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Showing impact case studies 1 to 2 of 2
Submitting institution
Brunel University London
Unit of assessment
7 - Earth Systems and Environmental Sciences
Summary impact type
Political
Is this case study continued from a case study submitted in 2014?
No

1. Summary of the impact

Brunel research enabled the European Union to define criteria for identifying and regulating endocrine disrupting chemicals (EDCs) impacting on the health of its 445,000,000 citizens. EDCs can cause serious irreversible harm, such as birth defects and certain cancers. Brunel scientists established the foundations for protecting EU citizens against these harmful effects that then allowed the EU to define regulatory criteria for EDCs in the Delegated Regulations for biocides in 2017 and pesticides in 2018. This paves the way for the safe use of pesticides, biocides and other chemicals across the EU. It also gives manufacturers the regulatory certainty needed to develop and invest in the manufacture of safer products in compliance with EU law.

2. Underpinning research

Protection from exposures to EDC is of great importance to people’s health. EDCs (certain pesticides and biocides, plastic plasticisers, dioxins) interfere with hormone systems during specific windows of susceptibility (e.g. during fetal life or in childhood) when they produce irreversible harm (e.g. congenital malformations, decline in semen quality). Exposures outside these windows are considerably less harmful (Ref 1).

When the European Commission proposed draft criteria for the identification of EDCs in 2013, a controversy about the toxicological principles that should guide their identification flared up among scientists. The dispute had confused EU decision makers and had blocked progress with developing regulatory criteria for EDCs. Defining such criteria by December 2013 was a legal obligation for the European Commission, set out in the EU Plant Protection Product Regulation (Reg EU No 1107/2009) and the Biocidal Product Regulation (Reg EU No 528/2012). Without developing these criteria, the provisions for protection against harmful effects from EDCs could not be realized. The research of Kortenkamp, Jobling and Martin untangled some complications and helped find common ground in the scientific underpinnings for regulating EDCs. In particular they developed a rigorous method for drawing conclusions about the strength of evidence linking EDC exposure to adverse health effects. With funding from the Swedish Foundation for Strategic Environmental Research (MISTRA) they were instrumental in setting up a novel, 7-step-framework for the systematic review and assessment of EDC toxicological studies (Ref 2).

Regulatory practice relies on establishing doses below which no health concerns arise. However, this is difficult when, paradoxically, toxicity increases at low exposures and then diminishes as exposures escalate, as occurs with some EDCs. Such phenomena were contested by many traditional toxicologists and this controversy complicated the regulation of EDCs. On the invitation of the US National Academy of Sciences, Kortenkamp contributed to a review of the scientific evidence on this topic. The review concluded that non-monotonic dose-response relationships with some EDCs are a reality (Ref 3).

Even so, differences persisted among scientists about the principles that should underpin the identification of EDCs. Kortenkamp and Jobling reviewed the approaches that govern the identification of other classes of harmful substances, such as carcinogens and mutagens, and conducted an exegesis of EU law for EDCs. In framing the first step of EDC regulation as an issue of hazard identification, they established the basis for a consensus (Ref 2,4,5). This meant that disputes about contentious issues such as non-monotonic dose-response relationships need not complicate the development of criteria for EDC identification, as these relate to hazard characterisation and risk assessment, not hazard identification. Accordingly, differences in opinion regarding the existence of non-monotonic dose-response curves were revealed as irrelevant for identifying EDCs and could thus be neutralised. This new principle was offered as the basis for a consensus among scientists with diverging views on endocrine disruption.

To reach a consensus, Kortenkamp and Jobling initiated a workshop with international scientists engaged in the dispute. It was held under the auspices of the German Federal Institute of Risk Assessment, the government body dealing with chemical risk assessment, in Berlin, Germany, 11-12 April 2016. Kortenkamp drafted the blueprint for this consensus, which was presented at the workshop, chaired by the former Chief Scientific Adviser to the President of the European Commission, Prof Anne Glover. A consensus about the scientific principles of defining EDC criteria was reached and published as a paper (Ref 6).

3. References to the research

[1] WHO, UNEP (2013) State of the science of endocrine disrupting chemicals – 2012, An assessment of the state of the science of endocrine disruptors prepared by a group of experts for the United Nations Environment Programme (UNEP) and WHO. ISBN: 978 92 4 150503 1. Available https://www.who.int/ceh/publications/endocrine/en/

[2] Vandenberg, LN., Ågerstrand, M., Beronius, A., Beausoleil, C., Kortenkamp, A., Jobling, S., Martin O.V. et al. (2016) 'A proposed framework for the systematic review and integrated assessment (SYRINA) of endocrine disrupting chemicals'. Environmental Health. doi: 10.1186/s12940-016-0156-6

[3] NRC (2014) National Research Council of the National Academies. Review of the Environmental Protection Agency’s State-of-the-Science evaluation of nonmonotonic dose-response relationships as they apply to endocrine disruptors. ISBN-13: 978-0-309-29754-7. https://www.nap.edu/read/18608/chapter/1

[4] Slama, R., Bourguignon, J-P., Demeneix, B., Ivell, R., Kortenkamp, A. et al. (2016) 'Scientific Issues Relevant to Setting Regulatory Criteria to Identify Endocrine Disrupting Substances in the European Union'. Environmental Health Perspectives. doi: 10.1289/EHP217

[5] Zoeller, RT, Bergman, A, Becher, G., Bjerregaard, P., Kortenkamp, A. et al. (2016) 'The Path Forward on Endocrine Disruptors Requires Focus on the Basics'. Toxicological Sciences, 149 (2). pp. 272 - 272. doi: 10.1093/toxsci/kfv255

[6] Solecki, R., Kortenkamp, A., Bergman, Å., Chahoud, I., et al. (2016) 'Scientific principles for the identification of endocrine-disrupting chemicals: a consensus statement.'. Arch Toxicol. doi: 10.1007/s00204-016-1866-9

4. Details of the impact

The consensus reached at the Berlin workshop put European Commission decision makers in a position to deliver on legal obligations to protect the 445,000,000 EU citizens against the harmful effects of EDCs in pesticides and biocides. This provided the foundations for improving the safe use of such products where endocrine disruption was not previously considered as a form of harm. It gives manufacturers the certainty needed for developing safer products in compliance with EU law on biocides and pesticides.

As the European Commission takes steps not only to deal with pesticides and biocides, but also to regulate endocrine disrupting properties of industrial chemicals and substances used as food additives or personal care product ingredients, the new regulatory principles for EDCs begin to radiate out into other regulatory domains.

In 2013, the European Commission started the regulatory process with an impact assessment on defining the scientific criteria, in which several regulatory options were set out (Comm 2016). The impact assessment was not completed in time to meet a legally binding deadline (December 2013) and even continued until 2016, leading to a case brought by Sweden to the European Court of Justice.

The April 2016 “Berlin consensus” initiated by Kortenkamp and Jobling created an environment in which it became possible to realise the protection of people from harmful effects of EDCs. The President of the German Federal Institute of Risk Assessment, Professor Andreas Hensel, declared the consensus a “ breakthrough in the scientific discussion on endocrine disruptors and of great importance for the consumer health protection in Europe” (S1).

As an immediate and direct consequence of the consensus, the European Commission abandoned one option (option 4) of their impact assessment. If not withdrawn, this option would have weakened protection from EDCs in the EU. A Commission executive summary of the impact assessment, published as a staff document (S2) noted (page 2): “ Recent scientific consensus made evident that Option 4 could no longer be pursued from a scientific point of view, although it is supported by some stakeholders and member states”.

The way was free to implement science-based regulatory criteria for EDCs and to provide the foundations for protection of human health and the environment from harmful effects of EDCs in pesticides and biocides.

In replacing intermediate regulatory criteria for EDCs which targeted substances classed as carcinogens or reproductive toxicants, the consensus improved the quality of the regulation by providing the principles for directly addressing endocrine disruption. The intermediate criteria would have led to restrictions for many chemicals which in fact do not pose endocrine disrupting harm. This situation would have compromised acceptance of EU law and would have disoriented manufacturers.

The new criteria were enshrined in the form of Delegated Regulations, first for biocides in 2017 (S3), then for pesticides in 2018 (S4).

The Delegated Regulations implemented the provisions for health protection against EDCs that are laid down in the EU Biocidal Product Regulation and the Plant Protection Product Regulation. These provisions stipulate that manufacturers can only place active biocidal or pesticidal substances with endocrine disrupting properties on the EU market if risks (biocides) or exposures (pesticides) are minimal. Without the development of regulatory criteria for EDCs these legal obligations could not have been realized and the protection of human health and the environment from harm through EDC exposures would have been delayed.

5. Sources to corroborate the impact

S1 BfR (2016) Press release, https://www.bfr.bund.de/en/press_information/2016/13/breakthrough_in_the_scientific_discussion_of_endocrine_disruptors-197254.html

S2 Comm (2016) Commission staff document, Executive summary of the impact assessment, SWD 2016/212 final, https://ec.europa.eu/health/sites/health/files/endocrine_disruptors/docs/2016_impact_assessment_annex_en.pdf

S3 Commission Delegated Regulation (EU) 2017/2100 setting out criteria for the determination of endocrine-disrupting properties pursuant to Regulation (EU) No 528/2012 of the European Parliament and Council, Official Journal of the European Union L301/1, 17.11.17

S4 Commission Regulation (EU) 2018/605 of 19.4.18 amending Annex II to Regulation (EC) No 1107/2009 by setting out scientific criteria for the determination of endocrine disrupting properties, Official Journal of the European Union L101/33, 20.4.18

Submitting institution
Brunel University London
Unit of assessment
7 - Earth Systems and Environmental Sciences
Summary impact type
Political
Is this case study continued from a case study submitted in 2014?
No

1. Summary of the impact

Brunel research has significantly contributed to a major European Union (EU) policy shift towards taking account of chemical cocktails in risk assessment and risk management, away from the traditional focus on single chemical assessments. The new EU Chemical Strategy for Sustainability expresses a commitment to accelerate mixture risk assessments for pesticides and to introduce protective clauses in other chemical regulations. For the first time, this will enable protection of the 445,000,000 EU citizens from mixture risks. Brunel researchers’ work on attributing infertility to mixtures of plasticiser chemicals (phthalates) was used by the European Chemicals Agency to support restrictions for mixtures of phthalates in consumer articles which has improved the situation for 400,000 boys at risk from phthalate exposures.

2. Underpinning research

Until about a decade ago, risk assessors and regulators regarded risks from chemical mixtures as negligible, if exposures to all single chemicals in the cocktail were below the levels judged to be safe for each chemical alone. Brunel’s research team, namely Kortenkamp, Ermler, Martin, Scholze and Sumpter, has made substantial contributions to building up scientific evidence that challenges this notion. With funding from the European Commission, the UK Food Safety Authority, and the Swedish Foundation for Strategic Environmental Research (MISTRA), the Brunel’s team has published more than 30 collaborative experimental papers on this topic in the last 10 years.

The accumulated evidence from this research supports the idea that it is possible to predict the effects of multi-chemical cocktails of hazardous substances when the toxicity of its components is known, assuming additive mixture effects. Because there is an astronomically large number of chemical combinations in real-life mixtures, it is impossible to test all of them. Neither is it necessary. In multiple experimental systems with fish, rodents and cultured cells, the team accurately predicted mixture effects by using the additivity assumption.

Further key insights of Brunel’s research are that: (i) the toxicity of a mixture is usually greater than the effect of the most potent single component; (ii) the toxicity of a mixture materialises even when each component is present at levels below those associated with effects (recent example: Ref 1); and (iii) in real world human exposure scenarios only a few chemicals, so-called risk drivers, explain most mixture risks, although exposure is to very large numbers of chemicals (summarised in Ref 2).

Cumulatively, this work demonstrates that a disregard of mixture effects will underestimate chemical risks.

Translation of these insights into better protection against mixture risks will require new policy instruments. The team have shown that the safety margins traditionally introduced to convert single chemical threshold doses estimated in animal experiments into human acceptable exposures do not protect from mixture risks, counter to prevailing risk assessment assumptions (Ref 3). This calls for an additional safety margin, a Mixture Assessment Factor.

The existing provisions for considering mixtures in EU regulations for pesticides and biocides are insufficient for protecting against the risks from multiple chemicals not covered by pesticide and biocide regulations, including food contaminants and industrial chemicals. The Brunel researchers demonstrated that human exposures are typically to mixtures of chemicals that include pesticides, biocides, food contaminants and industrial chemicals, and that toxicity from such mixtures has been shown empirically (Ref 4). However, there is currently no legal mandate to regulate mixtures composed of chemicals beyond biocides and pesticides.

A potential obstacle to utilising existing single chemical toxicity data to anticipate mixture risks without experimental tests by assuming additivity would be the widespread occurrence of stronger than additive mixture effects, synergisms. In the most comprehensive assessment of its kind to date, the team has re-analysed more than 1,200 experiments and concluded that synergisms are rare, supporting the default assumption of additivity (Ref 5).

Kortenkamp has brought the mixture risk assessment perspective to an estimation of the prevalence of male reproductive disorders and associated economic costs in the EU (Ref 6).

3. References to the research

[1] Thrupp, TJ., Runnalls, TJ., Scholze, M., Kugathas, S., Kortenkamp, A. and Sumpter, JP. (2018) ' The consequences of exposure to mixtures of chemicals: Something from ‘nothing’ and ‘a lot from a little’ when fish are exposed to steroid hormones'. Science of the Total Environment, 619-620. pp. 1482 - 1492

[2] Kortenkamp, A. and Faust, M. (2018) ' Regulate to reduce chemical mixture risk'. Science, 361 (6399). pp. 224 - 226. ISSN: 0036-8075

[3] Martin, O. V., Scholze, M., and Kortenkamp, A. (2013). Dispelling urban myths about default uncertainty factors in chemical risk assessment - Sufficient protection against mixture effects?. Environmental Health: A Global Access Science Source, 12(1). doi: 10.1186/1476-069X-12-53

[4] Evans, RM., Martin, OV., Faust, M. and Kortenkamp, A. (2015) ' Should the scope of human mixture risk assessment span legislative/regulatory silos for chemicals?'. Science of The Total Environment, 543 (Pt A). pp. 757 - 764. ISSN: 0048-9697

[5] Martin, O., Scholze, M., Ermler, S., McPhie, J., Bopp, S. K., Kienzler, A., . . . Kortenkamp, A. (2020). Ten years of research on synergisms and antagonisms in chemical mixtures: A systematic review and quantitative reappraisal of mixture studies. Environment International, 146, 106206. doi: 10.1016/j.envint.2020.106206

[6] Hauser, R., Skakkebaek, NE., Hass, U., Toppari, J., Juul, A., Andersson, AM., Kortenkamp, A., Heindel, JJ. and Trasande, L. close. (2015) ' Male reproductive disorders, diseases, and costs of exposure to endocrine-disrupting chemicals in the European Union'. Journal of Clinical Endocrinology and Metabolism, 100 (4). pp. 1267 - 1277. ISSN: 0021-972X

4. Details of the impact

Very few EU chemical regulations currently mandate the consideration of cocktail effects in risk assessment, chief among them the regulations for plant protection products and for biocides. But even here the legal mandates are currently not implemented due to a lack of agreed mixture risk assessment methods (Ref 2). May other chemical regulations relevant to the mixtures issue currently do not require mixture risk assessments, for example those relevant to food contaminants, food contact materials, industrial emissions and many others.

The new EU Chemical Strategy for Sustainability (S1) acknowledges these regulatory gaps and intends to establish provisions for mixture risk assessment in regulations for all chemicals, not only pesticides and biocides. It commits the EU to accelerate work on pesticides so that existing legal mandates can be implemented in practice. There is also a commitment to introduce Mixture Assessment Factors which will lower exposure limits for chemicals, thereby protecting against mixture risks.

Brunel’s work has contributed significantly to this policy shift. A European Commission Staff Working Document (S2) accompanying the Chemical Strategy contains a compilation of recommendations from EU member states, scientists, and other stakeholders (Box 7, p 40) that explicitly references Kortenkamp and Faust (Ref 2). The paper called for the introduction of legal requirements for mixture risk assessment in all relevant regulations, and for a framework to ensure coordination of mixture risk assessment across various regulatory areas.

The Staff Document (p 6) also refers to Brunel’s work that exposed the insufficient protection against mixture risks through traditional single chemical safety margins (Ref 3). This supports the idea of introducing additional safety margins leading to lower exposure limits (Mixture Assessment Factors).

To highlight the need for introducing additional regulations that can deal with mixtures composed of chemicals across different regulatory areas (e.g. combinations of plant protection products, biocides, industrial chemicals and pharmaceuticals), the document (p 17) refers to Evans et al. (Ref 4). The paper called for extending the scope of activities across regulatory areas.

In support of making default additivity assumptions in mixture risk assessments based on existing single chemical toxicity data, which will make such assessments feasible in regulatory practice, the document (p 30) cites Brunel researchers’ recent systematic review on synergism (Ref 5). This work demonstrated that synergisms are rare and show the usefulness of default additivity assumptions.

In the first example of a regulatory action where the underlying risk assessment considered mixture exposures to several chemicals, the European Chemicals Agency (ECHA) in 2017 introduced restrictions for a group of four phthalates used as plasticisers in consumer articles (S3). When making such restrictions, ECHA is obliged to demonstrate that the envisaged measures have socio-economic benefits by avoiding a minimum number of infertility cases. In making this case, ECHA referred to Brunel’s work which showed that infertility attributable to phthalates was close to 9% in 2010 (Ref 6).

ECHA estimated that in 2014 approximately 5% of all newborn boys in the EU (130,000 boys) were at risk through phthalate exposure in prenatal life, and 15.5% of newborn boys (400,000) through direct exposure in postnatal life. On the basis of these statistics, ECHA concluded that without the restrictions for phthalates the exposures to these chemicals would not be adequately controlled.

The prevailing need to better address chemical mixtures in relevant regulations requires the delivery of practicable approaches for the assessment of mixture risks. Kortenkamp made substantial contributions to developing mixture risk assessment guidance by the European Food Safety Authority (EFSA) (More et al. 2019). This guidance (S4) provides a firm basis for procedures of how to assess chemical mixture risks.

5. Sources to corroborate the impact

S1 EU Chemical Strategy towards sustainability, Communication from the European Commission to the European Parliament, the Council, the European Social Committee and the Committee of the Regions, Brussels 14.10.20, https://ec.europa.eu/environment/pdf/chemicals/2020/10/Strategy.pdf

S2 Commission Staff Working Document, Progress report on the assessment and management of combined exposures to multiple chemicals (chemical mixtures) and associated risks https://ec.europa.eu/environment/pdf/chemicals/2020/10/SWD_mixtures.pdf

S3 ECHA 2017 https://echa.europa.eu/documents/10162/e39983ad-1bf6-f402-7992-8a032b5b82aa

S4 More, SJ, Benford D, … Kortenkamp, A, ..et al. (2019) Guidance on harmonised methodologies for human health, animal health and ecological risk assessment of combined exposure to multiple chemicals, EFSA Journal, 17(3): 5634 https://doi.org/10.2903/j.efsa.2019.5634

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