. 2021. Maternal seafood intake during pregnancy, prenatal mercury exposure and child body mass index trajectories up to 8 years. Int J Epidemiol; 50(4):1134-1146.  
  • Polevoy C, et al. 2020. Prenatal exposure to legacy contaminants and visual acuity in Canadian infants: a maternal-infant research on environmental chemicals study. Environ Health; 19(1):14.  
  • Rignell-Hydbom A, et al. 2007. Dietary exposure to methyl mercury and PCB and the associations with semen parameters among Swedish fishermen. Environmental health : a global access science source; 6,14.  
  • Rothenberg SE, et al. 2021. Maternal methylmercury exposure through rice ingestion and child neurodevelopment in the first three years; a prospective cohort study in rural China. Environ Health; 20(1):50.  
  • Saavedra S, et al. 2021. Impact of dietary mercury intake during pregnancy on the health of neonates and children: a systematic review. Nut Rev; 80(2):317-328.  
  • Saito, H. 2020 (Reproduction from 2004). Congenital Minamata disease: a description of two cases in Niigata. Neurotoxicology; 81:360-363. 
  • Sarzo B, et al.2024. The impact of prenatal mercury on neurobehavioral functioning longitudinally assessed from a young age to pre-adolescence in a Spanish birth cohort. Environmental research; 252(Pt 2)118954.  
  • Schaefer C, et al 2007. Industrial Chemicals and environmental contaminants: Mercury In Drugs During Pregnancy and Lactation, pgs 816-817. Amsterdam. 
  • Shamlaye C, et al. 2020. The Seychelles Child Development Study: Two decades of collaboration. Reproduction in Neurotoxicology. 81:315-322. 
  • Skerfving & Copplestone. 1976. Poisoning caused by the consumption of organomercury-dressed seed in Iraq. Bull World Health Organ; 1976;54(1):101-112. 
  • Sloane-Reeves J, et al. 2020. Scholastic achievement among children enrolled in the Seychelles Child Development Study. Neurotoxicology; 81:347-352.  
  • Small V, et al. 2025. Through the Eye: Retinal Changes of Prenatal Mercury Exposure in Grassy Narrows First Nation, Canada. International journal of environmental research and public health; 23(1)1.  
  • Smith JC, et al. 1997. Hair methylmercury levels in U.S. women. Arch Environ Health. 52(6):476-80. 
  • Spiller P, et al. 2019. An abundance of seafood consumption studies presents new opportunities to evaluate effects on neurocognitive development. Prostaglandins Leukot Essent Fatty Acids; 151:8-13.  
  • Strain J. 2014. Eating fish for two. Nutr Bull; 39(2):181-186.  
  • Strain JJ, et al. 2015. Prenatal exposure to methyl mercury from fish consumption and polyunsaturated fatty acids: associations with child development at 20 mo of age in an observational study in the Republic of Seychelles. Am J Clin Nutr; 101(3):530-537. 
  • Strain JJ, et al. 2021. Associations of prenatal methylmercury exposure and maternal polyunsaturated fatty acid status with neurodevelopmental outcomes at 7 years of age: results from the Seychelles Child Development Study Nutrition Cohort 2. Am J Clin Nutr; 113(2):304-313.  
  • Tian T, et al. 2021. Single and mixed effects of metallic elements in maternal serum during pregnancy on risk for fetal neural tube defects: A Bayesian kernel regression approach. Environ Pollut; 285:117203.  
  • Tong M, et al. 2021. Total mercury concentration in placental tissue, a good biomarker of prenatal mercury exposure, is associated with risk for neural tube defects in offspring. Environ Int; 150:106425.  
  • Ulloa AC, et al. 2021. Prenatal methylmercury exposure and DNA methylation in seven-year-old children in the Seychelles Child Development Study. Environ Int; 147:106321.  
  • US DHHS: Mercury Toxicity, Monograph 17. ATSDR Case Studies in Environmental Medicine, 1992. 
  • United States Environmental Protection Agency (EPA). 2026. Choose Fish and Shellfish Wisely. https://www.epa.gov/choose-fish-and-shellfish-wisely. 
  • United States Environmental Protection Agency (EPA). 2014. Estimated Fish Consumption Rates for the U.S. Population and Selected Subpopulations (NHANES 2003–2010). Final report. EPA-820-R-14-002. https://www.epa.gov/sites/production/files/2015-01/documents/fish-consumption-rates-2014.pdf. 
  • United States Environmental Protection Agency (EPA). 2013. Trends in Blood Mercury Concentrations and Fish Consumption Among U.S. Women of Reproductive Age (EPA NHANES, July 2013).  
  • United States Environmental Protection Agency (EPA) 2026. National Biomonitoring Program. Mercury Factsheet. https://www.epa.gov/americaschildrenenvironment/biomonitoring-mercury  
  • United States Food and Drug Administration (FDA). 2022. Eating Fish for Those Who Might Become or Are Pregnant or Breastfeeding and Children Ages 1 to 11 Years. https://www.fda.gov/food/consumers/questions-answers-fdaepa-advice-about-eating-fish-those-who-might-become-or-are-pregnant-or 
  • United States Food and Drug Administration (FDA) & United States Environmental Protection Agency (EPA). 2024. Advice About Eating Fish. https://www.fda.gov/food/consumers/advice-about-eating-fish 
  • van Wijngaarden E, et al. 2017. Methyl mercury exposure and neurodevelopmental outcomes in the Seychelles Child Development study main cohort at age 22 and 24 years. Neurotoxicol Teratol; 59:35-42. 
  • Vigeh M, et al. 2018. Prenatal mercury exposure and birth weight. Reprod Toxicol; 76:78-83.  
  • Weichselbaum E, et al. 2013. Fish in the diet: a review. Nutrition Bulletin; 38: 128-177. 
  • Xiang H, et al. 2019. Protective effect of high zinc levels on preterm birth induced by mercury exposure during pregnancy: A birth cohort study in China. J Trace Elem Med Biol; 55:71-77.  
  • Yorifuji T, et al. 2025. Prenatal methylmercury poisoning and neurocognitive impairment in Minamata. The Science of the total environment, 985, 179743.  
  • Yorifuji T, et al. 2026. Long-term neurological and neurocognitive deficits in adults prenatally exposed to methylmercury: Minamata disease. Neurotoxicology and teratology; 115,107590.  
  • Young EC, et al. 2020 (Reproduction from 2004). Association between prenatal dietary methyl mercury and developmental outcomes on acquisition of articulatory-phonologic skills in children in the Republic of Seychelles. Neurotoxicology; 81:353-357.