“…However, surrogate neurochemical biomarkers in blood have been shown to reflect changes in the brain in response to neurotoxicants and offer an ethical way to evaluate neurotoxicity in human populations (Manzo et al, 1996). For example, cholinesterase (ChE) activity in blood is currently used as a surrogate biomarker to monitor the toxic effects and degree of organophosphate and carbamate exposure in agricultural workers who frequently use pesticides (Wilson et al, 1996(Wilson et al, ,1997. Other studies have linked manganese and styrene exposure in industrial workers with decreased monoamine oxidase (MAO) activity in peripheral blood platelets (Checkoway et al, 1992;Smargiassi et al, 1995;Bergamaschi et al, 1997;Cohen et al, 2002).…”