2023
DOI: 10.3390/toxins15010040
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Risk Assessment of Combined Exposure to Multiple Chemicals at the European Food Safety Authority: Principles, Guidance Documents, Applications and Future Challenges

Abstract: Human health and animal health risk assessment of combined exposure to multiple chemicals use the same steps as single-substance risk assessment, namely problem formulation, exposure assessment, hazard assessment and risk characterisation. The main unique feature of combined RA is the assessment of combined exposure, toxicity and risk. Recently, the Scientific Committee of the European Food Safety Authority (EFSA) published two relevant guidance documents. The first one “Harmonised methodologies for the human … Show more

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Cited by 15 publications
(4 citation statements)
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“…Scientific data about the possible synergistic effects of multiple pesticide residues as well as the effects of exposure to multiple residues that display different modes of action remains very limited [20,43]. Additionally, exposures to different chemicals may arise from separate sources, which should also be considered [44]. Consequently, these gaps in our knowledge may lead to an underestimation of the real health risk.…”
Section: Public Health Concerns Related To Pesticide Exposurementioning
confidence: 99%
See 1 more Smart Citation
“…Scientific data about the possible synergistic effects of multiple pesticide residues as well as the effects of exposure to multiple residues that display different modes of action remains very limited [20,43]. Additionally, exposures to different chemicals may arise from separate sources, which should also be considered [44]. Consequently, these gaps in our knowledge may lead to an underestimation of the real health risk.…”
Section: Public Health Concerns Related To Pesticide Exposurementioning
confidence: 99%
“…The simultaneous presence of different contaminants, including pesticides, in the same food (the so-called "cocktail effect") represents a significant aspect of food safety that requires comprehensive research [62]. The possible interactions between different chemical contaminants in food may result in partial detoxification (if antagonism or inhibition takes place) or in an increase in toxicity due to synergism or potentiation, even when each compound is present at a level below toxicity reference values [44,63]. Therefore, there is an urgency to develop approaches that will enable the evaluation of these effects before confirming an effective risk [62].…”
Section: Strategies Aimed To Protect Human Health and The Environment...mentioning
confidence: 99%
“…It is also noteworthy to recall that compounds, apart from their concentration and their effect, can also interact with each other and such potential interactions must be accounted for in risk assessment. An effort has been made in the research field, followed by recent guidance documents for risk assessment of combined exposures [ 15 ] but many animal studies still use non-relevant doses with regard to human exposure levels.…”
Section: Introductionmentioning
confidence: 99%
“…Soil pollution from CCIs directly harms microorganisms and other organisms [18] and indirectly threatens environmental health through pollutant accumulation in crops and transmission through the food chain [6,19], and finally causes risk, which can be concepted as the possibility of suffering damage or harm, to human body characterizing as carcinogenic and non-carcinogenic risks. To quantitatively characterize the health hazards of pollutants [20,21], it is necessary to bring together knowledge and techniques from chemistry, physiology, mathematics, medicine and other related disciplines to reveal the pollution sources affecting biological and environmental receptors [22] and to formulate a human health risk assessment (HHRA) method that includes hazard identification, exposure assessment, toxicity assessment, and risk characterization [23][24][25][26][27].…”
Section: Introductionmentioning
confidence: 99%