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GGD-richtlijn medische milieukunde: Kwik in het ... - Radar

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RIVM Rapport 609300021<br />

Abstract<br />

Environmental health guidel<strong>in</strong>e for Municipal Public Health Services<br />

Mercury <strong>in</strong> the <strong>in</strong>door environment and health<br />

Although the sale of most mercury conta<strong>in</strong><strong>in</strong>g products is prohibited, mercury<br />

spills are still possible as old, mercury conta<strong>in</strong><strong>in</strong>g, products may break and<br />

release liquid mercury. Therefore, environmental health workers at the Municipal<br />

Public Health Services (<strong>GGD</strong>) need <strong>in</strong>formation concern<strong>in</strong>g exposure<br />

assessment, health-based guidel<strong>in</strong>e values and clean-up procedures after<br />

mercury spills. For this purpose, the M<strong>in</strong>istry of Health, Welfare and Sport (VWS)<br />

commissioned the National Institute for Public Health and the Environment<br />

(RIVM) and the Municipal Public Health Services (<strong>GGD</strong>) to draw up a guidel<strong>in</strong>e<br />

on mercury <strong>in</strong> the <strong>in</strong>door environment and health.<br />

Exposure to mercury leads to more adverse health effects than most people<br />

anticipate and is therefore an underestimated problem. Long-term exposure to<br />

low concentrations of mercury vapour can lead to serious health effects. People<br />

can be exposed to mercury vapour for a long time if traces of mercury rema<strong>in</strong><br />

<strong>in</strong>doors after breakage of a mercury conta<strong>in</strong><strong>in</strong>g product. Traces of mercury can<br />

easily be left unseen <strong>in</strong> floor carpet<strong>in</strong>g or <strong>in</strong> a small crack after apparent<br />

clean<strong>in</strong>g.<br />

This guidel<strong>in</strong>e is aimed at provid<strong>in</strong>g Municipal Public Health Service workers with<br />

background <strong>in</strong>formation and it is an <strong>in</strong>strument for assess<strong>in</strong>g mercury spills. The<br />

guidel<strong>in</strong>e provides the <strong>in</strong>formation required for a careful risk assessment and<br />

gives advice on measures to be taken. A step-by-step plan has been developed<br />

as guidance for the assessment of mercury spills. Possibilities to prevent<br />

mercury spills <strong>in</strong>doors are discussed, such as facilitat<strong>in</strong>g the exchange of<br />

mercury conta<strong>in</strong><strong>in</strong>g thermometers and provid<strong>in</strong>g <strong>in</strong>formation and education. The<br />

appendices conta<strong>in</strong> example letters for education and <strong>in</strong>formation purposes.<br />

Keywords:<br />

mercury, local public health authority, health risk, houses, <strong>in</strong>door environment<br />

Pag<strong>in</strong>a 5 van 82

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