
pmid: 24525241
Humans are exposed to a large number of contaminants, many of which may have similar health effects. This paper presents a framework for identifying pollutants to be included in a cumulative risk assessment approach. To account for the possibility of simultaneous exposure to chemicals with common toxic modes of action, the first step of the traditional risk assessment process, i.e. hazard identification, is structured in three sub-steps: (1a) Identification of pollutants people are exposed to, (1b) identification of effects and mechanisms of action of these pollutants, (1c) grouping of pollutants according to similarity of their mechanism of action and health effects. Based on this exposure-based grouping we can derive "multi-pollutant" toxicity reference values, in the "dose-response assessment" step. The approach proposed in this work is original in that it is based on real exposures instead of a limited number of pollutants from a unique chemical family, as traditionally performed. This framework is illustrated by the case study of semi-volatile organic compounds in French dwellings, providing insights into practical considerations regarding the accuracy of the available toxicological information. This case study illustrates the value of the exposure-based approach as opposed to the traditional cumulative framework, in which chemicals with similar health effects were not always included in the same chemical class.
House-dust, [SDE] Environmental Sciences, Factors TEFS, Toxic equivalency factors, IPCS Framework, Relevance, Risk Assessment, Dietary exposure, Contamination, Humans, Chemical-mixtures, Air Pollutants, Volatile Organic Compounds, Dose-Response Relationship, Drug, Testosterone production, Environmental Exposure, Health, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Air Pollution, Indoor, France
House-dust, [SDE] Environmental Sciences, Factors TEFS, Toxic equivalency factors, IPCS Framework, Relevance, Risk Assessment, Dietary exposure, Contamination, Humans, Chemical-mixtures, Air Pollutants, Volatile Organic Compounds, Dose-Response Relationship, Drug, Testosterone production, Environmental Exposure, Health, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Air Pollution, Indoor, France
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| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |
