EHPLE Public Health study materials
EHPLE Public Health study resources

EHPLE Public Health: Environmental Health Sciences and Exposure Assessment

EHPLE Public Health · Work through your exam, one topic at a time.

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Environmental Health Sciences and Exposure Assessment

Environmental Health Sciences and Exposure Assessment

This domain tests the scientific engine behind every environmental health decision: how a contaminant leaves a source, moves through air, water, soil or food, reaches a receptor, and what dose the receptor actually receives. Questions usually pair a calculation with a judgement about which pathway dominates or which default assumption is defensible.

Source-to-receptor logic

  • Chain: source → release → transport and fate → exposure point → route → dose → effect.
  • Fate and transport are governed by advection, dispersion, partitioning (K_ow for lipids and biota, K_oc for soil and sediment), volatilisation (Henry's law constant), degradation half-life, and accumulation (BCF/BAF, biomagnification).
  • Routes are inhalation, ingestion (drinking water, soil, food, dust) and dermal. Aggregate exposure sums across media; cumulative risk sums across chemicals sharing a mechanism.
  • The pathway contributing most in a model is not automatically the true driver - confirm with measurements or biomonitoring.

Dose metrics

Potential (applied) dose → internal dose → target-tissue dose → biologically effective dose. The chronic intake equation is:

ADD (mg/kg-day) = (C × IR × EF × ED) / (BW × AT)

C is concentration in the medium, IR intake rate, EF exposure frequency (days/year), ED exposure duration (years), BW body weight (kg), AT averaging time (days). For carcinogens AT = 70 years × 365 days; for non-carcinogens AT = ED × 365.

Characterising exposure

Point estimates (deterministic) versus probabilistic (Monte Carlo) analysis. Reasonable maximum exposure pairs upper-percentile intake rates with a central or upper-bound concentration and must be stated explicitly. Variability is real heterogeneity in a population; uncertainty is ignorance about a value - regulators require them reported separately.

Worked example

A 6-year-old (15 kg) ingests 200 mg soil/day, 350 days/year, in soil containing 500 mg/kg lead. Convert: 200 mg/day = 0.0002 kg/day. ADD = (500 × 0.0002 × 350 × 6) / (15 × 2190) = 210 / 32,850 = 0.0064 mg/kg-day. Reasoning: the numerator totals mass ingested over the exposure period; the denominator spreads it over body weight and averaging time. For lead this value is screening only - EPA uses the IEUBK model or the Adult Lead Methodology because lead has no threshold and the timing of exposure matters.

Traps that cost marks

  • Using ED × 365 as the averaging time for a carcinogen.
  • Unit slips: ppm to mg/m³ uses mg/m³ = ppm × MW / 24.45 at 25 °C, 1 atm.
  • Labelling variability as uncertainty, or vice versa.
  • Quoting a single number as "the" exposure without a percentile or scenario.
  • Forgetting dermal and non-dietary ingestion when they are plausible.