Community Medicine (PSM) · Environmental Health (Water, Air, Sanitation, Radiation, Housing)

The Minamata disease epidemic in Japan (1956) exemplified a specific environmental health principle concerning biomagnification. The causative agent and the principle best illustrated are:

  • A Inorganic mercury; acute chemical spill toxicity
  • B Cadmium; Itai-itai disease mechanism with renal tubular damage
  • C Methylmercury; bioaccumulation through the aquatic food chain (biomagnification)
  • D Lead; industrial atmospheric dispersion causing community poisoning
Correct answer: C. Methylmercury; bioaccumulation through the aquatic food chain (biomagnification)

Explanation

Minamata disease was caused by methylmercury discharged from Chisso Corporation's chemical plant into Minamata Bay. Methylmercury (organic mercury) undergoes biomagnification — concentration increasing progressively up the food chain from water→plankton→small fish→large fish→humans, resulting in neurological damage (cerebellar ataxia, constricted visual fields, deafness, sensory disturbances). It is the classic demonstration of environmental biomagnification in food chains. Cadmium causes Itai-itai disease (painful osteomalacia with renal tubular damage) — a separate Japanese environmental disaster from the Jinzu River.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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