Return to the natural environment to promote the replacement of mercury-free sphygmomanometers

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In the spring of 2006, the U.S. Environmental Protection Agency and China's State Environmental Protection Administration launched a one-year mercury project to investigate and replace mercury-containing medical devices. This initiative was driven by the ethical responsibility to protect both human health and the environment. Mercury, a toxic metal, poses significant risks due to its high volatility and long-term persistence in the ecosystem. China faces severe mercury pollution, with mercury sphygmomanometers being one of the largest sources of mercury in healthcare settings. These devices contain 70–90 grams of mercury, making them a major environmental hazard if mishandled. A single gram of mercury can evaporate into a dangerous concentration of 22.2 mg/m³ in a 15-square-meter room, far exceeding China’s maximum allowable limit of 0.01 mg/m³. Studies show that exposure to mercury levels above 1.2–8.5 mg/m³ can lead to poisoning, highlighting the urgent need for safer alternatives. Despite their widespread use, many healthcare workers lack proper knowledge about handling mercury spills. A survey revealed that nearly 40% of clinical staff disposed of mercury by washing it down the drain, while 20% were unsure how to respond. Only 35% followed correct procedures, such as sealing the spill and sending it for safe recovery. This low awareness increases the risk of mercury contamination and underscores the importance of education and training. Mercury-free sphygmomanometers offer a safe, accurate, and environmentally friendly alternative. They are easy to use, reliable, and require proper maintenance like their mercury counterparts. Both types have been used for over a century and provide accurate readings when properly maintained. However, mercury-free models eliminate the risks associated with mercury exposure, making them a better choice for healthcare professionals and patients alike. The transition to mercury-free devices is not only an environmental necessity but also a cost-effective decision. The expenses of managing mercury spills and hazardous waste are substantial, whereas mercury-free alternatives reduce these costs significantly. Additionally, they help prevent long-term environmental damage and support sustainable healthcare practices. International efforts to restrict mercury use are growing, with many countries already implementing bans or restrictions on mercury-containing products. In response, China should follow suit by revising medical diagnostic standards and promoting mercury-free alternatives like electronic sphygmomanometers. This shift will minimize healthcare workers' exposure to mercury and accelerate the phase-out of mercury-containing devices. Through collaboration between Chinese and American environmental agencies, the mercury replacement project has made progress in promoting safer alternatives. Continued efforts are needed to ensure the full elimination of mercury from medical equipment, protecting both public health and the environment. By embracing mercury-free technology, we take a crucial step toward a cleaner, healthier future. It is time to move away from mercury and embrace innovation that supports both people and the planet. Shanghai Medical Device Industry Association

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