Human Biomonitoring of ecological Chemicals in Canada
Human Biomonitoring of Environmental Chemicals in Canada
Question 1
Biomonitoring is a very useful exposure assessment device to assess uptake of chemicals. It has been extensively applied in the occupational health setting and has in latest years obtained increasing attention as a means to accurately measure reduced levels of environmental chemicals in human tissue. The use of human tissue to consider environmental exposures is more than an analytical exercise and requires concern of the utility and interpretation of the data as well as due concern of the ethical issues. These two facets are inextricably linked.
Scientific Challenges
Aharmonised European human biomonitoring events is necessary and timely.
The aims of the navigate study should be transparent and realistic.
Asound strategy for the understanding of human biomonitoring facts and figures should be developed.
The navigate study should encompass the development of a strategy to integrate health data and environmental supervising data with human biomonitoring data at a national and international level.
Communication strategies should be in place when designing the study and evolve as the study continues.
Early communication with key stakeholders is essential in alignment to achieve maximum efficacy of any principle developments and facilitate subsequent monitoring.
Research should be undertaken in accordance with routinely agreed standards of good practice such as are laid down in the Declaration of Helsinki. These fundamental and broadly accepted ethical principles, largely drawn from from medical practice, are:
Beneficence - 'do affirmative good'
Non-maleficance - 'do no harm'
Informed Consent
Privacy and dignity
Question 2
Biomonitoring Equivalents
Interpretation of occupational biomonitoring data in a wellbeing risk context has a substantial history. A framework has been lacking, although, for the interpretation of biomonitoring data from the general public's exposure to environmental chemicals. The notion of the Biomonitoring Equivalent (BE) presented in 2007) is an approach for using accessible pharmacokinetic facts and figures and ahead dosimetry to calculate levels of biomarkers foreseen to be affiliated with exposures consistent with general community exposure guidance values such as quotation doses (RfDs), negligible risk levels (MRLs), and tolerable every day intakes (TDIs) and their inherent toxicological points of departure (PODs) as a basis for putting biomonitoring data into a public health risk context (Fi context (Fig. 1). Hays et al. (2007) identified that BEs in their simplest delineation are a basic, screening level approach for putting biomonitoring data into a health risk context (Fig. 2). Screening can be characterised as the application of simple tools or procedures that can be applied rapidly to delineate populations that may be at some stage of increased health risk from those that may not. Depending on conclusion, screening procedures need detailed confirmatory follow-up before definitive conclusions can be reached. Along a continuum of increasing sophistication (and data requirements), BEs are more sophisticated than generic screening criteria analogous to thresholds for toxicological anxiety (TTC).
Fig. 1. Schematic diagram showing parallelogram notion for calculating BEs and possible routes for drawing from a BE.
Fig. 2. Sophistication continuum of biomonitoring screening and understanding tools.