Step-by-step guide for developing a public health strategy for artisanal and small-scale gold mining in the context of the Minamata Convention on Mercury
Publication year: 2021
Artisanal and small-scale gold mining (ASGM) is practised
in over 70 countries, with an estimated 14–19 million people
directly involved in this activity, including about 4–5 million
women and children (1, 2). It is estimated that ASGM contributes
to 17–20% of global gold production. In many low- and middleincome
countries, the work in the ASGM sector provides a
primary or secondary income source (3).
Mercury remains the most commonly used chemical to
amalgamate gold in ASGM, despite its known adverse effects
on human health and the environment (4). ASGM is the single
largest source of global anthropogenic (that is, caused by
human activity) emissions, accounting for approximately 38% of
emissions