Determining
health risks associated with per-/polyfluoroalkyl substances
(PFASs) is a highly complex problem requiring massive efforts for
scientists, risk assessors, and regulators. Among the most poorly
understood pressing questions is the relative importance of pre-PFAAs,
which are PFASs that degrade to highly persistent perfluoroalkyl acids.
How many of the vast number of existing pre-PFAAs are relevant for
direct human exposure, and what are the predominant exposure pathways?
What evidence of direct exposure to pre-PFAAs is provided by human
biomonitoring studies? How important are pre-PFAAs and their biotransformation
products for human health risk assessment? This article outlines recent
progress and recommendations toward widening the lens on human PFAS
exposure to include the pre-PFAA subclass.