Laboratory Procedure Manual Analyte: Inorganic mercury, Methyl mercury, Ethyl mercury Matrix: Blood Method: Blood mercury speciation TSID-GC-ICP-DRC-MS (Triple Spike Isotope Dilution Gas Chromatography- Inductively Coupled Plasma Dynamic Reaction Cell Mass Spectrometry) Method No: DLS-3020.5 Adopted: Revised: As performed by: Inorganic and Radiation Analytical Toxicology Branch Division of Laboratory Sciences National Center for Environmental Health Contact: Dr. Robert L. Jones Phone: 770-488-7991 Fax: 770-488-4097 Email:
[email protected] James L. Pirkle, M.D., Ph.D. Director, Division of Laboratory Sciences Important Information for Users CDC periodically refines these laboratory methods. It is the responsibility of the user to contact the person listed on the title page of each write-up before using the analytical method to find out whether any changes have been made and what revisions, if any, have been incorporated. Mercury speciation in whole blood NHANES 2011-2012 Page 2 of 52 This document details the Lab Protocol for testing items in the following table: Data File Name Variable Name SAS Label LBXIHG Mercury, inorganic (µg/L) LBDIHGSI Mercury, inorganic (µmol/L) IHgEM_G LBXBGE Mercury, ethyl (µg/dL) LBXBGM Mercury, methyl (μg/L) Mercury speciation in whole blood NHANES 2011-2012 Page 3 of 52 1. CLINICAL RELEVANCE AND TEST PRINCIPLE A. Clinical Relevance Mercury (Hg) is widespread in the environment and found in its elemental form (Hg0), inorganic forms such as mercurous (Hg+) and mercuric (Hg2+), and various organic forms such as methyl mercury (MeHg), ethyl mercury (EtHg), phenyl mercury (PhHg), and others. The health effects of mercury are diverse and depend on the form of mercury encountered and the severity and length of 0 2+ + exposure.