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6316215 
Journal Article 
Concentrations of perfluoroalkyl substances in human milk from Ireland: Implications for adult and nursing infant exposure 
Abdallah, MA; Wemken, N; Drage, DS; Tlustos, C; Cellarius, C; Cleere, K; Morrison, JJ; Daly, S; Coggins, MA; Harrad, S 
2020 
Yes 
Chemosphere
ISSN: 0045-6535
EISSN: 1879-1298 
246 
125724 
English 
is supplemented by 11350138 : Supplementary Data
Concentrations of 10 perfluoroalkyl substances (PFASs) were measured in 16 pools of human milk from Ireland. Only four PFASs were detected (PFOA, PFNA, PFHxS and PFOS), with concentrations dominated by PFOA which was detected in all samples at a median of 0.10 ng/mL. Concentrations and the relative abundance of PFASs in human milk from Ireland are within the range reported for other countries. Estimated exposures for nursing infants to perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS) do not suggest a health concern. A one compartment pharmacokinetic model was used to predict the intakes of PFOS and PFOA required to support the observed concentrations in human milk. This suggests current adult exposure in Ireland to PFOS is below the provisional tolerable weekly intake (TWI) proposed by EFSA. In contrast, the model predicts that the maximum concentration detected in human milk in this study, implies a level of adult exposure that would exceed EFSA's provisional TWI for PFOA. As exposure of the Irish population to PFASs via drinking water, indoor air and dust is well-characterised, current understanding suggests that the major contributor to overall exposure of the Irish population is via the diet and/or less well-studied pathways like dermal uptake from PFAS-containing fabrics and cosmetics. 
Human biomonitoring; PK modelling 
PFAS
• Additional PFAS (formerly XAgency)
• Expanded PFAS SEM (formerly PFAS 430)
     Litsearch Update: November 2021
          PubMed
          Web of Science
     Perfluorooctane
     Potassium perfluorooctanoate
• PFAS 150
     Literature Search Update December 2021
          PubMed
          WOS
     Missing 2021 searches
     Literature Search Update December 2020
          PubMed
          WOS
     Literature Search August 2019
          PubMed
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     Perfluorohexanesulfonic acid
     Perfluorooctane
     Perfluorooctanesulfonate
• PFHxA
     HAWC
• PFHxS
     Database searches
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          WOS
          Scopus
     Supplemental
          TiAb
          Full Text
          ADME/toxicokinetic (excluding models)
          Exposure assessment or characterization (no health outcome)
     Literature Search Update April 2023
          Supplemental
               ADME or Toxicokinetics (excluding models)
               Exposure assessment or characterization (no health outcome)
• PFNA
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          Pubmed
          WOS
     LitSearch: May 2019 - May 2020
          PubMed
     LitSearch: May 2020 - April 2021
          WoS
     Title and Abstract Screening
          Full Text Screening
               Excluded
                    Not relevant to PECO
               Studies Meeting PECO
                    Human health effects studies
                    PBPK models
          Tagged as Supplemental
               Exposure assessment or qualitative exposure only
• PFOA (335-67-1) and PFOS (1763-23-1)
     LitSearch: Feb 2019 - May 2020
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          WoS
     Literature Search Update (Apr 2019 - Sep 2020)
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• PFOA and PFOS OW MCLG Approaches
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