Inter-individual, inter-city, and temporal trends of 19 per-and polyfluoroalkyl substances (PFASs) were investigated in human milk collected in Stockholm (1972Stockholm ( -2016 and Gothenburg (2007Gothenburg ( -2015, Sweden. Overall these data indicate that exposure to some legacy PFASs via breastmilk is declining, presumably as a result of regulation and phase-out initiatives. However, increasing concentrations for other PFASs and a shift in the overall PFAS profile in recent years may pose an ongoing health risk to infants.
Environmental signiîcancePer-and polyîuoroalkyl substances (PFASs) are anthropogenic substances which contaminate human blood globally. In breastfed infants, human milk is among the most important sources of PFAS exposure. Characterizing PFAS levels and time trends in breast milk is therefore important for assessing risks to infants. In the present work, we analyzed 19 PFASs (plus branched isomers) in human breastmilk from Stockholm (1972Stockholm ( -2016 and Gothenburg (2007Gothenburg ( -2015 and examined inter-individual and inter-city differences, along with temporal trends using change-point detection. Overall, concentrations, proîles, and interindividual variability were similar in milk from Stockholm and Gothenburg. Concentrations of long chain perîuorinated carboxylic acids and perîuorohexane sulfonate increased in human milk from Stockholm over the entire monitoring period, while for others PFASs, such as perîuorooctane sulfonate, concentrations have decreased signiîcantly over the last 10 years. These changes probably reîect increased manufacturing/use for some PFASs, and international phase-out initiatives and regulation for others. Transformation of PFAA-precursors and/or differences in half-lives may also play a role in inîuencing the observed trends for some PFASs. Given infants' sensitive developmental stage, the occurrence of PFASs in breastmilk is a concern, in particular for those substances displaying increasing time trends over the last decade.