Assessing environmental exposure and health impacts of gold mining in Ghana

Understanding the extent to which people are being exposed to environmental contaminants helps to identify those populations which may be disproportionately exposed to the contaminants of potential public health concern. This study represents the first report of a comparison of heavy metal arsenic (As), mercury (Hg), cadmium (Cd), cobalt (Co), copper (Cu), lead (Pb), platinum (Pt), zinc (Zn), and manganese (Mn) concentrations in the blood of residents of mining and non-mining communities in Ghana. Blood sampling, health records, and interviews were used in this study to establish the links between the levels of contaminants and health effects in humans within a mining and non-mining community in Ghana. Results of this study show that mean concentration of As in blood in Tarkwa Nsuaem Municipality/Prestea-Huni Valley District (TNMA/PHVD) (mining communities) and Cape Coast Metropolis (CCMA) (non-mining community) was 18- and 2-fold higher, respectively, than the WHO guideline value of 0.002?mg?L^?1. The mean concentrations of As, Cd, Pb, Hg, and Mn were elevated up to 20-fold higher in the blood of resident adults and children in TNMA/PHVD than in CCMA. The risk of acute respiratory infections in the exposed populations of TNMA and PHVD were approximately 41- and 12-fold greater than the unexposed group. The risk of diabetes mellitus in the exposed populations of TNMA and PHVD were also approximately 20- and 4-fold higher than the unexposed group. In TNMA and PHVD, 40 blood donors were suffering from hyperkeratosis or pigmentation unlike their CCMA counterparts. Data suggest a potential association between mining activities and the levels of these heavy metals. However, the proportion of anthropogenic contribution to the levels of these metals in the blood remains uncertain. This uncertainty seems to be the umbrella under which both government and mining companies continue to hide, leading to inaction.