lead=yes is a neurological disease caused by severe mercury poisoning. Signs and symptoms include ataxia, numbness in the hands and feet, general muscle weakness, Tunnel vision, and damage to hearing and speech. In extreme cases, insanity, paralysis, coma, and death follow within weeks of the onset of symptoms. A Birth defect form of the disease affects , causing microcephaly, extensive cerebral damage, and symptoms similar to those seen in cerebral palsy.
Minamata disease was first discovered in the city of Minamata, Kumamoto Prefecture, Japan, in 1956. It was caused by the release of methylmercury in the industrial wastewater from a chemical factory owned by the Chisso Corporation, which continued from 1932 to 1968. It has also been suggested that some of the mercury sulfate in the wastewater was also metabolized to methylmercury by bacteria in the sediment. and references therein. This highly toxic chemical Bioaccumulation and Biomagnification in shellfish and fish in Minamata Bay and the Shiranui Sea, which, when eaten by the local population, resulted in mercury poisoning. The poisoning and resulting deaths of both humans and animals continued for 36 years, while Chisso and the Kumamoto prefectural government did little to prevent the epidemic. The animal effects were severe enough in cats that they came to be named as having "dancing cat fever."
As of March 2001, 2,265 victims had been officially recognized as having Minamata diseaseOfficial government figure as of March 2001. See "Minamata Disease: The History and Measures, ch2" and over 10,000 had received financial compensation from Chisso.See "Minamata Disease Archives" , Frequently asked questions, Question 6 By 2004, Chisso had paid $86 million in compensation, and in the same year was ordered to clean up its contamination.Jane Hightower (2008). , Island Press, p. 77. On March 29, 2010, a settlement was reached to compensate as-yet uncertified victims. "Agreement reached to settle Minamata suit", Asahi Shimbun news, 31 March 2010, retrieved 1 April 2010
A second outbreak of Minamata disease occurred in Niigata Prefecture in 1965. The original Minamata disease and Niigata Minamata disease are considered two of the Four Big Pollution Diseases of Japan.
The rapid expansion of the Chisso factory spurred on the local economy, and as the company prospered so did Minamata. This fact, combined with the lack of other industry, meant that Chisso had great influence in the city. At one point, over half of the tax revenue of Minamata City authority came from Chisso and its employees, and the company and its subsidiaries were responsible for creating a quarter of all jobs in Minamata.George, pp35-36 The city was even dubbed Chisso's "castle town," in reference to the capital cities of feudal lords who ruled Japan during the Edo period.George, p26
The Chisso factory first started acetaldehyde production in 1932, with 210 tons that year. In 1951, production had jumped to 6,000 tons and eventually peaked at 45,245 tons in 1960.Report of the Social Scientific Study Group on Minamata Disease, In the Hope of Avoiding Repetition of a Tragedy of Minamata Disease , National Institute for Minamata Disease, p. 13. The factory's output historically amounted to between a quarter and a third of Japan's total acetaldehyde production. The chemical reaction used to produce the acetaldehyde employed mercury sulfate as a catalyst. Starting in August 1951, the co-catalyst was changed from manganese dioxide to ferric sulfide.Eto et al. (2010) A side reaction of this catalytic cycle led to the production of a significant amount (about 5% of the outflow) of the organic mercury compound methylmercury.For further information on the chemistry of the reaction that lead to the production of methylmercury see "Information on Mercury" by Mercury Technology Services, retrieved around the 24 October 2006 As a result of the catalyst change, this highly toxic compound was released into Minamata Bay regularly between 1951 and 1968, when this production method was finally discontinued.Gilhooly, Rob, " Mercury rising: Niigata struggles to bury its Minamata ghosts", Japan Times, 13 June 2015
To investigate the epidemic, the city government and various medical practitioners formed the Strange Disease Countermeasures Committee at the end of May 1956. Owing to the localised nature of the disease, it was initially suspected to be contagious; patients were isolated and their homes disinfected as a precaution. Although contagion was later disproved, this initial response contributed to the Social stigma and discrimination experienced by Minamata survivors from the local community. During its investigations, the Committee uncovered surprising anecdotal evidence of the strange behaviour of cats and other wildlife in the areas surrounding patients' homes. Reports of cats convulsing, going mad and dying started around 1950. Locals called it the "cat dancing disease" in reference to the cats' erratic movements. Crows had fallen from the sky, seaweed no longer grew on the sea bed, and fish floated dead on the surface of the sea. As the extent of the outbreak was understood, the committee invited researchers from Kumamoto University (or Kumadai) to help in the research effort.Nicol, C.W., " Minamata: a saga of suffering and hope", Japan Times, 7 October 2012, p. 10
The Kumamoto University Research Group was formed on 24 August 1956. Researchers from the School of Medicine began visiting Minamata regularly and admitted patients to the university hospital for extensive examination. A more complete picture of the symptoms exhibited by patients was gradually uncovered. The disease struck without any prior warning, with patients complaining of a loss of sensation and numbness in their hands and feet. They became unable to grasp small objects or fasten buttons. They could not run or walk without stumbling, their voices changed in pitch, and many patients complained of difficulties seeing, hearing, and swallowing. In general, these symptoms worsened and were followed by severe convulsions, coma, and eventually death. By October 1956, forty patients had been discovered, fourteen of whom had died - an alarming case fatality rate of 35%.Harada, pp23-24
On 4 November, the research group announced its initial findings: "Minamata disease is rather considered to be poisoning by a heavy metals, presumably it enters the human body mainly through fish and shellfish."Harada, pp26-27
Methylmercury, an Organic compound mercury compound released in factory wastewater and the cause of Minamata disease |
As soon as the investigation identified a heavy metal as the causal substance, the wastewater from the Chisso factory was immediately suspected as the origin. The company's own tests revealed that its wastewater contained many heavy metals in concentrations sufficiently high enough to bring about serious environmental degradation, including lead, mercury, manganese, arsenic, thallium, and copper, plus the chalcogen selenium. Identifying which particular poison was responsible for the disease proved to be extremely difficult and time-consuming. During 1957 and 1958, many different theories were proposed by different researchers. At first, manganese was thought to be the causal substance due to the high concentrations found in fish and the organs of the deceased. Thallium, selenium, and a multiple contaminant theory were also proposed. In March 1958, visiting British neurologist Douglas McAlpine suggested that Minamata symptoms resembled those of Organic compound mercury poisoning, which shifted the focus of the investigation to mercury.
In February 1959, researchers tested the waters of Minamata Bay for mercury. The results were shocking - high quantities of mercury were detected in fish, shellfish, and sludge from the bay. The highest concentrations centred around the Chisso factory wastewater canal in Hyakken Harbour, decreasing as it went out to sea, clearly identifying the plant as the source of contamination. At the mouth of the wastewater canal, a figure of 2 kg of mercury per ton of sediment was measured, a level so high that it would be economically viable to mine (Chisso later set up a subsidiary to reclaim and sell the mercury recovered from the sludge).Harada, p50
Hair samples were taken from the residents of Minamata and tested for mercury. In residents affected by the disease, the highest mercury level recorded was 705 parts per million (ppm), indicating very heavy exposure, and in asymptomatic Minamata residents, the highest level was 191 ppm. This compared to an average level of 4 ppm for people living outside the Minamata area.
On 12 November 1959, the Ministry of Health and Welfare's Minamata Food Poisoning Subcommittee published its results:
Chisso failed to co-operate with the Kumadai research team. It withheld information on its industrial processes, leaving researchers to speculate what products the factory was producing and by what methods.Ui, Chapter 4 – section IV The Chisso factory's hospital director, Hajime Hosokawa, established a laboratory in the research division of the facility to carry out his own experiments into Minamata disease in July 1959. In one experiment, Hosokawa added factory wastewater to food that was then fed to healthy cats. Seventy-eight days into the experiment, cat 400 exhibited symptoms of Minamata disease, and pathological examinations confirmed a diagnosis of organic mercury poisoning. Chisso did not reveal these results to the investigators and ordered Hosokawa to stop his research.George, pp60-61
In an attempt to undermine the Kumadai researchers' organic mercury theory, Chisso and other parties with a vested interest that the factory remain open (including the Ministry of International Trade and Industry and the Japan Chemical Industry Association) funded research into alternative causes of the disease, other than its own waste.See "The Stockholm Appeal" by Soshisha – The Supporting Center for Minamata Disease, retrieved 08 January 2011
After Chisso changed the route of wastewater output in 1958, pollution had spread up and down the Shiranui Sea, damaging fisheries there as well. Emboldened by the success of the small Minamata cooperative, the Kumamoto Prefectural Alliance of Fishing Cooperatives also decided to seek compensation from Chisso. On 17 October, 1,500 fishermen from the alliance descended on the factory to demand negotiations. When this produced no results, the alliance members took their campaign to Tokyo, securing an official visit to Minamata by members of the Japanese Diet. During the visit on 2 November, alliance members forced their way into the factory and rioted, causing many injuries and ¥10 million ($100,000) in damage. The violence was covered widely in the media, bringing the nation's attention to Minamata for the first time since the outbreak began. Another mediation committee was set up, and an agreement was hammered out and signed on 17 December. Some ¥25 million of "sympathy money" was paid to the alliance, and a ¥65 million fishing recovery fund was established.
In 1959, those affected by Minamata disease were in a much weaker bargaining position than the fishermen. The recently formed Minamata Disease Patients Families Mutual Aid Society was much more divided than the fishing cooperatives. Patients' families were the victims of discrimination and ostracism from the local community. Local people felt that the company (and their city that depended upon it) was facing economic ruin. To some patients, this rejection from the community represented a greater fear than the disease itself. After staging a sit-in at the Chisso factory gates in November 1959, the patients asked Kumamoto Prefecture Governor Hirosaku Teramoto to include the patients' request for compensation with the mediation that was ongoing with the prefectural fishing alliance. Chisso agreed, and after a few weeks' further negotiation, another "sympathy money" agreement was signed. Patients who were certified by a Ministry of Health and Welfare committee would be compensated: adult patients received ¥100,000 ($917) per year; children ¥30,000 ($275) per year, and families of dead patients would receive a one-off ¥320,000 ($2935) payment.
The deception was successful, and almost all parties affected by Minamata disease were duped into believing that the factory's wastewater had been made safe from December 1959 onward. This widespread assumption meant that doctors were not expecting new patients to appear, resulting in numerous problems in the years to follow as the pollution continued. In most people's minds, the issue of Minamata disease had been resolved.
The prefectural governments did not publish the results and did nothing in response to these surveys. The participants who had donated hair samples were not informed of their results, even when they requested them. A follow-up study ten years later discovered that many had died from "unknown causes" during this time period.George, pp144-145
After several years of study and the autopsies of two children, the doctors announced that these children had an as-yet unrecognised congenital form of Minamata disease. The certification committee convened on 29 November 1962 and agreed that the two dead children and the sixteen children still alive should be certified as patients, and therefore liable for "sympathy money" from Chisso, in line with the 1959 agreement.Harada, pp68-77
Unlike the patients in Minamata, the victims of Showa Denko's pollution lived a considerable distance from the factory and had no particular link to the company. As a result, the local community was much more supportive of patients' groups and a lawsuit was filed against Showa Denko in March 1968, only three years after discovery.
The events in Niigata catalysed a change in response to the original Minamata incident. The scientific research carried out in Niigata forced a re-examination of that done in Minamata, and the decision of Niigata patients to sue the polluting company allowed the same response to be considered in Minamata. Masazumi Harada has said that, "It may sound strange, but if this second Minamata disease had not broken out, the medical and social progress achieved by now in Kumamoto... would have been impossible."Harada, p90
Around this time, two other pollution-related diseases were also grabbing headlines in Japan. People with Yokkaichi Asthma and itai-itai disease were forming citizens' groups and filed lawsuits against the polluting companies in September 1967 and March 1968, respectively. As a group, these diseases came to be known as the four big pollution diseases of Japan.George, pp174-175
Slowly but surely, the mood in Minamata and Japan as a whole was shifting. Minamata patients found the public gradually becoming more receptive and sympathetic as the decade wore on. This culminated in 1968 with the establishment in Minamata of the Citizens' Council for Minamata Disease Countermeasures, which was to become the chief citizens' support group to the Minamata patients. A founding member of the citizens' council was Michiko Ishimure, a local housewife and poet who later that year published Pure Land, Poisoned Sea: Our Minamata disease, a book of poetic essays that received national acclaim.
The conclusion contained many factual errors: eating fish and shellfish from other areas of the Shiranui Sea, not just Minamata Bay, could cause the disease; eating small amounts, as well as large amounts of contaminated fish over a long time also produced symptoms; the outbreak had not, in fact, ended in 1960 nor had mercury-removing wastewater facilities been installed in January 1960. Nevertheless, the government announcement brought a feeling of relief to a great many victims and their families. Many felt vindicated in their long struggle to force Chisso to accept responsibility for causing the disease and expressed thanks that their plight had been recognised by their social superiors. The struggle now focused on to what extent the victims should be compensated.George, pp187-190
An arbitration committee was duly set up by the Ministry of Health and Welfare on 25 April, but it took almost a year to draw up a draft compensation plan. A newspaper leak in March 1970 revealed that the committee would ask Chisso to pay only ¥2 million ($5,600) for dead patients and ¥140,000 to ¥200,000 ($390 to $560) per year to surviving patients. The arbitration group were dismayed by the sums on offer. They petitioned the committee, together with patients and supporters of the litigation group, for a fairer deal. The arbitration committee announced their compensation plan on 25 May in a disorderly session at the Ministry of Health and Welfare in Tokyo. Thirteen protesters were arrested.
Instead of accepting the agreement as they had promised, the arbitration group asked for increases. The committee was forced to revise its plan and the patients waited inside the ministry building for two days while they did so. The final agreement was signed on 27 May. Payments for deaths ranged from ¥1.7 million to ¥4 million ($4,700 to $11,100), one-time payments from ¥1 million to ¥4.2 million ($2,760 to $11,660) and annual payments between ¥170,000 and ¥380,000 ($470 to $1,100) for surviving patients. On the day of the signing, the Minamata Citizens' Council held a protest outside the Chisso factory gates. One of the Chisso trade unions held an eight-hour labor strike in protest at the poor treatment of the arbitration group by their own company.George, pp191-202 (Arbitration Group)
The litigation group, representing 41 certified patients (17 already deceased) in 28 families, submitted their suit against Chisso in the Kumamoto District Court on 14 June 1969. The leader of the group, Eizō Watanabe (a former leader of the Mutual Aid Society), declared, "Today, and from this day forth, we are fighting against the power of the state." Those who decided to sue the company came under fierce pressure to drop their lawsuits. One woman was visited personally by a Chisso executive and harassed by her neighbours. She was blackballing by the community, her family's fishing boat used without permission, their fishing nets were cut, and human faeces were thrown at her in the street.George, p205
The litigation group and their lawyers were helped substantially by an informal national network of citizens' groups that had sprung up around the country in 1969. The Associations to Indict those Responsible for Minamata Disease were instrumental in raising awareness and funds for the lawsuit. The Kumamoto branch, in particular, was especially helpful to the case. In September 1969, they set up a Trial Research Group, which included law professors, medical researchers (including Harada), sociologists and even Michiko Ishimure to provide useful material to the lawyers to improve their legal arguments. Their report, Corporate Responsibility for Minamata Disease: Chisso's Illegal Acts,Minamata-byō ni Tai Suru Kigyō no Sekinin: Chisso no Fuhō Kōi published in August 1970, formed the basis of the ultimately successful lawsuit.
The trial lasted almost four years. The litigation group's lawyers sought to prove Chisso's Negligence. Three main legal points had to be overcome to win the case. First, the lawyers had to show that methylmercury caused Minamata disease and that the company's factory was the source of pollution. The extensive research by Kumadai and the government's conclusion meant that this point was proved quite easily. Second, they needed to show that Chisso could and should have anticipated the effect of its wastewater and taken steps to prevent the tragedy (i.e., was the company negligent in its duty of care). Third, it had to disprove that the "sympathy money" agreement of 1959, which forbade the patients from claiming any further compensation, was a legally binding contract.
The trial heard from patients and their families, but the most important testimony came from Chisso executives and employees. The most dramatic testimony came from Hosokawa, who spoke on 4 July 1970 from his hospital bed where he was dying of cancer. Hosokawa explained his experiments with cats, including the infamous "cat 400", which developed Minamata disease after being fed factory wastewater. He also spoke of his opposition to the 1958 change in wastewater output route to Minamata River. Hosokawa's testimony was backed up by a colleague who also told how Chisso officials had ordered them to halt their cat experiments in the autumn of 1959. Hosokawa died three months after giving his testimony. Former factory manager Eiichi Nishida admitted that the company put profits ahead of safety, resulting in dangerous working conditions and a lack of care with mercury. Former Chisso President Kiichi Yoshioka admitted that the company promoted a theory of dumped World War II explosives, though it knew it to be unfounded.
The verdict handed down on 20 March 1973 represented a complete victory for the patients of the litigation group:
The "sympathy money" agreement was found to be invalid and Chisso was ordered to make one-time payments of ¥18 million ($66,000) for each deceased patient and from ¥16 million to ¥18 million ($59,000 to $66,000) for each surviving patient. The total compensation of ¥937 million ($3.4 million) was the largest sum ever awarded by a Japanese court.George, pp241-249
In 1978, the National Institute for Minamata Disease was established in Minamata. It consists of four departments: The Department of Basic Medical Science, The Department of Clinical Medicine, The Department of Epidemiology and The Department of International Affairs and Environmental Sciences. In 1986, The Institute became a WHO Collaborating Centre for Studies on the Health Effects of Mercury Compounds. The Institute seeks to improve medical treatment of Minamata disease patients and conducts research on mercury compounds and their impact on organisms as well as potential detoxification mechanisms. In April, 2008 the Institute invented a method for absorbing gaseous mercury in order to prevent air pollution and enable recycling of the metal.
The people directly impacted by the pollution of Minamata Bay were not originally allowed to participate in actions that would affect their future. Disease victims, fishing families, and company employees were excluded from the debate. Progress occurred when Minamata victims were finally allowed to come to a meeting to discuss the issue. As a result, postwar Japan took a small step toward democracy.
Through the evolution of public sentiments, the victims and environmental protesters were able to acquire standing and proceed more effectively in their cause. The involvement of the press also aided the process of democratization because it caused more people to become aware of the facts of Minamata disease and the pollution that caused it. However, although the environmental protests did result in Japan becoming more democratized, it did not completely rid Japan of the system that first suppressed the fishermen and individuals with Minamata disease.
The song "Kepone Factory" on Dead Kennedys' In God We Trust, Inc. makes reference to the disaster in its chorus.
The song "The Disease of the Dancing Cats" by the band Bush on the album The Science of Things is in reference to the disaster.
In 2021 a manga/comic book about Minamata disease was made with the cooperation of various disease suffers and long term helper and activist, Takeko Kato. The Scottish writer Sean Michael Wilson and Japanese artist Akiko Shimojima collaborated on the book, called The Minamata Story: an ecotragedy, which was published in English by Stonebridge Press, and went on to win two awards.
A dramatic photographic essay by W. Eugene Smith brought world attention to Minamata disease. He and his Japanese wife lived in Minamata from 1971 to 1973. The most famous and striking photo of the essay, Tomoko and Mother in the Bath (1972), shows Ryoko Kamimura holding her severely deformed daughter, Tomoko, in a Japanese bath chamber. Tomoko was poisoned by methylmercury while still in the womb. The photo was very widely published. It was posed by Smith with the co-operation of Ryoko and Tomoko to dramatically illustrate the consequences of the disease. It has subsequently been withdrawn from circulation at the request of Tomoko's family, so does not appear in recent anthologies of Smith's works.Read the thoughts of a photography magazine editor surrounding the controversy of the photograph's withdrawal: "Tomoko Uemura, R.I.P." by Jim Hughes, The Digital Journalist, retrieved 24 October 2006. Smith and his wife were extremely dedicated to the cause of the people with Minamata disease, closely documenting their struggle for recognition and right to compensation. Smith was himself attacked and seriously injured by Chisso employees in an incident in Goi, Ichihara city, near Tokyo on January 7, 1972, in an attempt to stop him from further revealing the issue to the world.Smith, pp94-95 The 54-year-old Smith survived the attack, but his sight in one eye deteriorated and his health never fully recovered before his death in 1978. Johnny Depp plays W. Eugene Smith in Minamata (2020) a drama based on the book written by Smith's wife.
Japanese photographer Takeshi Ishikawa, who assisted Smith in Minamata, has since exhibited his own photographs documenting the disease. His photographs cover the years 1971 to the present, with Minamata victims as his subjects.Hirano, Keiji, " Life with Minamata disease in photos", Japan Times, 15 November 2012, p. 3
The prominent Japanese Noriaki Tsuchimoto made a series of films, starting with (1971) and including The Shiranui Sea (1975), documenting the incident and siding with the victims in their struggle against Chisso and the government.
Kikujiro Fukushima, a well-known Japanese photographer and journalist, published a series of photographs in 1980 concerning pollution in Japan, including Minamata disease. Some negatives of these photos are available on the website, and Kyodo News Images holds the rights to them.
A memorial service was held at the Minamata Disease Municipal Museum on 1 May 2006 to mark 50 years since the official discovery of the disease. Despite bad weather, the service was attended by over 600 people, including Chisso chairman Shunkichi Goto and Environment Minister Yuriko Koike. "Memorial service marks Minamata tragedy's 50th year", Japan Times, 2 May 2006, retrieved 29 October 2006 (free registration required)
On Monday, March 29, 2010, a group of 2,123 uncertified victims reached a settlement with the government of Japan, the Kumamoto Prefectural government, and Chisso Corporation to receive individual lump-sum payments of 2.1 million yen and monthly medical allowances.Hirano, Keiji, Kyodo News, " Mercury pact falls short on Minamata", Japan Times, 1 March 2012, p. 3.
Most congenital patients were in their forties and fifties for the first years of the new millennium, being in their sixties and seventies in the 2020s. Their health has been deteriorating for a long time. Their parents, who are often their only source of care, were either already deceased, or aged between 70 and 89 in the 2000s (90–109 as of the 2020s). Often, these patients find themselves tied to their own homes and the care of their family, effectively isolated from the local community. Some welfare facilities for patients do exist. One notable example is Hot House, a vocational training centre for congenital patients as well as other disabled people in the Minamata area. Hot House members are also involved in raising awareness of Minamata disease, often attending conferences and seminars as well as making regular visits to elementary schools throughout Kumamoto Prefecture.
Uncertified patients' fight to be recognised
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