Components of Risk Assessment

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							    Components of Risk Assessment
•   Hazard Identification
•   Dose-Response Assessment
•   Exposure Assessment
•   Risk Characterization
  Uses of Exposure Assessment in
         Risk Assessment
                            Hazard Identification
                            Dose-response assessment
                            Exposure Assessment
                            Risk Characterization
                            Risk Communication

• Used to estimate internal dose which, with dose response data
  (usually in animals), is used to estimate risk.
• For risk-based regulations, provides the link to emissions (point
  source, consumer products, area sources).
• Evaluation of efficacy of cleanup (risk to most exposed
  subgroup).
Illustration of Exposure
        Pathways



                           From:
                           Paustenbach, DJ.
                           (2000) The practice of
                           exposure assessment:
                           a state-of-the-art
                           review. J Toxicol Env
                           Health, 3:179-291
        Exposure Assessment
• Once a dose-response relationship is
  established, and often this is done in a
  controlled situation such as a laboratory, one
  can make certain statements.
• If the dose is “x”, then the response should be
  “y.”
• A major problem confronting risk assessors
  when trying to apply the dose-response
  relationship to an actual “real-world” problem is
  the question of what dose to use as
  representative of the actual situation.
                    Definitions
• Exposure
  – The contact with a chemical, biological, or physical
    agent at the boundary of the body over a specified
    time.
• Exposure Route
  – How a substance contacts the body and results in an
    internal dose (inhalation, ingestion, dermal
    penetration).
• Boundaries of the body
  – By Exposure Route: For inhalation, could be the
    tissue in the lung separating air from blood. For
    ingestion, the layer of cells, lining the gastrointestinal
    tract.
                 Definitions II
• Exposure Pathway
  – How a substance moves from the source to the
    receptor (in this case, people).
• Intake
  – Amount of substance that is inhaled or consumed
• Uptake
  – Amount or fraction of intake that passes through a
    boundary of the body
             Definitions III
• Dose
  – Applied Dose: amount available at a boundary
  – Potential Dose: amount ingested or inhaled
  – Internal Dose: the amount of a substance
    crossing one of the route barriers into the
    body
  – Biologically-effective dose: the amount of a
    substance reaching a target organ.
              Definitions IV
• Bioavailability
  – Most research is on ORAL, but also some on
    dermal and inhalation
  – Fraction of the administered dose that
    reaches the central (blood) compartment
  – Relative bioavailability compares different
    FORMS or MEDIA
      Why assess exposure?
                (Isn’t it EASY?!)

• Determine factors that put segments of the
  population at higher risk to chemical
  toxicity
• Help establish dose-response
  relationships in the “real world”
• Hazard = Toxicity x Exposure
    Three elements of exposure
            assessment
• Transportation, transformation and fate
  processes
  – Before it meets up with people
• Exposures
  – As it meets up with people
• Physiologically based pharmacokinetics
  (PBPK)
  – What goes on In people
            Exposure Elements

                            Transport, Transformation,
                            and Fate Process Models
 SOURCE/STRESSOR                                                                  EFFECT
    FORMATION
Chemical                                                                               Acute
                                              Exposure                                 Chronic
Microbial
                                               Models
              TRANSPORT/                                                   DOSE
            TRANSFORMATION
            Dispersion                                                      Target
            Kinetics                                   PBPK                 Absorbed
            Thermodynamics                             Models               Applied
            Spatial variability   ENVIRONMENTAL
            Distribution        CHARACTERIZATION
            Meteorology
                                Air
                                Water
                                Diet
                                Soil and dust    EXPOSURE
                                Groundwater
                                              Pathway       • Individual
                                              Duration      • Community
                        ACTIVITY              Frequency     • Population
                       PATTTERN               Magnitude
                                                          Statistical profile
                                                          Reference population
                                                          Susceptible individual
                                                          Susceptible subpopulations
                                                          Population distributions
     Exposure Assessmet_EPA
• The process of measuring or estimating the intensity, frequency, and
  duration of human contact with agents currently present in the
  environment or the hypothetical contact that might arise from their
  release in the environment.
• The EPA Guidelines for Estimating Exposure (U.S. EPA, 1986a)
  defines exposure as the contact with a chemical or physical agent.
• --The magnitude of this contact is determined by measuring or
  estimating the amount of an agent available at the exchange
  boundaries during some specified time.
• --Once the agent is absorbed through these boundaries, the amount
  crossing the boundary becomes the absorbed dose.
• The primary purpose of an exposure assessment is usually to
  estimate the real-world dose (exposure) value to use in a dose-
  response relationship.
       Exposure Assessment
1. Chemical and physical properties of hazardous
   agent/action/event
2. Environmental fate
3. Determining environmental concentration
4. Determining human intake of environmental
   media
5. Factors affecting exposure conditions
6. Estimating dose: LADD and ADD
7. Characterization of exposed populations and
   individuals
 Methods of exposure assessment
         vary with needs
• A highly sophisticated exposure assessment may be
  needed if the objective is to ensure that no individual is
  overexposed to a dangerous substance
• Only screening exposure assessment may be needed as
  an approximate estimate of exposure for priority setting
• Exposure should be assessed so that it can be related to
  dose (and possible health effect) with sufficient accuracy
  and precision to meet research, regulatory, or exposure
  control objectives
 Exposure Assessment Continuum
• Presence of the chemical in a medium
  to…
• Evaluation of the concentration of the
  chemical in the medium interfacing with
  the population/ individual of interest over
  some averaging period to…
• Modeling of uptake and distribution of a
  chemical within a person
      EPA exposure assessment
             categories
• Direct: direct monitoring of exposure (personal
  sampling or media sampling) combined with
  statistical models (assuming population
  homogeneity) and time-activity models
• Reconstructive: uses qualitative or quantitative
  data to establish past exposure levels among
  populations
• Predictive: combination of deterministic models
  and time activity models to estimate exposures
       Exposure Assessment
            Strategies
• Determination of Presence
• 1. Least sophisticated exposure
  assessment
• 2. Simple attribution of exposure by a
  person being in a location
• 3. Prospective and retrospective
  epidemiologic studies
 Exposure Assessment Strategies
           Continued
• Direct Medium Concentration Monitoring
• 1. Personal/Area monitoring food, water,
  and inhaled air
• 2. Represents the amount of toxicant at
  the interface of the human physiology but
  not the delivered dose
 Exposure Assessment Strategies
           Continued
• Biological Monitoring
• 1. Measure of the absorbed dose
• 2. Development and use requires an
  understanding of the pharmacodynamics and
  pharmacokinetic of the agent
• Modeling
• 1. Use of a mathematical construction to
  estimate exposure
• 2. Several tiers of model sophistication
          Defining Objectives
• Why is the study being conducted? What
  questions does the study intend to address and
  to what uses will the results be put?
• Where does the study area begin and where
  does it end? Is the intent of the study to make
  inferences on a national, regional, or local
  scale?
• Who is to be monitored? Will the study involve
  human and/or nonhuman populations? How are
  they to be identified, characterized, and
  stratified?
Defining Objectives (Continued)
• What substances and what media will be
  measured? What is known about the
  environmental fate as well as the fate of the
  substance within the receptor organism?
• What are the important exposure pathways?
• What is known about expected concentration
  levels, analytical methods, and detection limits?
• How will the samples be collected? How
  frequently will the sampling be conducted? Is the
  intent to characterize exposure as a function of
  specified variables?
   Use of Measurement Data in
  Making Inferences for Exposure
           Assessments
• The primary purpose for making measurements
  and using data related to exposure assessments
  is to make inferences from the measurements to
  the whole.
• The exposure assessor must have a clear
  picture between the sample and whole.
• It is the exposure assessor’s primary
  responsibility to understand, explain, and justify
  the relationship between the sample data and
  the inferences or conclusions being drawn from
  the data in the assessment.
 Direct Measurement of Exposure
• Sampling of one individual’s exposure
  must be related to the exposures of a
  collection of individuals (the whole).
• This relationship may also include
  inferences about different times and
  locations form those in the sample (e.g.,
  different cities, winter vs. summer, present
  vs. past).
      Reconstructive Exposure
           Assessment
• The whole is usually the total absorbed
  dose over some period of the past, which
  is reconstructed from samples of various
  tissues, fluids, or other biomarkers;
• Individual absorbed doses might then be
  used to make inferences about collections
  of individuals.
 Predictive Exposure Assessments
• The whole is usually a medium of interest
  such as outdoor air, drinking water, a
  consumer product, etc.
• Once characterization of the medium has
  been made (and this may include changes
  over time), a matched link to individuals or
  populations being assessed must be
  made, usually via use of exposure
  scenarios.
Developing a Sampling Strategy
• Make decisions regarding the types of
  measurements to be undertaken.
• Frequency considerations might depend
  on whether the effects studies have
  examined average concentrates of the
  chemical of interest of the effect of peak
  exposure.
  Direct Environmental and Human
              Monitoring
• Measurements are made of the actual pollutant
  concentrations contacting a person’s body by essentially
  using split samples of the air breathed, the food eaten,
  and the water consumed, and by using patch or other
  techniques to estimate dermal exposure.
• Existing methodology developed for occupational
  exposure or environmental monitoring may not be
  adequate to meet the special demands of direct
  measurement of exposure.
• Assess individual exposures, groups of individuals, or
  segment the population.
       Each assessment strategy
       presents different issues of
               relevance
•   Data
•   Sample type personal/area
•   Chem. Specific
•   Time specific
•   Location specific
•   Activity specific
  Data must match objective of the
           assessment
• E.g. 8 hr TWA available and objective is to assess the exposure
  over 10 years.
• What must be known to use the data?
• Exposure do not change significantly day-to-day/ year-to-year
• Data collected that day are representative or typical
• Individual data to estimate exposure
• Measure the appropriate agent
• Represent exposure
• Not possible to sample the entire population
• Statistical sample evaluated to obtain estimate for population
• Inference to population (subgroups)
• Statistically base sampling strategy
• Sampled population representative of target
  Examples of direct monitoring
• The best-known example of the direct
  measurement of exposure is the radiation
  dosimeter
• CO Assessment by EPA
• Individuals randomly selected; Interviewed by
  telephone and screened to obtain smaller
  stratified population
• Stratified by CO Exposure Risk Factors:
  Smoking, commute time, other
• Personal CO Monitor used for several days
• Urban CO Exposure profile established
      Another example of Direct
      Measurement of Pollutant
• In the Team Studies, a small pump with a
  collector and absorbent is attached to a
  person’s clothing and measures the
  exposures to airborne solvents or other
  pollutants while the exposure takes place.
• The absorbent cartridges are then
  analyzed for a variety of chemicals
          Indirect Monitoring
• Site selection influences results (e.g.
  spacial and temporal variation)
• Must incorporate pattern analysis for
  exposure estimates job classification
• Human activity patterns
                   databases
• Plumbs from power plants to determine nature of
  transport and transformation processes from a single-
  point source of emission
• Non-point source air pollution evaluation
• PCBs and DDT in Western Lake Superior
• Dispersion of sewage sludge discharged from vessels off
  the coast of NYC
• National Emissions Data Systems: TSP, Sox, Nox, HCs
  & CO.
• Hazardous and Trace Emission System: Pollutants not
  regulated by primary ambient air quality standards
          Spacial Variation
• Random Sampling: Monitor locations
  selected in a random manner so that it is
  not possible to predict location of any
  sampling point based on the location of
  others
• Systematic Sampling; laying out a grid
• Initial point selected randomly
• Assures uniform sampling across areas
• More complex statistically
         Temporal Variation
• Sequential measurements at one site
• Temporal correlations must be accounted
  for; if ignored, mean and confidence
  interval underestimated
• E.g. concentration of a contaminant in an
  aquifer measured at a given well on one
  day depends on the concentration on the
  previous day.
 Models for Exposure Assessment
• A model is a mathematical expression
  representing a simplified version of exposure
  processes.
• Provides a means by which diverse data on
  relevant factors can be combined to predict
  levels of human or environmental exposure
• Modeling is an iterative process of input and
  refinement
• Large range of models of different complexity,
  from back of the envelope to complex computer
  simulations (EPA-Air Pollution Models)
    Pollution Fate and Transport
               Models
• Objective- determine the average
  concentration of a pollutant in time for a
  population by one or more exposure
  pathways
• Pollutant may be a chemical or biological
  agent
• Time may range from seconds to years
• Exposure pathways-standard
    Variables in different pollutant
     transport and fate models
• Environmental transport media (air, surface or ground
  water, biota)
• Geographic scale (global, national, regional, local)
• Pollutant source characteristics (continuous or
  instantaneous release, industrial, residential or
  commercial, and point or area sources
• Risk agents (e.g., a specific compound or class of
  related subjects)
• Receptor populations (normal
  humans/animals/plants/MO, highly exposed, susceptible)
• Exposure routes (typical or unusual e.g. breast milk)
• Time Frame
             Atmospheric Models
• Focus on pollution transport, diffusion, and deposition
• Transport- movement of suspended of pollutant through the
  atmosphere
• Diffusion- microspread and dilution of individual particles and
  molecules
• Deposition- transfer to ground/water or vegetation (wet or dry)
• Many variables influence transport/diffusion/deposition
• Atmospheric stability (resist or enhance vertical motion of the air)
• Temperature inversion
• Industrial emissions dispersion a function of: stack velocity,
  temperature not atmospheric stability, and stack height
• Model Outputs
• Atmospheric concentrations
• Wet and dry deposition rates
          Types of Models
• Gaussian Plume Model- plume from an
  emission source spreads laterally and
  vertically, ascending to a Gaussian
  distribution
• Trajectory Models-compute the trajectory
  that a pollutant might follow.
• Puff Transport Models- rapid, short-
  duration emissions
• Compartmental Models
         Other Factors in Exposure
                Assessment
• Duration and frequency of exposure must be considered in an
  exposure assessment. In terms of duration, exposures may be acute
  (one-time), chronic (repeated, for a substantial fraction of the
  lifespan (example: 10%) of a lifetime). Except for acute exposures,
  there are no standardized quantitative definitions of these terms.
  Frequency of exposure is also important-exposure may be
  continuous (daily) or intermittent (less than daily, with no
  standardized, quantitative definition).
• Finally, it is important to know, for exposures of limited duration, the
  time in life during which exposure took place. For a teratogenic
  agent, for example, it is essential to know whether exposure took
  place or could take place during the subject’s pregnancy.
   The Importance of an Accurate
       Exposure Assessment
• Estimated risks are based on the results.
• Over-estimation of risks can lead to
  unnecessarily costly cleanup.
• Under-estimation can result in health risk
  on ecosystem degradation.
 Use Exposure Assessment for
      Status and Trends
• Determine exposure at a particular place
  and time as well as trends over time.
• Provide a profile of a population or a
  population segment.
• Establish effectiveness of risk mitigation
  strategy (regulations).
     Exposure Assessment in
         Epidemiology
• A goal of epidemiology is to establish a
  dose-response relationship to a
  contaminant and to identify an exposed
  population.
• Improve the chances of identifying a valid
  dose-response relationship.
• Reduces misclassification in
  epidemiological studies.
Use of Exposure Assessment in
        Epidemiology
• Case-Control studies: relates disease
  incidence to exposure by comparing
  health outcomes in a group that has
  exposure and one that doesn’t
• Reconstruction based on questionnaire
  – Questions asked concerning activities or
    locations that may result in exposure
     Population based studies
• Exposure reconstruction or assignment of
  exposure classification (i.e., high, medium, low)
• Personal monitoring
  – I.e. collect water at home along with water use
    information
  – Time period? Latency?
• Exposure modeling
  – Assess individual exposure OR generate a population
    base distribution for boundaries on risk assessment.
        Aggregate Exposure
• Sum total of exposure to a chemical via
  ALL routes of exposure and in all media
• Concentration times duration
• DDT:
  – 6 to 10 sources (fruits and veggies)
  – Three routes (air, food, water)
       Integrated Exposure
• “Area under the curve” or AUC
• Exposure profile
                    Issues in Dose and Response
Blood lead levels




                              Time (Days)
     Time-Weighted Average
• TWA
• Total dose divided by time period of
  dosing
• This is what we used for toxicology
  assumption
       One needs to answer key
      questions in every exposure
              assessment
•   Who?
•   How?
•   Where?
•   When?
•   How much?
     Who could be exposed?
• Potentially Exposed Human Populations:
• Residents
• Workers
• Sensitive Subpopulations (school children
  and the elderly)
• Visitors
• Future Population Groups
    Wildlife that could be exposed?
•   Cattle
•   Birds
•   Fish
•   Deer
•   Rabbits
•   Domestic animals
        Environmental Media
•   Soil
•   Air
•   Sediment
•   Foods
•   Water
        Routes of Exposure
• Ingestion
• Inhalation
• Dermal contact
                  Mobility
•   Water Solubility
•   Soil Binding
•   Octanol: Water Partioning
•   Vapor Pressure
    Other fate/ Transport Factors
•   Persistence
•   Microorganisms
•   Light
•   Moisture
•   pH
•   Temperature
•   Half-life
      How are people exposed?
•   Airborne Dust
•   Mother’s milk
•   Fish
•   Meat
•   Dairy Products
•   Vapors
•   Soil
•   Vegetables
•   Water
•   House Dusts
    A complete exposure pathway is
               needed
•   Source and mechanism for release
•   Transport mechanism
•   Potential contact with the contaminant
•   Absorption into blood
    Other Routes of Exposure
• Acetone: Inhalation Ingestion (drinking
  water)
• TCE: Inhalation Ingestion (drinking water)
• DDT: Dermal (soil and sediment) Ingestion
  (dust/food)
       Five Case Studies: Typical
          Exposure Scenarios
•   Case I: Airborne dust/vapor
•   Case II: Soil
•   Case III: Groundwater
•   Case IV: Sediment
•   Case V: Foods
              Case I (Who)
•   Location of Exposed Persons
•   On-site
•   Off-site
•   Air Concentration
•   Peak concentration (1 and 24 hours)
•   Annual average concentration
      Air Contaminants (When?)
•   Exposure Duration
•   Constant exposure
•   Routine (but non-continuous)
•   Sporadic
Air Contaminants (How much?)
•   Determine
•   Concentration at point of exposure
•   Breathing rate per body weight
•   Absorbed dose (uptake)
Air Contaminants (How much?)
•   Estimating Concentration
•   Direct measurements
•   Indirect measurements
•   Published emission rates
•   Mathematical models for emissions
•   Dispersion models
       Air Contaminants from Soil
             (How Much?)
•   Mathematical Models
•   Farmer’s Model
•   Jury’s Behavior Assessment Model (BAM)
•   Fugitive dust model
•   Particulate emission models
      Air Contaminants from soil
•   Factors Affecting Vapor Flux
•   Physical properties of chemical
•   Vapor pressure
•   Solubility
•   Saturation Vapor Density
•   Adsorption Tendencies
•   Molecular Weight
               Other Factors
•   Properties of Soil Matrix
•   Bulk Density
•   Porosity
•   Moisture Content
•   Organic Carbon Fraction
Other Factors (Vapor from Soil)
•   Environmental Factors
•   Humidity
•   Temperature
•   Barometric Pressure
•   Precipitation
•   Wind Speed
Air Contaminants (How much?)
•   Dispersion Models
•   Box Model
•   PTPLU
•   ISCST
•   Complex I
•   Inpuff
•   Complex II
•   FDM
Air Contaminants (How much?)
•   Other Factors
•   Fine particle enrichment
•   Particle size distribution
•   Vapor flux
Air Contaminants (How much?)
• Dose= Concentration (mg/m^3) *
  Ventilation (m^3/hr) * bioavailability (%)
      Case II:Contaminated Soil
•   Residential (children/adults)
•   Industrial (adults)
•   Parks/Recreation (children/adults)
•   Sediments due to Runoff (fishermen/fish)
•   Wildlife (grazing animals)
    Contaminated Soil (How?)
• Residential (children eat soil or dust)
• Industrial (dermal contact)
• Agricultural (food)
• Parks/recreation (ingestion/dermal
  contact)
• Wildlife (soil ingestion/forage)
Contaminated Soil (When and How
            much?)
• Frequency (Every day that it does not rain)
• Dose (Eat 10mg/day or 50 mg/day)
    Dermal Exposure Parameters
•   Concentration in soil, dust, or water
•   Soil/dust deposition rate from the air
•   Direct soil contact
•   Skin permeability rate
•   Area of exposed skin
•   Body weight
 Contaminated Soil (How much?)
• Bioavailability
• Important when estimating dose
• Often mistakenly assumed to equal 100%
  Contaminated Soil (How much?)
• Environmental Degradation
• Account for surface soil losses due to
  photolysis and vaporization.
• Account for movement to lower depths
  over time due to water solubility.
• Account for biodegradation.
    Case III: Contaminated Ground
                 Water
•   Who?
•   How?
•   When?
•   How much?
    Contaminated Ground Water
             (Who?)
• Those who use it in the home
• Wildlife
    Contaminated Water (How?)
•   Ingestion of water
•   Showering
•   Bathing
•   Dishwater
•   Uptake from garden vegetables
•   Swimming
  Contaminated Ground Water
• One time
• Weekly
• Lifetime
      Contaminated Ground Water
            (How much?)
•   Ingestion (water)
•   Adults: 0 to 2 liters/day
•   Children: 0 to 1 liter/day
•   Ingestion (due to vegetables)
•   Usually insignificant
•   Swimming
•   Usually very low or insignificant
      Contaminated Ground Water
            (How much?)
•   Inhalation (for volatiles)
•   Showering 950% of daily dose)
•   Bathing (10% of daily dose)
•   Vapor from dishwater (5% of daily dose)
    Case VI: Contaminated Sediment
•   Who?
•   How?
•   When?
•   How much?
Contaminated Sediment (Who?)
•   Sediment organisms.
•   Fishes
•   Mullusks
•   Birds
•   Muskrat and minks
•   Higher food chain
•   Humans (indirectly)
•   Humans sub-population (indirectly)
Contaminated Sediment (How?)
•   Organisms pass sediment through system
•   Fish eat benthos
•   Birds eat fish
•   People eat fish/mollusks
       Contaminated Sediment
       (When and how much?)
• Mollusks (everyday; process gallons
  water)
• Fish (everyday; eat their body weight per
  week)
• Humans (some eat game fish 2 to 5
  times/month)
    Contaminated Sediment (Tricky
               Issues)
•   Determining sediment concentration
•   Determining bioavailability
•   Determining sediment toxicity
•   Allocating chemical-specific contributions
    to toxicity
    Case V: Trace Contaminants in
          Pharmaceuticals
•   Who?
•   How?
•   When?
•   How much?
      Trace Contaminants in Drugs
          (Who, How, When?)
•   Average American (e.g. vitamins)
•   Chronic use (e.g. decongestants)
•   Infrequent use (e.g. antibiotics)
•   The unborn
   Trace Contaminants in Drugs
          (How much?)
• Average Contaminant Concentration in
  Drug
• Average daily dose of drug
• Maximum daily dose
• Average/peak 90 day dose
• Lifetime average daily dose
     Trace Contaminants in Drug
•   Pharmacokinetics
•   Biologic half-life
•   Peak body burden
•   Peak target tissue burden
    Trace Contaminants in Drugs
           (How much ?)
• Dose to the fetus
• Dose to sensitive populations (elderly,
  sick, etc.)
Warning: Do not forget dosimetrics*
• Consider peak daily dose
• Consider non-chronic effects
• Consider chronic effects
      State-of-the-Art Issues
• Consider using site/sub-population
  exposure parameters
• Soil ingestion
• Water ingestion
• Bioavailability
• Greater use of Monte Carlo analysis
• Better presentation of uncertainty
   Lifetime Average Daily Dose
• 72 year old person    • Bioavailability
• Has eaten lettuce     • 4 mg Aldrin per kg
  since age 4 (14,000     lettuce
  kg)




           C  IR  D  B
    LADD 
            BW  LT
           Empirical Data
• Direct measurement
• Usually measures applied dose
• A variety of methods and equipment have
  been developed
        Biological Monitoring
• Body burden levels or biomarkers
• Concentration of chemical in tissues or
  sera
  – Usually not the tissue of concern
  – Need to understand internal dose relationship
• Concentration of the chemical’s
  metabolites
• Biological response chemicals
• Chemical or metabolites bound to target
  molecules
           Modeling Exposure
•   “Exposure Scenarios”
•   Recreating past doses
•   Predicting future doses
•   Two major components
    – Chemical concentrations (including time
      trends)
    – Population characterizations
          Defining Objectives
• Why is the study being conducted? What
  questions does the study intend to address and
  to what uses will the results be put?
• Where does the study area begin and where
  does it end? Is the intent of the study to make
  inferences on a national, regional, or local
  scale?
• Who is to be monitored? Will the study involve
  human and/or nonhuman populations? How are
  they to be identified, characterized, and
  stratified?
Defining Objectives (Continued)
• What substances and what media will be
  measured? What is known about the
  environmental fate as well as the fate of the
  substance within the receptor organism?
• What are the important exposure pathways?
• What is known about expected concentration
  levels, analytical methods, and detection limits?
• How will the samples be collected? How
  frequently will the sampling be conducted? Is the
  intent to characterize exposure as a function of
  specified variables?
   Use of Measurement Data in
  Making Inferences for Exposure
           Assessments
• The primary purpose for making measurements
  and using data related to exposure assessments
  is to make inferences from the measurements to
  the whole.
• The exposure assessor must have a clear
  picture between the sample and whole.
• It is the exposure assessor’s primary
  responsibility to understand, explain, and justify
  the relationship between the sample data and
  the inferences or conclusions being drawn from
  the data in the assessment.
          Important goals for the
        Improvement of Exposure
               Information
• Collect data over time (Establish a “baseline”, and follow
  trends)
• Establish standard methods and protocols (Use standard
  methods and protocols, and apply consistent
  requirements for quality control/quality assurance)
• Develop statistically representative sampling data (Allow
  extrapolation beyond the individual study)
• Collect more measurements of exposure
• (For developing, validating, and refining human exposure
  models)
• Support epidemiologic studies
         Important goals for the
       Improvement of Exposure
              Information
• Collect data over appropriate time frames
  (Support epidemiologic studies, allow evaluation
  or prediction of acute and subchronic, as well as
  chronic effects
• Characterize total human exposures (Allow
  evaluation of total exposures to individual,
  multiple polluntants)
• Allow source apportionment or identification of
  key sources of exposure
          Important goals for the
        Improvement of Exposure
               Information
• Characterize exposures to pollutant mixtures (For
  individual routes of exposure)
• Identify high-risk groups (Identify biologically susceptible
  subpopulations and subgroups receiving exposures at
  upper tail of exposure distribution, or “high-end”
  exposures
• Address environmental inequities
• Identify regional, ethnic, or socioeconomic
  subpopulations likely to receive “high-end” exposures
• Develop distributions of exposure (Allow characterization
  of variability and uncertainty in exposure parameters,
  estimates, and measurements
  Exposure Factors Handbook
• Drinking water         • Body surface areas
  consumption rates      • Body weights
• Breast milk            • Shower times,
  consumption rates        intensities,
• Consumption rates of     temperatures
  foods                  • Animal exposures
• Soil ingestion rates     – Domestic
• Breathing rates          – Wildlife
  Standard Regulatory Defaults
• Point estimates
  – 2 L water / day, RME adult
  – 1.4 L water / day, Avg. adult
  – 1.0 L water / day, avg child
• Variability?
  – Geographic
  – Cultural
• Variability versus central tendencies
            Dermal exposure
•   Cutaneous permeability
•   Dermal bioavailability
•   Skin surface area
•   Soil loading on the skin
Skin uptake of a chemical in soil
•   Uptake = C × A × r × B
•   C in mg material per kg soil
•   A in cm2
•   r in mg / cm2
•   B is unitless (bioavailability)
       Monte Carlo Analysis
• Uptake = C × A × r × B
• What if we know distributions of C, A, and
  r, and uncertainty surrounding B!
• MEI (maximally exposed individual)
• 95% worst case for each?
• 1 - (1-0.95)4 = 99.9994 case?
         Monte Carlo Analysis
•   A taste:
•   C = lognormal (12 mg / kg, 3 mg / kg)
•   A = 500 cm2
•   r = uniform (0.015 kg / cm2,0.025 kg / cm2)
•   B = lognormal (0.75, 0.02)
•   Mean Uptake = 70 mg
•   Upper 95%? = 180 mg / kg
         Monte Carlo Analysis
•   95% upper CI?
•   C = lognormal (12 mg / kg, 3)
•   A = 500 cm2
•   r = uniform (0.015 kg / cm2,0.025 kg / cm2)
•   B = lognormal (0.75, 0.02)
•   Uptake = 70 mg
                    Monte Carlo Uptake?
                                Forecast: Uptake
10,000 Trials                     Frequency Chart                     9,828 Display ed
     .025                                                                      252



     .019                                                                      189



     .013                                                                      126



     .006                                                                      63



     .000                                                                      0

            26.86      59.54             92.22               124.90   157.58
                       Certainty i s 95.00% from 49.19 to 151.37 mg

						
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