Cited by 815Per- and polyfluoroalkyl substances researchFluoride Effects and RemovalToxic Organic Pollutants Impact

Half-Lives of PFOS, PFHxS and PFOA after End of Exposure to Contaminated Drinking Water

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Li, Ying, Fletcher, Tony, Mucs, Daniel, Scott, Kristin, Lindh, Christian H, Tallving, Pia, Jakobsson, Kristina·2018·Occupational and Environmental Medicine

Abstract

BACKGROUND: Municipal drinking water contaminated with perfluorinated alkyl acids had been distributed to one-third of households in Ronneby, Sweden. The source was firefighting foam used in a nearby airfield since the mid-1980s. Clean water was provided from 16 December 2013. OBJECTIVE: To determine the rates of decline in serum perfluorohexane sulfonate (PFHxS), perfluorooctane sulfonate (PFOS) and perfluorooctanoate (PFOA), and their corresponding half-lives. METHODS: Up to seven blood samples were collected between June 2014 and September 2016 from 106 participants (age 4-84 years, 53% female). RESULTS: Median initial serum concentrations were PFHxS, 277 ng/mL (range 12-1660); PFOS, 345 ng/mL (range 24-1500); and PFOA, 18 ng/mL (range 2.4-92). The covariate-adjusted average rates of decrease in serum were PFHxS, 13% per year (95% CI 12% to 15%); PFOS, 20% per year (95% CI 19% to 22%); and PFOA, 26% per year (95% CI 24% to 28%). The observed data are consistent with a first-order elimination model. The mean estimated half-life was 5.3 years (95% CI 4.6 to 6.0) for PFHxS, 3.4 years (95% CI 3.1 to 3.7) for PFOS and 2.7 years (95% CI 2.5 to 2.9) for PFOA. The interindividual variation of half-life was around threefold when comparing the 5th and 95th percentiles. There was a marked sex difference with more rapid elimination in women for PFHxS and PFOS, but only marginally for PFOA. CONCLUSIONS: The estimated half-life for PFHxS was considerably longer than for PFOS and PFOA. For PFHxS and PFOS, the average half-life is shorter than the previously published estimates. For PFOA the half-life is in line with the range of published estimates.

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Authors
Li, Y., Fletcher, T., Mucs, D., Scott, K., Lindh, C. H., Tallving, P., & Jakobsson, K.
Affiliations
  • University of Gothenburg (SE)
  • London School of Hygiene & Tropical Medicine (GB)
  • Lund University (SE)
Corresponding author
Li, Ying
Venue
Occupational and Environmental Medicine
Publisher
BMJ
Published
2017-11-13
Volume
75
Issue
1
Pages
46-51
ISSN
  • 0007-1072 (ISSN-L)
  • 1351-0711
  • 1470-7926
OpenAlex
W2768329455
Cited by
815
References
21
Citations by year
2026: 98 · 2025: 105 · 2024: 135 · 2023: 114 · 2022: 91 · 2021: 106 · 2020: 95 · 2019: 49 · 2018: 20 · 2017: 1
FWCI
26.52
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Occupational and Environmental Medicine (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
  • Lund University Publications (Lund University) (submittedVersion)
  • HighWire Press Open Archive (submittedVersion)
Funders
Svenska Forskningsrådet Formas
Topics
  • Physical Sciences › Environmental Science › Environmental Chemistry › Per- and polyfluoroalkyl substances research
  • Physical Sciences › Environmental Science › Water Science and Technology › Fluoride Effects and Removal
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Toxic Organic Pollutants Impact
Keywords
perfluoroalkyl acids, PFOS, PFHxS, perfluorooctanoic acid, half-life, drinking water contamination, firefighting foam, exposure cessation, sex differences, interindividual variability, biomonitoring, breast-fed infants
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Caprylates, Child, Child, Preschool, Environmental Exposure, Female, Fluorocarbons, Humans, Male, Middle Aged, Sex Factors, Sulfonic Acids, Sweden, Water Pollutants, Chemical, Water Supply, Alkanesulfonic Acids, Young Adult, Water Quality, Drinking Water

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