Program on Reproductive Health and the Environment, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Francisco School of Medicine, San Francisco, California 94143, United States.
Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan 48109, United States.
Environ Sci Technol. 2022 Sep 6;56(17):11969-11982. doi: 10.1021/acs.est.2c02079. Epub 2022 Aug 18.
Exposures to industrial chemicals are widespread and can increase the risk of adverse health effects such as cancer, developmental disorders, respiratory effects, diabetes, and reproductive problems. The amended Toxic Substances Control Act (amended TSCA) requires the U.S. Environmental Protection Agency (EPA) to evaluate risks of chemicals in commerce, account for risk to potentially exposed and susceptible populations, and mitigate risks for chemicals determined to pose an unreasonable risk to human health and the environment. This analysis compares EPA's first 10 chemical risk evaluations under amended TSCA to best scientific practices for conducting risk assessments. We find EPA's risk evaluations underestimated human health risks of chemical exposures by excluding conditions of use and exposure pathways; not considering aggregate exposure and cumulative risk; not identifying all potentially exposed or susceptible subpopulations, and not quantifying differences in risk for susceptible groups; not addressing data gaps; and using flawed systematic review approaches to identify and evaluate the relevant evidence. We present specific recommendations for improving the implementation of amended TSCA using the best available science to ensure equitable, socially just safeguards to public health. Failing to remedy these shortcomings will result in continued systematic underestimation of risk for all chemicals evaluated under amended TSCA.
工业化学品的暴露是普遍存在的,可能会增加癌症、发育障碍、呼吸道影响、糖尿病和生殖问题等不良健康影响的风险。经修正的《有毒物质控制法》(修正后的 TSCA)要求美国环境保护署(EPA)评估商业中化学品的风险,考虑到潜在暴露和易感人群的风险,并减轻被确定对人类健康和环境构成不合理风险的化学品的风险。本分析将 EPA 在修正后的 TSCA 下进行的前 10 项化学风险评估与进行风险评估的最佳科学实践进行了比较。我们发现,EPA 的风险评估通过排除使用条件和暴露途径,不考虑总暴露和累积风险,不识别所有潜在暴露或易感亚群,也不量化易感人群的风险差异,不解决数据差距,以及使用有缺陷的系统评价方法来识别和评估相关证据,从而低估了化学品暴露对人类健康的风险。我们提出了具体建议,以利用现有最佳科学来改进修正后的 TSCA 的实施,以确保公平、公正的社会公共卫生保障措施。如果不纠正这些缺陷,将导致所有在修正后的 TSCA 下评估的化学品的风险继续被系统低估。