}} Individuals and organizations have been reviewing cadmium's bioinorganic aspects for its toxicity. The most dangerous form of occupational exposure to cadmium is inhalation of fine dust and fumes, or ingestion of highly soluble cadmium compounds. Cadmium is also an environmental hazard. Human exposure is primarily from fossil fuel combustion, phosphate fertilizers, natural sources, iron and steel production, cement production and related activities, nonferrous metals production, and municipal solid waste incineration. area, which was contaminated with cadmium There have been a few instances of general population poisoning as the result of long-term exposure to cadmium in contaminated food and water. Research into an estrogen mimicry that may induce breast cancer is ongoing, . The victims of this poisoning were almost exclusively post-menopausal women with low iron and low body stores of other minerals. Similar general population cadmium exposures in other parts of the world have not resulted in the same health problems because the populations maintained sufficient iron and other mineral levels. Thus, although cadmium is a major factor in the itai-itai disease in Japan, most researchers have concluded that it was one of several factors. Cadmium is one of ten substances banned by the European Union's
Restriction of Hazardous Substances (RoHS) directive, which regulates hazardous substances in electrical and electronic equipment, but allows for certain exemptions and exclusions from the scope of the law. The International Agency for Research on Cancer has classified cadmium and cadmium compounds as carcinogenic to humans. Although occupational exposure to cadmium is linked to lung and prostate cancer, there is still uncertainty about the carcinogenicity of cadmium in low environmental exposure. Recent data from epidemiological studies suggest that intake of cadmium through diet is associated with a higher risk of endometrial, breast, and prostate cancer as well as with osteoporosis in humans. A recent study has demonstrated that endometrial tissue is characterized by higher levels of cadmium in current and former smoking females. Although studies show a significant correlation between cadmium exposure and occurrence of disease in human populations, a molecular mechanism has not yet been identified. One hypothesis holds that cadmium is an
endocrine disruptor and some experimental studies have shown that it can interact with different
hormonal signaling pathways. For example, cadmium can bind to the
estrogen receptor alpha, and affect signal transduction along the
estrogen and
MAPK signaling pathways at low doses. The
tobacco plant absorbs and accumulates
heavy metals such as cadmium from the surrounding soil into its leaves. Following tobacco smoke inhalation, these are readily absorbed into the body of users. Tobacco smoking is the most important single source of cadmium exposure in the general population. An estimated 10% of the cadmium content of a cigarette is inhaled through smoking. Absorption of cadmium through the lungs is more effective than through the gut. As much as 50% of the cadmium inhaled in cigarette smoke may be absorbed. On average, cadmium concentrations in the blood of smokers is 4 to 5 times greater than non-smokers and in the kidney, 2–3 times greater than in non-smokers. Despite the high cadmium content in cigarette smoke, there seems to be little exposure to cadmium from
passive smoking. In a non-smoking population, food accounts for around 90% of cadmium uptake. High quantities of cadmium can be found in
crustaceans,
mollusks,
offal,
frog legs,
cocoa solids, bitter and semi-bitter
chocolate,
seaweed,
fungi and
algae products. However, grains, vegetables, and starchy roots and
tubers are consumed in much greater quantity in the U.S., and are the source of the greatest dietary exposure there. Most plants bio-accumulate metal toxins such as cadmium and when composted to form organic fertilizers, yield a product that often can contain high amounts (e.g., over 0.5 mg) of metal toxins for every kilogram of fertilizer. Fertilizers made from
animal dung (e.g., cow dung) or urban waste can contain similar amounts of cadmium. The cadmium added to the soil from
fertilizers (rock phosphates or organic fertilizers) become bio-available and toxic only if the
soil pH is low (i.e., acidic soils). In the European Union, an analysis of almost 22,000
topsoil samples with LUCAS survey concluded that 5.5% of samples have concentrations higher than 1 mg kg−1. Zinc, copper, calcium, and iron ions, and selenium with vitamin C are used to treat cadmium intoxication, although it is not easily reversed.
Regulations Because of the adverse effects of cadmium on the environment and human health, the supply and use of cadmium is restricted in Europe under the
REACH Regulation. The EFSA Panel on Contaminants in the Food Chain specifies that 2.5 μg/kg body weight is a tolerable weekly intake for humans. The state of
California requires a food label to carry a warning about potential exposure to cadmium on products such as cocoa powder. The European Commission has put in place the EU regulation (2019/1009) on fertilizing products (EU, 2019), adopted in June 2019 and fully applicable as of July 2022. It sets a Cd limit value in phosphate fertilizers to 60 mg kg−1 of . The U.S.
Occupational Safety and Health Administration (OSHA) has set the
permissible exposure limit (PEL) for cadmium at a time-weighted average (TWA) of 0.005 ppm. The
National Institute for Occupational Safety and Health (NIOSH) has not set a
recommended exposure limit (REL) and has designated cadmium as a known human carcinogen. The
IDLH (immediately dangerous to life and health) level for cadmium is 9 mg/m3. In addition to mercury, the presence of cadmium in some
batteries has led to the requirement of proper disposal (or recycling) of batteries.
Product recalls In May 2006, a sale of the seats from
Arsenal F.C.'s old stadium,
Highbury in London, England was cancelled when the seats were discovered to contain trace amounts of cadmium. Reports of high levels of cadmium use in children's jewelry in 2010 led to a US
Consumer Product Safety Commission investigation. The U.S. CPSC issued specific recall notices for cadmium content in jewelry sold by
Claire's and
Wal-Mart stores. In June 2010,
McDonald's voluntarily recalled more than 12 million promotional
Shrek Forever After 3D Collectible Drinking Glasses because of the cadmium levels in paint pigments on the glassware. The glasses were manufactured by
Arc International, of
Millville, New Jersey, USA. == See also ==