Per- and Polyfluoroalkyl Substances (PFAS) are a family of over 4,000 man-made chemicals made up of carbon and fluorine. Due to their resistance to grease, oil, water, and heat, PFAS have been used in thousands of industrial and consumer products since the mid-20th century. For example, PFAS can be found in non-stick cookware, cosmetics, cleaning products, textiles, food containers, and firefighting foams. PFAS can also contaminate drinking water and foods, further exposing humans and livestock. PFAS are known as “forever chemicals” as they take a very long time to break down and so they persist in the environment and human body.
PFAS are universally detected among pregnant women and can cross the placenta to the developing fetus. PFAS can also be found in human breast milk and can be transferred to infants via lactation. As such, PFAS have been found to be associated with wide ranging adverse health outcomes in children, including immune and kidney dysfunction and poorer reproductive and developmental health. Higher levels of PFAS in blood have also been associated with lower antibody responses to vaccinations among children and adults. PFAS that accumulate in the lungs have been linked to more severe COVID-19 (Grandjean et al., 2020).
Per- and polyfluoroalkyl substances (PFAS) are ubiquitous in environmental media because of their prolific use in a variety of industrial and consumer products and processes (Jian et al. 2018; Sunderland et al. 2019).
Widespread human exposure to PFAS in water, food, and air coupled with the lengthy environmental persistence and biological half-lives of some PFAS have led to measurable PFAS in the blood of nearly the entire population in developed countries, with health effects reported globally (Kato et al. 2011; Khalil et al. 2016; Stubleski et al. 2016; Jian et al. 2018).
Like other chemicals, PFAS are potentially capable of producing a wide range of adverse health effects depending on the circumstances of exposure (magnitude, duration, and route of exposures, etc.) and factors associated with the individuals exposed (e.g., age, sex, ethnicity, health status, and genetic predisposition). Aspects to consider when establishing the health effects of greatest concern are 1) effects for which evidence is the strongest (strength of evidence can come from consistency of effect across studies, strength of effect associations in epidemiological studies, and species concordance, as examples), and 2) effects for which potential impact is greatest (factors contributing to impact can include severity of effect, functional impairment, persistence, and specific age groups that are susceptible, as examples).
Author:
Fenton et al., 2021
In this prospective birth cohort study from 6 cities in Canada, higher levels of fluoride exposure during pregnancy were associated with lower IQ scores in children measured at age 3 to 4 years. These findings were observed at fluoride levels typically found in white North American women. This indicates the possible need to reduce fluoride intake during pregnancy.
Author: Von Holst et al., 2021
Developing children are particularly vulnerable to the effects of exposure to per- and polyfluoroalkyl substances (PFAS), a group of endocrine disrupting chemicals. We hypothesized that early life exposure to PFASs is associated with poor metabolic health in children.
We studied the association between prenatal and postnatal PFASs mixture exposure and cardiometabolic health in children, and the role of inflammatory proteins.
Author: Papadopoulou et al., 2021
Very few PFAS chemicals have been studied for human health effects, although emerging evidence documents that PFOS and PFOA have been associated with some adverse health outcomes.14 Data from human studies suggest that some PFAS can take as long as 8–9 years to clear from the body.15
Early epidemiological research studies found “probable links” from exposure to PFOA to preeclampsia and pregnancy-induced hypertension, as well as high cholesterol, ulcerative colitis, thyroid disease, kidney
Author: Anderko et al., 2020
Illustration of how Per-and Polyfluoroalkyl substances move through the environment.
Illustration of how Per-and Polyfluoroalkyl substances move through the environment.
PBDEs are toxic chemicals found in common household products and can have significant impact fetal brain development.
Microplastics result from plastic breaking down into fine particles often containing hazardous toxins. They exist throughout the environment.
PFAS chemicals are known as “forever chemicals” because they never completely break down, leaving them in our soils, our water and our bodies.
Air pollution is a major risk factor for heart disease, the leading cause of death worldwide. We can’t escape it, it’s all around us.
Pesticides can cause short-term adverse health effects as well as chronic adverse effects that can occur months or years after exposure.
Allergic disorders have risen dramatically over the last 30-40 years as has our understanding of what causes them and the toxic chemicals that have the greatest impact.
Endocrine disrupting chemicals are found in many common household products and can increase the risk of many diseases.
Allergic disorders have risen dramatically over the last 30-40 years as has our understanding of what causes them and the toxic chemicals that have the greatest impact.
Over a billion children live at extremely high risk for climate change events that can lead to disease and death.
Lead exposure can reduce IQ and slow behavioral development in children.
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