Concentrations and determinants of outdoor, indoor and personal nitrogen dioxide in pregnant women from two Spanish birth cohorts

Determinants of outdoor, indoor and personal concentrations of nitrogen dioxide (NO₂) were assessed in a subset of pregnant women of the Spanish INMA (Environment and Childhood) Study. Home indoor and outdoor NO₂ concentrations were measured during 48 h with passive samplers for 50 and 58 women from the INMA cohorts of Valencia and Sabadell, respectively. Women from Sabadell also carried personal NO₂ samplers during the same period. Data on time–activity patterns, socio-economic characteristics, and environmental exposures were obtained through questionnaires. Multiple linear regression models were developed to predict NO₂ levels.In Valencia, median outdoor NO₂ levels (42 µg/m³) were higher than median indoor levels (36 µg/m³). In Sabadell, personal NO₂ showed the highest median levels (40 µg/m³), followed by indoor (32 µg/m³) and outdoor (29 µg/m³) levels. Personal exposure to NO₂ correlated best with the indoor NO₂ levels. Temporal and traffic-related variables were significant predictors for outdoor NO₂ levels. Thirty-two percent of the indoor NO₂ variability in the two cohorts was explained by outdoor NO₂ levels and the use of the gas appliances. The model for personal exposure accounted for 59% of the variance in NO₂ levels in Sabadell with four predictor variables (outdoor and indoor NO₂ levels, time spent in outdoor environments and time exposed to a gas cooker). No significant association was found between personal or indoor NO₂ levels and exposure to environmental tobacco smoke (ETS) at home.Personal NO₂ levels were found to be strongly influenced by indoor NO₂ concentrations. The study supports the use of time–activity patterns along with indoor measurements to predict personal exposure to traffic-related air pollution.     

Relationships among personal,indoor and outdoor NO2 measurements

Using integrating NO₂ diffusion dosimeters, personal, indoor and outdoor exposures were measured for nine families in Topeka, Kansas. NO₂ exposures in homes that used gas for cooking were clearly different from those in homes that used electricity. The gas-cooking homes had indoor levels three times the outdoor levels. Members of the gas-cooking households had levels twice those of electric-cooking families and twice the outdoor levels. A linear model that includes outdoor concentrations and stove types explains 77% of the variance in observed NO₂ exposure. The differential NO₂ exposures in homes with and without gas stoves should be considered in epidemiologic studies of the health effects of air pollution.     

Modeling indoor air pollution of outdoor origin in homes of SAPALDIA subjects in Switzerland

Given the shrinking spatial contrasts in outdoor air pollution in Switzerland and the trends toward tightly insulated buildings, the Swiss Cohort Study on Air Pollution and Lung and Heart Diseases in Adults (SAPALDIA) needs to understand to what extent outdoor air pollution remains a determinant for residential indoor exposure. The objectives of this paper are to identify determining factors for indoor air pollution concentrations of particulate matter (PM), ultrafine particles in the size range from 15 to 300 nm, black smoke measured as light absorbance of PM (PM_absorbance) and nitrogen dioxide (NO₂) and to develop predictive indoor models for SAPALDIA. Multivariable regression models were developed based on indoor and outdoor measurements among homes of selected SAPALDIA participants in three urban (Basel, Geneva, Lugano) and one rural region (Wald ZH) in Switzerland, various home characteristics and reported indoor sources such as cooking. Outdoor levels of air pollutants were important predictors for indoor air pollutants, except for the coarse particle fraction. The fractions of outdoor concentrations infiltrating indoors were between 30% and 66%, the highest one was observed for PM_absorbance. A modifying effect of open windows was found for NO₂ and the ultrafine particle number concentration. Cooking was associated with increased particle and NO₂ levels. This study shows that outdoor air pollution remains an important determinant of residential indoor air pollution in Switzerland.     

Comparison of indoor and outdoor air quality at two staff quarters in Hong Kong

The indoor and outdoor air quality of two staff quarters of Hong Kong Polytechnic University at Tsim Sha Tsui East (TSTE) and Shatin (ST) were investigated. The air sampling was carried out in winter for about two months starting from January to February of 1996. Fifteen flats from each staff quarter were randomly selected for indoor/outdoor air pollutant measurements. The pollutants measured were NO_x, NO, NO₂, SO₂, CO, and O₃. The variations of pollutant concentrations between indoor and outdoor air were investigated on weekday mornings, weekday evenings, weekend mornings, and weekend evenings. All indoor/outdoor pollutant concentrations measured did not exceed the ASHRAE/NAAQS standard. The carbon monoxide concentrations indoors were systemically higher than those outdoors at the TSTE and the ST quarters, both on weekdays and Sunday, which indicates there are CO sources indoors. Except for CO, the indoor levels of other pollutants (NO_x, NO, NO₂, SO₂, and O₃) are lower than those outdoors. There was a significant correlation (P < 0.05) between indoor and outdoor concentrations for SO₂ and O₃ at both the TSTE and the ST quarters. Except for O₃, the mean concentrations of all the pollutants in the TSTE quarters, both indoor and outdoor, were higher than that of the ST quarters in all sampling periods. All indoor and outdoor O₃ levels were lower at the TSTE quarters than those at the ST quarters. The O₃ ratios of TSTE/ST were 0.72 outdoor and 0.79 indoor. This can be explained by the NO titration reaction through NO conversion to NO₂.     

Personal monitoring for nitrogen dioxide exposure: Methodological considerations for a community study

Personal exposure to nitrogen dioxide (NO₂) and time spent in various locations were measured for 66 family members from 19 homes in the Portage, WI area during March 1981. Passive diffusion NO₂ monitors were placed outdoors, in the kitchen, and in one bedroom on each floor of the homes, and were worn by family members. Individuals from gas-cooking homes had significantly higher average NO₂ exposures than those from homes using electricity for cooking (mean difference 19.37 μg/m³). Personal exposures were more closely related to bedroom levels than to kitchen or outdoor concentrations for both cooking fuel groups. Several preliminary models are presented which relate average personal NO₂ exposure to indoor and ambient levels, and also to the proportion of time spent in different locations. These models are capable of explaining nearly 90% of the variation about the mean in personal exposure.     

Recent advances in SO2, NOx, and O3 personal monitoring

Since the air pollution as measured by stationary monitoring stations is a poor indicator of the population exposure, personal monitors are indispensible to health effects studies. This article reviews the current research on the development of personal monitors. Although most of the analytical methods reviewed in this study appear to be sensitive to the levels of the target pollutants NO₂, SO₂, and O₃ generally encountered in indoor and outdoor air, they lack the desired performance characteristics for a personal monitoring device, such as user safety and ease of operation, weight, and maintenance. Electrochemical transducers/sensors, which have not yet been exploited, are attractive candidates for the application to personal monitoring. This technique has an added feature of generating real-time measurements. A few research models and commercially attractive devices that can be used in field studies are included.     

Comparisons of elements and inorganic compounds inside and outside of residences

The results of more than 1 yr of air monitoring inside and outside of five homes in each of two communities are presented for SO₂, NO₂, mass respirable particles, SO₄, Al, Br, Cl, Mn, Na, and V. Outdoor measurements across the home site in each city are consistent with proximity to outdoor sources. Looking across indoor residential sites in each city, the home appears to alter outdoor concentrations in several ways. Indoor level of SO₂, SO₄, Mn, and V are lower than those measured outdoors. These constituents are thought generally to result from outdoor sources. The other constituents studied are at times found in excess within homes. In some cases the source or sources of excess concentration of a particular constituent could be identified; often, however, the source of excess indoor concentration could not be identified.     

Seasonal variation in outdoor,indoor, and personal air pollution exposures of women using wood stoves in the Tibetan Plateau: Baseline assessment for an energy intervention study

Cooking and heating with coal and biomass is the main source of household air pollution in China and a leading contributor to disease burden. As part of a baseline assessment for a household energy intervention program, we enrolled 205 adult women cooking with biomass fuels in Sichuan, China and measured their 48-h personal exposure to fine particulate matter (PM_2.5) and carbon monoxide (CO) in winter and summer. We also measured the indoor 48-h PM_2.5 concentrations in their homes and conducted outdoor PM_2.5 measurements during 101 (74) days in summer (winter). Indoor concentrations of CO and nitrogen oxides (NO, NO₂) were measured over 48-h in a subset of ~ 80 homes. Women's geometric mean 48-h exposure to PM_2.5 was 80 μg/m³ (95% CI: 74, 87) in summer and twice as high in winter (169 μg/m³ (95% CI: 150, 190), with similar seasonal trends for indoor PM_2.5 concentrations (winter: 252 μg/m³; 95% CI: 215, 295; summer: 101 μg/m³; 95% CI: 91, 112). We found a moderately strong relationship between indoor PM_2.5 and CO (r = 0.60, 95% CI: 0.46, 0.72), and a weak correlation between personal PM_2.5 and CO (r = 0.41, 95% CI: − 0.02, 0.71). NO₂/NO ratios were higher in summer (range: 0.01 to 0.68) than in winter (range: 0 to 0.11), suggesting outdoor formation of NO₂ via reaction of NO with ozone is a more important source of NO₂ than biomass combustion indoors. The predictors of women's personal exposure to PM_2.5 differed by season. In winter, our results show that primary heating with a low-polluting fuel (i.e., electric stove or wood-charcoal) and more frequent kitchen ventilation could reduce personal PM_2.5 exposures. In summer, primary use of a gaseous fuel or electricity for cooking and reducing exposure to outdoor PM_2.5 would likely have the greatest impacts on personal PM_2.5 exposure.     

Estimation of exposure to atmospheric pollutants during pregnancy integrating space–time activity and indoor air levels: Does it make a difference?

Studies of air pollution effects during pregnancy generally only consider exposure in the outdoor air at the home address. We aimed to compare exposure models differing in their ability to account for the spatial resolution of pollutants, space–time activity and indoor air pollution levels. We recruited 40 pregnant women in the Grenoble urban area, France, who carried a Global Positioning System (GPS) during up to 3 weeks; in a subgroup, indoor measurements of fine particles (PM_2.5) were conducted at home (n = 9) and personal exposure to nitrogen dioxide (NO₂) was assessed using passive air samplers (n = 10). Outdoor concentrations of NO₂, and PM_2.5 were estimated from a dispersion model with a fine spatial resolution. Women spent on average 16 h per day at home. Considering only outdoor levels, for estimates at the home address, the correlation between the estimate using the nearest background air monitoring station and the estimate from the dispersion model was high (r = 0.93) for PM_2.5 and moderate (r = 0.67) for NO₂. The model incorporating clean GPS data was less correlated with the estimate relying on raw GPS data (r = 0.77) than the model ignoring space–time activity (r = 0.93). PM_2.5 outdoor levels were not to moderately correlated with estimates from the model incorporating indoor measurements and space–time activity (r = − 0.10 to 0.47), while NO₂ personal levels were not correlated with outdoor levels (r = − 0.42 to 0.03). In this urban area, accounting for space–time activity little influenced exposure estimates; in a subgroup of subjects (n = 9), incorporating indoor pollution levels seemed to strongly modify them.     

Spatial variation of carbon monoxide and oxides of nitrogen concentrations inside residences

A spatial comparison of pollutant concentrations within the residential environment is undertaken, comparing pollutant concentrations from three indoor sampling locations (zones). The indoor air quality base was obtained from sampling the indoor air of 12 residential sites and two office buildings in the metropolitan Boston area. Each residential site was monitored continuously for two weeks, and data were reduced into hourly averages. Interzonal comparisons of the mean of hourly averages, 24-h averages, and daily maximum hourly concentrations were made at all sites. Linear regressions were computed between daily maximum hourly concentrations and mean 24-h concentrations of NO, NO₂, and CO for kitchens to determine whether maximum hourly concentrations could be predicted from the 24-h concentration. These pollutants show interzonal statistical differences in residences with gas-fired cooking facilities but not in residences with electric cooking facilities. It was determined that, while one indoor sampling zone is not sufficient to specify indoor pollutant concentration maxima in residences having indoor sources of pollution, the daily mean of hourly pollutant concentrations obtained from one indoor zone can adequately describe the indoor environment. In addition, the maximum indoor hourly concentration for NO, NO₂, and CO can be estimated for residences with all electric facilities, by using the mean 24-h concentration. The reliability of similar estimates for NO, NO₂, and CO in residences with unvented gas appliances is reduced because of substantially more scatter in the paired data point, particularly at higher pollutant concentrations.     

Aluminum, iron, and lead content of respirable particulate samples from a personal monitoring study

Samples of respirable particulate matter collected during a personal monitoring study in Topeka, KS, were analyzed for iron, aluminum, and lead content. The sampling protocol and instrumentation are described in detail. Lead indoor concentrations (median = 79 ng/m³) were found to be less than both personal (median = 112 ng/m³) and outdoor lead concentrations (median = 106 ng/m³). The indoor, outdoor, and personal levels of iron and aluminum were not significantly different. In addition, it was determined that outdoor respirable particulate mass does not correlate well with the personal or indoor metal concentrations, and that the amount of time spent in motor vehicles is a relatively good indicator of lead exposures. The relationships between indoor, outdoor, and personal lead are discussed in greater detail, with references to supporting evidence from other studies.     

Volatile organic compounds concentrations in residential indoor and outdoor and its personal exposure in Korea

To date, personal volatile organic compounds (VOCs) exposure and residential indoor and outdoor VOCs levels have not been characterized in Korea. In this study, residential indoor and outdoor VOCs concentrations were measured and compared simultaneously with the personal exposure for each of 30 participants in a medium city, Asan, and in a metropolitan city, Seoul. Factors that influence personal VOCs exposures were assessed in relation to house characteristics and time activity information. All VOC concentrations were measured using passive samplers during a 24-h period and analyzed using GC-MS. Ten target VOCs were benzene, trichloroethylene, toluene, o-xylene, p-xylene, ethylbenzene, MIBK, n-octane, styrene, and 1,2-dichlorobenzene. Residential indoor and outdoor VOCs concentrations measured in Seoul were significantly higher than those in Asan. Indoor/outdoor (I/O) ratios for all target compounds ranged from 0.94 to 1.51 and I/O ratios of Asan were a little higher than those of Seoul. Results indicate that time activity information can be used to predict personal exposures, although such predictions will result in an over estimation compared to measured exposures. Factors which influence the indoor VOCs level and its personal exposure in relation to house characteristics included house age, indoor smoking, and house type.     

Studies on indoor air quality in Egypt

Indoor air quality was examined for some gaseous pollutants and particulate matters. In a public library, the indoor/outdoor ratio of gaseous pollutants were found to be dependent on their reactivity, also on the outdoor concentrations and weather conditions. This ratio was 0.6 for SO₂,and 1.3 for CO. The indoor/outdoor ratio of carbon monoxide was found to increase at the higher floors of the same building. Concentrations of indoor particulates was found to be influenced by the outdoor concentrations and the particle size. Analysis indicated that indoor suspended dust contained a significant high concentration of lead as compared with outdoor values. Indoor sources were found to pollute the premises of fossil-fuel equipped homes, thus having carbon monoxide concentrations more than the recognized threshold limit value for industry.     

Radon survey in the high natural radiation region of Niska Banja, Serbia

A radon survey has been carried out around the town of Niska Banja (Serbia) in a region partly located over travertine formations, showing an enhanced level of natural radioactivity. Outdoor and indoor radon concentrations were measured seasonally over the whole year, using CR-39 diffusion type radon detectors. Outdoor measurements were performed at 56 points distributed over both travertine and alluvium sediment formations. Indoor radon concentrations were measured in 102 living rooms and bedrooms of 65 family houses. In about 50% of all measurement sites, radon concentration was measured over each season separately, making it possible to estimate seasonal variations, which were then used to correct values measured over different periods, and to estimate annual values. The average annual indoor radon concentration was estimated at over 1500 Bq/m3 and at about 650 Bq/m3 in parts of Niska Banja located over travertine and alluvium sediment formations, respectively, with maximum values exceeding 6000 Bq/m3. The average value of outdoor annual radon concentration was 57 Bq/m3, with a maximum value of 168 Bq/m3. The high values of indoor and outdoor radon concentrations found at Niska Banja make this region a high natural background radiation area. Statistical analysis of our data confirms that the level of indoor radon concentration depends primarily on the underlying soil and building characteristics.     

Indoor air quality modeling: Compartmental approach with reactive chemistry

Data on indoor/outdoor pollutant and tracer concentrations were collected during different periods in 1981 at a residence in Newton, MA. Special studies within the kitchen were conducted to determine the vertical and horizontal variability of pollutant and tracer gas concentrations. A reactive chemistry model incorporating simplified NO_x chemistry was developed to simulate pollutant concentrations indoors. Multicompartmental mathematical modeling tools were also developed and tested to estimate efficiently the effective, emission, ventilation, and removal rates, as well as the intercompartmental pollutant exchange coefficients. Model studies utilizing two- and three-compartment systems and tracer measurements proved that the dynamics of pollutant mixing inside a kitchen is not only complex but may be quite important in controlling spatial and temporal variability of reactive species. Further monitoring and modeling studies to investigate the critical aspects of the short-term dynamics of the reactive pollutants inside homes with gas cooking stoves are recommended.     

A badge-type personal sampler for measurement of personal exposure to NO2 and NO in ambient air

A badge-type personal sampler was developed for measuring personal exposure to nitrogen dioxide (NO₂). An absorbent sheet containing triethanolamine (TEA) solution absorbed NO₂ which diffused through five layers of hydrophobic fiber filter. Wind effects on absorption rate were suppressed by these filter layers. NO₂ was measured by the sampler with a sensitivity of 124.8 μg h/m³ (66 ppb h) and an accuracy of within ± 20%. It could be used for measuring personal exposure to NO₂ without interfering with the wearer's daily activities. Nitric oxide (NO) could be measured after a small modification to the sampler provided oxidation ability to the layers of diffusion filter. Three layers of hydrophobic fiber filter were replaced by 12 layers of glass fiber filter containing chromium trioxide solution. NO was oxidized to NO₂ in the oxidation layers and absorbed by the absorbent sheet together with the coexisting NO₂. Sensitivity and accuracy of the sampler for NO were nearly equal to that for NO₂.     

Measurement of carbon monoxide concentrations in indoor and outdoor locations using personal exposure monitors

On 15 dates, 5000 measurements of carbon monoxide (CO) were made in downtown commercial settings in four California towns and cities (San Francisco, Palo Alto, Mountain View, and Los Angeles), using personal exposure monitoring (PEM) instruments. Altogether, 588 different commercial settings were visited, and indoor and outdoor locations were sampled at each setting. On 11 surveys, two CO PEM's were carried about 0.15–6 m apart, giving 1706 pairs of observations that showed good agreement: the correlation coefficient was r = 0.97 or greater, and the average difference was less than 1 ppm (μL/L) by volume. Of 210 indoor settings (excluding parking garages), 204 (97.1%) had average CO concentrations less than 9 ppm (μL/L); of 368 outdoor settings, 356 (96.7%) had average CO concentrations less than 9 ppm (μL/L). For a given date and commercial setting, CO concentrations were found to be relatively stable over time, permitting levels to be characterized by making only brief visits to each setting. The data indicate that most commercial settings experience CO concentrations above zero indoors, because CO tends to seep into buildings from vehicular emissions outside. Levels in these locations usually are not above 5 ppm (μL/L) and seldom are higher than the U.S. health-related ambient air quality standards for CO. However, indoor garages and buildings with attached indoor parking areas are exceptions and can experience relatively high CO concentrations.     

Short-term dynamics of indoor and outdoor endotoxin exposure: Case of Santiago,Chile, 2012

Indoor and outdoor endotoxin in PM_2.5 was measured for the very first time in Santiago, Chile, in spring 2012. Average endotoxin concentrations were 0.099 and 0.094 [EU/m³] for indoor (N = 44) and outdoor (N = 41) samples, respectively; the indoor–outdoor correlation (log-transformed concentrations) was low: R = − 0.06, 95% CI: (− 0.35 to 0.24), likely owing to outdoor spatial variability.A linear regression model explained 68% of variability in outdoor endotoxins, using as predictors elemental carbon (a proxy of traffic emissions), chlorine (a tracer of marine air masses reaching the city) and relative humidity (a modulator of surface emissions of dust, vegetation and garbage debris). In this study, for the first time a potential source contribution function (PSCF) was applied to outdoor endotoxin measurements. Wind trajectory analysis identified upwind agricultural sources as contributors to the short-term, outdoor endotoxin variability. Our results confirm an association between combustion particles from traffic and outdoor endotoxin concentrations.For indoor endotoxins, a predictive model was developed but it only explained 44% of endotoxin variability; the significant predictors were tracers of indoor PM_2.5 dust (Si, Ca), number of external windows and number of hours with internal doors open. Results suggest that short-term indoor endotoxin variability may be driven by household dust/garbage production and handling. This would explain the modest predictive performance of published models that use answers to household surveys as predictors. One feasible alternative is to increase the sampling period so that household features would arise as significant predictors of long-term airborne endotoxin levels.     

Spatiotemporal analysis and human exposure assessment on polycyclic aromatic hydrocarbons in indoor air,settled house dust,and diet: A review

This review summarizes the published literature on the presence of polycyclic aromatic hydrocarbons (PAH) in indoor air, settled house dust, and food, and highlights geographical and temporal trends in indoor PAH contamination. In both indoor air and dust, ΣPAH concentrations in North America have decreased over the past 30 years with a halving time of 6.7 ± 1.9 years in indoor air and 5.0 ± 2.3 years in indoor dust. In contrast, indoor PAH concentrations in Asia have remained steady. Concentrations of ΣPAH in indoor air are significantly (p < 0.01) higher in Asia than North America. In studies recording both vapor and particulate phases, the global average concentration in indoor air of ΣPAH excluding naphthalene is between 7 and 14,300 ng/m³. Over a similar period, the average ΣPAH concentration in house dust ranges between 127 to 115,817 ng/g. Indoor/outdoor ratios of atmospheric concentrations of ΣPAH have declined globally with a half-life of 6.3 ± 2.3 years. While indoor/outdoor ratios for benzo[a]pyrene toxicity equivalents (BaP_eq) declined in North America with a half-life of 12.2 ± 3.2 years, no significant decline was observed when data from all regions were considered. Comparison of the global database, revealed that I/O ratios for ΣPAH (average = 4.3 ± 1.3), exceeded significantly those of BaP_eq (average = 1.7 ± 0.4) in the same samples. The significant decline in global I/O ratios suggests that indoor sources of PAH have been controlled more effectively than outdoor sources. Moreover, the significantly higher I/O ratios for ΣPAH compared to BaP_eq, imply that indoor sources of PAH emit proportionally more of the less carcinogenic PAH than outdoor sources. Dietary exposure to PAH ranges from 137 to 55,000 ng/day. Definitive spatiotemporal trends in dietary exposure were precluded due to relatively small number of relevant studies. However, although reported in only one study, PAH concentrations in Chinese diets exceeded those in diet from other parts of the world, a pattern consistent with the spatial trends observed for concentrations of PAH in indoor air. Evaluation of human exposure to ΣPAH via inhalation, dust and diet ingestion, suggests that while intake via diet and inhalation exceeds that via dust ingestion; all three pathways contribute and merit continued assessment.     

Detection of fluorotelomer alcohols in indoor environments and their relevance for human exposure

Fluorotelomer alcohols (FTOH) are important precursors of perfluorinated carboxylic acids (PFCA). These neutral and volatile compounds are frequently found in indoor air and may contribute to the overall human exposure to per- and polyfluorinated alkyl substances (PFAS). In this study air samples of ten workplace environments and a car interior were analysed. In addition, extracts and emissions from selected outdoor textiles were analysed in order to establish their potential contribution to the indoor levels of the above-mentioned compounds.Concentrations of FTOHs measured in air ranged from 0.15 to 46.8, 0.25 to 286, and 0.11 to 57.5 ng/m³ for 6:2, 8:2 and 10:2 FTOHs, respectively. The highest concentrations in air were identified in shops selling outdoor clothing, indicating outdoor textiles to be a relevant source of FTOH in indoor workplace environments. Total amounts of FTOH in materials of outdoor textiles accounted for < 0.8–7.6, 12.1–180.9 and 4.65–105.7 μg/dm² for 6:2, 8:2 and 10:2 FTOHs, respectively. Emission from selected textiles revealed emission rates of up to 494 ng/h.The measured data show that a) FTOHs are present in indoor textiles (e.g. carpets), b) they are released at ambient temperatures and c) indoor air of shops selling outdoor textiles contains the highest levels of FTOH. Exposure of humans to perfluorooctanoic acid (PFOA) through absorption of FTOH and subsequent degradation is discussed on the basis of indoor air levels. Calculation of indoor air-related exposure using the median of the measured air levels revealed that exposure is on the same order of magnitude as the recently reported dietary intakes for a background-exposed population. On the basis of the 95th percentile, indoor air exposure to PFOA was estimated to exceed dietary exposure. However, indoor air-related intakes of FTOH are far below the tolerable daily intake (TDI) of PFOA, indicating that there is no risk to health, even when assuming an unrealistic complete degradation of FTOH into PFOA.