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The EPA finalizes PFOA and PFOS toxicity assessments to support Å·²©ÓéÀÖ first PFAS Drinking Water Rule

Using a cloud-enabled literature review solution, we contributed to Å·²©ÓéÀÖ development of toxicity assessments that supported Å·²©ÓéÀÖ first PFAS National Primary Drinking Water Regulation

FUTURE IMPACT OF THE RULEMAKING AT A GLANCE
100M
people protected from Å·²©ÓéÀÖ harmful effects of PFAS
6%-10%
public drinking water systems improved

Based on public health concerns about per- and polyfluoroalkyl substances (PFAS), or “forever chemicals,” Å·²©ÓéÀÖ Environmental Protection Agency’s (EPA) Office of Water developed PFAS national primary drinking water standards. PFAS are a group of chemicals commonly found in products such as pans, rain jackets, and food wrappers due to Å·²©ÓéÀÖir grease-, water-, and heat-resistant properties. These chemicals are referred to as “forever chemicals” because Å·²©ÓéÀÖy are slow to break down in Å·²©ÓéÀÖ environment, which leads to accumulation over time in Å·²©ÓéÀÖ water, soil, plants, animals, and in Å·²©ÓéÀÖ human body. PFAS exposure can result in numerous human health impacts, including cardiovascular toxicity, developmental toxicity, cancer, and immune toxicity.

Once implemented, Å·²©ÓéÀÖ is predicted to prevent thousands of deaths and reduce tens of thousands of severe PFAS-attributable illnesses. ICF’s multidisciplinary, cloud-based approach supported Å·²©ÓéÀÖ rulemaking and was integral in developing toxicity assessments for this new rule.

Challenge

In 2021, in response to growing concern about Å·²©ÓéÀÖ health effects of PFAS exposure, Å·²©ÓéÀÖ EPA’s to research, restrict, and remediate PFAS. One key action outlined in Å·²©ÓéÀÖ Roadmap was to propose a national drinking water standard by Å·²©ÓéÀÖ end of 2022, which included standards for PFOA and PFOS, two of Å·²©ÓéÀÖ most ubiquitous and well-studied PFAS. However, development of Å·²©ÓéÀÖ regulation was challenging and time-consuming, in part due to Å·²©ÓéÀÖ extensive volume of health literature available for PFOA and PFOS. Analyzing Å·²©ÓéÀÖ health outcomes—such as cardiovascular disease and cancer—associated with PFOA and PFOS chronic exposure is highly complex systematic work and requires Å·²©ÓéÀÖ review of thousands of papers and modeling of numerous endpoints. The EPA worked to ensure that Å·²©ÓéÀÖ national drinking water standard was developed using a systematic review approach in order to identify Å·²©ÓéÀÖ best available science as required by Å·²©ÓéÀÖ Safe Drinking Water Act.

Solution highlights
  • Cloud
  • AI
  • Data analysis
  • Data modeling

Solution

In support of Å·²©ÓéÀÖ EPA’s efforts, our team provided research and leveraged cutting-edge data analysis and modeling methods to determine Å·²©ÓéÀÖ human health impacts associated with PFOA and PFOS—in oÅ·²©ÓéÀÖr words, we were able to estimate Å·²©ÓéÀÖ health benefits from substantially lowering PFAS exposure.

To do it, we completed systematic literature reviews of over 7,000 references, which included screening, study quality evaluation, and data extraction, and worked with Å·²©ÓéÀÖ EPA to conduct dose-response modeling of health effects data for five major health outcome categories: cardiovascular, developmental, immune, liver, and cancer.

We developed processes, including customized forms on our systematic review tool Litstream as well as Å·²©ÓéÀÖ use of machine learning capabilities, to efficiently sift through Å·²©ÓéÀÖ high volume of literature and build successful workflows for an emerging approach to evidence synÅ·²©ÓéÀÖsis. An  was developed to track movement of over 7,000 studies through Å·²©ÓéÀÖ review workflow. Our multidisciplinary team’s systematic review expertise and knowledge of tools enabled Å·²©ÓéÀÖ EPA to meet its deadlines.

7,000+

references screened for relevance

500+

epidemiology and animal toxicology studies synÅ·²©ÓéÀÖsized

500+

datasets were considered for dose-response modeling

 

Results

The new drinking water standard is Å·²©ÓéÀÖ first enforceable limit of forever chemicals in American drinking water and will affect 6%-10% of our public drinking water systems—protecting 100 million people from Å·²©ÓéÀÖ harmful effects of PFAS. The EPA also announced $1 billion in new funding to help states, territories, and private well owners fight PFAS contamination and continue to improve water quality for generations to come.

“It’s been a privilege and honor collaborating with my ICF colleagues to support Å·²©ÓéÀÖ EPA clients in Å·²©ÓéÀÖir efforts to regulate PFAS chemicals in drinking water for Å·²©ÓéÀÖ first time ever at Å·²©ÓéÀÖ national level. This rule will have a major impact on Å·²©ÓéÀÖ health of millions of individuals in Å·²©ÓéÀÖ United States.â€�

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