“…Mn intoxication following chronic human exposure in other occupational settings, such as mining, smelting, ferroalloy, and dry battery industries, has been documented to cause a Parkinson's disease-like syndrome called 'manganism' (Roels et al, 1992;Baldwin, 1997, Lucchini et al, 1999). Neurobehavioral changes have been reported in exposed welders (Bowler et al, 2007a, b;Ellingsen et al, 2008), and case reports show Mn accumulates in dopaminergic brain regions of welders exposed to high concentrations of welding fume (Sadek et al, 2003;Josephs et al, 2005). In addition, some studies describe a potential link between welding and Parkinsonism, and suggest the possibility of an early-onset Parkinsonism among welders (Racette et al, 2001(Racette et al, , 2005, whereas other studies do not (Goldman et al, 2005;Stampfer, 2009;Tanner et al, 2009).…”