Sei sulla pagina 1di 6

Food

Chemistry
Food Chemistry 100 (2007) 853858
www.elsevier.com/locate/foodchem

Analytical, Nutritional and Clinical Methods

Determination of mercury in sh by cold vapour atomic


absorption spectrometry using an automatic mercury analyzer
a,* b
R.B. Voegborlo , H. Akagi
a
Chemistry Department, Kwame Nkrumah University of Science and Technology, KNUST Campus, Kumasi, Ghana
b
National Institute for Minamata Disease, Minamata, Kumamoto 867, Japan

Received 3 August 2004; received in revised form 30 August 2005; accepted 25 September 2005

Abstract

The concentration of mercury in sh samples from the Atlantic coast of Ghana was determined using a simple, rapid and accurate
method. A mixture of HNO3, HClO4 and H2SO4 was used for complete oxidation of organic tissue. Mercury is detected by the cold
vapour atomic absorption spectrometry technique using an automatic mercury analyzer developed at the National Institute for Mina-
mata Disease (NIMD). In total, 56 samples covering 13 species of sh were analysed for total mercury. The concentration of mercury in
the edible muscle tissue of these sh ranged from 0.004 to 0.122 lg g 1 wet weight. All sh species sampled had concentrations less than
the WHO limit of 0.5 lg g 1 wet weight. The low concentrations of mercury detected in the samples do not constitute any signicant
mercury exposure to the general population through sh consumption.
2005 Elsevier Ltd. All rights reserved.

Keywords: Fish; Mercury; Cold vapour atomic absorption spectrometry; Automatic mercury analyzer

1. Introduction in sh mercury concentrations (Hakanson, Nilson, &


Andersson, 1988; Rolfhus & Fitzgerald, 1995).
Mercury contamination of the marine environment has Since the tragedy of Minamata Bay in Japan (Kurland,
long been recognized as a serious environmental concern. Faro, & Seidler, 1960) most concern has centred on the
It is widely recognized that human activities have arti- presence of mercury in sh since seafood is a major source
cially increased mercury loads in the atmosphere on a local, of this element. With the exception of occupational expo-
regional and even hemispheric scale, leading to the contam- sure, sh are acknowledged to be the single largest source
ination of the environment (Slemr & Langer, 1992; Thomp- of mercury to man. Fish accumulate substantial concentra-
son, Furnes, & Walsh, 1992). Population growth and tions of mercury in their tissues and thus can represent a
urbanization have contributed to signicantly elevated lev- major source of this element to humans. This has been a
els of mercury in the atmosphere and it has been estimated matter of concern since its toxicity was clearly documented
that mercury derived from anthropogenic activities in the (Uchida, Hirakawa, & Inoue, 1961). Mercury, particularly
atmosphere is up to 80% of the total mercury in the atmo- in the form of methylmercury, is extremely toxic to marine
sphere (Mason, Fitzgerald, & Morel, 1994). The enhanced organisms, wildlife, and man. The main pathway for hu-
atmospheric deposition of mercury is often the dominant man exposure to methylmercury is through consumption
source of mercury to the aquatic systems, which may reect of shery products. The likelihood of mercury toxicity
from sh consumption has been identied in Peru and
some coastal regions of the Mediterranean (Inskip & Pio-
*
Corresponding author. Tel.: +233 24 4234318; fax: +233 51 60305.
trowski, 1985; Piotrowski & Inskip, 1981). In some in-
E-mail addresses: raybrightv@yahoo.com, rbvoegborlo.sci@knust. stances, sh catches have been banned for human
edu.gh (R.B. Voegborlo). consumption because their total mercury content exceeded

0308-8146/$ - see front matter 2005 Elsevier Ltd. All rights reserved.
doi:10.1016/j.foodchem.2005.09.025
854 R.B. Voegborlo, H. Akagi / Food Chemistry 100 (2007) 853858

the maximum limits recommended by the Food and Agri- night. They were rinsed with distilled water followed by
culture/World Health Organisation (FAO/WHO, 1972). 0.5% (w/v) KMnO4 and nally rinsed with distilled water
Consequently, extensive surveys have been carried out in before use.
a number of countries to evaluate the presence of mercury Automatic Mercury Analyzer Model HG-5000 (Sanso
in the aquatic biota including sh. Mercury also biomagni- Seisakusho Co., Ltd., Japan), equipped with mercury lamp
es through the food chain; so large predatory sh species operated at a wavelength of 253.7 nm was used for the
tend to have higher levels than non-predatory sh species determinations. The signals were obtained on a Yokogawa
at lower levels in the food chain. The establishment of max- Model 3021 strip chart recorder.
imum permissible mercury concentrations in sh for hu- Digestion apparatus was thick walled long neck 50 ml
man consumption in the range of 0.51.0 lg g 1 wet volumetric asks and a block heater with a temperature
weight by many countries has triggered a process of survey- range of 150350 C.
ing mercury concentrations in natural sh populations
(Lacerda et al., 2000). Recently, levels of mercury in sh 2.2. Reagents
have been widely reported (Lacerda et al., 2000; Lasorsa
& Gill, 1995; Love, Rush, & McGrath, 2003; Monteiro, All reagents used were of analytical reagent grade (BDH
Costa, Furness, & Santos, 1996; Nakagawa, Yumita, & Chemicals Ltd., Poole, England) unless otherwise stated.
Hiromoto, 1997; Nixon, Rowe, & McLaughlin, 1994; Rolf- Double distilled water was used for the preparation of all
hus & Fitzgerald, 1995; Storelli, Giacominelli-Stuer, & solutions.
Marcotrigiano, 2002; Storelli, Stuer, Storelli, & Marcot- Mercury stock standard solution (1000 mg L 1) was
rigiano, 2003 Voegborlo, El-Methnani, & Abedin, 1999; prepared by dissolving 0.0677 g of HgCl2 in the acid mix-
WHO, 1976). However, information on mercury levels in ture HNO3H2SO4HClO3 (2 + 10 + 2) in a 50 ml diges-
marine organisms from the African Coast region is tion ask with heating on a hot plate at a temperature
unavailable. Consequently, no work has been undertaken between 150 and 250 C until the solution became clear.
in Africa to study human exposure to mercury through The solution was then diluted to 50 ml with water. Blank
the consumption of sh. solutions were also prepared alongside and bulked together
Due to the lack of any comprehensive data on the Hg for use as a diluent. The working solutions were freshly
content of sh from this part of the Atlantic Ocean and prepared by diluting an appropriate aliquot of the stock
the considerable global concern about mercury contamina- solution through intermediate solutions using blank solu-
tion of commercial and recreational shery products, a sur- tion. Stannous chloride solution (10% w/v) was prepared
vey of Hg concentrations in dierent species of sh from the by dissolving 10 g of the salt in 100 ml of 1 M HCl. The
coastal waters of Ghana has been initiated at the Chemistry solution was aerated with nitrogen gas at 50 ml min 1 for
Department of the Kwame Nkrumah University of Science 30 min to expel any elemental mercury from it.
and Technology, in order to determine whether mercury
occurs in marine sh from the coastal waters of Ghana at 2.3. Sampling and sample preparation
concentrations of potential human health concern. The lev-
els will also provide the basis for assessing long-term trends. The sh species were collected from random commercial
This survey is expected to involve the analysis of several dif- catches landed at a local shing port in James Town, Accra
ferent species of marine sh representing dierent trophic between November 2003 and January 2004 in three
levels in the marine food chain. There is therefore the need batches, depending on the species available for sale. Sam-
to use rapid and reliable techniques, requiring minimum ples obtained were therefore reective of species meant
analysis time and suited for the routine analysis of large for consumption. A total of fty-six (56) samples, covering
numbers of sh samples. This paper reports result of Hg thirteen (13) dierent species were obtained. The samples
concentrations in a variety of species from the coastal were sorted by species, placed in clean plastic bags and
waters of Ghana obtained using a procedure, which was stored on ice in an ice chest. They were then transported
developed at the National Institute for Minamata disease to the laboratory, identied and kept in a freezer at
in Japan (NIMD) by Akagi and Nishimura (1991) with 20 C prior to preparation for chemical analysis. The
slight modications. It is hoped that the results of this study samples were washed with distilled water and dried in tis-
will aid in generating data needed for the assessment of mer- sue paper after defrosting in the laboratory. A portion of
cury intake from sh. Such data is needed for the develop- the edible muscle tissue was removed from the dorsal part
ment of consumption advisories for the general public. of each sh, homogenized and stored in clean-capped glass
vials and kept in a freezer until analysis.
2. Materials and methods
2.4. Digestion procedure
2.1. Apparatus
The sh samples were digested for total mercury deter-
All glassware used were soaked in detergent solution mination by an open ask procedure developed at the Na-
overnight; rinsed and soaked in 10% (v/v) HNO3 over- tional Institute for Minamata Disease (NIMD) in Japan by
R.B. Voegborlo, H. Akagi / Food Chemistry 100 (2007) 853858 855

Akagi and Nishimura (1991). The accuracy of this method and the acidic gases produced by the reaction also swept
has been veried at NIMD through interlaboratory com- into the sodium hydroxide solution. After 30 s the four-
parison exercises (Malm et al., 1995) and by participating way stopcock is rotated through 90 and the mercury
in the analyses of Certied Reference Materials (CRMs) vapour is swept into the absorption cell. Response was
(e.g. IAEA 085, 086 and 142) supplied by the International recorded on the strip chart recorder as a very sharp peak.
Atomic Energy Agency (IAEA). In the procedure, 0.5 g of Peak heights were used for computations.
homogenized sh sample was weighed into 50 ml volumet-
ric digestion ask and a mixture of 1 ml H2O, 2 ml HNO3 2.6. Determination of recovery
HClO3 (1:1) and 5 ml H2SO4 was added. The mixture was
then heated at a temperature between 150 and 250 C until Recovery of mercury was determined by adding increas-
the solution was clear. The sample solution was then ing amounts of mercury to samples of two dierent sh
cooled and diluted to 50 ml with double distilled water. A species which were taken through the digestion procedure.
blank and standard solution digests using 25, 50 and The resulting solutions were analysed for mercury
100 ll of 1 lg/ml standard Hg solution were subjected to concentration.
the same treatment. The concentrations of the standard
solution digests obtained were 0.5, 1.0 and 2.0 ng/ml. 3. Results and discussion

2.5. Determination of mercury The method described in this paper for the determina-
tion of mercury in sh provides a rapid, sensitive and accu-
Determination of mercury in all the digests was carried rate system that can be used for routine analysis of sh. It
out by cold vapour atomic absorption spectrophotometry facilitates the relatively rapid (3060 min) wet oxidation of
using an Automatic Mercury Analyzer Model HG-5000 samples (0.51 g). In addition, few reagents are required to
(Sanso Seisakusho Co., Ltd., Japan) developed at NIMD. carry out the wet oxidation. In this digestion procedure, a
The analyzer consists of an air circulation pump, a reaction small amount of sample can be digested in a 50 ml volu-
vessel, SnCl2 dispenser, an acidic gas trap and a four-way metric ask (Pyrex) and the solution is diluted to volume
stop-cock with tygon tubes to which is attached a ball (50 ml) in the volumetric ask. This eliminates the time
valve. The operations of the ball valve and the air circula- consuming steps involved in the other digestion procedures
tion pump are controlled by a microprocessor. A schematic which include transfer of solution from the digestion ask
diagram of the system is shown in Fig. 1. During the deter- to a volumetric ask before making up to volume; and the
mination, a known volume of the sample solution normally considerable numbers of reagents used. Such steps lead to
5 ml is introduced into the reaction vessel using a micropi- low recovery of mercury and or contamination. Recovery
pette (15 ml). The reaction vessel is immediately stoppered studies were performed by spiking a sample with suitable
tightly and 0.5 ml of 10 % (w/v) SnCl2 2H2O in 1 M HCl aliquots of 1 lg/ml standard mercury solution. Good
is added from a dispenser for the reduction reaction. Dur- recoveries (94116%) of the spiked samples demonstrated
ing this time, air is circulated through the four-way stop- the accuracy of the method used (Table 1). In the acid
cock to allow the mercury vapour to come to equilibrium digestion/cold vapour technique, cleaning and rinsing of

Fig. 1. Apparatus for mercury determination by cold vapour atomic absorption spectrophotometry (CVAAS) (Akagi & Nishimura, 1991).
856 R.B. Voegborlo, H. Akagi / Food Chemistry 100 (2007) 853858

Table 1 method has proven to be a simple, reliable, rapid method


Recovery of mercury from sh samples for the routine determination of mercury at levels as low
Sample Hg added Hg found Hg recovered % as 0.5 ng/g in sh tissue.
(ng) (ng) (ng) Recovery All the sh species analysed in this study are consumed
Selene dorsalis 0 28 by humans. Results of the total mercury in sh in lg g 1 on
(0.5 g) 0 27 wet weight basis from the coastal waters of Ghana, which
25 54 26.5 106
25 55 27.5 110
is part of the Atlantic Ocean, are presented in Table 2.
50 74 49 98 Mercury levels were determined in a total of fty-six sam-
50 74.5 47 94 ples, covering thirteen marine sh species. Mercury concen-
Pseudotolithus 0 20 tration ranged from 0.004 to 0.122 lg g 1 wet weight. All
senegalensis (0.5 g) 0 18 the samples had concentration of mercury below the
25 46 27 108 0.5 lg g 1 wet weight limit recommended by the FAO/
25 48 29 116 WHO (1972) and adopted by many countries (CIFA,
50 68 49 98
1992). Reports indicated that mercury levels in most spe-
50 70 51 102
cies of oceanic sh fall in the range of 00.5 lg g 1 wet
weight with most values close to 0.15 lg g 1 wet weight
glassware is an essential but laborious part of the analysis. (WHO, 1976). The most important exceptions to this rule
The proposed method not only reduces the amount of are swordsh, tuna sh, and halibut, whose values usually
glassware, it oers a fast and simple approach to sample range from 0.2 to 1.5 lg g 1 (FAO/WHO, 1972). Mercury
digestion and dilution. levels in skipjack, white tuna and yellown tuna caught in
The analytical response to mercury using standard solu- the Atlantic, Pacic and Indian Oceans come up to
tions prepared from HgCl2 salt was also employed to check 1.0 lg g 1 wet weight with most values ranging from 0.2
for mercury losses during the digestion. A comparison was to 0.3 lg g 1 wet weight (WHO, 1976). The results of our
made of peak heights obtained when mercury concentra- study are either in agreement or lower than the levels re-
tions of 25, 50 and 100 ng prepared from 1 lg/ml standard ported by the other authors for marine sh from other
Hg solution were taken through the digestion procedure areas of the world (Al-Majeed & Preston, 2000; Love
and the same concentrations taken directly into the volu- et al., 2003 Nixon et al., 1994; WHO, 1976).
metric asks and diluted with the diluent. There was visu- Mercury content in sh is considered to be a good indi-
ally no dierence in the two calibration curves. Ratio of the cator of human exposure to organic or methylmercury
peak heights of the digested standards to the undigested contamination. That mercury in sh appears to be predom-
standards were 9699% indicating good recoveries. Stan- inantly in the form of methylmercury has been conrmed
dard solutions prepared from mercuric chloride salt to be by many publications (Al-Majeed & Preston, 2000; Ander-
used for calibration of the analyzer could therefore either sen & Depledge, 1997; Bloom, 1992; Lasorsa & Gill, 1995;
be subjected to the digestion procedure as the samples or WHO, 1976). Therefore, diet consisting particularly of sh,
used as it is. Most digestion procedures for mercury deter- could be the main source of exposure to methylmercury in
mination employed condensers to prevent mercury losses the general population. The results of this study as such
during the heating. In this procedure, a condenser was provide a basis for assessment of human exposure to meth-
not used but excellent recoveries were obtained using an ylmercury. The concentrations of mercury in the sh sam-
open digestion technique, possibly because of the long neck ples obtained in this study are not high when compared to
of the volumetric ask allowing for reux.
Precision and accuracy of the analytical procedure were
evaluated by repeated analyses of samples and certied Table 2
1
reference material (Dogsh muscle, DORM-2) from the Mercury concentrations (lg g wet weight) in sh species samples from
the coastal waters of Ghana
National Research Council of Canada. The validity of
the method has been proved by the agreement between Species name N Mean SD
the measured (4.604.76 lg g 1) and certied (4.15 Lagocephalus lagocephalus 4 0.066 0.023
4.79 lg g 1) concentrations in the dogsh muscle Stromatteus atola 4 0.004 0.003
Brachydeuterus curitus 5 0.037 0.017
(DORM-2) Certied Reference Material. The results from Panulirus argus 5 0.035 0.015
the analysis were all within the 95% condence limit. The Calappa rubroguthata 5 0.057 0.022
use of micropipette (15 ml) for the introduction of the di- Gerres nigri 5 0.056 0.024
gests into the reaction vessel coupled with the short diges- Decapterus rhonchus 5 0.043 0.020
tion time makes it possible to analyse more than one Braehydentera aurita 3 0.122 0.030
Diplodus puntazzo 4 0.070 0.013
hundred samples a day. The judicious practice of thor- Parapristipoma humile 3 0.112 0.021
oughly rinsing all glassware with 0.5% (w/v) KMnO4 solu- Selene dorsalis 5 0.034 0.023
tion minimizes the chances for contamination from Galeoides decadactylus 5 0.041 0.020
extraneous mercury and allows the accurate determination Pseudotolithus senegalensis 3 0.031 0.025
of mercury concentrations as low as 0.01 ng/ml. This N, No. of samples; SD, standard deviation.
R.B. Voegborlo, H. Akagi / Food Chemistry 100 (2007) 853858 857

some other areas of the world and can be said to reect Al-Majeed, N. B., & Preston, M. R. (2000). An assessment of the total and
background mercury concentrations that are even much methyl mercury content of zooplankton and sh tissue collected from
Kuwait territorial waters. Marine Pollution Bulletin, 40, 298307.
lower than most published mercury concentrations in sh Andersen, J. L., & Depledge, M. H. (1997). A survey of total mercury and
from non-polluted areas of the world. For example, mer- methylmercury in edible sh and invertebrates from Azorean waters.
cury in the edible portion of various sh species landed Marine Environmental Research, 44, 331350.
at Irish ports during 1993 are in the range of 0.10.39 with Bloom, N. (1992). On the chemical form of mercury in edible sh and
a mean of 0.1 within which our values fall (Nixon et al., marine invertebrate tissue. Canadian Journal of Fisheries and Aquatic
Science, 49, 10101017.
1994). These levels are reported to be low and are well CIFA (Committee for Inland Fisheries of Africa). (1992). Report of the
within the maximum limits set by the European Commis- Third Session of the Working Party on Pollution and Fiheries, FAO
sion for mercury in sheries products. Mercury concentra- Fisheries Report No. 471, Food and Agriculture Organisation of the
tions reported in our study are lower by an order of United Nations, Rome..
magnitude when compared to values reported for other Food and Agriculture/World Health Organisation (FAO/WHO). (1972).
Evaluation of certain food additives and the contaminants mercury,
tropical, less industrialized areas like Indonesia, Thailand cadmium and lead. WHO Technical Report Series No. 505. Geneva:
and Papua New Guinea (CIFA, 1992). This conrms the WHO.
assertion that geographical location in addition to other Hakanson, L., Nilson, A., & Andersson, T. (1988). Mercury in sh in
factors like metabolic dierences appears to be important Swedish Lakes. Environmental Pollution, 49, 145162.
with regards to the mercury content of sh; and this is fur- Inskip, M. J., & Piotrowski, J. K. (1985). Review of the health eects of
methylmercury. Journal of Applied Toxicology, 5, 113133.
ther illustrated by the analysis of sh from dierent loca- Kurland, L. T., Faro, S. N., & Seidler, H. (1960). Minamata disease.
tions (WHO, 1976). Cod sh samples obtained from the World Neurology, 1, 370390.
strait between Denmark and Sweden, which is heavily con- Lacerda, L. D., Paraquetti, H. H. M., Marins, R. V., Rezende, C. E.,
taminated, had values up to 1.29 lg g 1 wet weight; cod Zalmon, I. R., Gomes, M. P., et al. (2000). Mercury content in shark
caught in the area of Greenland had values of 0.012 to species from the South-Eastern Brazilian Coast. Reviews in Brazilian
Biology, 60, 571576.
0.036 lg g 1 wet weight, whereas North Sea cod had values Lasorsa, B., & Gill, S. A. (1995). The methylmercury to total mercury
in the range of 0.1500.195 lg g 1 wet weight. In a study of ratio in selected marine, freshwater, and terrestrial organisms. Water
swordsh from six areas extending from Caribbean Sea to Air & Soil Pollution, 80, 905913.
the Grand Banks, signicant variations from one area to Love, J. L., Rush, G. M., & McGrath, H. (2003). Total mercury and
another were observed in average mercury levels. Though methylmercury levels in some New Zealand commercial marine sh
species. Food Additives & Contaminants, 20, 3743.
the estimation of maximum amounts of daily intake of Malm, O., Branches, F. J. P., Akagi, H., Castro, M. B., Pfeier, W. C.,
mercury from the consumption of sh cannot be obtained Harada, M., et al. (1995). Mercury and methylmercury in sh and
due to lack of information on nutrition survey on the pop- human hair from the Tapajos river basin, Brazil. Science Total
ulation in Ghana, the results obtained indicate that mer- Environment, 175, 141150.
cury content of sh from the coastal waters of Ghana is Mason, R. P., Fitzgerald, W. F., & Morel, F. M. (1994). The
biogeochemical cycling of elemental mercury: anthropogenic inu-
unlikely to constitute a signicant mercury exposure to ences. Geochimica et Cosmochimica Acta, 58, 1913198.
the public because of sh consumption. Monteiro, L. R., Costa, V., Furness, R. W., & Santos, R. S. (1996).
Mercury concentrations in prey sh indicate enhanced bioaccumula-
4. Conclusion tion in mesopelagic environments. Marine Ecology Progress Series,
141, 2125.
Nakagawa, R., Yumita, Y., & Hiromoto, M. (1997). Total mercury intake
The proposed method oers a fast and simple approach from sh and shellsh by Japanese people. Chemosphere, 35,
to sample digestion, dilution and mercury determination as 29092913.
low as 0.5 ng/g in sh. Mercury levels determined in fty-six Nixon, E., Rowe, A., McLaughlin, D. (1994). Mercury concentrations in
samples covering thirteen species ranged from 0.004 to sh from Irish Waters in 1993. Marine Environmental Series/94
0.122 lg g 1 wet weight. All the samples had concentrations Fisheries Leaet 162, Department of the Marine, Dublin..
Piotrowski, J. K., Inskip, M. J. (1981). Health eects of methylmercury.
of mercury below the FAO/WHO recommended limit of MARC Technical Report 24, Monitoring and Assessment Research
0.5 lg g 1 wet weight. These levels do not therefore consti- Centre (MARC), University of London, London, UK..
tute any signicant health hazard to the general population. Rolfhus, K. R., & Fitzgerald, W. F. (1995). Linkage between atmospheric
mercury deposition and the methylmercury content of marine sh.
Water Air & Soil Pollution, 80, 291297.
Acknowledgement Slemr, F., & Langer, E. (1992). Increase in global atmospheric concen-
trations of mercury inferred from measurements over the Atlantic
The technical assistance of the sta of NIMD to one of Ocean. Nature, 355, 434437.
the authors (R.B.V.) during his visit to the institute is Storelli, M. M., Giacominelli-Stuer, R., & Marcotrigiano, G. O. (2002).
Total and methylmercury residues in cartilaginous sh from Mediter-
highly acknowledged.
ranean Sea. Marine Pollution Bulletin, 44, 13541358.
Storelli, M. M., Stuer, R. G., Storelli, A., & Marcotrigiano, G. O.
References (2003). Total mercury and methylmercury content in edible sh
from the Mediterranean Sea. Journal of Food Protection, 66,
Akagi, H., & Nishimura, H. (1991). Speciation of mercury in the environ- 300303.
ment. In T. Suzuki, N. Imura, & T. W. Clarkson (Eds.), Advances in Thompson, D. R., Furnes, R. W., & Walsh, P. M. (1992). Historical
mercury toxicology (pp. 5376). New York, USA: Plenum Press. changes in mercury concentrations in the marine ecosystems of the
858 R.B. Voegborlo, H. Akagi / Food Chemistry 100 (2007) 853858

north and north-east Altantic Ocean as indicated by seabird feathers. Voegborlo, R. B., El-Methnani, A. M., & Abedin, M. Z. (1999). Mercury,
Journal of Applied Ecology, 29, 7984. cadmium and lead content of canned tuna sh. Food Chemistry, 67,
Uchida, M., Hirakawa, Y., & Inoue, T. (1961). Biochemical studies on 341345.
Minamata disease. IV. Isolation and chemical identication of the WHO (1976). Environmental health criteria I. Mercury (p. 131). World
mercury compound in the toxic shellsh with special reference to the Health Organisation.
causal agent of the disease. Kumamoto Medical Journal, 14, 181184.

Potrebbero piacerti anche