2023
DOI: 10.1016/j.cotox.2023.100404
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Complex chemical mixtures: Approaches for assessing adverse human health effects

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Cited by 6 publications
(6 citation statements)
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“…Thus, considering the potential combined effect of micropollutants is necessary when it comes to the assessment of their environmental effects. 39 The maximum concentration of micropollutants and their detection frequencies across the sites are displayed in Figure 2. Some micropollutants occur frequently (e.g., terbuthylazine-TP MT23 (LM5) and TEMPO (2,2,6,6-tetramethyl-1-piperidinol) with detection frequencies of 70 and 89%, respectively), while others occur at a few sites with some elevated concentrations (e.g., propachlor ESA at a maximum concentration of 8 μg/L).…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Thus, considering the potential combined effect of micropollutants is necessary when it comes to the assessment of their environmental effects. 39 The maximum concentration of micropollutants and their detection frequencies across the sites are displayed in Figure 2. Some micropollutants occur frequently (e.g., terbuthylazine-TP MT23 (LM5) and TEMPO (2,2,6,6-tetramethyl-1-piperidinol) with detection frequencies of 70 and 89%, respectively), while others occur at a few sites with some elevated concentrations (e.g., propachlor ESA at a maximum concentration of 8 μg/L).…”
Section: Resultsmentioning
confidence: 99%
“…Nevertheless, it is worth noting that adverse effects of mixtures of different micropollutants at environmentally relevant concentrations may be higher than those of individual compounds. Thus, considering the potential combined effect of micropollutants is necessary when it comes to the assessment of their environmental effects …”
Section: Resultsmentioning
confidence: 99%
“…Numerous chemicals that are nutrients for living organisms are released in excrement and urine into sewers without being altered. However, in addition to untreated and treated effluent wastewater from treatment plants, high concentrations of such chemicals are potentially observable in drinking water and in surface and underground waters [1]. One of the primary sources of water pollution is uncontrolled wastewater released from various industries into water masses and other environments.…”
Section: Introductionmentioning
confidence: 99%
“…In the context of legislative settings, the European Regulation REACH is considering the application of generic factors (Mustafa et al, 2023). For instance, the Mixture Allocation Factor (MAF) of 5 is proposed by ECHA to account for potential mixture risks for chemicals produced above a certain tonnage limit.…”
Section: Mixture Risk Assessmentmentioning
confidence: 99%
“…This generic factor assumes higher and more widespread exposure, resulting in a potentially higher risk for the entire population, although it lacks datadriven, evidence-based specificity. An alternative could be the use of a data-driven mixture 201 General Discussion • Chapter 7 Chapter 7 driver factor (MDF) for each chemical class/family separately, within which chemicals that are the main driver of the mixture effect for a specific adverse effect are assigned with an additional factor (Mustafa et al, 2023). It should be noted that the use of generic factors like MAF or MDF may be overly conservative, as not all compounds exhibit commonalities in mode of action or adverse outcome pathways, and may have different co-occurring exposure patterns.…”
Section: Mixture Risk Assessmentmentioning
confidence: 99%