Elemental, liquid mercury is slightly toxic, while its vapor, compounds and salts are highly toxic and have been implicated as causing brain and liver damage when ingested, inhaled or contacted. For this reason (along with exaggeration of the actual risk in the media), most thermometers now use pigmented alcohol instead of mercury, though some medical thermometers still use mercury for reasons of accuracy.
The main dangers associated with elemental mercury are that at STP, mercury tends to oxidize forming mercury (II) oxide, and that if dropped or disturbed, mercury will form microscopic drops, increasing its surface area dramatically.
Even though it is far less toxic than its compounds, elemental mercury still poses significant environmental pollution and remediation problems due to the fact that mercury forms organic compounds inside of living organisms. Methyl mercury works its way up the food chain, reaching high concentrations among populations of some species such as tuna. Mercury poisoning in humans will result from persistent consumption of tainted foodstuffs.
One of the most dangerous mercury compounds, dimethylmercury, is so toxic that even a few microliters spilled on the skin can cause death.
Mercury is a bioaccumulative toxin that is easily absorbed through the skin, respiratory and gastrointestinal tissues. Minamata disease is a form of mercury poisoning. Mercury attacks the central nervous system and adversely affects the mouth, gums, and teeth. High exposure over long periods of time will result in brain damage and ultimately death. It can pose a major health risk to the unborn fetus. Air saturated with mercury vapor at room temperature is at a concentration many times the toxic level, despite the high boiling point (the danger is increased at higher temperatures).
Mercury should therefore be handled with great care. Containers of mercury need to be covered securely to avoid spillage and evaporation. Heating of mercury or mercury compounds should always be done under a well-ventilated, filtered hood. Additionally, some oxides can decompose into elemental mercury, which immediately evaporates and may not be apparent.