Exposure assessment

Exposure assessment is a branch of environmental science that focuses on the processes that take place at the interface between the environment containing the contaminant(s) of interest and the organism(s) being considered. These are the final steps in the path to release an environmental contaminant, through transport to its effect in a biological system. It tries to measure how much of a contaminant can be absorbed by an exposed target organism, in what form, at what rate and how much of the absorbed amount is actually available to produce a biological effect. Although the same general concepts apply to other organisms, the overwhelming majority of applications of exposure assessment are concerned with human health, making it an important tool in public health.

Contents 1 Definition 2 Applications 3 Receptor-based approach 4 Exposure 4.1 Routes of exposure 5 Measurement of exposure 5.1 Exposure factors 6 See also 7 External links 8 References

Definition

Exposure Assessment is the process of estimating or measuring the magnitude, frequency and duration of exposure to an agent, along with the number and characteristics of the population exposed. Ideally, it describes the sources, pathways, routes, and the uncertainties in the assessment.

Exposure Analysis is the science that describes how an individual or population comes in contact with a contaminant, including quantification of the amount of contact across space and time. 'Exposure Assessment' and 'Exposure Analysis' are often used as synonyms in many practical contexts.

Applications

Quantitative measures of exposure are used:

• In Risk assessment, together with inputs from Toxicology, to determine risk from substances released to the environment
• To establish protective standards
• In Epidemiology, to distinguish between exposed and control groups
• To protect workers from some occupational hazards

Receptor-based approach

The receptor-based approach is used in exposure science. It starts by looking at different contaminants and concentration that reach people. An exposure analyst can use direct or indirect measurements to determine if a person has been in contact with a specific contaminant.Once a contaminant has been proved to reach people, exposure analysts work backwards to determine its source. After the identification of the source, it is important to find out the most efficient way to reduce adverse health effects. If the contaminant reaches a person, it is very hard to reduce the associated adverse health effects.^[1] Therefore, it is very important to reduce exposure in order to diminish the risk of adverse health effects. It is highly important to use both regulatory and non-regulatory approaches in order to decrease people’s exposure to contaminants.^[2] In many cases, it is better to change people’s activities in order to reduce their exposures rather than regulating a source of contaminants.^[3] The receptor-based approach can be opposed to the source-based approach. This approach begins by looking at different sources of contaminants such as industries and power plants. Then, it is important to find out if the contaminant of interest has reached a receptor (usually humans). With this approach, it is very hard to prove that a pollutant from a source has reached a target.

Exposure

In this context exposure is defined as the contact between an agent and a target. Contact takes place at an exposure surface over an exposure period. Mathematically, exposure is defined as

where E is exposure, C(t) is a concentration that varies with time between the beginning and end of exposure. It has dimensions of mass times time divided by volume. This quantity is related to the potential dose of contaminant by multiplying it by the relevant contact rate, such as breathing rate, food intake rate etc. The contact rate itself may be a function of time.^[4]

Routes of exposure

Contact between a contaminant and an organism can occur through any route. The possible routes of exposure are:

• Inhalation, if the contaminant is present in the air
• Ingestion, through food, drinking or hand-to-mouth behavior
• Dermal absorption, if the contaminant can be absorbed through the skin

Exposure to a contaminant can and does occur through multiple routes, simultaneously or at different times. In many cases the main route of exposure is not obvious and needs to be investigated carefully. For example, exposure to byproducts of water chlorination can obviously occur by drinking, but also through the skin, while swimming or washing, and even through inhalation from droplets aerosolized during a shower. The relative proportion of exposure from these different routes cannot be determined a priori.

Measurement of exposure

To quantify the exposure of particular individuals or populations two approaches are used, primarily based on practical considerations:

Direct approach

• The direct approach measures the exposures to pollutants by monitoring the pollutant concentrations reaching the respondents. The pollutant concentrations are directly monitored on or within the person through point of contact, biological monitoring, or biomarkers. The point of contact approach indicates the total concentration reaching the host, while biological monitoring and the use of biomarkers infer the dosage of the pollutant through the determination of the body burden.^[5] The respondents often record their daily activities and locations during the measurement of the pollutants to identify the potential sources, microenvironments, or human activities contributing the pollutant exposure.^[6] An advantage of the direct approach is that the exposures through multiple media (air, soil, water, food, etc.) are accounted for through one study technique. The disadvantages include the invasive nature of the data collection and associated costs.
  • Point of contact - Continuous measure of the contaminant reaching the target through all routes.
  • Biological Monitoring - is another approach to measuring exposure.^[7] This measures the amount of a pollutant within the body in various tissue media such adipose tissue, bone, or urine. Biological monitoring measures the body burden of a pollutant but not the source from whence it came. The substance measured may be either the contaminant itself or a biomarker which is specific to and indicative of an exposure to the contaminant.
  • Biomarkers of Exposure Assessment - Measure of the contaminant or other proportionally related variable in the body.

Indirect approach

• The indirect approach measures the pollutant concentrations in various locations or during specific human activities to predict the exposure distributions within a population. The indirect approach focuses on the pollutant concentrations within microenvironments or activities rather than the concentrations directly reaching the respondents. The measured concentrations are correlated to large-scale activity pattern data, such as the National Human Activity Pattern Survey (NHAPS), to determine the predicted exposure by multiplying the pollutant concentrations by the time spent in each microenvironment or activity for by multiplying the pollutant concentrations b the contact rate with each media.^[8] The indirect approach or exposure modeling determines the estimated exposure distributions within a population rather than the direct exposure an individual has experienced. The advantage is that process is minimally invasive to the population and is associated with lower costs than the direct approach. A disadvantage of the approach is that the results were determined independently of any actual exposures, so the exposure distribution is open to errors from any inaccuracies in the assumptions made during the study, the time-activity data, or the measured pollutant concentrations.

In general, direct methods tend to be more accurate but more costly in terms of resources and demands placed on the subject being measured and may not always be feasible, especially for a population exposure study. Examples of direct methods include air sampling though a personal portable pump, split food samples, hand rinses, breath samples or blood samples. Examples of indirect methods include environmental water, air, dust, soil or consumer product sampling coupled with information such as activity/location diaries. Mathematical exposure models may also be used to explore hypothetical situations of exposure.

Exposure factors

Especially when determining the exposure of a population rather than individuals, indirect methods can often make use of relevant statistics about the activities that can lead to an exposure. These statistics are called exposure factors. They are generally drawn from the scientific literature or governmental statistics. For example they may report informations such as amount of different food eaten by specific populations, divided by location or age, breathing rates, time spent for different modes of commuting, showering or vacuuming, as well as information on types of residences. Such information can be combined with contaminant concentrations from ad-hoc studies or monitoring network to produce estimates of the exposure in the population of interest. These are especially useful in establishing protective standards.

Exposure factor values can be used to obtain a range of exposure estimates such as average, high-end and bounding estimates. For example, to calculate the lifetime average daily dose one would use the equation below:

All of the variables in the above equation, with the exception of contaminant concentration, are considered exposure factors. Each of the exposure factors involves humans, either in terms of their characteristics (e.g., body weight) or behaviors (e.g., amount of time spent in a specific location, which affects exposure duration). These characteristics and behaviors can carry a great deal of variability and uncertainty. In the case of lifetime average daily dose, variability pertains to the distribution and range of LADDs amongst individuals in the population. The uncertainty, on the other hand, refers to exposure analyst's lack of knowledge of the standard deviation, mean, and general shape when dealing with calculating LADD.

The U.S. Environmental Protection Agency's Exposure Factors Handbook^[9] provides solutions when confronting variability and reducing uncertainty. The general points are summarized below:

Four Strategies for Confronting Variability [10]	Examples
Disaggregate the variability	Develop distribution of body weight for subgroup
Ignore the variability	Assume all adults weigh 65 kg
Use a maximum or minimum value	Choose a high-end value for weight distribution
Use the average value	Use the mean body weight for all adults

Analyzing Uncertainty [11]	Description
Classical statistical methods (descriptive statistics and inferential statistics)	Estimating the population exposure distribution directly, based on measured values from a representative sample
Sensitivity analysis	Changing one input variable at a time while leaving others constant, to examine effect on output
Propagation of uncertainty	Examining how uncertainty in individual parameters affects the overall uncertainty of the exposure assessment
Probabilistic analysis	Varying each of the input variables over various values of their respective probability distributions(i.e. Monte Carlo integration)

See also

• Exposure science
• Environmental health

External links

• AIHA EASC AIHA Exposure Assesssment Strategies Committee
• AIHA - American Industrial Hygiene Association (AIHA)
• ISES - International Society of Exposure Science
• Exposure Factors Handbook by the US EPA
• Software to Estimate Human Exposure to Chemicals by Creme Software
• A Strategy for Assessing and Managing Occupational Exposures, Third Edition Edited by Joselito S. Ignacio and William H. Bullock AIHA Press
• Zartarian, Valerie; Bahadori Tina Mckone Tom (2005). "Adoption of an official ISEA glossary'". Journal of Exposure Analysis and Environmental Epidemiology 15 (1): 1–5. doi:10.1038/sj.jea.7500411. PMID 15562291. http://www.nature.com/jea/journal/v15/n1/pdf/7500411a.pdf. 

References