Lanphear Bruce P
Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada.
PLoS Biol. 2017 Dec 19;15(12):e2003066. doi: 10.1371/journal.pbio.2003066. eCollection 2017 Dec.
Over the past 3 decades, in a series of studies on some of the most extensively studied toxic chemicals and pollutants, scientists have found that the amount of toxic chemical linked with the development of a disease or death-which is central to determining "safe" or "hazardous" levels-is proportionately greater at the lowest dose or levels of exposure. These results, which are contrary to the way the United States Environmental Protection Agency (EPA) and other regulatory agencies assess the risk of chemicals, indicate that we have underestimated the impact of toxic chemicals on death and disease. If widely disseminated chemicals and pollutants-like radon, lead, airborne particles, asbestos, tobacco, and benzene-do not exhibit a threshold and are proportionately more toxic at the lowest levels of exposure, we will need to achieve near-zero exposures to protect public health.
在过去30年里,科学家们对一些研究最为广泛的有毒化学物质和污染物进行了一系列研究,发现与疾病发展或死亡相关的有毒化学物质的量——这是确定“安全”或“危险”水平的关键因素——在最低剂量或暴露水平下成比例地更大。这些结果与美国环境保护局(EPA)和其他监管机构评估化学物质风险的方式相反,表明我们低估了有毒化学物质对死亡和疾病的影响。如果像氡、铅、空气颗粒物、石棉、烟草和苯等广泛传播的化学物质和污染物没有表现出阈值,并且在最低暴露水平下毒性成比例地更高,那么我们将需要实现接近零暴露以保护公众健康。