National Institute of Environmental Health Sciences, Bethesda, MD, USA.
Environ Toxicol Chem. 2013 Jan;32(1):62-78. doi: 10.1002/etc.2046.
Global climate change (GCC) is likely to alter the degree of human exposure to pollutants and the response of human populations to these exposures, meaning that risks of pollutants could change in the future. The present study, therefore, explores how GCC might affect the different steps in the pathway from a chemical source in the environment through to impacts on human health and evaluates the implications for existing risk-assessment and management practices. In certain parts of the world, GCC is predicted to increase the level of exposure of many environmental pollutants due to direct and indirect effects on the use patterns and transport and fate of chemicals. Changes in human behavior will also affect how humans come into contact with contaminated air, water, and food. Dietary changes, psychosocial stress, and coexposure to stressors such as high temperatures are likely to increase the vulnerability of humans to chemicals. These changes are likely to have significant implications for current practices for chemical assessment. Assumptions used in current exposure-assessment models may no longer apply, and existing monitoring methods may not be robust enough to detect adverse episodic changes in exposures. Organizations responsible for the assessment and management of health risks of chemicals therefore need to be more proactive and consider the implications of GCC for their procedures and processes.
全球气候变化(GCC)可能改变人类接触污染物的程度以及人类对这些暴露的反应,这意味着污染物的风险可能会在未来发生变化。因此,本研究探讨了 GCC 如何影响环境中化学物质源到对人类健康的影响这一路径的不同步骤,并评估了对现有风险评估和管理实践的影响。在世界某些地区,由于 GCC 对化学品使用模式以及运输和归宿的直接和间接影响,预计会增加许多环境污染物的暴露水平。人类行为的变化也会影响人类接触受污染的空气、水和食物的方式。饮食变化、心理社会压力以及与高温等压力源的共同暴露,可能会增加人类对化学品的脆弱性。这些变化可能对当前的化学品评估实践产生重大影响。当前暴露评估模型中使用的假设可能不再适用,现有的监测方法可能不够强大,无法检测到暴露的不良偶发性变化。因此,负责化学品健康风险评估和管理的组织需要更加积极主动,并考虑 GCC 对其程序和流程的影响。