Primary objective: To assess the nature and severity of reported neurobehavioural symptoms of mercury poisoning, in a group of Zulu chemical workers (n = 16), employed by a mercury processing plant, exposed to neurotoxic levels of mercury, 5 years after exposure. Research design: A group-control design was adopted, where the exposed group was matched for age, sex, race, occupational and educational background. Method/ procedures: Both groups were administered a specially selected battery of psychometric tests to measure neuropsychological functioning. Outcome and results: The exposed group had significantly impaired short term verbal and spatial memory, impaired sustained and divided attention, and impaired motor speed. They also suffered from elevated clinical levels of psychiatric symptomatology, including anxiety, depression and phobic avoidance, and neurological symptoms of tremor, weakness in the limbs, and excessive sweating. Conclusions: The exposed group suffered from varying degrees of permanent neuropsychological disability, which adversely affects their ability to work and be financially independent. Psychometric measures for monitoring cognitive symptoms are discussed. markersÐ mercury levels in the blood and urine. However, these measures only reflect recent exposure and cannot be considered a measure of accumulated mercury concentration in the brain, or previous damage to the brain.Mercury-induced neuropsychological abnormalities are very similar to those of lead and fall into three major groups [8].(1) Disturbances of the motor system, such as fine tremor of the extremities and poor psychomotor performance. Tremor often starts as hand and finger tremor and then can progress to affect the face and eyelids, and even in severe cases the head and the trunk.(2) Deterioration of intellectual capacity. This deterioration has been described as insidious in onset but progressively affecting verbal and spatial memory, speed of information processing, capabilities of logical reasoning, visuospatial ability, cognitive efficiency, attention and concentration.(3) Alteration in emotional state, such as depressive mood, irritability, fatigue, restlessness, listlessness, avoidance, irritability and social sensitivity.Collectively, these symptoms have been termed`erethism', which derives from the French and Greek word to irritate, denoting an unusual and morbid level of overactivity of the`mental powers of passion' [9]. Short-term exposure to high concentrations of mercury produces acute physical symptoms of chest tightness, breathing difficulties, coughing, inflammation of the mouth and gums, headache, fever, and diarrhoea [10]. If exposure continues over time, more chronic symptoms are likely to occur which include: kidney damage, tremor, metallic taste, inflammation of the gums, increased salivation, weakness, fatigue, insomnia, allergic skin rashes, loss of appetite and weight and impaired memory cognitive functioning and emotional and personality changes.The neuropathological effects of high dosage of mercury o...