Sorry for the confusion Mary Ann, Manganism = Manganese intoxication a serious occupational hazard and probably is responsible for more cases of Parkinson's like symptoms than any other toxin. The actual exposure level where clinical symptoms begin to appear is not known, although the World Health Organization (WHO) states that they may occur at low air concentrations of 2-5 mg/M3. However, there seems to be a wide variation in individual susceptibility to the effects from manganese exposure, and the WHO suggest that the minimum effect level is probably 1 mg/M3. Symtoms of Manganism begin insidiously and are progressive after one to ten years of exposure. Somnolence, apathy, bradykinesia, emotional lability, aggressiveness, and hallucinations are all intitial manifestations. A progressive Parkinson syndrome eventually replaces these symptoms. Difficulty with gait, postural instability, fixed facial expression, and disturbed speech are prominent abnormalities. An action rather than a resting tremor is usually present. Other neuralgic sins that may occur include dementia, depression, cerebella dysfunction, and impotency. Muscle weakness and sensory abnormalities are usually not present. Expert Doctors in this area are: Canada - Dr. Donald Calne @ UBC USA - Dr. Fred Hochberg @ Harvard - Dr. William Cola I will try to explain the significance of MMT in a future note. Thanks, Bob