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与水生环境化学污染相关的人类健康危害。

Human health hazards associated with chemical contamination of aquatic environment.

作者信息

Stara J F, Kello D, Durkin P

出版信息

Environ Health Perspect. 1980 Feb;34:145-58. doi: 10.1289/ehp.8034145.

Abstract

Given the finite supply of water available for human use, continued chemical contamination of the aquatic environment may pose a significant human health hazard. Consequently, an effort must be made to develop ambient water quality criteria to protect human health and preserve the integrity of the aquatic environment. In developing water quality criteria based on human health effects, information on sources of exposure, pharmacokinetics, and adverse effects must be carefully evaluated. Information on sources of exposure is needed to determine the contribution of exposure from water relative to all other sources. Pharmacokinetic data are used in inter- and intraspecies extrapolation and in characterizing the mode of toxic action. Information on toxic effects includes data on acute, subchronic, and chronic toxicity, mutagenicity, teratogenicity, and carcinogenicity. In analyzing such information, a distinction is made between threshold and nonthreshold effects. Currently, carcinogenicity and mutagenicity are considered to be nonthreshold effects. For carcinogens and mutagens, criteria are calculated by postulating an "acceptable" increased level of risk and using extrapolation models to estimate the dose which would result in this increased level of risk. For other chemicals, thresholds are assumed and criteria are calculated by deriving "acceptable daily intakes" for man which would presumably result in no observable adverse effects. Neither process is exact, and attempts must be made to improve and verify risk assessment methodologies.

摘要

鉴于可供人类使用的水资源有限,水环境持续遭受化学污染可能对人类健康构成重大危害。因此,必须努力制定环境水质标准,以保护人类健康并维护水环境的完整性。在制定基于人类健康影响的水质标准时,必须仔细评估有关暴露源、药代动力学和不良反应的信息。需要有关暴露源的信息来确定来自水的暴露相对于所有其他来源的贡献。药代动力学数据用于种间和种内推断以及表征毒性作用模式。有关毒性作用的信息包括急性、亚慢性和慢性毒性、致突变性、致畸性和致癌性的数据。在分析此类信息时,需区分阈值效应和非阈值效应。目前,致癌性和致突变性被视为非阈值效应。对于致癌物和诱变剂,通过假定“可接受”的风险增加水平并使用外推模型来估计会导致这种风险增加水平的剂量来计算标准。对于其他化学品,假定存在阈值,并通过推导人类的“可接受每日摄入量”来计算标准,这可能不会导致可观察到的不良反应。这两个过程都不准确,必须努力改进和验证风险评估方法。

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