Rj. Kavlock et al., RESEARCH NEEDS FOR THE RISK ASSESSMENT OF HEALTH-EFFECTS AND ENVIRONMENTAL-EFFECTS OF ENDOCRINE DISRUPTORS - A REPORT OF THE US-EPA-SPONSORED WORKSHOP, Environmental health perspectives, 104, 1996, pp. 715-740
The hypothesis has been put forward that humans and wildlife species h
ave suffered adverse health effects after exposure to endocrine-disrup
ting chemicals. Reported adverse effects include declines in populatio
ns, increases in cancers, and reduced reproductive function. The U.S.
Environmental Protection Agency sponsored a workshop in April 1995 to
bring together interested parties in an effort to identify research ga
ps related to this hypothesis and to establish priorities for future r
esearch activities. Approximately 90 invited participants were organiz
ed into work groups developed around the principal reported health eff
ects-carcinogenesis, reproductive toxicity, neurotoxicity, and immunot
oxicity--as well as along the risk assessment paradigm--hazard identif
ication, dose-response assessment, exposure assessment, and risk chara
cterization. Attention focused on both ecological and human health eff
ects. In general, the group felt that the hypothesis warranted a conce
rted research effort to evaluate its validity and that research should
focus primarily on effects on development of reproductive capability,
on improved exposure assessment, and on the effects of mixtures. This
report summarizes the discussions of the work groups and details the
recommendations for additional research.