2020
DOI: 10.1016/j.envint.2019.105267
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Statement on advancing the assessment of chemical mixtures and their risks for human health and the environment

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Cited by 199 publications
(120 citation statements)
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“…The observation of 'disease' (step 1) would be followed by a refined assessment to steer the focus and intensity of the prescribed curation (step 2). Fourth, the toxic pressure assessment embodies an approach for mixtures, as advocated by both scholars and policy makers 32,59 . Fifth, its use would address concerns raised by scholars on the implementation of the WFD, when they reflect on the holistic, water-system level principles vis-à-vis evolved reductionistic practices of the WFD and its implementation 60,61 .…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The observation of 'disease' (step 1) would be followed by a refined assessment to steer the focus and intensity of the prescribed curation (step 2). Fourth, the toxic pressure assessment embodies an approach for mixtures, as advocated by both scholars and policy makers 32,59 . Fifth, its use would address concerns raised by scholars on the implementation of the WFD, when they reflect on the holistic, water-system level principles vis-à-vis evolved reductionistic practices of the WFD and its implementation 60,61 .…”
Section: Discussionmentioning
confidence: 99%
“…350 when considering European surface waters 31 , ≈ 0.2% of those in trade), (ii) on separate compounds and not mixtures 23 , and (iii) on current and not future emissions 13 . Scholars and the EC alike especially advocate considering the ‘universe of chemicals’ 32 and their mixtures 33 .…”
Section: Introductionmentioning
confidence: 99%
“…One of the goals of the exposome, as a dynamical and all-encompassing approach, is to target these mixtures, which potentially can be correlated with each other as well as other environmental agents and stressors. In the last few years, various statistical approaches have been conceived to study mixtures and their health effects, more specifically, by developing methods to investigate both the cumulative and joint effects of mixtures and their independent role [28]. In the context of the exposome approach, these tools have been applied as a way of measuring and studying parts of the exposome and moving beyond single-pollutant models, whereby "it is not clear if an observed association reflects the effect of the analyzed pollutant or if it acts as a surrogate for another pollutant possibly originating from the same source" [29].…”
Section: The Innovations Of the Exposome As An Emerging Research Repementioning
confidence: 99%
“…In the environment, thousands of chemicals act together in complex mixtures, and there are urgent calls to include mixtures in the risk assessments of the future (Kortenkamp and Faust 2018; Kortenkamp et al 2019; Drakvik et al 2020). The 2 main mixture toxicity concepts are concentration addition (CA) and independent action (IA).…”
Section: Introductionmentioning
confidence: 99%