Humans are exposed to persistent organic pollutants (POPs) such as brominated flame retardants (BFRs, specifically polybrominated diphenyl ethers (PBDEs) and hexabromocyclododecane (HBCD)) and perfluoroalkyl acids (PFAAs, specifically perfluoroalkane sulfonate (PFOS) and perfluorooctanoic acid (PFOA)). They are used in consumer products found in cars, offices, homes and day care centers. Diet was earlier thought to be a major human exposure route for legacy POPs, but does not account for body burdens found for many new POPs and indoor exposure from air and dust has been hypothesized as also important. In this thesis, BFRs in air and dust, and PFAAs in dust from different indoor microenvironments in Sweden were analysed, and the results used to estimate human exposure. BFRs and PFAAs were detected in dust from all microenvironments and PBDEs in all air samples. BFR and PFAA exposure occurs mostly in peoples’ homes with toddlers having higher intakes from dust ingestion than adults. Inhalation and dust ingestion play minor roles compared to diet for humans with median exposures, but in worst case scenarios, dust ingestion may be significant for a small part of the Swedish population. Sampling using home vacuum cleaner bag dust and researcher-collected above floor dust was compared. Correlations were seen for ∑OctaBDE and ∑DecaBDE but not for ∑PentaBDE and HBCD. Higher PBDE concentrations were found in above floor dust but higher HBCD concentrations were found in vacuum cleaner bag dust. BDE-47 concentrations were correlated between vacuum cleaner bag dust and breast milk, indicating exposure through dust ingestion. Similar concentrations of PBDEs were measured in indoor and outgoing air from day care centers, apartment and office buildings. Indoor air explained 54-92% of ∑PentaBDE and 24-86% of BDE-209 total emissions to outdoor air in Sweden, supporting the hypothesis that the indoor environment is polluting ambient air via ventilation systems. / <p>At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 2: Accepted. Paper 3: Accepted. Paper 4: Manuscript.</p>

Η παρούσα διπλωματική εργασία έχει ως θέμα τις μεθόδους εκτίμησης της έκθεσης του ανθρώπου σε ηλεκτρικά, μαγνητικά και ηλεκτρομαγνητικά πεδία. Ειδικότερα, με σκοπό την εκτίμηση της έκθεσης σε χαμηλόσυχνα ηλεκτρομαγνητικά πεδία επιλέχθηκε ο χώρος των γυμναστηρίων όπου διεξήχθησαν μετρήσεις μαγνητικής επαγωγής κατά τη χρήση ηλεκτρικών οργάνων άθλησης. Στο πρώτο μέρος της παρούσας εργασίας παρουσιάζονται τα ηλεκτρομαγνητικά πεδία και οι αιτίες δημιουργίας τους. Γίνεται αναφορά στις επιπτώσεις της ηλεκτρομαγνητικής ακτινοβολίας στον ανθρώπινο οργανισμό και παρουσιάζονται οι προδιαγραφές των οργάνων μέτρησης και οι τεχνικές των μετρήσεων που απαιτούνται, προκειμένου να αξιολογηθεί η έκθεση του ανθρώπου. Στο δεύτερο μέρος περιγράφεται η διαδικασία λήψης των μετρήσεων και παρουσιάζονται τα αποτελέσματα σε σύγκριση με τα επίπεδα αναφοράς για την ασφαλή έκθεση του κοινού σε ηλεκτρομαγνητικά πεδία. / The subject of this thesis is the assessment methods of human exposure to electric, magnetic and electromagnetic fields. In particular, in order to estimate the exposure to low frequency electromagnetic fields, magnetic induction measurements were made during the use of cardiovascular equipment at gyms. In the first part of this paper the electromagnetic fields and their sources are being presented. There is also reference to the impact of electromagnetic radiation on the human body and to the specifications of instrumentation and measurement techniques that are required to assess human exposure. The second part describes the measurement process and presents the results compared to the reference levels for safe exposure to electromagnetic fields.

Brominated flame retardants (BFRs) have been used in a variety of consumer products to enhance their fire safety. This has resulted in exposure of the environment, wildlife and humans causing risks of endocrine disruption. The use restrictions of many BFRs have resulted in the introduction of other brominated chemicals (emerging BFRs) on the market. Humans are exposed to BFRs primarily via diet and dust ingestion, but the importance of the different exposure pathways has scarcely been studied. Children in particular have not been studied well due to lack of biomonitoring data. In this thesis, a mother-toddler cohort (n=24) from Uppsala was studied for their exposure to tri-decabrominated diphenyl ethers (tri-decaBDEs), isomer-specific hexabromocyclododecanes (HBCDs) and emerging BFRs (EBFRs). A clean-up and fractionation method was developed for determination of the above-mentioned BFRs in the same sample without dividing the sample. Measures of external exposure from dietary intake and dust ingestion were estimated. These were compared to internal concentrations (serum, feces) to determine which exposure pathways were most important for explaining the different BFR concentrations and patterns found in mothers and toddlers. Taking all the results into account, the toddlers’ higher serum levels of tetra-pentaBDEs seem to be the result of previous breastfeeding and those of octa-decaBDEs from exposure to house dust. For mothers, diet was estimated to be the main exposure route of tri-hexaBDEs and HBCDs. Dust ingestion was estimated to be the main route for BDE-209 exposure in mothers. Significant correlations were found between the tetra-decaBDE concentrations in matched serum and feces samples indicating that feces could be used as a non-invasive sample matrix for biomonitoring of PBDEs in toddlers. EBFRs were detected in the feces of toddlers and in a few serum samples from both mothers and toddlers indicating that exposure to these replacement chemicals occurs. / <p><strong> </strong>At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 3: Submitted. Paper 4: Manuscript.</p>

Fluorinated chemicals have the advantage of both lipophobic and hydrophobic behaviour, leading to broad industrial and commercial use. Fluorosurfactants, for example, are used in applications, such as grease-proofing food packaging, which result in human exposure. Human blood serum, in this work 100 German serum samples dating from 1982 to 2009, is a common matrix for detection of fluorochemicals. Here the most extensive temporal study to date of one class of fluorosurfactant (polyfluoroalkyl phosphate diesters, diPAPs) in human serum is presented. Additionally, another class of fluorosurfactant (sulfonamide-based PAPs, SAmPAPs) was detected in humans for the first time with temporal trends which echo industrial production. Metabolites of diPAPs and SAmPAPs were also quantified, showing temporal trends that relate to the diPAP and SAmPAP levels. Because diPAP and SAmPAP metabolites are environmentally persistent and raise human health concerns, it is important to understand these indirect sources of exposure.

Fluorinated chemicals have the advantage of both lipophobic and hydrophobic behaviour, leading to broad industrial and commercial use. Fluorosurfactants, for example, are used in applications, such as grease-proofing food packaging, which result in human exposure. Human blood serum, in this work 100 German serum samples dating from 1982 to 2009, is a common matrix for detection of fluorochemicals. Here the most extensive temporal study to date of one class of fluorosurfactant (polyfluoroalkyl phosphate diesters, diPAPs) in human serum is presented. Additionally, another class of fluorosurfactant (sulfonamide-based PAPs, SAmPAPs) was detected in humans for the first time with temporal trends which echo industrial production. Metabolites of diPAPs and SAmPAPs were also quantified, showing temporal trends that relate to the diPAP and SAmPAP levels. Because diPAP and SAmPAP metabolites are environmentally persistent and raise human health concerns, it is important to understand these indirect sources of exposure.

Esse trabalho visa estudar a influência da vibração no desempenho de tarefas de pilotos de aeronaves. Para o seu desenvolvimento, foi montada uma bancada usando um assento de aeronave para avaliar a transmissibilidade da vibração vertical para os pilotos e verificar se níveis elevados de aceleração, como no caso de falha da turbina, podem prejudicar sua habilidade em desempenhar tarefas de leitura, escrita e digitação. Todos os experimentos foram realizados com sucesso, comprovando grande parte dos estudos anteriores sobre o assunto. Ainda são apresentadas comparações relacionando os mesmos níveis de aceleração usados no teste de transmissibilidade, com as normas ISO 2631-1 e ANSI S3.18 para avaliação da exposição humana à vibração de corpo inteiro, que são as mais apropriadas para a correlação com o mundo aeronáutico. / This work aims to study the influence of vibration in aircraft pilots task performance. For the study development, it was assembled a rig test using an aircraft pilot seat, in order to evaluate the transmissibility of vertical vibration to the pilots and to verify if high acceleration levels, as in the case of engine failure, are of significance to the pilots ability in performing tasks such as reading, writing and typing. All the experiments were accomplished successfully, confirming most of early studies about the subject. Comparisons are also presented, relating the same acceleration levels used in the transmissibility test with ISO 2631-1 and ANSI S3.18 standards for evaluation of human exposure to whole-body vibration which are the most appropriated for correlation with the aeronautical world.

Produced since the 1950’s, per- and polyfluoroalkyl (PFASs) substances are persistent, bioaccumulative and toxic compounds that are ubiquitous in the environment. Being proteinophilic with a tendency to partition to protein-rich tissues, PFASs have been found in human serum worldwide and in wildlife with a predominance of long-chain perfluoroalkyl carboxilic acids (C7-C14 PFCAs) and perfluoroalkyl sulfonic acids (C6-C9 PFSAs). Due to rising concern regarding their hazardous properties, several regulatory actions and voluntary industrial phase-outs have been conducted since early 2000s, shifting the production towards other fluorinated alternatives. This thesis explores the human exposure to long-chain PFASs and their alternatives using different modelling methods and aims to 1) link comprehensively the past and current industrial production with the human body burden and 2) assess the potential hazardous properties of legacy PFASs replacements, on which information is very limited. In Paper I, the historical daily intakes in Australia and USA were reconstructed from cross-sectional biomonitoring data of perfluorooctanesulfonic acid (PFOS), perfluorooctanoic acid (PFOA) andperfluorohexanesulfonic acid (PFHxS). The results indicate that humans experienced similar exposure levels and trends to PFOS and PFOA in both regions, suggesting a common historical exposure possibly dominated by consumer products. The model could not be fitted to PFHxS concentration in serum. In Paper II, the relative contribution of indirect (i.e. subsequent metabolism of precursors into legacy PFASs) versus direct exposure was evaluated on occupationally exposed ski wax technicians. The indirect exposure contributed by up to 45% to the total body burden of PFOA. In Paper III, the physicochemical properties, the persistence and the long-range transport of fluorinated alternatives were predicted using different in silico tools. Findings suggest that fluorinated alternatives are likely similar to their predecessors, in terms of physicochemical properties and environmental fate. Finally, Paper IV compares the toxic potency of PFOS, PFOA and their alternatives as a function of external and internal dose. While alternatives are less potent than their predecessors when considering the administered dose, they become similarly potent when the assessment is based on levels in the target tissue. This thesis demonstrates that pharmacokinetic models are effective tools to comprehensively reconnect the body burden to the exposure of phased-out chemicals. More importantly, the studies on fluorinated alternatives raise the necessity to provide more information and data on the potential hazard of these novel and emerging products. / <p>At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 1: Manuscript. Paper 4: Manuscript.</p>

Vibration is a part of human life. People use vibrations in many useful ways but eventually human exposure to vibration has become an impediment to human life. Health problems due to exposure to vibration and shock are common among the crew operating high speed craft (HSC). Whole body vibration and repeated shocks have been identified as one of the major causes for health effects among HSC crew. Whole body vibration can affect health, comfort and performance depending on the magnitude, waveform and time of exposure. Therefore it is prudent the significance of consideration of human exposure to vibration and shock when deciding the operational envelope of an offshore HSC. This report addresses this question in two correlated parts where it identifies the interrelationship between the human exposure to vibration and shock and the operational envelope of HSC. The first part consists of a state of the art review on methods and measures for evaluation of workplaces exposed to vibrations containing multiple shocks and select a suitable method to be used in the second part. The second part is a case study of a Swedish Coast Guard HSC, KBV 476, which describes crew exposure to shock and vibration using the method selected from the state of the art review, and discusses the results in relation to the risks involved with the crew in the perspective of short and long term exposure. Nature of the vibration exposure and the corresponding risk involved is then discussed with respect to the operational envelope of the craft.

Human exposure to per- and poly-fluoroalkyl substances (PFAS) occurs mainly through two pathways, inhalation and ingestion. Dietary exposure to persistent organic pollutants (POPs), including PFAS, is driven mainly by the consumption of foods of marine or terrestrial animal origin. Therefore, the intake of fish from waters in populated or polluted areas may be a source of human exposure to PFAS. The overall aim of the study was to estimate human exposure to PFAS through the consumption of fish caught in Swedish waters. Analyses of extractable organofluorine (EOF) were performed to serve as an important metric alongside target analysis to better understand the total amount of PFAS in the human sera and fish samples. The serum samples represent individuals who have lived at some point about 5 km from the glass industry in Nybro and Emmaboda. For this study with the Glasbruket study population, the highest concentrations were found for PFOS followed by PFOA, PFNA and PFHxS (medians of 7.9, 1.9, 1.4 and 0.8 ng/mL). Also, the difference in this population between men/women and high/low fish consumers were also addressed. It was stated that there was a statistically significant difference in average Σ17 PFAS concentration between the male and female groups (p &lt; 0.05, two-tailed test). However, the differences between the low and high consumer groups were not statistically significant even though the PFAS levels were higher in the high consumer group. The organofluorine mass balance analysis revealed that 80.1% (ranged from 68.3−93.7%) of the EOF in female samples could not be explained, whereas 57.3% (ranged from 0−99.4%) for the male group was of unidentified origin. Two methods were evaluated for PFAS and EOF analysis of fish muscle, namely, acetonitrile extraction and ion-pair extraction. The selected method, the ion-pair extraction, was performed on fish muscle samples. The fish species included perch (Perca fluviatilis), northern pike (Esox Lucius) and zander (Sander lucioperca) that were collected from seven different lakes in the vicinity of Nyro and Emmaboda. The sum of targeted PFAS (∑14PFAS) across all fish samples analysed ranged from 0.9 to 6.2 ng/g. Mostly, perfluoroalkyl carboxylic acids (PFCAs), precursors to PFCAs and novel PFAS were found in the fish samples. A large part of the EOF content cannot be identified with the targeted PFAS compounds. The average identified EOF fraction for all fish was 2.3% (ranging from 0.8 to 7.2%). For this study, 10 PFAS were found in both sera and fish samples. Therefore, freshwater fish consumption can be identified as one of the contributors to the PFAS concentrations in the Glasbruket population. The fish samples contained precursor compounds as well, that were not found in human serum. These precursor compounds can contribute to the concentrations of PFAAs in serum through biotransformation in the human body to perfluoroalkyl acids (PFAAs). Due to the widespread use of PFAS and their persistence in the environment, it is difficult to determine the relationship between the levels found in serum and fish. The Glasbruket population could be exposed to other sources besides fish.

Background. Endocrine disruptors (EDC) are exogenous compounds that mimic the action of natural hormones and alter the normal endocrine system. Life-long chronic exposure to Bisphenol A (BPA), a putative EDC, has been linked with risk of metabolic disorders in epidemiological studies. Objectives. The aim was to study the human health effects of exposure to BPA, using an integrated approach combining environmental epidemiology and toxicology. Methods. Urinary levels of BPA exposure were measured in participants of the InChianti longitudinal study, a representative population-based study of Italian adults, at the Baseline (1998-00) and nine years later (3rd Wave, 2007-09). Hormones levels and the gene expression of specific target genes were the end points considered. Results were validated in laboratory studies on a human leukemic T-cell line (Jurkat cells). Results. In general, urinary BPA (uBPA) concentrations were higher among men and younger respondents, and within subjects uBPA concentrations were correlated (r=0.58; p=0.013, model adjusted for age, sex, urinary creatinine). At baseline, uBPA concentration were associated with higher total testosterone concentrations in men (β = 0.05; 95% CI, 0.02–0.08). In the 3rd wave, gene expression analysis revealed positive associations between uBPA concentrations and ESR2 (estrogen receptor beta) expression (β=0.18; 95% CI: 0.04, 0.32) and ESRRA (estrogen related receptor alpha) expression (β= 0.17; 95% CI: 0.02, 0.32). In a following in vitro study, BPA exposure (0.001-1 micro molar) led to enhanced expression of ESRRA and ESR2 in Jurkat cells over a period of 72 hours. Conclusions. Results indicate that BPA is bioactive in the human body and is able to alter circulating hormone concentrations and estrogen receptor/estrogen-related receptr gene expression. In particular, given the role of ERRα as a major control point for oxidative metabolism and heart development, this research provides indications on the possible molecular mechanisms of action of BPA in metabolic diseases.