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HEALTH AND THE MINAMATA CONVENTION ON MERCURY

Special Program on Sustainable Development and Health Equity

XIX Meeting of the Forum of Ministers of Environment for Latin America and the Caribbean

Los Cabos, Mexico11-14 March 2014

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MERCURY HEALTH IMPACTS MERCURY HEALTH IMPACTS

Threat to the development of the child in utero and early in life. In subsistence fishing populations, between 1.5/1000 and 17/1000 children showed cognitive impacts.

Toxic to the nervous, digestive and immune systems, as well as the lungs, kidneys, skin and eyes. Adults are affected through occupational and consumer exposures.

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DIRECT EXPOSURE TO PEOPLEDIRECT EXPOSURE TO PEOPLE

Through their work (e.g. health workers, miners)

in contaminated sites

in consumer product usage

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LEGALLY BINDING – PHASE OUT BY 2020(Article 4)

LEGALLY BINDING – PHASE OUT BY 2020(Article 4)

Mercury blood pressure measuring devices

Mercury fever thermometers

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Part of UN Environment Programme's (UNEP) Mercury Products Partnership, lead by the US Environmental Protection Agency.

Guidance documents (WHO/PAHO Guidelines for thermometers and sphygmomanometers replacement)

Technical and policy support for hospitals, health services and ministries of health and environment

Success stories:

Countries in the Americas committed or already mercury-free:

Argentina, Brazil, Chile, Costa Rica, Nicaragua, Mexico

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ARTISANAL AND SMALL-SCALE GOLD MINING (ASGM)

ARTISANAL AND SMALL-SCALE GOLD MINING (ASGM)

Development of public health strategies to address the health impacts of mercury use in ASGM (required for countries that have "more than insignificant" ASGM)

WHO/PAHO participation on UNEP Global and Regional Fora on ASGM to follow up on the health strategy

(Article 7)

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MERCURY CONTAMINATED SITES(Article 12)

MERCURY CONTAMINATED SITES(Article 12)

Human health risk assessment to inform on actions to reduce risks

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HEALTH INFORMATION(Articles 17, 18, 19)

HEALTH INFORMATION(Articles 17, 18, 19)

Public awareness-raising, exchanging health information, health research, and health monitoring

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HEALTH ASPECTS(Article 16)

HEALTH ASPECTS(Article 16)

Health programs to protect vulnerable populations at risk from exposure to mercury, provision of health care (in the context of WHO/PAHO priority universal health coverage)

WHO invited to provide information to COP on Article 16 and others

Capacity building health sector and multi sector collaboration-www.paho.org/toxicology

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THE ROLE OF WHO INCLUDINGTHE WORLD HEALTH ASSEMBLYTHE ROLE OF WHO INCLUDING

THE WORLD HEALTH ASSEMBLYConvention preamble recognizes the role of WHO,

references to collaboration with WHO and IGOs in the Convention

Diplomatic Conference resolution on the Convention invites WHO to support implementation of the Convention

WHO Executive Board recommended the 67th World Health Assembly in May 2014 pass a resolution on the role of WHO and ministries of health in implementation of the Convention

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ACTIONS ON MULTI SECTORIAL COLLABORATION

ACTIONS ON MULTI SECTORIAL COLLABORATION

Ministers of Health and Environment – key areas for joint collaboration agenda:

Phase out of mercury blood pressure measuring devices and mercury fever thermometers – guidelines for replacement (WHO/PAHO and countries), inventories and storage (UNEP and countries)

ASGM – health strategy (WHO/PAHO and countries) in the national action plan (UNEP and countries); expand universal health coverage for mining settings PAHO and the Amazon

Cooperation Treaty Organization project with BID

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Thanks for your attentionThanks for your attention

For more information

Ana Boischio, PhD, MSc - boischioa@paho.orgRegional advisor in ToxicologySpecial Program on Sustainable Development and Health Equity