Where It Comes From
Industrial processes (gold mining, electroplating, chemical manufacturing), building fires and tobacco smoke, and certain plants (cassava, bitter almonds, apricot pits) [1][2][3].
How You Are Exposed
Breathing smoke or workplace air, eating improperly processed cassava or swallowing fruit pits, drinking contaminated water, or smoking [1][2][4].
Why It Matters
High levels can cause headache, confusion, seizures, cardiac arrest, and death within minutes; lower, repeated exposures can affect the nervous system and thyroid (goiter), especially with low iodine intake [1][3].
Who Is at Risk
Workers using cyanide, firefighters and fire victims, people who smoke, communities relying on cassava-based diets (especially if iodine-deficient), plus infants and pregnant people [1][2][3].
How to Lower Your Exposure
Don’t smoke; use and maintain smoke alarms; avoid eating bitter almonds or fruit pits; prepare cassava correctly (peel, soak/ferment, cook thoroughly); follow local water advisories; at work, use ventilation, monitors, and PPE as directed [1][2][3][4].
References
- [1]ATSDR. Toxicological Profile for Cyanide. https://www.atsdr.cdc.gov/toxprofiles/tp8.html
- [2]CDC/ATSDR. Medical Management Guidelines: Hydrogen Cyanide and Cyanide Salts. https://wwwn.cdc.gov/TSP/MMG/MMGDetails.aspx?mmgid=1131&toxid=19
- [3]WHO/IPCS. Hydrogen cyanide and cyanides: Human health aspects (CICAD 61). https://www.who.int/ipcs/publications/cicad/cicad61.pdf
- [4]EPA. National Primary Drinking Water Regulations (Cyanide). https://www.epa.gov/ground-water-and-drinking-water/national-primary-drinking-water-regulations