Despite
decades of research on per- and polyfluoroalkyl substances
(PFAS), fundamental obstacles remain to addressing worldwide contamination
by these chemicals and their associated impacts on environmental quality
and health. Here, we propose six urgent questions relevant to science,
technology, and policy that must be tackled to address the “PFAS
problem”: (1) What are the global production volumes of PFAS,
and where are PFAS used? (2) Where are the unknown PFAS hotspots in
the environment? (3) How can we make measuring PFAS globally accessible?
(4) How can we safely manage PFAS-containing waste? (5) How do we
understand and describe the health effects of PFAS exposure? (6) Who
pays the costs of PFAS contamination? The importance of each question
and barriers to progress are briefly described, and several potential
paths forward are proposed. Given the diversity of PFAS and their
uses, the extreme persistence of most PFAS, the striking ongoing lack
of fundamental information, and the inequity of the health and environmental
impacts from PFAS contamination, there is a need for scientific and
regulatory communities to work together, with cooperation from PFAS-related
industries, to fill in critical data gaps and protect human health
and the environment.