The European Commission asked
EFSA
for a scientific evaluation on the risks to human health related to the presence of perfluoroalkyl substances (
PFAS
s) in food. Based on several similar effects in animals, toxicokinetics and observed concentrations in human blood, the
CONTAM
Panel decided to perform the assessment for the sum of four
PFAS
s:
PFOA
,
PFNA
,
PFH
xS and
PFOS
. These made up half of the lower bound (
LB
) exposure to those
PFAS
s with available occurrence data, the remaining contribution being primarily from
PFAS
s with short half‐lives. Equal potencies were assumed for the four
PFAS
s included in the assessment. The mean
LB
exposure in adolescents and adult age groups ranged from 3 to 22, the 95th percentile from 9 to 70 ng/kg body weight (bw) per week. Toddlers and ‘other children’ showed a twofold higher exposure. Upper bound exposure was 4‐ to 49‐fold higher than
LB
levels, but the latter were considered more reliable. ‘Fish meat’, ‘Fruit and fruit products’ and ‘Eggs and egg products’ contributed most to the exposure. Based on available studies in animals and humans, effects on the immune system were considered the most critical for the risk assessment. From a human study, a lowest
BMDL
10
of 17.5 ng/
mL
for the sum of the four
PFAS
s in serum was identified for 1‐year‐old children. Using
PBPK
modelling, this serum level of 17.5 ng/
mL
in children was estimated to correspond to long‐term maternal exposure of 0.63 ng/kg bw per day. Since accumulation over time is important, a tolerable weekly intake (
TWI
) of 4.4 ng/kg bw per week was established. This
TWI
also protects against other potential adverse effects observed in humans. Based on the estimated
LB
exposure, but also reported serum levels, the
CONTAM
Panel concluded that parts of the European population exceed this
TWI
, which is of concern.