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Implementation of the basic hazard index screening for health risks associated with simultaneous exposure to multiple chemicals using a standardized target organ and systems framework
Author(s) -
Adams Valerie H,
McAtee Matthew J,
Johnson Mark S
Publication year - 2017
Publication title -
integrated environmental assessment and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.665
H-Index - 57
eISSN - 1551-3793
pISSN - 1551-3777
DOI - 10.1002/ieam.1899
Subject(s) - hazard , standardization , hazard analysis , risk analysis (engineering) , risk assessment , chemical safety , computer science , chemical toxicity , warrant , environmental health , business , reliability engineering , toxicity , engineering , medicine , chemistry , computer security , organic chemistry , operating system , finance
Environmental health risk assessments often involve assessing the potential health effects of exposure to multiple chemicals at once (i.e., complex mixtures). Because the possible number of chemical combinations is very large, few controlled in vivo toxicological studies with chemical mixtures are relevant or practical. In lieu of specific mixture toxicity data, the segregated hazard index (HI) approach has been used to determine whether simultaneous exposures may warrant further investigation due to their combined adverse effects. Each chemical is assigned to one or more target organs based on critical effects; HIs for each target organ are generated by summing the individual hazard quotients for each of the chemicals assigned to that organ or organ system. To conduct this phased risk assessment approach in a consistent manner, a comprehensive, systematized list of toxicity targets for implementing this approach is needed. We present a comprehensive and standardized list of toxicity target organs and systems (TTOS), with example data sets, for consistent implementation of the segregated HI method. This method is designed to facilitate the standardization of the widespread use of the basic segregated HI approach. The basic hazard index mixtures screening (BHIMS) tool allows for rapid identification of exposure concerns that may warrant further and more sophisticated assessment. Integr Environ Assess Manag 2017;13:852–860. Published 2017. This article is a US Government work and is in the public domain in the USA.