https://www.ncbi.nlm.nih.gov/pubmed/28857213
Chichester, USA, 31.08.2017 - A new method of diagnosis of chronic arsenic intoxication was published today by JAT (Journal of Applied Toxicology) [1].
The authors of the new method, called CAsIDS (abbreviation for "Chronic Arsenic Intoxication Diagnostic Score") are the Brazilian MD working in Switzerland, Sergio Ulhoa Dani and his Austrian colleague, Gerhard Franz Walter.
The method is based on non-invasively estimating the bone arsenic load from the arsenic concentration in two consecutive urine samples and includes the evaluation of clinical manifestations typical of chronic arsenic intoxication in various systems and organs of the human body.
Acute arsenic poisoning, although rare these days, is easily recognized for its symptoms such as mental confusion, diarrhea, respiratory and circulatory collapse followed by death within a few hours or days.
Chronic intoxication, although more frequent than acute poisoning, is difficult to recognize because its clinical and laboratory manifestations can be mistaken with those of other diseases that kill after years or decades.
The CasiDS method helps doctors recognize chronic poisoning at different levels of certainty.
In the journal JAT, the authors present clinical examples of chronic arsenic poisoning confirmed by CAsIDS.
Among the cases presented, there is a patient from the city of Paracatu, Minas Gerais, where the Canadian Kinross Gold Corporation / Kinross Brasil Mineração explores the largest open pit gold mine in Brazil.
The arsenic released from the rocks of the mine in Paracatu is transported by water and air and contaminates the rural and urban environment and thousands of its inhabitants.
Arsenic and its compounds are generally invisible, odorless and tasteless. With CAsIDS, at least the arsenic that contaminates the human body and causes disease became more visible.
Reference:
[1] Dani SU, Walter GF. Chronic arsenic intoxication diagnostic score (CAsIDS). J Appl Toxicol. 2017; 1-23. https://doi.org/10.1002/jat.3512
Declaring that El Salvador’s fragile environment could not sustain metal mining operations, legislators across the political spectrum approved the ban, which had broad support, particularly from the influential Roman Catholic Church.
“Today in El Salvador, water won out over gold,” Johnny Wright Sol, a legislator from the center-right Arena party, wrote on Twitter.
The vote in the Legislative Assembly turned a decade-old moratorium on mining into law, halting efforts by international companies to tap the gold belt running across the northern provinces of El Salvador.
“It’s a wonderful moment for the first country to evaluate the costs and benefits of metallic mining and say no,” said Andrés McKinley, a mining and water specialist at Central American University in San Salvador.
The law does not apply to quarrying or the mining of coal, salt and other nonmetallic substances.
Other countries are unlikely to follow El Salvador’s national ban, mining watchdog groups say. But the law sets a powerful example to communities that oppose large mining projects and bolsters the case against mining in environmentally delicate areas.
“Globally there is a growing questioning of mining as an economic development engine,” said Keith Slack, the global program director for extractive industries at Oxfam America in Washington. “I think it definitely strengthens the voice of communities that are raising the questions.”
Around the world, scattered bans on the use of cyanide to extract gold from low-grade ore, commonly used in open-pit mining, are in place, including in Montana, according to Jamie Kneen, a spokesman for Mining Watch Canada. Costa Rica has a national ban on open-pit gold mining.
Germany, the Czech Republic, Hungary, Turkey and several Argentine provinces have cyanide bans. In the Philippines, the government ordered more than half the mines to shut down or be suspended.
The risks of mining in El Salvador, however, are especially acute. The tiny country is densely populated and the second-most environmentally degraded country in the Americas, after Haiti, according to the United Nations.
“Mining is an industry whose primary and first victim is water,” said Mr. McKinley, who added that El Salvador faced a significant scarcity. “We are talking about an issue that is a life-or-death issue for the country.”
Mr. Wright, the legislator who worked to persuade his business-friendly party to support the law, said that climate change was already having an impact on El Salvador. “More than a theory or an uncertain science that it might have been 10 years ago, today for Salvadorans, it is a reality,” he said.
Unlike mining in neighboring Central American countries, mining in El Salvador has been limited to small-scale operations. The civil war of the 1980s deterred efforts to develop large-scale mines. International mining companies did not begin exploring until the 2000s.
Opposition to one of those companies eventually grew into a social movement against mining. The company, Pac Rim Cayman, sought a license to open a mine in the impoverished northern province of Cabañas but was rejected in 2005 because it had not met all the legal requirements.
As opposition mounted, clashes around the proposed mine led to the deaths of several anti-mining activists.
The de facto moratorium on permits that began under a government led by the Arena Party continued under the two successive governments led by the left-wing Farabundo Martí National Liberation Front.
Last October, El Salvador won an international dispute that had been filed by Pac Rim and continued by the Canadian-Australian company, OceanaGold, that acquired it. An international arbitration panel rejected OceanaGold’s claims for compensation.
