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Abstract Background Millions of workers are exposed to carcinogenic polycyclic aromatic hydrocarbon (PAH) mixtures. The toxicity of PAH mixtures is variable and depends on the composition of the mixture, which is related to the emission sources. Although several indicators exist, the cancer risk estimation associated with occupational exposure to PAHs is poorly known. Objectives To assess the risk of lung cancer associated with PAHs in several industries using the atmospheric concentrations of benzo[ a ]pyrene (BaP) as a proxy. Methods A total of 93 exposure groups belonging to 9 industries were investigated. Eight indicators found in the literature were compared to assess risks. A consensual indicator was used to estimate lung cancer risks. Results Approximately 30% of the exposure groups were above the maximal risk level of the European Union (10−4). The risk probabilities were >10−3 for coke and silicon production; >10−4 for the manufacturing of carbon products and aluminum production; >10−5 for foundries and combustion processes; >10−6 for the use of lubricating oils and engine exhaust emissions; and >10−7 for bitumen. The risk probabilities were highly variable within industries (from 1 to 1000 likelihood). A total of 27 (95% CI: 0.1–54) contemporary additional lung cancer cases could be expected per year in the French exposed population based on estimations using published data. Conclusion This study provides an overview of cancer risk estimation in many industries. Despite efforts and changes that had been made to decrease risks, PAHs remain a sanitary threat for people exposed to these pollutants in occupational environments. Graphical abstract Unlabelled Image Highlights • The risk of developing lung cancer was variable (1 to 103 likelihood) among industries. • 27 out of 93 exposure groups in industries were found to exceed the EU risk threshold. • Industries using products derived from coal were the most at risk of lung cancer. • 27 contemporary additional lung cancer cases per year could be expected in France. • Despite efforts and changes made in the past, PAHs remain a sanitary threat. [ABSTRACT FROM AUTHOR]

Background: Similar exposure groups (SEGs) are needed to reliably assess occupational exposures and health risks. However, the construction of SEGs can turn out to be rather challenging because of the multifactorial variability of exposures. Objectives: The objective of this study is to put forward a semi-empirical approach developed to construct and implement a SEG database for exposure assessments. An occupational database of airborne levels of polycyclic aromatic hydrocarbons (PAHs) was used as an illustrative and working example. Methods: The approach that was developed consisted of four steps. The first three steps addressed the construction and implementation of the occupational Exporisq-HAP database (E-HAP). E-HAP was structured into three hierarchical levels of exposure groups, each of which was based on exposure determinants, along 16 dimensions that represented the sampled PAHs. A fourth step was implemented to identify and generate SEGs using the geometric standard deviation (GSD) of PAH concentrations. Results: E-HAP was restructured into 16 (for 16 sampled PAHs) 3 x 3 matrices: three hierarchical levels of description versus three degrees of dispersion, which included low (the SEG database: GSD ≤ 3), medium (3 < GSD ≤ 6), and high (GSD > 6). Benzo[a]pyrene (BaP) was the least dispersed particulate PAH with 41.5% of groups that could be considered as SEGs, 48.5% of groups of medium dispersion, and only 8% with high dispersion. These results were comparable for BaP, BaP equivalent toxic, or the sum of all carcinogenic PAHs but were different when individual gaseous PAHs or ∑PAHG were chosen. Conclusion: Within the framework of risk assessment, such an approach, based on groundwork studies, allows for both the construction of an SEG database and the identification of exposure groups that require improvements in either the description level or the homogeneity degree toward SEG. [ABSTRACT FROM AUTHOR]

Background: Knowledge of hazards and exposure data about chemical pollutants are essential for epidemiological studies for assessing health risks and preventing the development of diseases. Access to this type of information is clearly needed and although numerous databases (DBs) have been compiled, they are often extremely difficult to find and navigate.Objectives: This paper presents the creation of an online inventory of toxicological and exposure DBs to support human health risk assessment resulting from the chemical exposome.Methods: A free searchable online inventory, called TEDI (Toxicological and Exposure Database Inventory), was set up to collect meta-data on toxicological and exposure DBs resulting from a review of the literature conducted on PubMed. Only chemical agents, including drugs, natural and manufactured/synthetic chemicals and air pollutants, were considered. Regarding exposure DBs, only human exposure to chemicals were included. Because of time and resource constraints, only an inventory was performed, and no effort was made to rate, assess or rank DBs on quality criteria.Results: A total of 715 DBs were identified, catalogued, described and made available on TEDI. The number of chemicals ranged from one single chemical to 90 million for toxicological DBs and from 1 to 103,817 chemicals for exposure DBs. Some DBs were restricted to specific chemicals, with for instance 71 exposure DBs reporting polycyclic aromatic hydrocarbon measurements. Toxicological DBs (n = 362) provided a broad range of different information such as toxicity data (57%), physicochemical properties (38%), experimental study results (28%) or prediction data (16%). A total of 382 exposure DBs were found, including exposure measurements DBs (71%), web application/tool (21%), exposure and risk assessment models (19%) and epidemiological DBs (13%).Discussion: TEDI is of value to the broader community and could support human health risk assessment to chemicals in various contexts. This inventory remains open for further additions, to enlarge its coverage, increase the meta-data collected and include newly developed DBs. [ABSTRACT FROM AUTHOR]

Conducting a risk assessment is challenging because various and contrasting risk indicators are available, which can lead to discrepancies and, sometimes, conflicting conclusions. Constructing and using a consensus risk indicator (CRI) could provide a reliable alternative that is consistent and supports direct comparisons. The goal of this study is to propose a structured and pragmatic approach for constructing a CRI distribution and demonstrate its feasibility and easy implementation when conducting risk assessments. A CRI distribution is constructed as a weighted combination of existing indicators where the weights are obtained by using the overlapping areas of an individual indicator's distribution and an aggregated reference distribution. The approach is illustrated through an assessment of human cancer risk following inhalation exposure. The CRI is constructed using eight risk indicators. The CRI distribution parameters for 199 human carcinogenic chemicals associated with inhalation exposure were determined and are presented in an interactive table. To aid the wider implementation of the CRI approach, a user-friendly and interactive web application, named InCaRisk, was created to facilitate the cancer risk estimation following inhalation exposure. Our approach could be useful for enhancing the quality of regulatory decisions and protecting human health from environmental pollutants; our approach can be applied for a given health outcome, route of exposure and exposure setting. • Assessing health risks when dealing with contrasted risk indicators is challenging. • A consensus risk indicator (CRI) is developed as a benchmark for multiple indicators. • A new indicator CRI is constructed as a weighted combination of existing indicators. • A CRI-based web app is developed for assessing inhalation cancer risk. • The developed approach could be applied to any outcome described with distributions. [ABSTRACT FROM AUTHOR]