Scientific Basis for Managing PFAS as a Chemical Class
Open accessAbstract
This commentary presents a scientific basis for managing as one chemical class the thousands of chemicals known as PFAS (per- and polyfluoroalkyl substances). The class includes perfluoroalkyl acids, perfluoroalkylether acids, and their precursors; fluoropolymers and perfluoropolyethers; and other PFAS. The basis for the class approach is presented in relation to their physicochemical, environmental, and toxicological properties. Specifically, the high persistence, accumulation potential, and/or hazards (known and potential) of PFAS studied to date warrant treating all PFAS as a single class. Examples are provided of how some PFAS are being regulated and how some businesses are avoiding all PFAS in their products and purchasing decisions. We conclude with options for how governments and industry can apply the class-based approach, emphasizing the importance of eliminating non-essential uses of PFAS, and further developing safer alternatives and methods to remove existing PFAS from the environment.
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PFASs are extensively utilized in the medical technology sector due to properties including chemical and thermal stability, corrosion resistance, low surface energy, biocompatibility, low friction, and electrical insulation.
“PFASs are extensively utilized in the medical technology sector due to their unique and highly desirable physicochemical properties.”
From Exposure to Per- and Polyfluoroalkyl Substances (PFASs) in Healthcare: Environmental and Clinical Insights (2025) · cites this paper as [12]
The Introduction says PFAS are used in medical procedures and products and describes useful properties such as low friction and water and oil repellency. It does not establish that their use in medical technology is extensive or identify most of the specific properties listed in the claim. (LLM, conf=0.84)
Experimental — accuracy not yet measuredCurrent regulatory frameworks for PFASs are inconsistent and incomplete, particularly regarding cumulative exposure risks and long-term environmental impacts.
“Furthermore, current regulatory frameworks are inconsistent and incomplete, particularly regarding cumulative exposure risks and long-term environmental impacts [12].”
From Exposure to Per- and Polyfluoroalkyl Substances (PFASs) in Healthcare: Environmental and Clinical Insights (2025) · cites this paper as [12]
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- Authors
- Kwiatkowski, C. F., Andrews, D. Q., Birnbaum, L. S., Bruton, T. A., DeWitt, J. C., Knappe, D. R. U., Maffini, M. V., Miller, M. F., Pelch, K. E., Reade, A., Soehl, A., Trier, X., Venier, M., Wagner, C. C., Wang, Z., & Blum, A.
- Affiliations
- North Carolina State University (US)
- Environmental Working Group , ,
- National Institute of Environmental Health Sciences (US)
- Green Science Policy Institute , , ,
- East Carolina University (US)
- Private Residence , , ,
- University of North Texas Health Science Center (US)
- Natural Resources Defense Council (US)
- European Environment Agency (DK)
- Indiana University Bloomington (US)
- Harvard University (US)
- ETH Zurich (CH)
- University of California System (US)
- Corresponding author
- Kwiatkowski, Carol F.
- ORCID
- Venue
- Environmental Science & Technology Letters
- Publisher
- American Chemical Society (ACS)
- Published
- 2020-06-30
- Volume
- 7
- Issue
- 8
- Pages
- 532-543
- ISSN
- 2328-8930 (ISSN-L)
- PMC
- PMC8297807
- OpenAlex
- W3038543216
- Semantic Scholar
- a4e2008bc8bcd289ae0695cd0b19b0facb7beb3c
- Cited by
- 721
- References
- 108
- Citations by year
- 2026: 168 · 2025: 171 · 2024: 111 · 2023: 102 · 2022: 94 · 2021: 62 · 2020: 12
- FWCI
- 25.01
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Environmental Science & Technology Letters (publishedVersion, public-domain)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Repository for Publications and Research Data (ETH Zurich) (submittedVersion, other-oa)
- ETH Zürich Research Collection
- Funders
- National Institute of Environmental Health Sciences (P42ES027706)
- Endocrine Disruption Exchange (NA)
- Green Science Policy Institute (NA)
- Natural Resources Defense Council (NA)
- Topics
- Physical Sciences › Environmental Science › Environmental Chemistry › Per- and polyfluoroalkyl substances research
- Physical Sciences › Materials Science › Polymers and Plastics › Synthesis and properties of polymers
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Toxic Organic Pollutants Impact
- Keywords
- PFAS, per- and polyfluoroalkyl substances, perfluoroalkyl acids, fluorinated polymers, perfluoropolyether, toxicology, environmental fate, chemical regulation, PFAS alternatives
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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