If indeed the 1987 article is the source of the report of renal
damage by silver, perhaps it can be disregarded. Refer to
the December 1990 report Toxicological Profile For Silver,
Agency for Toxic Substances and Disease Registry,
United States Public Health Service, Chapter 1, Section 4,
"How Can Silver Affect My Health," pp3-4. It states:

"There have been suggestions in some occupational
studies in humans that silver can cause kidney problems;
however, more people exposed to silver need to be
studied to find out if silver causes these effects."

Since the 1987 publication was published in an
industrial medicine journal, the form of silver might have
been refinery fumes, not EIS. I have not read or found
the 1987 article (yet.) Also, there may have been 
confounding factors, such as cadmium or other heavy
metal contaminants, in the industrial episode. If so,
this would explain the U.S. Public Health Services'
apparent dismissal of the 1987 report.

Matthew