The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.
The C8 Health Project: Design, Methods, and Participants
Open accessAbstract
BACKGROUND: The C8 Health Project was created, authorized, and funded as part of the settlement agreement reached in the case of Jack W. Leach, et al. v. E.I. du Pont de Nemours & Company (no. 01-C-608 W.Va., Wood County Circuit Court, filed 10 April 2002). The settlement stemmed from the perfluorooctanoic acid (PFOA, or C8) contamination of drinking water in six water districts in two states near the DuPont Washington Works facility near Parkersburg, West Virginia. OBJECTIVES: This study reports on the methods and results from the C8 Health Project, a population study created to gather data that would allow class members to know their own PFOA levels and permit subsequent epidemiologic investigations. METHODS: Final study participation was 69,030, enrolled over a 13-month period in 2005-2006. Extensive data were collected, including demographic data, medical diagnoses (both self-report and medical records review), clinical laboratory testing, and determination of serum concentrations of 10 perfluorocarbons (PFCs). Here we describe the processes used to collect, validate, and store these health data. We also describe survey participants and their serum PFC levels. RESULTS: The population geometric mean for serum PFOA was 32.91 ng/mL, 500% higher than previously reported for a representative American population. Serum concentrations for perfluorohexane sulfonate and perfluorononanoic acid were elevated 39% and 73% respectively, whereas perfluorooctanesulfonate was present at levels similar to those in the U.S. population. CONCLUSIONS: This largest known population study of community PFC exposure permits new evaluations of associations between PFOA, in particular, and a range of health parameters. These will contribute to understanding of the biology of PFC exposure. The C8 Health Project also represents an unprecedented effort to gather basic data on an exposed population; its achievements and limitations can inform future legal settlements for populations exposed to environmental contaminants.
Overview
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
Verification
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.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
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
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
Calafat, A. M., Wong, L.-Y., Kuklenyik, Z., Reidy, J. A., & Needham, L. L. (2007) · Environmental Health Perspectives · doi:10.1289/ehp.10598 · Cited by 1,247
The toxicology of perfluorooctanoate
Kennedy, G. L., Butenhoff, J. L., Olsen, G. W., O'Connor, J. C., Seacat, A. M., Perkins, R. G., Biegel, L. B., Murphy, S. R., & Farrar, D. G. (2004) · Critical Reviews in Toxicology · doi:10.1080/10408440490464705 · Cited by 742
Research works printed but not linked: 15
- Apelberg, 2007, Cord serum concentrations of perfluorooctane sulfonate (PFOS) and perfluorooctanoate (PFOA) in relation to weight and size at birth, Environ Health Perspect, 115, 1670, 10.1289/ehp.10334 · DOI · Paper page
- Calafat, 2007, Serum concentrations of 11 polyfluoroalkyl compounds in the US population: data from the National Health and Nutrition Examination Survey (NHANES) 1999–2000, Environ Sci Technol, 41, 2237, 10.1021/es062686m · DOI · Paper page
- Emmett, 2006, Community exposure to perfluorooctanoate: relationships between serum concentrations and exposure sources, J Occup Environ Med, 48, 759, 10.1097/01.jom.0000232486.07658.74 · DOI · Paper page
- Flaherty, 2005, Quantitative determination of perfluorooctanoic acid in serum and plasma by liquid chromatography tandem mass spectrometry, J Chromatogr B Analyt Technol Biomed Life Sci, 819, 329, 10.1016/j.jchromb.2005.03.002 · DOI
- Jensen, 2008, Emerging endocrine disrupters: perfluoroalkylated substances, Int J Androl, 31, 161, 10.1111/j.1365-2605.2008.00870.x · DOI · Paper page
- Kudo, 2003, Toxicity and toxicokinetics of perfluorooctanoic acid in humans and animals, Toxicol Sci, 28, 49, 10.2131/jts.28.49 · DOI · Paper page
- Kuklenyik, 2004, Automated solid phase extraction and measurement of perfluorinated organic acids and amides in human serum and milk, Environ Sci Technol, 38, 3698, 10.1021/es040332u · DOI · Paper page
- Nolan, 2008, The relationship between birth weight, gestational age, and perfluorooctanoic acid (PFOA)-contaminated public drinking water, Reprod Toxicol, 27, 231
- Olsen, 2003, Epidemiologic assessment of worker serum perfluorooctanesulfonate (PFOS) and perfluorooctanoate (PFOA) concentrations and medical surveillance examinations, J Occup Environ Med, 45, 260, 10.1097/01.jom.0000052958.59271.10 · DOI · Paper page
- Steenland, 2009, Predictors of PFOA levels in a community surrounding a chemical plant, Environ Health Perspect, 117, 1083, 10.1289/ehp.0800294 · DOI
- Taniyasu, 2005, Analysis of flurotelomer alcohols, fluorotelomer acids, and short- and long-chain perfluorinated acids in water and biota, J Chromatogr A, 1093, 89, 10.1016/j.chroma.2005.07.053 · DOI · Paper page
- Tao, 2006, Perfluorooctane sulfonate and related chemicals in albatrosses, elephant seals, penguins, and polar skuas from the Southern Ocean, Environ Sci Technol, 40, 7642, 10.1021/es061513u · DOI
- van Leeuwen, 2006, Struggle for quality in determination of perfluorinated contaminants in environmental and human samples, Environ Sci Technol, 40, 7854, 10.1021/es061052c · DOI
- Washino, 2009, Correlations between prenatal exposure to perfluorinated chemicals and reduced fetal growth, Environ Health Perspect, 117, 660, 10.1289/ehp.11681 · DOI · Paper page
- Yamashita, 2008, Perfluorinated acids as novel chemical tracers of global circulation of ocean waters, Chemosphere, 70, 1247, 10.1016/j.chemosphere.2007.07.079 · DOI · Paper page
Cited by
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
Domingo, J. L., & Nadal, M. (2019) · Environmental Research · doi:10.1016/j.envres.2019.108648 · Cited by 688
Epidemiologic Evidence on the Health Effects of Perfluorooctanoic Acid (PFOA)
Steenland, K., Fletcher, T., & Savitz, D. A. (2010) · Environmental Health Perspectives · doi:10.1289/ehp.0901827 · Cited by 660
Self-citationPost, G. B., Cohn, P. D., & Cooper, K. R. (2012) · Environmental Research · doi:10.1016/j.envres.2012.03.007 · Cited by 639
Rappazzo, K., Coffman, E., & Hines, E. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14070691 · Cited by 405
Brase, R. A., Mullin, E. J., & Spink, D. C. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22030995 · Cited by 374
Per- and polyfluorinated substances (PFASs): Environmental challenges
Krafft, M. P., & Riess, J. G. (2015) · Current Opinion in Colloid & Interface Science · doi:10.1016/j.cocis.2015.07.004 · Cited by 294
Frisbee, S. J., Shankar, A., Knox, S. S., Steenland, K., Savitz, D. A., Fletcher, T., & Ducatman, A. M. (2010) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpediatrics.2010.163 · Cited by 274
Self-citationWorley, 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
Lopez-Espinosa, M.-J., Fletcher, T., Armstrong, B., Genser, B., Dhatariya, K., Mondal, D., Ducatman, A., & Leonardi, G. (2011) · Environmental Science & Technology · doi:10.1021/es1038694 · Cited by 262
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
Mastrantonio, M., Bai, E., Uccelli, R., Cordiano, V., Screpanti, A., & Crosignani, P. (2018) · European Journal of Public Health · doi:10.1093/eurpub/ckx066 · Cited by 228
Steenland, K., Tinker, S., Shankar, A., & Ducatman, A. (2010) · Environmental Health Perspectives · doi:10.1289/ehp.0900940 · Cited by 224
Self-citationGalloway, J. E., Moreno, A. V. P., Lindstrom, A. B., Strynar, M. J., Newton, S., May, A. A., & Weavers, L. K. (2020) · Environmental Science & Technology · doi:10.1021/acs.est.9b07384 · Cited by 216
Bassler, J., Ducatman, A., Elliott, M., Wen, S., Wahlang, B., Barnett, J., & Cave, M. C. (2019) · Environmental Pollution · doi:10.1016/j.envpol.2019.01.064 · Cited by 206
Self-citationPitter, G., Da Re, F., Canova, C., Barbieri, G., Zare Jeddi, M., Daprà, F., Manea, F., Zolin, R., Bettega, A. M., Stopazzolo, G., et al. (2020) · Environmental Health Perspectives · doi:10.1289/ehp5337 · Cited by 192
PFOS and PFC releases and associated pollution from a PFC production plant in Minnesota (USA)
Oliaei, F., Kriens, D., Weber, R., & Watson, A. (2013) · Environmental Science and Pollution Research · doi:10.1007/s11356-012-1275-4 · Cited by 188
Chang, E. T., Adami, H.-O., Boffetta, P., Cole, P., Starr, T. B., & Mandel, J. S. (2014) · Critical Reviews in Toxicology · doi:10.3109/10408444.2014.905767 · Cited by 180
Meneguzzi, A., Fava, C., Castelli, M., & Minuz, P. (2021) · Frontiers in Endocrinology · doi:10.3389/fendo.2021.706352 · Cited by 174
Perfluoroalkyl Chemicals and Chronic Kidney Disease in US Adults
Shankar, A., Xiao, J., & Ducatman, A. (2011) · American Journal of Epidemiology · doi:10.1093/aje/kwr171 · Cited by 166
Self-citationWatkins, D. J., Josson, J., Elston, B., Bartell, S. M., Shin, H.-M., Vieira, V. M., Savitz, D. A., Fletcher, T., & Wellenius, G. A. (2013) · Environmental Health Perspectives · doi:10.1289/ehp.1205838 · Cited by 158
Self-citationCritical review on PFOA, kidney cancer, and testicular cancer
Bartell, S. M., & Vieira, V. M. (2021) · Journal of the Air & Waste Management Association · doi:10.1080/10962247.2021.1909668 · Cited by 151
Self-citationMaternal exposure to perfluorinated acids and fetal growth
Hamm, M. P., Cherry, N. M., Chan, E., Martin, J. W., & Burstyn, I. (2010) · Journal of Exposure Science & Environmental Epidemiology · doi:10.1038/jes.2009.57 · Cited by 151
PFAS on atmospheric aerosol particles: A review
Faust, J. A. (2023) · Environmental Science: Processes & Impacts · doi:10.1039/d2em00002d · Cited by 139
PIGE as a screening tool for Per- and polyfluorinated substances in papers and textiles
Ritter, E. E., Dickinson, M. E., Harron, J. P., Lunderberg, D. M., DeYoung, P. A., Robel, A. E., Field, J. A., & Peaslee, G. F. (2017) · Nuclear Instruments and Methods in Physics Research Section B: Beam Interactions with Materials and Atoms · doi:10.1016/j.nimb.2017.05.052 · Cited by 123
Toward a mechanistic understanding of poly-and perfluoroalkylated substances and cancer
Boyd, R. I., Ahmad, S., Singh, R., Fazal, Z., Prins, G. S., Madak Erdogan, Z., Irudayaraj, J., & Spinella, M. J. (2022) · Cancers · doi:10.3390/cancers14122919 · Cited by 110
Elimination kinetics of perfluorohexanoic acid in humans and comparison with mouse, rat and monkey
Russell, M. H., Nilsson, H., & Buck, R. C. (2013) · Chemosphere · doi:10.1016/j.chemosphere.2013.08.060 · Cited by 110
Di Nisio, A., Pannella, M., Vogiatzis, S., Sut, S., Dall'Acqua, S., Rocca, M. S., Antonini, A., Porzionato, A., De Caro, R., Bortolozzi, M., et al. (2022) · Environment International · doi:10.1016/j.envint.2021.106982 · Cited by 103
Tucker, D. K., Macon, M. B., Strynar, M. J., Dagnino, S., Andersen, E., & Fenton, S. E. (2015) · Reproductive Toxicology · doi:10.1016/j.reprotox.2014.12.002 · Cited by 101
Perfluorocarbon exposure, gender and thyroid function in the C8 Health Project
S. Knox, S., Jackson, T., J. Frisbee, S., Javins, B., & M. Ducatman, A. (2011) · The Journal of Toxicological Sciences · doi:10.2131/jts.36.403 · Cited by 95
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
Detailed NMR investigation of cyclodextrin-perfluorinated surfactant interactions in aqueous media
Weiss-Errico, M. J., & O’Shea, K. E. (2017) · Journal of Hazardous Materials · doi:10.1016/j.jhazmat.2017.01.017 · Cited by 77
Inconsistencies in the EU regulatory risk assessment of PFAS call for readjustment
Reinikainen, J., Bouhoulle, E., & Sorvari, J. (2024) · Environment International · doi:10.1016/j.envint.2024.108614 · Cited by 72
Anderson, J. K., Luz, A. L., Goodrum, P., & Durda, J. (2019) · Regulatory Toxicology and Pharmacology · doi:10.1016/j.yrtph.2019.01.020 · Cited by 56
Gribble, M. O., Bartell, S. M., Kannan, K., Wu, Q., Fair, P. A., & Kamen, D. L. (2015) · Environmental Research · doi:10.1016/j.envres.2015.03.012 · Cited by 43
Ducatman, A., Luster, M., & Fletcher, T. (2021) · Environmental Toxicology and Pharmacology · doi:10.1016/j.etap.2021.103650 · Cited by 42
Self-citationSiegel, H. G., Nason, S. L., Warren, J. L., Prunas, O., Deziel, N. C., & Saiers, J. E. (2023) · Environmental Science & Technology · doi:10.1021/acs.est.3c05192 · Cited by 30
Genser, B., Teles, C. A., Barreto, M. L., & Fischer, J. E. (2015) · Environmental Health · doi:10.1186/s12940-015-0047-2 · Cited by 23
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
Metadata
- Authors
- Frisbee, S. J., Brooks, A. P., Maher, A., Flensborg, P., Arnold, S., Fletcher, T., Steenland, K., Shankar, A., Knox, S. S., Pollard, C., Halverson, J. A., Vieira, V. M., Jin, C., Leyden, K. M., & Ducatman, A. M.
- Venue
- Environmental Health Perspectives
- Publisher
- American Chemical Society (ACS)
- Published
- 2009-12
- Volume
- 117
- Issue
- 12
- Pages
- 1873-1882
- ISSN
- 0091-6765 (ISSN-L)
- 1552-9924
- OpenAlex
- W2068337533
- Cited by
- 359
- References
- 4
- FWCI
- 11.15
- Type
- journal article
- Language
- en
- Open access
- gold
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
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.