Half-Lives of PFOS, PFHxS and PFOA after End of Exposure to Contaminated Drinking Water
Open accessAbstract
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.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The high HSA binding affinities of PFHxS and PFHpA are consistent with long blood plasma elimination half-lives reported for PFHxS in humans and for PFHpA and PFHxS in pigs.
“These observations are consistent with long blood plasma elimination half-lives reported for PFHxS in humans [54,55] and for PFHpA and PFHxS in pigs [56].”
From In-Vitro and In-Silico Assessment of Per- and Polyfluoroalkyl Substances (PFAS) in Aqueous Film-Forming Foam (AFFF) Binding to Human Serum Albumin (2021) · cites this paper as [55]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Perfluoroalkyl Acids: A Review of Monitoring and Toxicological Findings
Lau, C., Anitole, K., Hodes, C., Lai, D., Pfahles-Hutchens, A., & Seed, J. (2007) · Toxicological Sciences · doi:10.1093/toxsci/kfm128 · Cited by 2,620 · see citing works
Olsen, G. W., Burris, J. M., Ehresman, D. J., Froehlich, J. W., Seacat, A. M., Butenhoff, J. L., & Zobel, L. R. (2007) · Environmental Health Perspectives · doi:10.1289/ehp.10009 · Cited by 2,049 · see citing works
That BLUP is a Good Thing: The Estimation of Random Effects
Robinson, G. K. (1991) · Statistical Science · doi:10.1214/ss/1177011926 · Cited by 1,694 · see citing works
Biomonitoring of Perfluoroalkyl Acids in Human Urine and Estimates of Biological Half-Life
Zhang, Y., Beesoon, S., Zhu, L., & Martin, J. W. (2013) · Environmental Science & Technology · doi:10.1021/es401905e · Cited by 530 · see citing works
Tracking the Pathways of Human Exposure to Perfluorocarboxylates
Vestergren, R., & Cousins, I. T. (2009) · Environmental Science & Technology · doi:10.1021/es900228k · Cited by 419 · see citing works
Bartell, S. M., Calafat, A. M., Lyu, C. W., Kato, K., Ryan, P. B., & Steenland, K. (2009) · Environmental Health Perspectives · doi:10.1289/ehp.0901252 · Cited by 390 · see citing works
Drug transport by Organic Anion Transporters (OATs)
Burckhardt, G. (2012) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2012.07.010 · Cited by 359 · see citing works
A comparison of the pharmacokinetics of perfluorobutanesulfonate (PFBS) in rats, monkeys, and humans
Olsen, G. W., Chang, S.-C., Noker, P. E., Gorman, G. S., Ehresman, D. J., Lieder, P. H., & Butenhoff, J. L. (2009) · Toxicology · doi:10.1016/j.tox.2008.11.008 · Cited by 355 · see citing works
Worley, R. R., Moore, S. M., Tierney, B. C., Ye, X., Calafat, A. M., Campbell, S., Woudneh, M. B., & Fisher, J. (2017) · Environment International · doi:10.1016/j.envint.2017.06.007 · Cited by 272 · see citing works
Temporal Trends of Perfluoroalkyl Concentrations in American Red Cross Adult Blood Donors, 2000–2010
Olsen, G. W., Lange, C. C., Ellefson, M. E., Mair, D. C., Church, T. R., Goldberg, C. L., Herron, R., Medhdizadehkashi, Z., Nobiletti, J. B., Rios, J. A., et al. (2012) · Environmental Science & Technology · doi:10.1021/es300604p · Cited by 221 · see citing works
Wong, F., MacLeod, M., Mueller, J. F., & Cousins, I. T. (2014) · Environmental Science & Technology · doi:10.1021/es500796y · Cited by 220 · see citing works
Andersen, M. E., M.A., H. J. C. I., Tan, Y., Butenhoff, J. L., & Olsen, G. W. (2006) · Toxicology · doi:10.1016/j.tox.2006.08.004 · Cited by 206 · see citing works
Lindh, C. H., Rylander, L., Toft, G. V., Axmon, A., Rignell‐Hydbom, A., Giwercman, A., Pedersen, H. S., Góralczyk, K., Ludwicki, J. K., Zvyezday, V., et al. (2012) · Chemosphere · doi:10.1016/j.chemosphere.2012.03.049 · Cited by 153 · see citing works
Self-citationBrede, E., Wilhelm, M., Göen, T., Müller, J., Rauchfuss, K., Kraft, M., & Hölzer, J. (2010) · International Journal of Hygiene and Environmental Health · doi:10.1016/j.ijheh.2010.03.007 · Cited by 144 · see citing works
Loccisano, A. E., Campbell, J. L., Andersen, M. E., & M.A., H. J. C. I. (2010) · Regulatory Toxicology and Pharmacology · doi:10.1016/j.yrtph.2010.12.004 · Cited by 141 · see citing works
Miralles-Marco, A., & Harrad, S. J. (2015) · Environment International · doi:10.1016/j.envint.2015.02.002 · Cited by 138 · see citing works
Human detoxification of perfluorinated compounds
Genuis, S. J., Birkholz, D., Ralitsch, M., & Thibault, N. (2010) · Public Health · doi:10.1016/j.puhe.2010.03.002 · Cited by 86 · see citing works
Differences in the isomer composition of perfluoroctanesulfonyl (PFOS) derivatives
Vyas, S. M., Kania‐Korwel, I., & Lehmler, H. (2007) · Journal of Environmental Science and Health Part A · doi:10.1080/10934520601134031 · Cited by 62 · see citing works
Gomis, M. I., Vestergren, R., Nilsson, H., & Cousins, I. (2016) · Environmental Science and Technology · doi:10.1021/acs.est.6b01477 · Cited by 46 · see citing works
Use and Potential Impacts of AFFF Containing PFASs at Airports
Thalheimer, A. H., McConney, L. B., Kalinovich, I. K., Pigott, A. V., Franz, J. D., Holbert, H. T., Mericas, D., Puchacz, Z. J., & University of Washington (2017) · Transportation Research Board eBooks · doi:10.17226/24800 · Cited by 12 · see citing works
Fletcher, T., Yücesoy, B., Bartell, S. M., et al. (2012) · Epidemiology · doi:10.1097/01.ede.0000417207.31291.7e · Cited by 1 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Fenton, S. E., Ducatman, A., Boobis, A., DeWitt, J. C., Lau, C., Ng, C., Smith, J. S., & Roberts, S. M. (2020) · Environmental Toxicology and Chemistry · doi:10.1002/etc.4890 · Cited by 2,445 · see citing works
Risk to human health related to the presence of perfluoroalkyl substances in food
Panel), E. P. O. C. I. T. F. C. (. C., Schrenk, D., Bignami, M., Bodin, L., Chipman, J. K., del Mazo, J., Grasl‐Kraupp, B., Hogstrand, C., Hoogenboom, L. (., Leblanc, J., et al. (2020) · EFSA Journal · doi:10.2903/j.efsa.2020.6223 · Cited by 989 · see citing works
De Silva, A. O., Armitage, J. M., Bruton, T. A., Dassuncao, C., Heiger-Bernays, W., Hu, X. C., Kärrman, A., Kelly, B., Ng, C., Robuck, A., et al. (2020) · Environmental Toxicology and Chemistry · doi:10.1002/etc.4935 · Cited by 835 · see citing works
PFAS Molecules: A Major Concern for the Human Health and the Environment
Panieri, E., Baralic, K., Djukic-Cosic, D., Buha Djordjevic, A., & Saso, L. (2022) · Toxics · doi:10.3390/toxics10020044 · Cited by 651 · see citing works
Zhang, C., Yan, K., Fu, C., Peng, H., Hawker, C. J., & Whittaker, A. K. (2022) · Chemical Reviews · doi:10.1021/acs.chemrev.1c00632 · Cited by 493 · see citing works
Brase, R. A., Mullin, E. J., & Spink, D. C. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22030995 · Cited by 374 · see citing works
Poothong, S., Papadopoulou, E., Padilla-Sánchez, J. A., Thomsen, C., & Haug, L. S. (2020) · Environment International · doi:10.1016/j.envint.2019.105244 · Cited by 357 · see citing works
Xu, Y., Fletcher, T., Pineda, D., Lindh, C. H., Nilsson, C., Glynn, A., Vogs, C., Norström, K., Lilja, K., Jakobsson, K., et al. (2020) · Environmental Health Perspectives · doi:10.1289/ehp6785 · Cited by 342 · see citing works
Self-citationRosato, I., Bonato, T., Fletcher, T., Batzella, E., & Canova, C. (2024) · Environmental Research · doi:10.1016/j.envres.2023.117743 · Cited by 273 · see citing works
Self-citationPFAS Environmental Pollution and Antioxidant Responses: An Overview of the Impact on Human Field
Bonato, M., Corrà, F., Bellio, M., Guidolin, L., Tallandini, L., Irato, P., & Santovito, G. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17218020 · Cited by 243 · see citing works
Ojo, A. F., Peng, C., & Ng, J. C. (2021) · Journal of Hazardous Materials · doi:10.1016/j.jhazmat.2020.124863 · Cited by 221 · see citing works
Pizzurro, D. M., Seeley, M., Kerper, L. E., & Beck, B. D. (2019) · Regulatory Toxicology and Pharmacology · doi:10.1016/j.yrtph.2019.05.008 · Cited by 206 · see citing works
Evans, N., Conley, J. M., Cardon, M., Hartig, P., Medlock-Kakaley, E., & Gray, L. E. (2022) · Toxicology and Applied Pharmacology · doi:10.1016/j.taap.2022.116136 · Cited by 208 · see citing works
Barbo, N., Stoiber, T., Naidenko, O. V., & Andrews, D. Q. (2023) · Environmental Research · doi:10.1016/j.envres.2022.115165 · Cited by 170 · see citing works
DeLuca, N. M., Minucci, J. M., Mullikin, A., Slover, R., & Cohen Hubal, E. A. (2022) · Environment International · doi:10.1016/j.envint.2022.107149 · Cited by 167 · see citing works
Hall, S. M., Zhang, S., Hoffman, K., Miranda, M. L., & Stapleton, H. M. (2022) · Chemosphere · doi:10.1016/j.chemosphere.2022.133873 · Cited by 144 · see citing works
Brown-Leung, J. M., & Cannon, J. R. (2022) · Chemical Research in Toxicology · doi:10.1021/acs.chemrestox.2c00072 · Cited by 164 · see citing works
Graber, J. M., Alexander, C., Laumbach, R. J., Black, K., Strickland, P. O., Georgopoulos, P. G., Marshall, E. G., Shendell, D. G., Alderson, D., Mi, Z., et al. (2019) · Journal of Exposure Science & Environmental Epidemiology · doi:10.1038/s41370-018-0096-z · Cited by 118 · see citing works
Goodrum, P. E., Anderson, J. K., Luz, A. L., & Ansell, G. K. (2021) · Toxicological Sciences · doi:10.1093/toxsci/kfaa123 · Cited by 118 · see citing works
PFAS Exposures and the Human Metabolome: A Systematic Review of Epidemiological Studies
India-Aldana, S., Yao, M., Midya, V., Colicino, E., Chatzi, L., Chu, J., Gennings, C., Jones, D. P., Loos, R. J. F., Setiawan, V. W., et al. (2023) · Current Pollution Reports · doi:10.1007/s40726-023-00269-4 · Cited by 114 · see citing works
Perfluoroalkyl/polyfluoroalkyl substances: Links to cardiovascular disease risk
Schlezinger, J. J., & Gokce, N. (2024) · Circulation Research · doi:10.1161/circresaha.124.323697 · Cited by 103 · see citing works
Louisse, J., Dellafiora, L., van den Heuvel, J. J. M. W., Rijkers, D., Leenders, L., Dorne, J.-L. C. M., Punt, A., Russel, F. G. M., & Koenderink, J. B. (2023) · Archives of Toxicology · doi:10.1007/s00204-022-03428-6 · Cited by 84 · see citing works
Perfluoroalkyl substances and kidney function in chronic kidney disease, anemia, and diabetes
Conway, B., Badders, A., Costacou, T., Arthur, J., & Innes, K. (2018) · Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy · doi:10.2147/dmso.s173809 · Cited by 80 · see citing works
Sörengård, M., Bergström, S., McCleaf, P., Wiberg, K., & Ahrens, L. (2022) · Environmental Pollution · doi:10.1016/j.envpol.2022.119981 · Cited by 83 · see citing works
Guelfo, J. L., Marlow, T., Klein, D. M., Savitz, D. A., Frickel, S., Crimi, M., & Suuberg, E. M. (2018) · Environmental Health Perspectives · doi:10.1289/ehp2727 · Cited by 73 · see citing works
Norén, E., Lindh, C., Glynn, A., Rylander, L., Pineda, D., & Nielsen, C. (2021) · Environment International · doi:10.1016/j.envint.2021.106716 · Cited by 75 · see citing works
Self-citationEmerging and legacy contaminants across land-use gradients and the risk to aquatic ecosystems
Sardiña, P., Leahy, P., Metzeling, L., Stevenson, G., & Hinwood, A. (2019) · Science of The Total Environment · doi:10.1016/j.scitotenv.2019.133842 · Cited by 67 · see citing works
Hu, X. C., Ge, B., Ruyle, B. J., Sun, J., & Sunderland, E. M. (2021) · Environmental Science & Technology Letters · doi:10.1021/acs.estlett.1c00264 · Cited by 63 · see citing works
Chiu, W. A., Lynch, M. T., Lay, C. R., Antezana, A., Malek, P., Sokolinski, S., & Rogers, R. D. (2022) · Environmental Health Perspectives · doi:10.1289/ehp10103 · Cited by 57 · see citing works
Dawson, D. E., Lau, C., Pradeep, P., Sayre, R. R., Judson, R. S., Tornero-Velez, R., & Wambaugh, J. F. (2023) · Toxics · doi:10.3390/toxics11020098 · Cited by 56 · see citing works
Li, W., Hu, Y., & Bischel, H. N. (2021) · Toxics · doi:10.3390/toxics9030063 · Cited by 53 · see citing works
“These observations are consistent with long blood plasma elimination half-lives reported for PFHxS in humans [54,55] and for PFHpA and PFHxS in pigs [56].”
BackgroundPFAS in the Drinking Water Source: Analysis of the Contamination Levels, Origin and Emission Rates
Mussabek, D., Söderman, A., Imura, T., Persson, K. M., Nakagawa, K., Ahrens, L., & Berndtsson, R. (2022) · Water · doi:10.3390/w15010137 · Cited by 50 · see citing works
Zhu, Y., Pan, X., Jia, Y., Yang, X., Song, X., Ding, J., Zhong, W., Feng, J., & Zhu, L. (2023) · Environmental Health Perspectives · doi:10.1289/ehp11969 · Cited by 49 · see citing works
Catelan, D., Biggeri, A., Russo, F., Gregori, D., Pitter, G., Da Re, F., Fletcher, T., & Canova, C. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18052734 · Cited by 47 · see citing works
Petriello, M. C., Mottaleb, M. A., Serio, T. C., Balyan, B., Cave, M. C., Pavuk, M., Birnbaum, L. S., & Morris, A. J. (2022) · Environment International · doi:10.1016/j.envint.2021.106907 · Cited by 49 · see citing works
Ducatman, A., Luster, M., & Fletcher, T. (2021) · Environmental Toxicology and Pharmacology · doi:10.1016/j.etap.2021.103650 · Cited by 42 · see citing works
Self-citationLi, H., Chen, J., Lu, J., Yang, J., Tan, Z., Li, L., Xiao, F., An, Z., Ma, C., Liu, Y., et al. (2023) · Chemosphere · doi:10.1016/j.chemosphere.2022.137464 · Cited by 35 · see citing works
The Dilemma of perfluorooctanoate (PFOA) human half-life
Dourson, M., & Gadagbui, B. (2021) · Regulatory Toxicology and Pharmacology · doi:10.1016/j.yrtph.2021.105025 · Cited by 27 · see citing works
Liu, Y., Zhang, H., Xu, F., Zhang, X., Zhao, N., & Ding, L. (2024) · Science of The Total Environment · doi:10.1016/j.scitotenv.2024.171305 · Cited by 24 · see citing works
Sun, S., Liang, M., Fan, D., Gu, W., Wang, Z., Shi, L., & Geng, N. (2024) · Science of The Total Environment · doi:10.1016/j.scitotenv.2024.173993 · Cited by 24 · see citing works
Vuong, A. M., Yolton, K., Xie, C., Dietrich, K. N., Braun, J. M., Webster, G. M., Calafat, A. M., Lanphear, B. P., & Chen, A. (2021) · Neurotoxicology and Teratology · doi:10.1016/j.ntt.2021.107022 · Cited by 22 · see citing works
Yang, M., Su, W., Li, H., Li, L., An, Z., Xiao, F., Liu, Y., Zhang, X., Liu, X., Guo, H., et al. (2023) · Ecotoxicology and Environmental Safety · doi:10.1016/j.ecoenv.2023.115473 · Cited by 23 · see citing works
Haimbaugh, A., Meyer, D. N., Connell, M. L., Blount-Pacheco, J., Tolofari, D., Gonzalez, G., Banerjee, D., Norton, J., Miller, C. J., & Baker, T. R. (2024) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph21121615 · Cited by 21 · see citing works
Industrial Applications, Environmental Fate, Human Exposure, and Health Effects of PFAS
Hasan, M., Habib, A., Alam, M., Islam, S., & Halim, E. (2025) · Pollutants · doi:10.3390/pollutants5040043 · Cited by 21 · see citing works
“Other large population-based cohorts, such as those in Ron-neby, Sweden (PFHxS and PFOS exposure; [214]) and Veneto, Italy (PFOA exposure; [215]), provide additional research opportunities.”
Predicting Exposure to Perfluorinated Alkyl Substances (PFAS) among US Infants
Kirk, A. B., Plasse, K. M., Kirk, K. C., Martin, C. F., & Ozsoy, G. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19148402 · Cited by 19 · see citing works
Ratier, A., Casas, M., Grazuleviciene, R., Slama, R., Småstuen Haug, L., Thomsen, C., Vafeiadi, M., Wright, J., Zeman, F. A., Vrijheid, M., et al. (2024) · Environment International · doi:10.1016/j.envint.2024.108621 · Cited by 16 · see citing works
Liu, J., Ge, T., Luo, C., Ning, A., Xi, Y., Li, S., Gu, Q., Li, D., Zhang, X., Hou, Y., et al. (2026) · Ecotoxicology and Environmental Safety · doi:10.1016/j.ecoenv.2026.120050 · Cited by 6 · see citing works
- 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
- PMC
- PMC5749314
- 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
- hybrid
- doi.org
- 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
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 ›
Are you an author, or do you see a problem with this page? Request a review