title: Implications of global climate change for the assessment and management of human health risks of chemicals in the natural environment.
abstract: Global climate change (GCC) is likely to alter the degree of human exposure to pollutants and the response of human populations to these exposures, meaning that risks of pollutants could change in the future. The present study, therefore, explores how GCC might affect the different steps in the pathway from a chemical source in the environment through to impacts on human health and evaluates the implications for existing risk-assessment and management practices. In certain parts of the world, GCC is predicted to increase the level of exposure of many environmental pollutants due to direct and indirect effects on the use patterns and transport and fate of chemicals. Changes in human behavior will also affect how humans come into contact with contaminated air, water, and food. Dietary changes, psychosocial stress, and coexposure to stressors such as high temperatures are likely to increase the vulnerability of humans to chemicals. These changes are likely to have significant implications for current practices for chemical assessment. Assumptions used in current exposure-assessment models may no longer apply, and existing monitoring methods may not be robust enough to detect adverse episodic changes in exposures. Organizations responsible for the assessment and management of health risks of chemicals therefore need to be more proactive and consider the implications of GCC for their procedures and processes.
authors.affiliation: National Institute of Environmental Health Sciences, Bethesda, MD, USA. john.balbus@nih.gov
authors.forename: John M
authors.initials: JM
authors.lastname: Balbus
authors.forename: Alistair B A
authors.initials: AB
authors.lastname: Boxall
authors.forename: Richard A
authors.initials: RA
authors.lastname: Fenske
authors.forename: Thomas E
authors.initials: TE
authors.lastname: McKone
authors.forename: Lauren
authors.initials: L
authors.lastname: Zeise
mesh_terms: D002980:Climate; D057231:Climate Change; D004777:Environment; D004781:Environmental Exposure / Q000706:statistics & numerical data; D004785:Environmental Pollutants / Q000032:analysis / Q000633:toxicity*; D006801:Humans; D008956:Models, Chemical; D012306:Risk; D018570:Risk Assessment
chemical_list: D004785:Environmental Pollutants