Chemicals are part
of our daily lives, and we are exposed to numerous
chemicals through multiple pathways. Relevant scientific evidence
contributing to the regulation of hazardous chemicals require a holistic
approach to assess simultaneous exposure to multiple compounds. Biomonitoring
provides an accurate estimation of exposure to chemicals through very
complex and costly sampling campaigns. Finding efficient proxies to
predict the risk of chemical exposure in humans is an urgent need
to cover large areas and populations at a reasonable cost. We conducted
an exploratory study to characterize the human chemical exposome in
maternal blood and placenta samples of a population-based birth cohort
in Barcelona (2018–2021). Ultimate HRMS-based approaches were
applied including wide-scope target, suspect, and nontarget screening.
Forty-two chemicals were identified including pesticides, personal
care products, or industrial compounds, among others, in the range
of ng/mL and ng/g. In parallel, sewage sludge from the wastewater
treatment plants serving the residence areas of the studied population
were also screened, showing correlations with the type and concentrations
of chemicals found in humans. Our findings were suggestive for the
potential use of sewage sludge as a proxy of the human exposure and
its application in early warning systems to prevent bioaccumulation
of hazardous chemicals.