Table 23.
Sources of uncertainty | Direction |
---|---|
Extrapolation of occurrence data few Member States to whole of Europe | +/–a |
Limited occurrence data for some PFASs and several food groups | +/– |
Large proportion of left‐censored data in the final dataset | +/– |
Using the substitution method at the lower bound (LB) and upper bound (UB) scenario | +/– |
Including data over the last 10 years while levels in food and humans are declining | + |
Non‐dietary exposure and contribution from precursors | – |
Residual confounding, e.g. from life‐style factors in human epi studies | +/– |
Limited data on PFASs other than PFOS and PFOA | +/– |
Evidence for an association between PFASs exposure and increased risk of infections is limited | + |
The derivation of Reference Point | +/– |
PBPK modelling | +/– |
Lack of information on the relative potencies of PFASs/ mixture approach | +/– |
Variability in vaccination response | +/– |
PFAS: perfluoroalkyl substance; PFOA: perfluorooctanoic acid; PFOS: perfluoroheptane sulfonate.
+ = uncertainty with potential to cause over‐estimation of exposure/risk; – = uncertainty with potential to cause under‐estimation of exposure/risk.