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Chemicals, forever: how do you fix a problem like PFAS?

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Sunday, April 28, 2024

EdBelkin/ShutterstockA landmark legal settlement has once again focused our attention on the dangers of “forever chemicals”. This class of chemicals, technically known as per-and polyfluoroalkyl substances, or PFAS, are widely used to make nonstick or waterproof products. The problem is, the chemicals move easily around the environment, pollute groundwater and rivers, are often carcinogenic – and they don’t degrade. This month, one of the largest makers of these chemicals, 3M, had its offer of A$16 billion to clean up PFAS-contaminated waterways approved by a US court. It’s just the latest in a series of PFAS lawsuits across the United States. While increased attention is welcome, there’s no guarantee of success. Removing and destroying PFAS from wastewater streams across a single US state, Minnesota, would cost a minimum of $21 billion over 20 years. Globally, a recent report by the chemical safety nonprofit ChemSec found the costs of PFAS remediation alone amount to around $26 trillion per year – not including rising healthcare costs from exposure to PFAS, or damage to the environment. The 3M settlement is just the tip of the iceberg. The problem now is how to actually clean up these chemicals – and prevent further pollution. Remediation is expensive – and uncertain In Australia, contamination is worst in firefighter training grounds and on defence force bases, due to the long-term use of firefighting foams full of PFAS. The discovery of this contamination triggered a wave of lawsuits. The Department of Defence has since paid out more than $366 million in class action lawsuits. Defence has also assumed responsibility for managing, remediating and monitoring PFAS contamination on and around its bases. In 2021, the department began to actively set about remediation. Read more: Removing PFAS from public water systems will cost billions and take time – here are ways you can filter out harmful 'forever chemicals' at home That sounds promising – find the pollution and fix the problem. But the reality is much more complicated. A 2022 parliamentary inquiry described PFAS remediation as an emerging and experimental industry. This is correct. There’s a great deal of basic scientific research we have to do. This is not a simple problem. These chemicals seep into the soil and groundwater – and stay there. It’s hard to get them out. As a result, most remediation work at defence bases to date has been part of research and development, rather than a wide-scale permanent cleanup. To help, the defence department has brought in three major industry partners, including Emerging Compounds Treatment Technologies. We don’t know how they are doing the cleanup or if their methods work, as this information is not publicly accessible. The three companies have sought intellectual property protection to support their technological advantage in the growing PFAS remediation market. One of the companies, Venetia, told the parliamentary inquiry: [there] are still significant gaps in knowledge in keys areas such as human health toxicology, PFAS behaviour in the environment and remediation of PFAS in soil and water PFAS is a much bigger problem Significant PFAS contamination has now been reported in: – Melbourne’s West Gate Tunnel construction site. Soil contamination at the most polluted site is hundreds of times worse than a threshold set by the state’s environmental protection agency – Western Australian mines – WA waste management facilities – Southeast Queensland water reclamation plants – Perth’s public and private airports – Operating and closed landfills. The full extent of PFAS contamination in Australia is still emerging. Recent research has found Australia is one of several toxic hotspots for PFAS, relative to the rest of the world. Getting forever chemicals out of groundwater is going to be hard – but necessary. Mumemories/Shutterstock Worse, current monitoring practices are likely to be underestimating how much PFAS is lingering in the environment, given we usually only track a handful of these chemicals – out of more than 16,000. Experts have called for: improved understanding of the range of PFAS embodied in consumer and industrial products […] to assess the environmental burden and develop mitigation measures The more we look, the more alarming the picture appears. Emerging research has found PFAS in consumer products such as cosmetics, packaging, waterproofing, inks, pesticides, medical articles, polishes and paints, metal plating, pipes and cables, mechanical components, electronics, solar cells, textiles and carpets. The size and complexity of PFAS contamination suggests we are in for a very long and expensive process to begin cleaning it up – especially given we are still making and using these chemicals. Read more: Controversial ‘forever chemicals’ could be phased out in Australia under new restrictions. Here’s what you need to know How should we respond? To start addressing the problem, here are three important steps. 1. Introduce a “polluter pays” principle. The introduction of this concept is what forced 3M to pay up in the US. Australia has yet to follow suit, which is why the public has been footing the bill. If we introduce this legal principle, manufacturers will have to take responsibility. This would make it much less attractive for companies to make polluting products – and shift the burden from taxpayers to the companies responsible. Australia’s government is considering pursuing similar legal action against 3M. 2. Set PFAS contamination standards in line with other OECD countries, or better. Earlier this month, the US implemented the first legally enforceable national drinking water standards for five PFAS compounds and two PFAS mixtures. Australia’s current acceptable drinking water guidelines allow up to 140 times more PFAS in our water than these strict new US standards. In the US, these new standards are drawing new investment in remediation. 3. Take it seriously. For years, many of us thought all you had to do to avoid PFAS was not to buy nonstick pans. But these chemicals are now everywhere. They’re highly persistent and don’t leave our bodies easily. Every single person on the planet is now likely to have detectable levels of PFAS in their blood. Reducing this dangerous chemical load is going to take a lot of work to clean up existing hotspots, stop further production, and prevent recirculation of PFAS in recycled products or in our food. The 3M settlement is a good start. But it’s only a start. Tackling this problem is going to be hard, but necessary. Read more: PFAS: how research is uncovering damaging effects of 'forever chemicals' Rachael Wakefield-Rann receives research funding from various government and non-government organisations. She does not work for, consult, own shares in or receive funding from any company or organisation that would financially benefit from this article, and has disclosed no relevant affiliations beyond her academic appointment.Sarah Wilson does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

In Australia, the taxpayer has footed the bill for the forever chemical clean-up so far. But this will have to change.

EdBelkin/Shutterstock

A landmark legal settlement has once again focused our attention on the dangers of “forever chemicals”.

This class of chemicals, technically known as per-and polyfluoroalkyl substances, or PFAS, are widely used to make nonstick or waterproof products. The problem is, the chemicals move easily around the environment, pollute groundwater and rivers, are often carcinogenic – and they don’t degrade.

This month, one of the largest makers of these chemicals, 3M, had its offer of A$16 billion to clean up PFAS-contaminated waterways approved by a US court. It’s just the latest in a series of PFAS lawsuits across the United States.

While increased attention is welcome, there’s no guarantee of success. Removing and destroying PFAS from wastewater streams across a single US state, Minnesota, would cost a minimum of $21 billion over 20 years. Globally, a recent report by the chemical safety nonprofit ChemSec found the costs of PFAS remediation alone amount to around $26 trillion per year – not including rising healthcare costs from exposure to PFAS, or damage to the environment. The 3M settlement is just the tip of the iceberg.

The problem now is how to actually clean up these chemicals – and prevent further pollution.

Remediation is expensive – and uncertain

In Australia, contamination is worst in firefighter training grounds and on defence force bases, due to the long-term use of firefighting foams full of PFAS. The discovery of this contamination triggered a wave of lawsuits. The Department of Defence has since paid out more than $366 million in class action lawsuits.

Defence has also assumed responsibility for managing, remediating and monitoring PFAS contamination on and around its bases. In 2021, the department began to actively set about remediation.


Read more: Removing PFAS from public water systems will cost billions and take time – here are ways you can filter out harmful 'forever chemicals' at home


That sounds promising – find the pollution and fix the problem. But the reality is much more complicated.

A 2022 parliamentary inquiry described PFAS remediation as an emerging and experimental industry.

This is correct. There’s a great deal of basic scientific research we have to do. This is not a simple problem. These chemicals seep into the soil and groundwater – and stay there. It’s hard to get them out.

As a result, most remediation work at defence bases to date has been part of research and development, rather than a wide-scale permanent cleanup.

To help, the defence department has brought in three major industry partners, including Emerging Compounds Treatment Technologies. We don’t know how they are doing the cleanup or if their methods work, as this information is not publicly accessible. The three companies have sought intellectual property protection to support their technological advantage in the growing PFAS remediation market.

One of the companies, Venetia, told the parliamentary inquiry:

[there] are still significant gaps in knowledge in keys areas such as human health toxicology, PFAS behaviour in the environment and remediation of PFAS in soil and water

PFAS is a much bigger problem

Significant PFAS contamination has now been reported in:

– Melbourne’s West Gate Tunnel construction site. Soil contamination at the most polluted site is hundreds of times worse than a threshold set by the state’s environmental protection agency

– Western Australian mines

– WA waste management facilities

– Southeast Queensland water reclamation plants

– Perth’s public and private airports

– Operating and closed landfills.

The full extent of PFAS contamination in Australia is still emerging. Recent research has found Australia is one of several toxic hotspots for PFAS, relative to the rest of the world.

groundwater pipe
Getting forever chemicals out of groundwater is going to be hard – but necessary. Mumemories/Shutterstock

Worse, current monitoring practices are likely to be underestimating how much PFAS is lingering in the environment, given we usually only track a handful of these chemicals – out of more than 16,000.

Experts have called for:

improved understanding of the range of PFAS embodied in consumer and industrial products […] to assess the environmental burden and develop mitigation measures

The more we look, the more alarming the picture appears. Emerging research has found PFAS in consumer products such as cosmetics, packaging, waterproofing, inks, pesticides, medical articles, polishes and paints, metal plating, pipes and cables, mechanical components, electronics, solar cells, textiles and carpets.

The size and complexity of PFAS contamination suggests we are in for a very long and expensive process to begin cleaning it up – especially given we are still making and using these chemicals.


Read more: Controversial ‘forever chemicals’ could be phased out in Australia under new restrictions. Here’s what you need to know


How should we respond?

To start addressing the problem, here are three important steps.

1. Introduce a “polluter pays” principle.

The introduction of this concept is what forced 3M to pay up in the US. Australia has yet to follow suit, which is why the public has been footing the bill. If we introduce this legal principle, manufacturers will have to take responsibility. This would make it much less attractive for companies to make polluting products – and shift the burden from taxpayers to the companies responsible. Australia’s government is considering pursuing similar legal action against 3M.

2. Set PFAS contamination standards in line with other OECD countries, or better.

Earlier this month, the US implemented the first legally enforceable national drinking water standards for five PFAS compounds and two PFAS mixtures. Australia’s current acceptable drinking water guidelines allow up to 140 times more PFAS in our water than these strict new US standards. In the US, these new standards are drawing new investment in remediation.

3. Take it seriously.

For years, many of us thought all you had to do to avoid PFAS was not to buy nonstick pans. But these chemicals are now everywhere. They’re highly persistent and don’t leave our bodies easily. Every single person on the planet is now likely to have detectable levels of PFAS in their blood. Reducing this dangerous chemical load is going to take a lot of work to clean up existing hotspots, stop further production, and prevent recirculation of PFAS in recycled products or in our food.

The 3M settlement is a good start. But it’s only a start. Tackling this problem is going to be hard, but necessary.


Read more: PFAS: how research is uncovering damaging effects of 'forever chemicals'


The Conversation

Rachael Wakefield-Rann receives research funding from various government and non-government organisations. She does not work for, consult, own shares in or receive funding from any company or organisation that would financially benefit from this article, and has disclosed no relevant affiliations beyond her academic appointment.

Sarah Wilson does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

Read the full story here.
Photos courtesy of

Texas reaches $12.6 million settlement in connection with 2019 Port Neches chemical plant explosion

The settlement directs TCP Group to repair equipment and to pay $12.6 million in penalties for clean air violations at its Southeast Texas facility.

Sign up for The Brief, The Texas Tribune’s daily newsletter that keeps readers up to speed on the most essential Texas news. Texas reached a $12.6 million settlement with TPC Group over environmental violations related to the November 2019 explosions at the company’s Port Neches chemical plant, Texas Attorney General Ken Paxton announced Friday. The settlement requires TPC Group to repair or replace its equipment and to pay $12.6 million in penalties for violations of state emissions laws at the company’s Port Neches plant after the 2019 blast. The explosions the day before Thanksgiving 2019 prompted the evacuations of more than 50,000 people from the area — about 100 miles east of Houston. The blasts spewed more than 11 million pounds of hazardous substances, causing more than $130 million in offsite property damage and additional impacts to human health and the environment, according to the U.S. Justice Department. Texas sued TPC Group in 2020, alleging that the company continued to operate its plant in Port Neches despite knowing that the facility had issues and for violating emissions limits even after the blast. The state also alleged that the Houston-based company violated clean air laws multiple times from January 2018 to September 2019. In a statement, TPC Group said that it was “working closely” with the Texas Commission on Environment Quality and the attorney general’s office to ensure its compliance with the state’s emission limits. The company described “operational challenges caused by custom emission control units” that it installed while converting the Port Neches plant after the explosion. “TPC Group is committed to complying with the emission limits of its permits and has been working diligently to address the issues,” Sara Cronin, TPC Group’s vice president of communications and public affairs, said in a statement. “The agreement is reflective of our dedication to work every day to be a positive part of the communities in which we operate and a leader in producing C4 petrochemicals. In May, TPC Group pleaded guilty to a violation of the Clean Air Act and agreed to pay more than $30 million associated with the explosions. The company filed for bankruptcy in 2022. In August, it agreed to pay $150 million in penalties related to violations alleged by the Texas Commission on Environmental Quality. The most important Texas news,sent weekday mornings. “In Texas, we believe in ensuring all industries operate safely and being responsible stewards of our environment,” Paxton said in a statement Friday. “These penalties send a clear message: operate responsibly to protect the health and safety of your fellow Texans, or face the consequences.”

What is methanol and how does it affect the body?

Travellers are being warned of the dangers after six tourists in Laos died from methanol poisoning.

What is methanol and how does it affect the body?Michelle RobertsDigital health editor, BBC NewsGetty ImagesThe UK Foreign Office advises travellers: "Take care if offered, particularly for free, or when buying spirit-based drinks. If labels, smell or taste seem wrong then do not drink."Travellers are being warned of the dangers of methanol poisoning after six tourists to Laos have died. Methanol is an industrial chemical found in antifreeze and windshield washer fluid. It's not meant for human consumption and is highly toxic.Drinking even small amounts can be damaging. A few shots of bootleg spirit containing it can be lethal. What does methanol do to you?It looks and tastes like alcohol, and the first effects are similar - it can make you feel intoxicated and sick.Initially, people might not realise anything is wrong. The harm happens hours later as the body attempts to clear it from the body by breaking it down in the liver. This metabolism creates toxic by-products called formaldehyde, formate and formic acid.These build up, attacking nerves and organs which can lead to blindness, coma and death. Dr Christopher Morris, a senior lecturer at Newcastle University, said: "Formate, which is the main toxin produced, acts in a similar way to cyanide and stops energy production in cells, and the brain seems to be very vulnerable to this. "This leads to certain parts of the brain being damaged. The eyes are also directly affected and this can cause blindness which is found in many people exposed to high levels of methanol."So far, five of the six who have died have been women.Toxicity from methanol is related to the dose you get and how your body handles it.As with alcohol, the less you weigh, the more you can be affected by a given amount.Dr Knut Erik Hovda from Médecins Sans Frontières (MSF), which tracks methanol poisonings, says awareness varies a lot among tourists and healthcare staff in different parts of the world - and that could mean delays in diagnosing it."The symptoms are often so vague until you get really sick," he told the BBC.How is methanol poisoning treated?Poisoning is a medical emergency and should be treated in hospital. There are drug treatments that can be given, as well as dialysis to clean the blood. Some cases can be treated using alcohol (ethanol) to outcompete the methanol metabolism. But this has to be done quickly.Prof Alastair Hay, an expert in environmental toxicology from the University of Leeds, explained: "Ethanol acts as a competitive inhibitor largely preventing methanol breakdown, but markedly slowing it down, allowing the body to vent methanol from the lungs and some through the kidneys, and a little through sweat.”Dr Hovda said getting help quickly after consuming methanol was crucial to chances of surviving."You can ease all affects if you get to hospital early enough and that hospital has the treatment needed," he said."You can die from a very small proportion of methanol and you can survive from a quite substantial one, if you get to help."The most important antidote is regular alcohol."Getty ImagesMethanol is an industrial chemical found in antifreeze and windshield washer fluid. It's not meant for human consumption and is highly toxicHow can travellers avoid methanol poisoning?MSF says the majority of methanol poisonings happen in Asia, but some also occur in Africa and Latin America.The advice for travellers is to know what you’re drinking and be aware of the risks.Drink from reputable, licensed premises and avoid home-brewed drinks or bootleg spirits.Methanol is produced during the brewing process and concentrated by distillation. Commercial manufacturers will reduce it to levels which are safe for human consumption. However, unscrupulous backyard brewers or others in the supply chain may sometimes add industrially produced methanol, to make it go further and increase profits. Dr Hovda said methanol was mixed into alcohol "mostly for profit reasons, because it's cheaper and easily available".It is also possible for high levels of methanol to be produced by contaminating microbes during traditional ethanol fermentation.The UK Foreign Office advises travellers: "Take care if offered, particularly for free, or when buying spirit-based drinks. If labels, smell or taste seem wrong then do not drink."Which drinks could contain methanol?Affected drinks may include:To protect yourself from methanol poisoning:Seek urgent medical attention if you or someone you are travelling with show signs of methanol poisoning.

California limits on ‘forever chemicals’ PFAS in products are effective, study says

Levels in people’s blood for 37 chemicals linked to health issues declined after they were designated under Prop 65California’s nation-leading restrictions on toxic chemicals in consumer products reduced the population’s body levels for many dangerous compounds linked to cancer, birth defects, reproductive harm and other serious health issues.New peer-reviewed research showed levels in residents’ blood for 37 chemicals the authors analyzed had declined after the substances were designated under Proposition 65, which regulates toxic chemicals in consumer goods. Continue reading...

California’s nation-leading restrictions on toxic chemicals in consumer products reduced the population’s body levels for many dangerous compounds linked to cancer, birth defects, reproductive harm and other serious health issues.New peer-reviewed research showed levels in residents’ blood for 37 chemicals the authors analyzed had declined after the substances were designated under Proposition 65, which regulates toxic chemicals in consumer goods.Among levels that fell were highly toxic PFAS “forever chemicals”, flame retardants, diesel chemicals, phthalates and bisphenol.The findings come as the federal government faces mounting criticism for not doing enough to rein in toxic chemicals in consumer goods, and the paper’s authors say their findings suggest regulations work.“It suggests a tangible public health payoff from the state’s more stringent environmental regulations,” said Claudia Polsky, director of the Environmental Law Clinic at UC Berkeley School of Law, and a study co-author.Researchers largely looked at chemicals covered by Proposition 65, which was implemented in 1986. It requires companies that sell products in California to warn consumers if the goods contain harmful chemicals that cause cancer, birth defects or reproductive harm.About 850 chemicals have been designated under the law. The paper compared data for 37 Prop 65 chemicals, or other compounds closely related to those that are designated, for which federal regulators also track levels in the US population’s bodies.Median levels decreased for several PFAS, which are among the most common and dangerous manmade substances. PFOS and N-MeFOSAA, two PFAS compounds, dropped by 77%, and PFOA levels fell by 62% – the levels are lower than national medians. Meanwhile, median bisphenol-A (BPA) concentrations decreased 15% after the designation.skip past newsletter promotionafter newsletter promotionThough people in California showed lower levels than the rest of the US in many instances, the law’s benefits may not be limited to California: levels of toxic chemicals in people’s bodies often went down in the state and across the US in the years following the chemicals’ Prop 65 designation, suggesting companies reformulated products to avoid the compounds.However, the authors cautioned that drops in body levels may not only be attributable to Prop 65. Though levels for phthalates, a common plasticizer, dropped in California, it coincided with a push by other states and the federal government to reduce the usage of some of the compounds.The study also found evidence of companies swapping out one toxic chemical for another problematic chemical with similar chemical structure and health effects. BPA levels dropped after it was designated, but levels of a related compound, bisphenol S (BPS), increased 20% over the same period.Similarly, levels of the phthalate DEHP, used in vinyl and other plastic products, went down after it was listed in 2003. At the same time, exposures to a closely related unlisted phthalate called DiNP went up. Levels of DiNP then dropped after it was also listed in 2013.The substitution “undermines the net health benefits of some chemical-specific restrictions and illustrates the need for chemical policies that address groups of closely related chemicals as classes”, the study’s authors wrote.

More people are drinking toxic “forever chemicals” than ever, EPA report finds

More than 143 million Americans are exposed to PFAS in drinking water — 11 million greater than once thought

On Wednesday, the Environmental Protection Agency released newly-acquired data showing that over 143 million Americans are exposed to so-called “forever chemicals,” or PFAS. The source of this exposure is their drinking water — and as more data comes in, that number is expected to rise. In the analysis, the EPA learned that 11 million more people are exposed to PFAS (per- and polyfluoroalkyl substances) in their drinking water than was previously reported. The EPA performs an annual set of studies known as the Unregulated Contaminant Monitoring Rule, of which this was the fifth iteration. The UCMR mandates that water utilities across the U.S. test drinking water for 29 different PFAS compounds. PFAS are linked to health problems like high blood pressure, liver disease, lowered sperm count, and various cancers. The EPA believes that pesticides are a major source of this PFAS contamination. In a paper cited by the EPA in their research, scientists publishing in the journal Environmental Health Perspectives recommended “a more stringent risk assessment approach for fluorinated pesticides, transparent disclosure of ‘inert’ ingredients on pesticide labels, a complete phase-out of post-mold fluorination of plastic containers, and greater monitoring in the United States.” A March report by the nonprofit Center for Biological Diversity (CBD) reached a similar conclusion. After discovering that pesticides are filled with PFAS, the center urged the EPA “to take control of this situation and remove pesticide products that are contaminated with these extremely dangerous, persistent chemicals." PFAS go by the nickname "forever chemicals" because they never organically degrade. The chemicals are fluorinated to prevent many microorganisms from breaking down the strong carbon-fluorine bonds. These bonds tend to be very chemically inert, which makes it difficult for biological systems to interact with them — but also makes them uniquely able to repel oil, water and stains. This is why they are popular in a wide range of consumer products from umbrellas and clothing to furniture, cookware and food packaging. Read more about pollution

Want to Lower Chemical Exposures in Pregnancy? Quit Nail Polish, Makeup and Hair Dye

By Carole Tanzer Miller HealthDay ReporterTUESDAY, Nov. 19, 2024 (HealthDay News) -- Women who won't leave the house without makeup or a spritz of...

By Carole Tanzer Miller HealthDay ReporterTUESDAY, Nov. 19, 2024 (HealthDay News) -- Women who won't leave the house without makeup or a spritz of hairspray may want to think twice about those habits when they're pregnant or breastfeeding.New research links these and other personal care products, including hair dyes, fragrances, lotions, moisturizers and nail polishes to higher levels of so-called PFAS "forever chemicals" that are harmful to health. Researchers report in the November issue of the journal Environment International that they found significantly higher levels of these synethetic chemicals -- called per- and polyfluoroalkyl substances (PFAS) -- in the blood and breast milk of women who used the products during pregnancy. Because they resist water, oil and heat, PFAS have been used in consumer products and industry since the mid-20th century, researchers said in background notes. Over the years, they have been linked to many health issues, including heart problems, liver disease and cancers.The new study suggests that exposure to PFAS during pregnancy could lead to variety of health issues for babies. They include preterm birth and lower birth weight, as well as neurodevelopmental disorders -- even a poorer response to vaccines, said study author Amber Hall, a postdoctoral research associate at Brown University School of Public Health in Rhode Island."People who are concerned about their exposure to these chemicals during pregnancy or while breastfeeding may benefit from cutting back on personal care products during those times," Hall said in a university news release.Her team analyzed data from a study conducted between 2008 and 2011 of 2,000 pregnant women in 10 Canadian cities. The data included measurements of PFAS levels in the blood at six to 13 weeks of gestation and in breast milk after the birth. Participants self-reported how often they used eight types of products during their first and third trimesters, as well as one to two days postpartum and then again, at two to 10 weeks after giving birth.At all points, higher use of nail care products, fragrances, makeup, hair sprays, gels or dyes was associated with higher levels of PFAS in the blood. Results for third-trimester use and breast-milk concentrations were similar.By way of example, researchers noted that pregnant women who wore makeup every day in their first and third trimesters had higher levels of PFAS than those who didn't. Those who used permanent hair color one or two days after delivery had 16% to 18% higher levels of PFAS in their milk. But Hall cautioned that the study probably underestimated the extent of PFAS exposure. It examined only four types of forever chemicals among thousands deployed in industry and commerce.She conducted the investigation with the director of children's environmental health at Brown, Joseph Braun, who has studied health effect of PFAS chemicals for more than a decade."Not only do studies like these help people assess how their product choices may affect their personal risk, but they can also help us show how these products could have population-level effects," he said. "And that makes the case for product regulation and government action."SOURCE: Brown University, news release, Nov. 12, 2024Copyright © 2024 HealthDay. All rights reserved.

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