Cumulative health risk assessment of 17 perfluoroalkylated and polyfluoroalkylated substances (PFASs) in the Swedish population

Humans are simultaneously exposed to a multitude of chemicals. Human health risk assessment of chemicals is, however, normally performed on single substances, which may underestimate the total risk, thus bringing a need for reliable methods to assess the risk of combined exposure to multiple chemica...

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Main Authors: Daniel Borg, Bert-Ove Lund, Nils-Gunnar Lindquist, Helen Håkansson
Format: Article
Language:English
Published: Elsevier 2013-09-01
Series:Environment International
Online Access:http://www.sciencedirect.com/science/article/pii/S0160412013001104
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author Daniel Borg
Bert-Ove Lund
Nils-Gunnar Lindquist
Helen Håkansson
author_facet Daniel Borg
Bert-Ove Lund
Nils-Gunnar Lindquist
Helen Håkansson
author_sort Daniel Borg
collection DOAJ
description Humans are simultaneously exposed to a multitude of chemicals. Human health risk assessment of chemicals is, however, normally performed on single substances, which may underestimate the total risk, thus bringing a need for reliable methods to assess the risk of combined exposure to multiple chemicals. Per- and polyfluoroalkylated substances (PFASs) is a large group of chemicals that has emerged as global environmental contaminants. In the Swedish population, 17 PFASs have been measured, of which the vast majority lacks human health risk assessment information. The objective of this study was to for the first time perform a cumulative health risk assessment of the 17 PFASs measured in the Swedish population, individually and in combination, using the Hazard Index (HI) approach. Swedish biomonitoring data (blood/serum concentrations of PFASs) were used and two study populations identified: 1) the general population exposed indirectly via the environment and 2) occupationally exposed professional ski waxers. Hazard data used were publicly available toxicity data for hepatotoxicity and reproductive toxicity as well as other more sensitive toxic effects. The results showed that PFASs concentrations were in the low ng/ml serum range in the general population, reaching high ng/ml and low μg/ml serum concentrations in the occupationally exposed. For those congeners lacking toxicity data with regard to hepatotoxicity and reproductive toxicity read-across extrapolations was performed. Other effects at lower dose levels were observed for some well-studied congeners. The risk characterization showed no concern for hepatotoxicity or reproductive toxicity in the general population except in a subpopulation eating PFOS-contaminated fish, illustrating that high local exposure may be of concern. For the occupationally exposed there was concern for hepatotoxicity by PFOA and all congeners in combination as well as for reproductive toxicity by all congeners in combination, thus a need for reduced exposure was identified. Concern for immunotoxicity by PFOS and for disrupted mammary gland development by PFOA was identified in both study populations as well as a need of additional toxicological data for many PFAS congeners with respect to all assessed endpoints. Keywords: PFASs, Chemical mixture, Cumulative risk assessment, Hazard Index
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spelling doaj.art-abcd13f3418d41c68a6cbae7b11703d82022-12-22T00:21:41ZengElsevierEnvironment International0160-41202013-09-0159112123Cumulative health risk assessment of 17 perfluoroalkylated and polyfluoroalkylated substances (PFASs) in the Swedish populationDaniel Borg0Bert-Ove Lund1Nils-Gunnar Lindquist2Helen Håkansson3Institute of Environmental Medicine (IMM), Department of Environmental Health Risk Assessment, Karolinska Institutet, SE-17177 Stockholm, Sweden; Corresponding author. Tel.: +46 8 524 878 27; fax: +46 8 34 38 49.Swedish Chemicals Agency, 172 13 Sundbyberg, SwedenSwedish Chemicals Agency, 172 13 Sundbyberg, SwedenInstitute of Environmental Medicine (IMM), Department of Environmental Health Risk Assessment, Karolinska Institutet, SE-17177 Stockholm, SwedenHumans are simultaneously exposed to a multitude of chemicals. Human health risk assessment of chemicals is, however, normally performed on single substances, which may underestimate the total risk, thus bringing a need for reliable methods to assess the risk of combined exposure to multiple chemicals. Per- and polyfluoroalkylated substances (PFASs) is a large group of chemicals that has emerged as global environmental contaminants. In the Swedish population, 17 PFASs have been measured, of which the vast majority lacks human health risk assessment information. The objective of this study was to for the first time perform a cumulative health risk assessment of the 17 PFASs measured in the Swedish population, individually and in combination, using the Hazard Index (HI) approach. Swedish biomonitoring data (blood/serum concentrations of PFASs) were used and two study populations identified: 1) the general population exposed indirectly via the environment and 2) occupationally exposed professional ski waxers. Hazard data used were publicly available toxicity data for hepatotoxicity and reproductive toxicity as well as other more sensitive toxic effects. The results showed that PFASs concentrations were in the low ng/ml serum range in the general population, reaching high ng/ml and low μg/ml serum concentrations in the occupationally exposed. For those congeners lacking toxicity data with regard to hepatotoxicity and reproductive toxicity read-across extrapolations was performed. Other effects at lower dose levels were observed for some well-studied congeners. The risk characterization showed no concern for hepatotoxicity or reproductive toxicity in the general population except in a subpopulation eating PFOS-contaminated fish, illustrating that high local exposure may be of concern. For the occupationally exposed there was concern for hepatotoxicity by PFOA and all congeners in combination as well as for reproductive toxicity by all congeners in combination, thus a need for reduced exposure was identified. Concern for immunotoxicity by PFOS and for disrupted mammary gland development by PFOA was identified in both study populations as well as a need of additional toxicological data for many PFAS congeners with respect to all assessed endpoints. Keywords: PFASs, Chemical mixture, Cumulative risk assessment, Hazard Indexhttp://www.sciencedirect.com/science/article/pii/S0160412013001104
spellingShingle Daniel Borg
Bert-Ove Lund
Nils-Gunnar Lindquist
Helen Håkansson
Cumulative health risk assessment of 17 perfluoroalkylated and polyfluoroalkylated substances (PFASs) in the Swedish population
Environment International
title Cumulative health risk assessment of 17 perfluoroalkylated and polyfluoroalkylated substances (PFASs) in the Swedish population
title_full Cumulative health risk assessment of 17 perfluoroalkylated and polyfluoroalkylated substances (PFASs) in the Swedish population
title_fullStr Cumulative health risk assessment of 17 perfluoroalkylated and polyfluoroalkylated substances (PFASs) in the Swedish population
title_full_unstemmed Cumulative health risk assessment of 17 perfluoroalkylated and polyfluoroalkylated substances (PFASs) in the Swedish population
title_short Cumulative health risk assessment of 17 perfluoroalkylated and polyfluoroalkylated substances (PFASs) in the Swedish population
title_sort cumulative health risk assessment of 17 perfluoroalkylated and polyfluoroalkylated substances pfass in the swedish population
url http://www.sciencedirect.com/science/article/pii/S0160412013001104
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