Assessing the human health impacts of exposure to disinfection by-products — A critical review of concepts and methods

Understanding the public health implications of chemical contamination of drinking water is important for societies and their decision-makers. The possible population health impacts associated with exposure to disinfection by-products (DBPs) are of particular interest due to their potential carcinogenicity and their widespread occurrence as a result of treatments employed to control waterborne infectious disease.We searched the literature for studies that have attempted quantitatively to assess population health impacts and health risks associated with exposure to DBPs in drinking water. We summarised and evaluated these assessments in terms of their objectives, methods, treatment of uncertainties, and interpretation and communication of results.In total we identified 40 studies matching our search criteria. The vast majority of studies presented estimates of generic cancer and non-cancer risks based on toxicological data and methods that were designed with regulatory, health-protective purposes in mind, and therefore presented imprecise and biased estimates of health impacts. Many studies insufficiently addressed the numerous challenges to DBP risk assessment, failing to evaluate the evidence for a causal relationship, not appropriately addressing the complex nature of DBP occurrence as a mixture of chemicals, not adequately characterising exposure in space and time, not defining specific health outcomes, not accounting for characteristics of target populations, and not balancing potential risks of DBPs against the health benefits related with drinking water disinfection. Uncertainties were often poorly explained or insufficiently accounted for, and important limitations of data and methods frequently not discussed. Grave conceptual and methodological limitations in study design, as well as erroneous use of available dose–response data, seriously impede the extent to which many of these assessments contribute to understanding the public health implications of exposure to DBPs. In some cases, assessment results may cause unwarranted alarm among the public and potentially lead to poor decisions being made in sourcing, treatment, and provision of drinking water. We recommend that the assessment of public health impacts of DBPs should be viewed as a means of answering real world policy questions relating to drinking water quality, including microbial contaminants; that they should be conducted using the most appropriate and up-to-date data and methods, and that associated uncertainties and limitations should be accounted for using quantitative methods where appropriate.     

Acute animal and human poisonings from cyanotoxin exposure — A review of the literature

Cyanobacterial blooms are a potential health hazard due to the ability of some species to produce toxins that are harmful to other living organisms. This review provides a comprehensive summary of anecdotal and case reports on acute poisonings in animals and humans attributable to cyanotoxin exposure in fresh- and brackish-waters. Approximately two-thirds of reported poisonings have occurred in Europe and the United States. Dogs and livestock account for the majority of reported cases involving animal exposure to cyanotoxins, while recreational activities are responsible for approximately half of reported incidents involving human exposure. Due to data limitations it is difficult to estimate the total number of animals and humans affected by cyanotoxins, however, some general observations regarding frequency and numbers affected are made. The review demonstrates that cyanotoxins have, and will likely to continue to have, potentially serious consequences for public health and animal welfare worldwide.     

Sources and environmental behaviors of Dechlorane Plus and related compounds — A review

Although Dechlorane Plus (DP) has been used as a polychlorinated flame retardant for almost half a century, its detection in the environment was not reported until 2006. The subsequent intensive research has confirmed its global ubiquity. A few reviews have presented the properties, analytical methods and environmental occurrence of DP and related compounds in the past several years. The present review emphasizes on the environmental behavior of DP isomers which is assessed by the variation of the isomer ratio of DP in various matrices. Other aspects including the analytical methods, emission sources, general environmental occurrence and bioaccumulation of DP are also summarized.In this review, three typical emission sources in the environment are categorized after introducing the measurement method of DP. The temporal-spatial distribution is then evaluated at the global scale, which provides an integrated representation of the environmental occurrence of DP and potential impact on the human health and ecosystems. The variations of DP isomer ratio in various matrices reinforce its source related distribution and their stereoselective bioaccumulation. Thereafter, DP related compounds and dechlorinated analogs are briefly summarized in regards to their occurrence in various matrices, suggesting their ubiquity in the environment and bioavailability. Further studies are required to better assess the exposures and toxicological effects of DP and its analogs. A special concern is the serious contamination in e-waste recycling areas in developing countries, where long-term monitoring data on the association of DP exposure and adverse effects to human health and ecosystems is urgently needed.     

Transfer of eight phthalates through the milk chain — A case study

This survey determined the levels of eight phthalates – i.e. dimethyl phthalate (DMP), diethyl phthalate (DEP), diisobutyl phthalate (DiBP), di-n-butyl phthalate (DnBP), benzylbutyl phthalate (BzBP), di(2-ethylhexyl) phthalate (DEHP), dicyclohexyl phthalate (DCHP) and di-n-octyl phthalate (DnOP) – in several Belgian milk and dairy products. Samples were obtained from various farms, a dairy factory and from different shops in order to investigate phthalate contamination “from farm to fork”. At several stages in the milk chain, product contamination with phthalates – mostly DiBP, DnBP, BzBP and DEHP – was observed. At farm level, the mechanical milking process and the intake of phthalate containing feed by the cattle were found to be possible contamination sources. At industry and retail level, contact materials including packaging materials were additional contamination sources for phthalates in milk and dairy products.     

Dietary exposure to polychlorinated biphenyls and risk of myocardial infarction in men — A population-based prospective cohort study

BackgroundMajor food contaminants such as polychlorinated biphenyls (PCBs) are proposed to play a role in the etiology of cardiovascular disease (CVD), but to date the impact of PCBs on cardiovascular health need to be explored.Methods and resultsWe assessed the association between validated food frequency questionnaire-based estimates of dietary PCB exposure and risk of myocardial infarction, ascertained through register-linkage, among 36,759 men from the population-based Swedish Cohort of Men, free of cardiovascular disease, diabetes and cancer at baseline (1997). Relative risks were adjusted for known cardiovascular risk factors, long-chain omega-3 fatty acids (eicosapentaenoic and docosahexaenoic acids) and methyl mercury exposure. During 12 years of follow-up (433,243 person-years), we ascertained 3005 incident cases of myocardial infarction (654 fatal). Compared with the lowest quintile of dietary PCB exposure (median 113 ng/day), men in the highest quintile (median 436 ng/day) had multivariable-adjusted relative risks of 1.74 (95% confidence interval [CI], 1.30–2.33; p-trend < 0.001) for total and 1.97 (95% CI 1.42–2.75; p-trend < 0.001) for non-fatal myocardial infarction. In mutually adjusted models, dietary PCB exposure was associated with an increased risk of myocardial infarction, while the intake of long-chain omega-3 fish fatty acids was associated with a decreased risk. We also observed an effect modification by adiposity on the association between of dietary PCB exposure and myocardial infarction, with higher risk among lean men (p value for interaction = 0.03).ConclusionsExposure to PCBs via diet was associated with increased risk of myocardial infarction in men.     

Are bee diseases linked to pesticides? — A brief review

The negative impacts of pesticides, in particular insecticides, on bees and other pollinators have never been disputed. Insecticides can directly kill these vital insects, whereas herbicides reduce the diversity of their food resources, thus indirectly affecting their survival and reproduction. At sub-lethal level (< LD50), neurotoxic insecticide molecules are known to influence the cognitive abilities of bees, impairing their performance and ultimately impacting on the viability of the colonies. In addition, widespread systemic insecticides appear to have introduced indirect side effects on both honey bees and wild bumblebees, by deeply affecting their health. Immune suppression of the natural defences by neonicotinoid and phenyl-pyrazole (fipronil) insecticides opens the way to parasite infections and viral diseases, fostering their spread among individuals and among bee colonies at higher rates than under conditions of no exposure to such insecticides. This causal link between diseases and/or parasites in bees and neonicotinoids and other pesticides has eluded researchers for years because both factors are concurrent: while the former are the immediate cause of colony collapses and bee declines, the latter are a key factor contributing to the increasing negative impact of parasitic infections observed in bees in recent decades.     

Yusho and its latest findings—A review in studies conducted by the Yusho Group

The Yusho incident is an unprecedented mass food poisoning that occurred in Japan in 1968. It was caused by the ingestion of rice bran oil contaminated with polychlorinated biphenyls (PCBs) and various dioxins and dioxin-like compounds, such as polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs). The victims of Yusho have suffered from characteristic skin manifestations associated with systemic, ophthalmological, and mucosal symptoms for a long period of time. The Study Group of Yusho (the Yusho Group) has been conducting annual medical check-ups on Yusho victims for more than 45 years. Since 2002, when concentrations of dioxins in the blood of Yusho patients started to be measured, the pharmacokinetics of dioxins, relationship between blood levels of dioxins and symptoms/signs in patients directly exposed to dioxins, and the adverse effects on the next generation have become dramatically clear. Herein we review recent findings of studies conducted by the Yusho Group to evaluate chronic dioxin-induced toxicity to the next generation as well as Yusho patients in comparison with a similar food mass poisoning, the Yucheng incident. Additionally, we summarized basic studies carried out by the Yusho Group to re-evaluate the mechanisms of dioxin toxicities in experimental models and various functions of the aryl hydrocarbon receptor (AhR), known as the dioxin receptor, pathway.     

Uptake of dry-deposited radionuclides in Fucus—A field study after the Chernobyl accident

The dry deposition of various radionuclides emanating from the plume from the Chernobyl reactor accident was measured at two locations in southern Sweden at the beginning of May, 1986. Samples of Fucus, taken at or near these locations, were also analysed. No precipitation had fallen during the time between the accident and the time of sampling. The ratios between activity concentrations in Fucus and dry depositions on the water surface have been calculated. For any specific radionuclide, this ratio was found to be the same at the two locations, after differences in salinity and in uptake between F. vesiculosus and F. serratus had been taken into account.     

Human exposure pathways to organophosphate triesters — A biomonitoring study of mother–child pairs

The worldwide ban of several formulations of brominated flame retardants has caused an increase in the production of organophosphorus flame retardants (PFRs) to meet the existing fire regulations for a wide range of household products. This biomonitoring study surveys the occurrence of the metabolites from PFRs and related plasticizers (dialkyl and diaryl phosphates; DAPs) in urine from a Norwegian mother–child cohort (48 mothers and 54 children). Concentrations of DAPs were higher in the children than in their mothers (Wilcoxon signed-rank test p = 0.001). Median urinary concentrations of diphenyl phosphate (DPHP) were 1.1 and 0.51 ng/mL in children and mothers, respectively, followed by bis(1,3-dichloro-2-propyl) phosphate (BDCIPP) with medians of 0.23 and 0.12 ng/mL, respectively. Detection frequencies for bis(2-butoxyethyl) phosphate (BBOEP) in urine from children and mothers were 32 and 1%, respectively (median < 0.18 ng/mL), and for di-n-butyl phosphate (DNBP) 15 and 8%, respectively (median < 0.12 ng/mL). The concentrations of DPHP and BDCIPP in urine from children were significantly correlated with those found for their parent compounds in air and dust from the households (Spearman's rank correlations 0.30 < R_s < 0.36; p < 0.05). For mothers, only the urinary concentration of BDCIPP was correlated to its precursor in dust from the households (R_s = 0.40; p < 0.01), which might indicate higher impact of the household environment on children than mothers. A diurnal variability study of the mothers' urinary concentrations of DPHP and BDCIPP showed lower concentrations at time periods when women were likely to be outside the household. In contrast, no relevant associations between organophosphate metabolites in urine and food consumption data obtained through a 24 hour recall were seen. This suggests that the residential environment is a more important exposure pathway to PFRs than the diet.     

Amazonian forest loss and the long reach of China’s influence

This paper explores China’s role in deforestation in Latin America. Brazil’s Amazon region contains vast natural resources including land, timber, minerals and hydroelectric potential. China’s strong economy and large demands relative to domestic supplies of these resources mean that China has become Brazil’s largest trading partner, primarily for natural resources. The paper examines how China influences deforestation in Brazilian Amazonia in a variety of ways, including through the direct influence of Chinese enterprises through land purchases and other mechanisms. This paper finds that the rapid rise in exports of soy and beef products to China are two of the major drivers of Amazonian deforestation in Brazil. The paper further argues that Chinese purchases of agricultural and forest land and Chinese imports of commodities such as timber and aluminum also cause environmental impacts in Amazonia. Chinese financing and investment in Amazonian infrastructure such as railways and mineral processing facilities have additional impacts.     

Spatial variation of PM elemental composition between and within 20 European study areas — Results of the ESCAPE project

An increasing number of epidemiological studies suggest that adverse health effects of air pollution may be related to particulate matter (PM) composition, particularly trace metals. However, we lack comprehensive data on the spatial distribution of these elements.We measured PM_2.5 and PM₁₀ in twenty study areas across Europe in three seasonal two-week periods over a year using Harvard impactors and standardized protocols. In each area, we selected street (ST), urban (UB) and regional background (RB) sites (totaling 20) to characterize local spatial variability. Elemental composition was determined by energy-dispersive X-ray fluorescence analysis of all PM_2.5 and PM₁₀ filters. We selected a priori eight (Cu, Fe, K, Ni, S, Si, V, Zn) well-detected elements of health interest, which also roughly represented different sources including traffic, industry, ports, and wood burning.PM elemental composition varied greatly across Europe, indicating different regional influences. Average street to urban background ratios ranged from 0.90 (V) to 1.60 (Cu) for PM_2.5 and from 0.93 (V) to 2.28 (Cu) for PM₁₀.Our selected PM elements were variably correlated with the main pollutants (PM_2.5, PM₁₀, PM_2.5 absorbance, NO₂ and NO_x) across Europe: in general, Cu and Fe in all size fractions were highly correlated (Pearson correlations above 0.75); Si and Zn in the coarse fractions were modestly correlated (between 0.5 and 0.75); and the remaining elements in the various size fractions had lower correlations (around 0.5 or below). This variability in correlation demonstrated the distinctly different spatial distributions of most of the elements. Variability of PM₁₀_Cu and Fe was mostly due to within-study area differences (67% and 64% of overall variance, respectively) versus between-study area and exceeded that of most other traffic-related pollutants, including NO₂ and soot, signaling the importance of non-tailpipe (e.g., brake wear) emissions in PM.     

Pesticide levels and environmental risk in aquatic environments in China — A review

China is one of the largest producers and consumers of pesticides in the world today. Along with the widespread use of pesticides and industrialization, there is a growing concern for water quality. The present review aims to provide an overview of studies on pesticides in aquatic environments in China. The levels in the water, sediment and biota were scored according to a detailed environmental classification system based on ecotoxicological effect, which is therefore a useful tool for assessing the risk these compounds pose to the aquatic ecosystem. Our review reveals that the most studied areas in China are the most populated and the most developed economically and that the most frequently studied pesticides are DDT and HCH. We show maps of where studies have been conducted and show the ecotoxicological risk the pesticides pose in each of the matrices. Our review pinpoints the need for biota samples to assess the risk. A large fraction of the results from the studies are given an environmental classification of “very bad” based on levels in biota. In general, the risk is higher for DDT than HCH. A few food web studies have also been conducted, and we encourage further study of this important information from this region.The review reveals that many of the most important agricultural provinces (e.g., Henan, Hubei and Hunan) with the largest pesticide use have been the subject of few studies on the environmental levels of pesticides. We consider this to be a major knowledge gap for understanding the status of pesticide contamination and related risk in China. Furthermore, there is also a lack of studies in remote Chinese environments, which is also an important knowledge gap. The compounds analyzed and reported in the studies represent a serious bias because a great deal of attention is given to DDT and HCH, whereas the organophosphate insecticides dominating current use are less frequently investigated. For the future, we point to the need for an organized monitoring plan designed according to the knowledge gaps in terms of geographical distribution, compounds included, and risks.     

Exposure to traffic-related air pollution and the risk of developing breast cancer among women in eight Canadian provinces: A case–control study

A few recent studies have reported positive associations between long-term exposure to traffic-related air pollution and the incidence of breast cancer. We capitalized on an existing Canadian multi-site population-based case–control study to further investigate this association.We used the National Enhanced Cancer Surveillance System, a population-based case–control study conducted in eight of 10 Canadian provinces from 1994 to 1997. A total of 1569 breast cancer cases and 1872 population controls who reported at least 90% complete self-reported addresses over the 1975–1994 exposure period were examined. Mean exposure levels to nitrogen dioxide (NO₂) (an indicator of traffic-related air pollution) were estimated for this period using three different measures: (1) satellite-derived observations; (2) satellite-derived observations scaled with historical fixed-site measurements of NO₂; and (3) a national land-use regression (LUR) model. Proximity to major roads was also examined. Using unconditional logistic regression, stratified by menopausal status, we estimated odds ratios (ORs) adjusted for many individual-level and contextual breast cancer risk factors.We observed positive associations between incident breast cancer and all three measures of NO₂ exposure from 1975 to 1994. In fully adjusted models for premenopausal breast cancer, a 10 ppb increase in NO₂ exposure estimated from the satellite-derived observations, the scaled satellite-derived observations, and the national LUR model produced ORs of 1.26 (95% confidence intervals (CIs): 0.92–1.74), 1.32 (95% CI: 1.05–1.67) and 1.28 (95% CI: 0.92–1.79). For postmenopausal breast cancer, we found corresponding ORs of 1.10 (95% CI: 0.88–1.36), 1.10 (95% CI: 0.94–1.28) and 1.07 (95% CI: 0.86–1.32). Substantial heterogeneity in the ORs was observed across the eight Canadian provinces and reduced ORs were observed when models were restricted to women who had received routine mammography examinations. No associations were found for road proximity measures.This study provides some support for the hypothesis that traffic-related air pollution may be associated with the development of breast cancer, especially in premenopausal women. With the few studies available, further research is clearly needed.     

Environmental mainstreaming and policy coherence: essential policy tools to link international agreements with national development—a case study of the Caribbean region

The 2030 agenda for sustainable development adopted in September 2015 advocates for a balanced integration of the economic, social and environmental dimensions of sustainable development. Existing multilateral environmental agreements (MEAs) can provide guidance for policy-makers to promote inclusive and sustainable economic growth, within safe ecological limits. This paper presents a practical approach to mainstream international obligations of MEAs with national development priorities and strategies. It identifies pathways of policy coherence from national strategies to specific instruments and indicators to advance implementation of MEAs and help counties to fulfill agreed obligations. The approach is grounded in the driving forces–pressure–state–impact–response (DPSIR) framework, and it was applied in two national and two regional case studies in the Caribbean. The outcomes from the case studies show that mainstreaming rate of MEAs is low, and linkages across multiple MEAs are rarely considered. The DPSIR framework was useful for addressing national development priorities and those of MEAs in tandem, through adopting a cross-sectoral, multistakeholder perspective. The research shows that addressing environmental degradation and improving MEAs’ implementation requires that international and regional agencies identify linkages among MEAs to assist in creating policy coherence to ensure their integration into national strategies by connecting with policies and strategies in tandem implementation of MEAs for national policy-makers to work with.     

How do we assess vulnerability to climate change in India? A systematic review of literature

In countries like India where multiple risks interact with socio-economic differences to create and sustain vulnerability, assessing the vulnerability of people, places, and systems to climate change is a critical tool to prioritise adaptation. In India, several vulnerability assessment tools have been designed spanning multiple disciplines, by multiple actors, and at multiple scales. However, their conceptual, methodological, and disciplinary underpinnings, and resulting implications on who is identified as vulnerable, have not been interrogated. Addressing this gap, we systematically review peer-reviewed publications (n = 78) and grey literature (n = 42) to characterise how vulnerability to climate change is assessed in India. We frame our enquiry against four questions: (1) How is vulnerability conceptualised (vulnerability of whom/what, vulnerability to what), (2) who assesses vulnerability, (3) how is vulnerability assessed (methodology, scale), and (4) what are the implications of methodology on outcomes of the assessment. Our findings emphasise that methods to assess vulnerability to climate change are embedded in the disciplinary traditions, methodological approaches, and often-unstated motivations of those designing the assessment. Further, while most assessments acknowledge the importance of scalar and temporal aspects of vulnerability, we find few examples of it being integrated in methodology. Such methodological myopia potentially overlooks how social differentiation, ecological shifts, and institutional dynamics construct and perpetuate vulnerability. Finally, we synthesise the strengths and weaknesses of current vulnerability assessment methods in India and identify a predominance of research in rural landscapes with a relatively lower coverage in urban and peri-urban settlements, which are key interfaces of transitions.     

A review of research on China’s carbon emission peak and its forcing mechanism

In order to make further steps in dealing with climate change, China proposed to peak carbon dioxide emissions by about 2030 and to make best efforts for the peaking early. The carbon emission peak target (CEPT) must result in a forcing mechanism on China’s economic transition. This paper, by following the logical order from “research on carbon emission history” to “carbon emission trend prediction,” from “research on paths of realizing peak” to “peak restraint research,” provides a general review of current status and development trend of researches on China’s carbon emission and its peak value. Furthermore, this paper also reviews the basic theories and specific cases of the forcing mechanism. Based on the existing achievements and development trends in this field, the following research directions that can be further expanded are put forward. First, from the perspective of long-term strategy of sustainable development, we should analyze and construct the forcing mechanism of CEPT in a reverse thinking way. Second, economic transition paths under the forcing mechanism should be systematically studied. Third, by constructing a large-scale policy evaluation model, the emission reduction performance and economic impact of a series of policy measures adopted during the transition process should be quantitatively evaluated.     

Do protected areas really work to conserve species? A case study of three vulnerable woody species in the Sudanian zone of Burkina Faso

Natural vegetation and native plant species contribute significantly to the daily needs of local people especially in developing countries. This exerts a high pressure on local species and jeopardizes the conservation of the most vulnerable plants. In Burkina Faso, conservation measures, such as the creation of protected forests, have been taken to safeguard the remaining indigenous vegetation. However, little is known about the effectiveness of these protected areas in conserving biodiversity. This study assessed and compared the population structures and regeneration potential of three vulnerable woody species—Diospyros mespiliformis Hochst., Prosopis africana (Guill. & Perr.) Taub. and Sterculia setigera Del.—in protected and unprotected areas in the Sudanian zone of Burkina Faso. The population structure and regeneration pattern of each species were compared between the North and South Sudanian sectors of Burkina Faso. The populations of all three species were unstable in both protected and unprotected areas. D. mespiliformis and P. africana displayed relatively good regeneration while P. africana lacked regeneration in unprotected areas. Regeneration was poor for S. setigera, regardless of protection status. The results suggest that the populations of the targeted species are unstable, regardless of the protection status of the area considered. This is probably due to the high anthropogenic pressure facing natural resources and raises serious concerns about the effectiveness of the protected areas in conserving biodiversity. Urgent measures are needed to ensure effective and efficient management and conservation of biodiversity in the protected areas of Burkina Faso.     

Plant species richness of riverbed elevations—the Pripyat river valley case study

Flora of the still unchanged or slightly modified floodplains is particularly valuable. Such are the natural, periodically flooded riparian ecosystems within the Mid-Pripyat river valley in Belarus. Distinctive elements of that area are ‘periodic islands’, which arise from the most elevated parts of the riverbed during flooding and have a specific microtopography. The aim of the research was to recognize floristic composition and ecological conditions of the ‘islands.’ Noted plants were mainly photophilous, by clearly varied in soil moisture, acidity and fertility requirements.     

From the shop to the drain — Volatile methylsiloxanes in cosmetics and personal care products

Organosiloxanes are widely used in the formulation of a broad range of cosmetic and personal care products (PCPs), including creams and lotions, bath soaps, shampoo and hair care products to soften, smooth, and moisten. In fact, the intensive and widespread use of organosiloxanes combined with their lipophilic nature, makes them interesting targets for future research, particularly in the toxicology area.This study focused on determining the concentration levels of these compounds in the bestselling brands of PCPs in the Oporto region (Portugal), allowing the estimation of dermal and inhalation exposure to siloxanes and the evaluation of the quantities released to the environment “down-the-drain” and to air. To accomplish this task, a QuEChERS technique (“Quick, Easy, Cheap, Effective, Rugged, and Safe”) was employed to extract the siloxanes from the target PCPs, which has never been tested before. The resulting extract was analysed by gas chromatography–mass spectrometry (GC–MS). The limits of detection varied between 0.17 (L2) and 3.75 ng g^− 1 (L5), being much lower than any values reported in the literature for this kind of products. In general, satisfactory precision (< 10%) and accuracy values (average recovery of 84%) were obtained.123 PCPs were analysed (moisturizers, deodorants, body and hair washes, toilet soaps, toothpastes and shaving products) and volatile methylsiloxanes were detected in 96% of the samples, in concentrations between 0.003 μg g^− 1 and 1203 μg g^− 1. Shampoo exhibited the highest concentration for cyclic and aftershaves for linear siloxanes. Combining these results with the daily usage amounts, an average daily dermal exposure of 25.04 μg kg_bw^− 1 day^− 1 for adults and 0.35 μg kg_bw^− 1 day^− 1 for baby/children was estimated. The main contributors for adult dermal exposure were body moisturizers, followed by facial creams and aftershaves, while for babies/children were body moisturizers, followed by shower gel and shampoo. Similarly, the average daily inhalation exposure was also estimated. Values of 1.56 μg kg_bw^− 1 day^− 1 for adults and 0.03 μg kg_bw^− 1 day^− 1 for babies/children were calculated. An estimate of the siloxanes amount released “down-the-drain” into the sewage systems through the use of toiletries was also performed. An emission per capita between 49.25 and 9574 μg day^− 1 (mean: 1817 μg day^− 1) is expected and shampoo and shower gel presented the higher mean total values (1008 μg day^− 1 and 473.3 μg day^− 1, respectively). In the worst-case scenario, D5 and D3 were the predominant siloxanes in the effluents with 3336 μg day^− 1 and 3789 μg day^− 1, respectively. Regarding the air emissions per capita, values between 8.33 and 6109 μg day^− 1 (mean: 1607 μg day^− 1) are expected and D5 and D6 were the predominant siloxanes.