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      Per- and Polyfluoroalkyl Substances in North American School Uniforms

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          Abstract

          We analyzed 72 children’s textile products marketed as stain-resistant from US and Canadian stores, particularly school uniforms, to assess if clothing represents a significant route of exposure to per- and polyfluoroalkyl substances (PFAS). Products were first screened for total fluorine (total F) using particle-induced γ-ray emission (PIGE) spectroscopy ( n = 72), followed by targeted analysis of 49 neutral and ionic PFAS ( n = 57). PFAS were detected in all products from both markets, with the most abundant compound being 6:2 fluorotelomer alcohol (6:2 FTOH). Total targeted PFAS concentrations for all products collected from both countries ranged from 0.250 to 153 000 ng/g with a median of 117 ng/g (0.0281–38 100 μg/m 2, median: 24.0 μg/m 2). Total targeted PFAS levels in school uniforms were significantly higher than in other items such as bibs, hats, stroller covers, and swimsuits, but comparable to outdoor wear. Higher total targeted PFAS concentrations were found in school uniforms made of 100% cotton than synthetic blends. Perfluoroalkyl acids (PFAAs) precursors were abundant in school uniforms based on the results of hydrolysis and total oxidizable precursor assay. The estimated median potential children’s exposure to PFAS via dermal exposure through school uniforms was 1.03 ng/kg bw/day. Substance flow analysis estimated that ∼3 tonnes/year (ranging from 0.05 to 33 tonnes/year) of PFAS are used in US children’s uniforms, mostly of polymeric PFAS but with ∼0.1 tonne/year of mobile, nonpolymeric PFAS.

          Abstract

          High per- and polyfluoroalkyl substance (PFAS) levels in school uniforms could be an important source of PFAS exposure for children.

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          Most cited references77

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          Perfluoroalkyl and Polyfluoroalkyl Substances in the Environment: Terminology, Classification, and Origins

          The primary aim of this article is to provide an overview of perfluoroalkyl and polyfluoroalkyl substances (PFASs) detected in the environment, wildlife, and humans, and recommend clear, specific, and descriptive terminology, names, and acronyms for PFASs. The overarching objective is to unify and harmonize communication on PFASs by offering terminology for use by the global scientific, regulatory, and industrial communities. A particular emphasis is placed on long-chain perfluoroalkyl acids, substances related to the long-chain perfluoroalkyl acids, and substances intended as alternatives to the use of the long-chain perfluoroalkyl acids or their precursors. First, we define PFASs, classify them into various families, and recommend a pragmatic set of common names and acronyms for both the families and their individual members. Terminology related to fluorinated polymers is an important aspect of our classification. Second, we provide a brief description of the 2 main production processes, electrochemical fluorination and telomerization, used for introducing perfluoroalkyl moieties into organic compounds, and we specify the types of byproducts (isomers and homologues) likely to arise in these processes. Third, we show how the principal families of PFASs are interrelated as industrial, environmental, or metabolic precursors or transformation products of one another. We pay particular attention to those PFASs that have the potential to be converted, by abiotic or biotic environmental processes or by human metabolism, into long-chain perfluoroalkyl carboxylic or sulfonic acids, which are currently the focus of regulatory action. The Supplemental Data lists 42 families and subfamilies of PFASs and 268 selected individual compounds, providing recommended names and acronyms, and structural formulas, as well as Chemical Abstracts Service registry numbers. Integr Environ Assess Manag 2011;7:513–541. © 2011 SETAC
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            A Review of the Pathways of Human Exposure to Poly- and Perfluoroalkyl Substances (PFASs) and Present Understanding of Health Effects

            Here we review present understanding of sources and trends in human exposure to poly- and perfluoroalkyl substances (PFASs) and epidemiologic evidence for impacts on cancer, immune function, metabolic outcomes, and neurodevelopment. More than 4000 PFASs have been manufactured by humans and hundreds have been detected in environmental samples. Direct exposures due to use in products can be quickly phased out by shifts in chemical production but exposures driven by PFAS accumulation in the ocean and marine food chains and contamination of groundwater persist over long timescales. Serum concentrations of legacy PFASs in humans are declining globally but total exposures to newer PFASs and precursor compounds have not been well characterized. Human exposures to legacy PFASs from seafood and drinking water are stable or increasing in many regions, suggesting observed declines reflect phase-outs in legacy PFAS use in consumer products. Many regions globally are continuing to discover PFAS contaminated sites from aqueous film forming foam (AFFF) use, particularly next to airports and military bases. Exposures from food packaging and indoor environments are uncertain due to a rapidly changing chemical landscape where legacy PFASs have been replaced by diverse precursors and custom molecules that are difficult to detect. Multiple studies find significant associations between PFAS exposure and adverse immune outcomes in children. Dyslipidemia is the strongest metabolic outcome associated with PFAS exposure. Evidence for cancer is limited to manufacturing locations with extremely high exposures and insufficient data are available to characterize impacts of PFAS exposures on neurodevelopment. Preliminary evidence suggests significant health effects associated with exposures to emerging PFASs. Lessons learned from legacy PFASs indicate that limited data should not be used as a justification to delay risk mitigation actions for replacement PFASs.
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              A Never-Ending Story of Per- and Polyfluoroalkyl Substances (PFASs)?

              More than 3000 per- and polyfluoroalkyl substances (PFASs) are, or have been, on the global market, yet most research and regulation continues to focus on a limited selection of rather well-known long-chain PFASs, particularly perfluorooctanesulfonate (PFOS), perfluorooctanoic acid (PFOA) and their precursors. Continuing to overlook the vast majority of other PFASs is a major concern for society. We provide recommendations for how to proceed with research and cooperation to tackle the vast number of PFASs on the market and in the environment.
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                Author and article information

                Journal
                Environ Sci Technol
                Environ Sci Technol
                es
                esthag
                Environmental Science & Technology
                American Chemical Society
                0013-936X
                1520-5851
                21 September 2022
                04 October 2022
                : 56
                : 19
                : 13845-13857
                Affiliations
                []Paul H O’Neill School of Public and Environmental Affairs, Indiana University , Bloomington, Indiana 47405, United States
                []Department of Earth Sciences, University of Toronto , Toronto, Ontario M5S 3B1, Canada
                [§ ]School of the Environment, University of Toronto , Toronto, Ontario M5S 3E8, Canada
                []Department of Physics and Astronomy, University of Notre Dame , Notre Dame, Indiana 46556, United States
                []Department of Chemistry, University of Toronto , Toronto, Ontario M5S 3H6, Canada
                [# ]Green Science Policy Institute , Berkeley, California 94709, United States
                []Empa − Swiss Federal Laboratories for Materials Science and Technology, Technology and Society Laboratory , CH-9014 St. Gallen, Switzerland
                []Institute of Environmental Engineering, ETH Zürich , 8093 Zürich, Switzerland
                []Department of Chemistry and Biochemistry, University of Notre Dame , Notre Dame, Indiana 46556, United States
                Author notes
                [* ]Marta Venier. Email: mvenier@ 123456indiana.com . Phone: +1-(812) 855-100.
                Author information
                https://orcid.org/0000-0002-2497-1907
                https://orcid.org/0000-0001-6296-6431
                https://orcid.org/0000-0001-6311-648X
                https://orcid.org/0000-0002-2777-0588
                https://orcid.org/0000-0001-9914-7659
                https://orcid.org/0000-0003-4776-0974
                https://orcid.org/0000-0002-2089-8992
                Article
                10.1021/acs.est.2c02111
                9535897
                36129192
                8ec32957-755c-42da-863f-f292aa9a5acc
                © 2022 The Authors. Published by American Chemical Society

                Permits non-commercial access and re-use, provided that author attribution and integrity are maintained; but does not permit creation of adaptations or other derivative works ( https://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 28 March 2022
                : 16 August 2022
                : 15 August 2022
                Funding
                Funded by: Horizon 2020 Framework Programme, doi 10.13039/100010661;
                Award ID: 101036756
                Funded by: Environment and Climate Change Canada, doi 10.13039/501100008638;
                Award ID: GCXE21P039
                Categories
                Article
                Custom metadata
                es2c02111
                es2c02111

                General environmental science
                school uniforms,children’s products,pfas,fluorotelomer alcohols (ftohs),fluorotelomer methacrylates (ftmacs),pfas dermal exposure,pfas substance flow analysis, pfas hydrolysis,total oxidizable precursor (top) assay

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