Search Results (79)

Human Biomonitoring (HBM) is a key tool for assessing human exposure to environmental contaminants and identifying early biological changes potentially associated with adverse health effects. However, as contaminated sites are characterized by multiple pollutants, exposure pathways and biological targets, a structured decision-support process is required to guide exposure assessment, biomarker selection, and early health-risk evaluation. This manuscript does not report biomonitoring results but describes the methodological process used to design the INSINERGIA_RT HBM study in two contaminated areas of Tuscany, Italy. The study design integrated environmental evidence, toxicological knowledge, epidemiological priorities, biomarker relevance, analytical feasibility, logistical considerations, and public health needs. Instead of proposing a universally applicable framework, the manuscript presents a structured approach that may support the design of HBM studies in similarly complex settings. Biomarkers are organized within a hierarchical model reflecting successive stages of the biological response to environmental exposure. A central feature is a mechanistic, multi-level approach encompassing upstream pathways (oxidative stress and inflammation), early markers of adverse effects and subclinical organ damage, including cardiovascular, renal, and respiratory alterations, and integrative indicators of cumulative biological responses, such as telomere length, epigenetic changes, and metabolomic profiles. Applicability is illustrated through an ongoing HBM study in Livorno and Piombino (Tuscany). Full article

Public awareness and perception of human biomonitoring (HBM) and pesticide exposure are essential for informed decision-making and policy, yet understanding remains limited and often shaped by media and advocacy. This study combined three focus group discussions with Latvian citizens and an online content analysis of pesticide-related posts. Discussions explored understanding of HBM, attitudes toward chemical exposures, and support for related research, while content analysis identified commonly discussed pesticides and the role of non-governmental organisations (NGO) in shaping public opinion. Findings indicate low awareness and frequent misconceptions about HBM, often confused with wearable health technologies rather than a tool for assessing internal chemical exposure. Concerns were mainly linked to food additives and household chemicals, with less attention to pesticides. Glyphosate emerged as the most debated pesticide, largely driven by NGO activity and media coverage. Trust in government initiatives was mixed, with concerns about political influence, industry interests, and data privacy. Nevertheless, participants expressed strong support for further national research. Overall, the results highlight gaps in public understanding and the significant influence of media and advocacy. Strengthening risk communication, transparency, and public engagement is essential to build trust and support the development of Latvia’s HBM framework. Full article

Environmental pesticide exposure has been linked to adverse health effects, and residential proximity to agricultural land is commonly used as a proxy for exposure; however, the contribution of non-agricultural biomes remains insufficiently explored. This study examined whether the proximity and area of different biomes are associated with the detection of selected pesticides in human urine in Latvia. Urine samples were collected from 202 participants (101 adults and 101 children) within the Human Biomonitoring for Europe (HBM4EU) study during the winter and summer seasons of 2020. A suspect screening approach using liquid chromatography–high-resolution mass spectrometry (LC-HRMS) was applied and 23 pesticides were detected (8 insecticides, 12 fungicides, 2 herbicides and triclosan, an antimicrobial ingredient used in cleaning agents). Geospatial data were analysed in Quantum Geographic Information System (QGIS) to derive biome proximity and area within a 1000 m residential buffer; associations were assessed using generalized linear mixed-effects models. Agricultural land was present within 1000 m of 93.1% of residences, yet neither its distance nor area was consistently associated with pesticide detection. Boscalid was detected in 18.4% of samples and was positively associated with wetland area across seasons (p < 0.001), while fludioxonil (14.7%) showed weak and heterogeneous spatial associations and pirimiphos-methyl (10.2%) showed no significant patterns. Overall, pesticide exposure was substance-specific and influenced by landscape characteristics beyond agricultural proximity, highlighting the need to integrate non-agricultural biomes into human biomonitoring in low-intensity pesticide-use settings. Full article

Over the last 15 years, mixture risk assessment for food xenobiotics has evolved from conceptual discussions and simple screening tools, such as the Hazard Index (HI), towards operational, component-based and probabilistic frameworks embedded in major food-safety institutions. This review synthesizes methodological and regulatory advances in cumulative risk assessment for dietary “cocktails” of pesticides, contaminants and other xenobiotics, with a specific focus on food-relevant exposure scenarios. At the toxicological level, the field is now anchored in concentration/dose addition as the default model for similarly acting chemicals, supported by extensive experimental evidence that most environmental mixtures behave approximately dose-additively at low effect levels. Building on this paradigm, a portfolio of quantitative metrics has been developed to operationalize component-based mixture assessment: HI as a conservative screening anchor; Relative Potency Factors (RPF) and Toxic Equivalents (TEQ) to express doses within cumulative assessment groups; the Maximum Cumulative Ratio (MCR) to diagnose whether risk is dominated by one or several components; and the combined Margin of Exposure (MOET) as a point-of-departure-based integrator that avoids compounding uncertainty factors. Regulatory frameworks developed by EFSA, the U.S. EPA and FAO/WHO converge on tiered assessment schemes, biologically informed grouping of chemicals and dose addition as the default model for similarly acting substances, while differing in scope, data infrastructure and legal embedding. Implementation in food safety critically depends on robust exposure data streams. Total Diet Studies provide population-level, “as eaten” exposure estimates through harmonized food-list construction, home-style preparation and composite sampling, and are increasingly combined with conventional monitoring. In parallel, human biomonitoring quantifies internal exposure to diet-related xenobiotics such as PFAS, phthalates, bisphenols and mycotoxins, embedding mixture assessment within a dietary-exposome perspective. Across these developments, structured uncertainty analysis and decision-oriented communication have become indispensable. By integrating advances in toxicology, exposure science and regulatory practice, this review outlines a coherent, tiered and uncertainty-aware framework for assessing real-world dietary mixtures of xenobiotics, and identifies priorities for future work, including mechanistically and data-driven grouping strategies, expanded use of physiologically based pharmacokinetic modelling and refined mixture-sensitive indicators to support public-health decision-making. Full article

As chemical exposures are increasingly emphasised as public health concerns, understanding how people perceive chemical risks is vital for shaping responsive and inclusive human biomonitoring (HBM) programmes. Public awareness not only influences individual behaviours but can also inform national policy priorities and scientific focus. This study reports findings from the Human Biomonitoring for Ireland (HBM4IRE) feasibility study, which conducted a social survey adapted from the HBM4EU framework. The survey assessed awareness and perceived harmfulness of 24 chemical groups among 218 Irish residents, distinguishing between experts (involved in chemical management) and non-experts. Lead, arsenic, mercury, pesticides, tobacco alkaloids, volatile organic compounds (VOCs), solvents, cadmium, polycyclic aromatic hydrocarbons (PAHs), and persistent organic pollutants (POPs) received the highest perceived harmfulness scores. Non-experts reported lower perceived harmfulness for substances such as phthalates, parabens, and Per- and polyfluoroalkyl substances (PFASs), indicating significant awareness gaps. These findings demonstrate convergence between public and expert views for well-recognised substances but also highlight gaps for certain emerging chemicals. This study highlights the importance of targeted, country-specific education campaigns and shows the added value of integrating public perceptions into HBM design and priority setting. Full article

The complexity of human exposure to surrounding chemicals warrants developing analytical methods that are capable of the simultaneous quantitation of many diverse environmental pollutants and their biomarkers for the needs of human biomonitoring (HBM). Examples include pesticides used in veterinary medicine, such as fipronil (FIP), imidacloprid and pyrethroids, as well as other chemicals, like bisphenols and flame retardants. The goal of this paper was to develop and validate a liquid chromatography-tandem mass spectrometry method for the quantification of selected organic contaminants in human urine. The method was then applied to real samples and used to assess the potential of a new FIP biomarker, fipronil-hydroxy (FIP-OH), for HBM. As a sample preparation protocol, enzymatic deconjugation followed by solid phase extraction were used. The method was successfully developed and validated for 16 organic pollutants and/or their metabolites, with lower limits of quantitation ranging from 0.5 to 2000 pg/mL. FIP-OH could not be included in the method, possibly due to its chemical instability. In an application study among pet owners, the detection rate for FIP was 71% (median: 3.32 pg/mL); several other chemicals were also commonly detected. The results of validation and application experiments confirm that the method can be used in HBM studies to quantify organic pollutants in urine. Full article

Human biomonitoring (HBM) is a vital tool for assessing chemical exposure in populations and informing evidence-based public health policy. For smaller countries such as Latvia, establishing a national HBM program presents specific challenges, including limited prior experience, national data gaps, and resource constraints. This study explores the expert experiences and reflections gathered during the development of Latvia’s national HBM chemical prioritization process. Semi-structured interviews were conducted with eight experts who were directly involved in evaluating and selecting substances for inclusion in the program. The focus of this study is not on the outcomes of the prioritization itself—published elsewhere—but rather on the strategies applied, challenges encountered, and lessons learned in navigating the prioritization process. A qualitative content analysis identified several key themes, including limitations in data availability, institutional coordination challenges, differences in expert opinion, and the complexity of adapting international methodologies to the national context. Despite these obstacles, the process benefitted from interdisciplinary collaboration, iterative methodological refinement, and the strategic use of international frameworks. The findings offer practical insights for countries with limited resources that are initiating or refining their national HBM programs. This study highlights the importance of national data infrastructure, stakeholder engagement, and tailored methodological approaches to ensure an effective and context-sensitive prioritization process. Full article

This exploratory study investigated how health concerns related to chronic environmental contamination and how satisfaction with the human biomonitoring (HBM) process influence the perceived quality of life in the context of per- and polyfluoroalkyl substances (PFAS) contamination in the Veneto Region (Italy). We administered a questionnaire to 84 residents of the Red Area, where PFAS exposure is classified as most severe. The main findings revealed that satisfaction with HBM was positively correlated with perceived quality of life and showed a statistically significant but modest moderation effect on the relationship between PFAS-related health concerns and quality of life (explaining 17.4% of the variance). Particularly, it attenuates the negative effect that PFAS health concerns have on quality of life. Differences between subgroups revealed heightened concern regarding PFAS health risks among women vs. men and participants with children vs. those without. These results underscore the central role of relational and communication aspects of HBM programs to mitigate psychological distress and possibly contribute to higher perceived well-being. The study highlights the need for tailored public health interventions, including transparent communication, empathetic support, and community engagement, to address the psychosocial dimensions of environmental contamination. Full article

Human biomonitoring (HBM) is a critical scientific tool for assessing human exposure by quantifying chemicals and their metabolites in biological specimens such as blood and urine. This approach provides a comprehensive and accurate evaluation of internal exposures from diverse sources and exposure routes. In Ireland, establishing a national HBM programme requires a systematic chemical prioritisation process that aligns global frameworks with local public perceptions. This study integrates insights from international initiatives such as the European Joint Programme Human Biomonitoring for Europe (HBM4EU) and the Partnership for the Assessment of Risks from Chemicals (PARC)—along with HBM programmes from EU countries (Germany, France, Belgium, Norway, Slovenia, Czech Republic, and Sweden) and non-EU countries (US, Canada, South Korea, China, and New Zealand). In addition, a national survey was conducted to capture the perceptions of people in Ireland regarding chemicals of concern to develop a comprehensive priority list of chemicals and biomarkers. The broader chemical groups identified include heavy metals (lead, cadmium, mercury, arsenic, and chromium VI), plasticisers (phthalates), bisphenols, pesticides, flame retardants, PFASs (per- and polyfluoroalkyl substances), PAHs (polycyclic aromatic hydrocarbons), POPs (persistent organic compounds), VOCs (volatile organic compounds), and UV (ultraviolet) filters. This integrated, participatory approach provides a roadmap for a robust, adaptable chemical list that supports evidence-based policy decisions in HBM in Ireland and enhances public health outcomes. Full article

Human biomonitoring (HBM) is a critical tool for assessing chemical exposure in populations and informing public health policies. This study aimed to prioritize chemical substances for the development of a national HBM program in Latvia, addressing the need for systematic evaluation of chemicals in the local context. Initially, 318 chemical substances were reviewed, of which 130 were shortlisted and assessed using an adapted Hanlon methodology. Substances were assessed based on their health significance, hazardous properties, exposure characteristics, national relevance, and public interest. The results identified 30 high-priority substances across various categories, providing a foundation for the HBM4LV program. This prioritization process highlighted the challenges of data gaps, resource limitations, and the need to balance national priorities with alignment to European frameworks. Despite addressing key methodological challenges, the study highlights the importance for ongoing refinement, robust data collection, and strengthened international collaboration to enhance the program’s scope and long-term sustainability. While the methodology addressed key challenges, further refinement and international collaboration are essential to enhance the program’s scope and sustainability. Full article

In South Korea, a Human Biomonitoring (HBM) program, known as the Korean National Environmental Health Survey (KoNEHS), was launched in 2009. This study aims to provide an overview of environmental chemical exposures in South Korea based on data from the KoNEHS cycle 4 (2018–2020). To ensure population representativeness, Koreans aged 3 years and older were recruited from 426 sites across the country. A total of 6381 participants joined in the collection of biospecimens, which were subsequently analyzed for 33 environmental chemicals or their metabolites, including nine that were not included in the previous cycle. The five most common PFASs were detected in more than 99.7% of the participants. The GM of serum PFOS was the highest in adults at 15.1 µg/L (13.9, 16.4) and in adolescents at 7.97 µg/L (7.42, 8.56). In adults, there was a gradual decrease in the detection rate and concentration of some heavy metals and phthalate metabolites. In children and adolescents, the detection rate of BPA in urine decreased, while the rate of its substitutes BPF and BPS increased, and the rate of propyl paraben in urine decreased significantly. The results of the KoNEHS cycle 4 indicate that exposure levels to certain environmental chemicals are still high, highlighting further monitoring and on-going surveys to determine their trends, especially for newly investigated substances, such as PFASs. Full article

Based on toxicological evidence, children’s exposure to phthalates may contribute to altered neurodevelopment and abnormal regulation of brain-derived neurotrophic factor (BDNF). We analyzed data from five aligned studies of the Human Biomonitoring for Europe (HBM4EU) project. Ten phthalate metabolites and protein BDNF levels were measured in the urine samples of 1148 children aged 6–12 years from Italy (NACII-IT cohort), Slovakia (PCB-SK cohort), Hungary (InAirQ-HU cohort) and Norway (NEBII-NO). Serum BDNF was also available in 124 Slovenian children (CRP-SLO cohort). Children’s total, externalizing and internalizing behavioral problems were assessed using the Child Behavior Checklist at 7 years of age (only available in the NACII-IT cohort). Adjusted linear and negative binomial regression models were fitted, together with weighted quantile sum (WQS) regression models to assess phthalate mixture associations. Results showed that, in boys but not girls of the NACII-IT cohort, each natural-log-unit increase in mono-n-butyl phthalate (MnBP) and Mono(2-ethyl-5-oxohexyl) phthalate (MEOHP) was cross-sectionally associated with higher externalizing problems [incidence rate ratio (IRR): 1.20; 95% CI: 1.02, 1.42 and 1.26; 95% CI: 1.03, 1.55, respectively]. A suggestive mixture association with externalizing problems was also observed per each tertile mixture increase in the whole population (WQS—IRR = 1.15; 95% CI: 0.97, 1.36) and boys (IRR = 1.20; 95% CI: 0.96, 1.49). In NACII-IT, PCB-SK, InAirQ-HU and NEBII-NO cohorts together, urinary phthalate metabolites were strongly associated with higher urinary BDNF levels, with WQS regression confirming a mixture association in the whole population (percent change (PC) = 25.9%; 95% CI: 17.6, 34.7), in girls (PC = 18.6%; 95% CI: 7.92, 30.5) and mainly among boys (PC = 36.0%; 95% CI: 24.3, 48.9). Among CRP-SLO boys, each natural-log-unit increase in ∑DINCH concentration was associated with lower serum BDNF levels (PC: −8.8%; 95% CI: −16.7, −0.3). In the NACII-IT cohort, each natural-log-unit increase in urinary BDNF levels predicted worse internalizing scores among all children (IRR: 1.15; 95% CI: 1.00, 1.32). Results suggest that (1) children’s exposure to di-n-butyl phthalate (DnBP) and di(2-ethylhexyl) phthalate (DEHP) metabolites is associated with more externalizing problems in boys, (2) higher exposure to DINCH may associate with lower systemic BDNF levels in boys, (3) higher phthalate exposure is associated with higher urinary BDNF concentrations (although caution is needed since the possibility of a “urine concentration bias” that could also explain these associations in noncausal terms was identified) and (4) higher urinary BDNF concentrations may predict internalizing problems. Given this is the first study to examine the relationship between phthalate metabolite exposure and BDNF biomarkers, future studies are needed to validate the observed associations. Full article

The mycotoxin deoxynivalenol (DON) was one of the priority substances in the European Joint Human Biomonitoring Initiative (HBM4EU) project. In this study, to better interpret the actual internal exposure of DON in the general population and safeguard public health, human biomonitoring guidance values of DON for the general population (HBM-GV_GenPop) were derived. The HBM-GV_GenPop of DON was based on either the total DON (DON and its glucuronides) or DON’s main metabolite (DON-15-GlcA) levels in 24-h urine samples, resulting in a HBM-GV_GenPop of 0.023 µg/mL for the total DON or a HBM-GV_GenPop of 0.020 µg/mL for DON-15-GlcA. The use of 24-h urine samples is recommended based on the fact that DON and its metabolites have a short elimination half-life (T_1/2), and 95% of the cumulative amount was excreted within 12 h after DON intake. The T_1/2 for DON, DON-15-GlcA, and total DON were estimated to be 2.55 h, 2.95 h, and 2.95 h, respectively. Therefore, a 24-h urine sample reflects almost all of the DON exposure from the previous day, and this type of sample was considered for the derivation of a HBM-GV_GenPop for DON. Full article

The use of pyrethroids is very broad and shows increasing trends. Human biomonitoring studies represent the best approach for realistic risk estimations, but their interpretation requires a tiered approach. A previous HBM4EU study indicated levels in European children groups just around the threshold for concern, requiring further refinement. The main difficulty is that several pyrethroids with different toxicity potencies generate the same urinary metabolites. As diet is the main pyrethroid source for the general population, EU food monitoring data reported by EFSA have been used to estimate the relative contribution of each pyrethroid. The main contributors were cypermethrin for DCCA and 3-PBA and lambda-cyhalothrin for CFMP. Urinary levels predicted from food concentration according to the EFSA diets were mostly within the range of measured levels, except 3-PBA and CFMP levels in children, both below measured levels. The predicted lower levels for 3-PBA can be explained by the very low Fue value, initially proposed as conservative, but that seems to be unrealistic. The discrepancies for CFMP are mostly for the highest percentiles and require further assessments. The refined assessments included the revision of the previously proposed human biomonitoring guidance values for the general population, HBM-GV Gen Pop, following recent toxicological reevaluations, and the estimation of hazard quotients (HQs) for each individual pyrethroid and for the combined exposure to all pyrethroids. All HQs were below 1, indicating no immediate concern, but attention is required, particularly for children, with HQs in the range of 0.2–0.3 for the highly exposed group. The application of probabilistic methods offers assessments at the population level, addressing the variability in exposure and risk and providing relevant information for Public Health impact assessments and risk management prioritization. Full article

Residents of an extensive area of the Veneto Region (Italy) face one of the largest technological disasters due to per- and polyfluoroalkyl substances (PFAS). On the basis of a risk gradient of contamination, the affected territories were divided into 4 areas: Red (of maximum exposure, where a human biomonitoring programme (HBM) was activated), Orange, Yellow, and Green. This article presents a case study of residents who live in the Orange Area, the second area in terms of contamination, excluded from the HBM. Semi-structured interviews were conducted with 17 residents engaged in promoting a legal procedure to exercise their right to know. Grounded theory and a thematic analysis method were used. Overall, the findings revealed that experiencing contamination causes a negative psychosocial impact on the residents’ lives; difficulty accessing information; living with uncertainty, caused by the lack of institutional and health support and medical consultation; a sense of abandonment; difficulty managing preventive and protective actions; and the deterioration of relationships, on the basis of the social comparison with residents of the Red Area, to whom HBM was granted and where the concept of health ostracism has emerged. This study demonstrated that biomonitoring may help reduce discomfort in the case of contamination by informing people of their chemical exposure. Full article