Summary
For human populations a hypothesis has been put forward that increased incidence of breast and testicular cancers, and aspects of reduced reproductive function, especially in males, is caused by an increased exposure to endocrine disrupters (EDs). This paper overviews the evidence for these links and expands them to the data relative to neurotoxicity, thyroid-and immunomodulation caused by EDs. Wildlife data are considered to the extent that they may be relevant to the health issues for humans.
The available data are discussed in a context of the risk assessment paradigm: hazard identification, dose-response assessment, exposure assessment, and risk characterisation. The underlying aim is to investigate the possibility of quantifying the risks caused by EDs.
Although no definitive proof exists, there is increasingly sound evidence for the ED hypothesis. It is, however, not possible to quantify the health consequences of ED exposure in a reliable way. Fundamental information is currently lacking for each of the steps of the risk assessment paradigm. The most important knowledge gaps concern: the availability of a validated set of EDs tests, knowledge on the mechanisms through which EDs act, an integrated exposure assessment of EDs as a group, exposure and effects at sensitive periods of development, and validated dose-response relationships for effects caused by EDs.
An attempt to quantify the effects of EDs is an interesting exercise in rendering gaps in knowledge and making understanding clear and transparent. These gaps provide the basis for the controversy which exists on the need for regulation of EDs. While waiting for more results of studies unravelling the relationship between EDs in the environment and adverse health effects, a policy attitude based upon the ‘precautionary principle’ seems to be the only sensible one.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Adami, H.-O., Bergstrom, R., Möhner, M., Zatonski, W., Storm, H., Ekbom, A., Tretli, S., Teppo, L., Zeigler, H., Rahu, M., Gurevicius, R., and Stengrevics, A. (1994) Testicular cancer in nine northern European countries, Int. J. Cancer 59, 33–38.
Aguilar, A., and Raga, J.A. (1983) The striped dolphin epizootic in the Mediterranean Sea, Ambio 22, 524–528.
Aho, M., Koivisto, A.-M., Tammela, T.L.J., and Auvinen, A. (2000) Is the incidence of hypospadias increasing? Analysis of Finnish hospital discharge data 1970–1994, Environ. Health Perspect. 108, 463–465.
Anders, J., and Skakkebaek, N. (2000) Effects of oestrogens on growth, in Speakers Abstracts, R.H. Workshop, Hormones and Endocrine Disrupters in Food and Water. Possible Impact on Human Health, Copenhagen, 27–30 May, 2000.
Arcand-Hoy, L.D., Nimrod, A.C., and Benson, W.H. (1998) Endocrine-modulating substances in the environment: oestrogenic effects of pharmaceutical products, Int. J. Toxicol. 17, 139–158.
Becher, H., Steindorf, K., and Flesch-Janys, D. (1998) Quantitative cancer risk assessment for dioxins using an occupational cohort, Environ. Health Perspect. 106 Suppl. 2, 663–670.
Bernheim, J. (2001) The `DES Syndrome’: a prototype of human teratogenesis and tumourigenesis by xenoestrogens?, in P. Nicolopoulou-Stamati, L. Hens, and C.V. Howard (eds), Endocrine Disrupters: Environmental Health and Policies, Kluwer Academic Publishers, Dordrecht, the Netherlands, pp. 81–118.
Baumann, P.C., Harshbarger, J.C., and Hartman, K.J. (1990) Relationship between liver tumours and age in brown bullhead populations from two Lake Erie tributaries, Sci. Total Environ. 94, 71–87.
Bourguignon, J.P. (2000) Sex-hormones and the onset of puberty, in Speakers Abstracts, R.H. Workshop, Hormones and Endocrine Disrupters in Food and Water. Possible Impact on Human Health, Copenhagen, 27–30 May, 2000.
Brouwer, A., Longnecker, M.P., Birnbaum, L.S., Cogliano, J., Kostyniak, P., Moore, J., Schantz, S., and Winneke, G. (1999) Characterisation of potential endocrine-related health effects at low-dose levels of exposure to PCBs, Environ. Health Perspect. 107 Suppl. 4, 639–649.
Brown, L.M., Pottern, L.M., Hoover, R.N., Devesa, S.S., Aselton, P., and Flannery, J.T. (1986) Testicular cancer in the United States: trends in incidence and mortality, Int. J. Epidemiol. 15, 164–170.
Brucker-Davis, F. (1998) Effects of environmental synthetic chemicals on thyroid function, Thyroid 8, 827–856.
Carlsen, E., Giwercman, A., Keiding, N., and Skakkebaek, N.E. (1992) Evidence for decreasing semen quality in men during the past 50 years, Br. Med. J. 305, 609–613.
Chaloupka, K., Harper, N., Krishan, V., Santostefano, M., Rodriguez, L.V., and Safe, S. (1993) Synergistic activity of polynuclear aromatic hydrocarbon mixtures as aryl hydrocarbon (Ah) receptor antagonists, Chem. Biol. Interact. 89, 141–158.
Consensus statement (1996) Statement from the work session on chemically-induced alterations in the developing immune system: the wildlife/human connection, Environ. Health Perspect. 104 Suppl. 4, 807–808.
Davies, D.L., Axebrod, D., Bailey, L., Gaynor, M., and Sasco, A.M. (1998) Rethinking breast cancer risk and the environment: the case for the precautionary principle, Environ. Health Perspect. 106, 523–529.
Dean, J.H., Cornacoff, G.F., Rosenthal, G.J., and Luster, M.I. (1994) Immune system: evaluation of injury, in A.W. Hayes (ed.) Principle and Methods of Toxicology, Raven Press, New York, pp. 1065–1090.
De Guise, S., Flipo, D., Boehm, J.R., Martineau, D., Beland, P., and Fournier, M. (1995a) Immune functions in beluga whales (Delphinapterus leucas): evaluation of phagocytosis and respiratory burst with peripheral blood leukocytes using flow cytometry, Vet. lmmunol. Immunopathol. 47 (3–4), 351–362.
De Guise, S., Lagace, A., Beland, P., Girard, C. and Higgins, R. (1995b) Non-neoplastic legions in beluga whales (Delphinapterus leucas) and other marine mammals from the St. Lawrence Estuary, J. Comp. Pathol. 112 (3), 257–271.
DOH - The Annual Report of the Chief Medical Officer of the Department of Health (1992) On the State of the Public Health, HMSO, London, UK.
EC - European Commission DGXII (1997) European workshop on the impact of endocrine disrupters on human health and wildlife, Report EUR 17549, Brussels, Belgium.
EC - European Commission (1999) Commission communication on a Community strategy for endocrine disrupters - A range of substances suspected of interfering with the hormone systems of humans and wildlife, COM (1999) 706, Brussels, Belgium.
EDSTAC - Endocrine Disrupter Screening and Testing Advisory Committee (1998) Final report, EPA, Washington, DC.
Egeland, G.M., Sweeney, M.H., Fingerhut, M.A., Wille, K.K., Schnorr, T.M., and Halperin, W.E. (1994) Total serum testosterone and gonadotropins in workers exposed to dioxin, Am. J. Epidemiol. 139 (3), 272–281.
EU Risk Assessment of bis (2-ethylhexyl) phthalate (DEHP) Part II (1999) Draft November 1999, Brussels, Belgium, pp. 287.
Ez, F. (2000) US Environmental Protection Agency’ s research programme for endocrine disrupters, in Poster Abstract, R.H. Workshop, Hormones and Endocrine Disrupters in Food and Water. Possible Impact on Human Health, Copenhagen, 2730 May, 2000.
Facemire, C.F., Gross, T.S., and Guillette, L.J. (1995) Reproductive impairment in the Florida panther: nature or nurture? Environ. Health Perspect. 103 Suppl. 4, 79–86.
Fox, G.A. (1992) Chemically induced alterations in sexual and functional development, in T. Colburn, and C. Clement (eds) Advances in Modern Environmental Toxicology, Vol XXI, Princeton Scientific, New Jersey.
Golden, B.C., Monaghan, S.C., Lukyanova, E.M., Hulchy, O.P., Shkyryak-Nyzhnyk, Z.A., Sericano, J.L., and Little, R.E. (1999) Organochlorines in breast milk from two cities in Ukraine, Environ. Health Perspect. 107, 459–462.
Gray, L.E., Wolf, C., Mann, P., and Ostby, P.S. (1997) In utero exposure to low doses of 2,3,7,8-tetrachlorobibenzo-p-dioxin alters reproductive development of female Long Evans hooded rat offspring, Toxicol. Appl. Pharamcol. 146, 237–244.
Guillette, L.J., Jr., Gross, T.S., Masson, G.R., Matter, J.M., Percival, H.F., and Woodward, A.R. (1994) Developmental abnormalities of the gonad and abnormal sex-hormone concentrations in juvenile alligators from contaminated and control lakes in Florida, Environ. Health Perspect. 102 (8), 680–688.
Guillette, L.J., Jr., Gross, T.S., Gross, A.D., Rooney, A.A., and Percival, H.E. (1995) Gonadal steroidogenesis in vitro from juvenile alligators obtained from contaminated or control lakes, Environ. Health Perspect. 103 Suppl. 4, 31–36.
Gray, S., Lakey, B., Henricks, D., and Camper, N. (2000) Ginseng: a review of potential endocrine activity, in Poster Abstracts, R.H. Workshop, Hormones and Endocrine Disrupters in Food and Water. Possible Impact on Human Health, Copenhagen, 2730 May, 2000.
Groshart, C., Okkerman, P.C., and Folkers, G. (1999) Identification of endocrine disrupters, First draft interim report, Report to the European Commission, Project no. M0355008.
Hakulinen, T., Andersen, A., Malker, B., Pukkala, E., Schou, G., and Tulinius, H. (1986) Trends in cancer incidence in the Nordic countries. A collaborative study of Registries, Acta Pathol. Microbiol. Immunol. Scand. Suppl. 288, 1–151.
Hartmann, S., Lacorn, M., and Steinhart, H. (1998) Natural occurrence of steroid hormones in food, Food Chem. 62 (1), 7–20.
Henderson, A.K., Rosen, D., Miller, G.L., Figgs, L.W., Zahm, S.H., Sieber, S.M., Rothman, N., Humphrey, H.E., and Sinks, T. (1995) Breast cancer among women exposed to polybrominated biphenyls, Epidemiology 6 (5), 544–546.
Holene, E., Nafstad, I., Skaare, J.U., Bemhoft, A., Engen, P., and Sagvolden, T. (1995) Behavioural effects of pre-and postnatal exposure to individual polychlorinated biphenyl congeners in rats, Environ. Toxicol. Chem. 14, 967–976.
Holmes, P., and Phillips, B. (1999) Human health effects of phytoestrogens, in R.E. Hester, and R.M. Harrison (eds), Endocrine Disrupting Chemicals, The Royal Society of Chemistry, Cambridge, UK, pp. 109–134.
Howard, C.V., and Staats de Yanés, G. (2001) Endocrine disrupting chemicals: a conceptual framework, in P. Nicolopoulou-Stamati, L. Hens, and C.V. Howard (eds), Endocrine Disrupters: Environmental Health and Policies, Kluwer Academic Publishers, Dordrecht, the Netherlands, pp. 219–250.
Huff, J. (2000) The role of environmental factors in the pathogenesis of breast cancer, in Speakers Abstracts, R.H. Workshop, Hormones and Endocrine Disrupters in Food and Water. Possible Impact on Human Health, Copenhagen, 27–30 May, 2000.
IPCS - International Programme on Chemical Safety (1998) Report of IPCS/OECD scooping meeting on endocrine disrupters (EDs), 16–18 March 1998, Washington, DC.
Jacobson, J.L., and Jacobson, S.W. (1996) Intellectual impairment in children exposed to polychlorinated biphenyls in utero, New Engl. J. Med. 335, 783–789.
Jobling, S., Nolan, M., Tyler, C.R., Brighty, G., and Sumpter, J.P. (1998) Widespread sexual disruption in wild fish, Env. Sci. Techn. 32, 2498–2506.
Kavlock, R.J., Daston, G.P., DeRosa, C., Fenner-Crisp, P., Grey, L.E., Kaattari, S., Lucier, G., Luster, M., Mac, M.J., Maczka, C;, Miller, R., Moore, J., Rolland, R., Scott, G., Sheehan, D.M., Sinks, and Tilson, H.A. (1996) Research, needs for the risk assessment of health and environmental effects of endocrine disrupters: a report of the US EPA sponsored workshop, Environ. Health Perspect. 104 Suppl. 4, 715–740.
Koopman-Esseboom, C., Morse, D.C., Weisglas-Kuperus, N., Lutkeschipholt, I.J., Van der Pauw, C.G., Tuinstra, L.G.M.T., Brouwer, A., and Sauer, P.J.J. (1994) Effects of dioxins and polychlorinated biphenyls on thyroid hormone status of pregnant women and their infants, Pediatrics Res. 36, 468–473.
Koppe, J, and De Boer, P. (2001) Immunotoxicity by dioxins and PCBs in the perinatal period, in P. Nicolopoulou-Stamati, L. Hens, and C.V. Howard (eds), Endocrine Disrupters: Environmental Health and Policies, Kluwer Academic Publishers, Dordrecht, the Netherlands, pp. 69–79.
Lahvis, G.P., Wells, R.S., Kuehl, D.W., Stewart, J.L., Rhinehart, H.L., and Via, C.S. (1995) Decreased lymphocyte responses in free-ranging bottlenose dolphins (Tursiops trunctus) are associated with increased concentrations of PCBs and DDT in peripheral blood, Environ. Health Perspect. 103 Suppl. 4, 67–72.
Leatherland, J.F. (1992) Chemically induced alterations in sexual and functional development: The wildlife-human connection, in T. Colburn, and C. Clement (eds) Advances in Modern Environmental Toxicology, Vol XXI, Princeton Scientific, New Jersey.
Liem, A.K.D., and Theelen, R.M.C. (1997) Dioxins: Chemical Analysis, Exposure and Risk Assessment,Thesis, Utrecht University, the Netherlands, ISBN 90–393–2012–8.
McLachlan, J.A., Newbold, R.R, Shah, H.C., Hogan, M.D., and Dixon, R.L. (1982) Reduced fertility in female mice exposed transplacentally to diethylstilboestrol (DES), Fertil. Steril. 38, 364–371.
Melnick, R.L. (1999) Introduction–Workshop on characterising the effects of endocrine disrupters on human health at environmental exposure levels, Environ. Health Perspect. 107 Suppl. 4, 603–604.
Meyers, M.S., Stehr, C.M., Olson, A.P., Johnson, L.L., McCain, B.B., Chan, S.-L., and Varanasi, L. (1994) Relationships between toxicopathic hepatic lesions and exposure to chemical contaminants in English sole (Pleuoronectes vetulus), starry flounder (Platichtys stellatus), and white croaker (Genyonemus lineatus) from selected marine sites on the Pacific Coast USA, Environ. Health Perspect. 102, 200–215.
Mocarelli, P., Brambilla, P., Gerthoux, P.M., Patterson, D.G., Jr., and Needham, L.L. (1996) Change in sex ratio with exposure to dioxin, Lancet 348, 409.
Mocarelli, P., Gerthoux, P.M., Ferrari, E., Patterson, D.G., Kieszak, M., Brambilla, P., Vincoli, N., Signori, S., Tramacere, P., Carreri, V., Sampson, E.J., Turner, W.E., and Needman, L.L. (2000) Paternal concentrations of dioxin and sex ratio of offspring, Lancet 355, 1858–1863.
Moline, J.M., Golde, A.L., Bar-Chama, N., Smith, E., Rauch, M.E., Chapin, R.E., Perreault, S.D., Schrader, S.M., Suk, W.A., and Landrigan, P.J.K. (2000) Exposure to hazardous substances and male reproductive health: a research framework, Environ. Health Perspect. 108 (9), 803–813.
Moller, W.J. (2000) Trends in incidence of testicular cancer and prostate cancer, in Speakers Abstracts, R.H. Workshop, Hormones and Endocrine Disrupters in Food and Water. Possible Impact on Human Health, Copenhagen, 27–30 May, 2000.
NAS - National Academy of Sciences US (1994) Science and Judgement in Risk Assessment, National Academy Press, Washington, DC.
Neubert, D. (1997) Vulnerability of the endocrine system to xenobiotic influence, Reg. Toxicol. Pharmacol. 26, 9–29.
Nicolopoulou-Stamati, P., Pitsos, M.A., Hens, L., and Howard, C.V. (2001) A precautionary approach to endocrine disrupters, in P. Nicolopoulou-Stamati, L. Hens, and C.V. Howard (eds), Endocrine Disrupters: Environmental Health and Policies, Kluwer Academic Publishers, Dordrecht, the Netherlands, pp. 331–355.
Nikolaropoulos, S.I., Nicolopoulou-Stamati, P., and Pitsos, M. (2001) The impact of endocrine disrupting substances on human reproduction, in P. Nicolopoulou-Stamati, L. Hens, and C.V. Howard (eds), Endocrine Disrupters: Environmental Health and Policies, Kluwer Academic Publishers, Dordrecht, the Netherlands, pp. 39–68.
Noller, K.L., Blair, P.B., O’Brien, P.C., Melton, L.J., 3d, Offord, J.R., Kaufman, R.H., and Colton, T. (1988) Increased occurrence of auto-immune disease among women exposed in utero to diethylstilboestrol, Fertil. Steril. 49, 1080–1082.
Nonneman, D., Ganjam, V., Welshons, W., and vom Saal, F. (1992) Intrauterine position effects on steroid metabolism and steroid receptors of reproductive organs in male mice, Biol. Reprod. 47, 723–729.
OECD - Organisation for Economic Co-operation and Development (1997) Draft detailed review paper: Appraisal of test methods for sex-hormone-disrupting chemicals, OECD Environmental Health and Safety Publications, Environment Directorate, OECD, Paris, France.
Pajarinen, J., Laippala, P., Pentilla, A., and Karkunen, P.J. (1997) Incidence of disorders of spermatogenesis in middle-aged Finnish men, 1981–1991: two necropsy series, Br. Med. J. 314, 13–18.
Paulozzi, L.J. (1999) International trends in rates of hypospadias and cryptorchidism, Environ. Health Perspect. 107, 297–302.
Penny, R. (1982) The effects of DES on male offspring, West. J. Med. 136, 329–330
Phillips, B., and Harrison, P. (1999) Overview of the endocrine disrupters issue, in R.E. Hester, and R.M. Harrison (eds), Endocrine Disrupting Chemicals, Society of Chemistry, Cambridge, UK, pp. 1–26.
Pluygers, E., and Sadowska, A. (2001) Mechanisms underlying endocrine disruption and breast cancer, in P. Nicolopoulou-Stamati, L. Hens, and C.V. Howard (eds), Endocrine Disrupters: Environmental Health and Policies, Kluwer Academic Publishers, Dordrecht, the Netherlands, pp. 119–147.
Purdom, C.E., Hardiman, P.A., Bye, V.J., Eno, N.C., Tyler, C.R., and Sumpter, J.P. (1994) Oestrogenic effects of effluents from sewage treatment works, Chem. Ecol. 8, 275285.
Quaghebeur, D. (1995) Bestrijdingsmiddelen in Vlaanderen, Water 82, 121–126.
Quin, M., and Allen, E. (1995) Changes in incidence of and mortality from breast cancer in England and Wales since introduction of screening. United Kingdom Association of Cancer Registries, Br. Med. J. 311, 1991–1995.
Reiter, L.W., Dehosa, C., Kavlock, R.J., Lucier, G., Mac, M.J., Melillo, J., Melnick, R.L., Sinks, T., and Walton, B.T. (1998) The US federal framework for research on endocrine disrupters and an analysis of research programmes supported during the fiscal year 1996, Environ. Health Perspect. 106, 105–113.
Reynders, P.J.H. (1986) Reproductive failure in common seals feeding on fish from polluted coastal waters, Nature 324, 456–457.
Saidi, J.A., Chang, D.T., Goluboff, E.T., Bagiella, E., Olsen, G., and Fish, H. (1999) Declining sperm counts in the United States? A critical review, J. Urol. 161, 460–462.
Safe, S.H. (1995) Environmental and dietary oestrogens and human health: is there a problem? Environ. Health Perspect. 103, 346–351.
Safe, S.H. (2000) Endocrine disrupters and human health. Is there a problem? An update, Environ. Health Perspect. 108, 487–493.
Selevan, S.G., Kimmel, C.A., and Mendola, P. (2000) Identifying critical windows of exposure for children’s health, Environ. Health Perspect. 108 Suppl. 3, 451–455
Setchell, K.D., Zimmer-Nechemias, L., Cai, J., and Heubi, J.E. (1997) Exposure of infants to phyto-oestrogens from soy-based infant formula, Lancet 350, 23–27.
Sharpe, R.M., and Skakkebaek, N.E. (1993) Are oestrogens involved in falling sperm counts and disorders of the male reproductive tract? Lancet 341 (8857), 1392–1395.
Sharpe, R.M., Fisher, J.S., Millar, M.R., Jobling, S., and Sumpter, J.P. (1995) Gestational and lactational exposure of rats to xenoestrogens results in reduced testicular size and sperm production, Environ. Health Perspect. 103, 1136–1143.
Sheehan, D.M., Blair, R.M., Fang, H., and Gaylor, D. (2000) Absence of a threshold for endocrine active chemicals; Analysis of selected published dose-response data, in Speakers Abstracts, R.H. Workshop, Hormones and Endocrine Disrupters in Food and Water. Possible Impact on Human Health, Copenhagen, 27–30 May, 2000.
Shore, L.S., Gurevitz, M., and Shemesh, M. (1993) Oestrogen as an environmental pollutant, Bull. Environ. Contam. Toxicol. 51, 361–366.
Schuurs, A.H., and Verheul, H.A. (1990) Effects of gender and sex steroids on the immune response, J. Steroid. Biochem. 35 (2), 157–172.
Sonnenschein, C., and Soto, A. (2001) Reflections on bioanalytical techniques for detecting endocrine disrupting chemicals, in P. Nicolopoulou-Stamati, L. Hens, and C.V. Howard (eds), Endocrine Disrupters: Environmental Health and Policies, Kluwer Academic Publishers, Dordrecht, the Netherlands, pp. 21–37.
Sorensen, T.I.A. (2000) causes of juvenile obesity: clues from epidemiology, in Speakers Abstracts, R.H. Workshop, Hormones and Endocrine Disrupters in Food and Water. Possible Impact on Human Health, Copenhagen, 27–30 May, 2000.
Steinmetz, R., Mitchner, N.A., Grant, A., Allen, D.L., Bigsley, R.M., and Ben Jonathan, N. (1998) The xenoestrogen bisphenol-A induces growth, differentiation, and c-fos gene expression in the female reproductive tract, Endocrinology 139, 2741–2747.
Tas, S., Lauwerys, R., and Lyson, D. (1996) Occupational hazards for the male reproductive system, Crit. Rev. Toxicol. 26, 261–307.
The Royal Society (2000) Endocrine disrupting chemicals (EDCs), Document 06/00, London, UK.
Toppari, J., Larsen, J.Chr., Christiansen, P., Giwercman, A., Grandjean, P., Guillette, L.J., Jégou, B., Jensen, T.K., Jouannet, P., Keiding, N., Leffers, H., McLachlan, J.A., Meyer, O., Müller, J., Rajpert-De Meyts, E., Scheike, T., Scharpe, R., Sumpter, J., Skakkebaek, N.E. (1996) Male reproductive health and environmental xenoestrogens, Environ. Health Perspect. 104 Suppl. 4, 741–776.
Turner, K.J. (1999) Oestrogens, environmental oestrogens and male reproduction, in R.E. Hester, and R.M. Harrison (eds), Endocrine Disrupting Chemicals, The Royal Society of Chemistry, Cambridge, UK, pp. 83–108.
Unger, M., Kiaer, H., Blichert-Toft, M., Olsen, J. and Clausen, J. (1984) Organochlorine compounds in human breast fat from deceased with and without breast cancer and in a biopsy material from newly diagnosed patients undergoing breast surgery, Environ. Res. 34, 24–28.
US EPA–US Environmental Protection Agency (1980) Guidelines and methodology used in the preparation of health effects assessment chapters of the decree water quality criteria, Federal Register 45, 79347–79357.
US EPA - US Environmental Protection Agency (1997) Special report on environmental endocrine disruption: an effects assessment and analysis, EPA Report No. EPA/6300/R-96/012, Washington, DC.
Vinggaard, A.M., Körner, W., Lund, K.H., Bolz, U., and Peters, J.H. (2000) Identification and quantification of oestrogenic compounds in recycled and virgin paper for household use as determined by an in vitro yeast oestrogen screen and chemical analysis, in Poster Abstracts, R.H. Workshop, Hormones and Endocrine Disrupters in Food and Water. Possible Impact on Human Health, Copenhagen, 27–30 May, 2000.
vom Saal, F., Timms, B., Montano, M., Palanza, P., Thayer, K., Nagel, S., Dhar, M., Ganjam, V., Parmigiani, S., and Welshons, W. (1997) Prostate enlargement in mice due to fetal exposure to low doses of oestradiol or diethylstilboestrol and opposite effects at high doses, Proc. Natl. Acad. Sci. USA 94, 2056–2061.
Walker, C.H., Hopkin, S.P., Sibly, R.M., and Peakall, D.B. (1996) Principles of Ecotoxicology, Taylor and Francis, London, UK.
WHO - World Health Organisation - European Centre for Environment and Health (1996) Levels of PCBs, PCDDs, and PCDFs in human milk, Second round of WHO-co-ordinated exposure study, Environmental Health in Europe 3, World Health Organisation, European Centre for Environment and Health, Bilthoven - Nancy - Rome.
WHO - World Health Organisation (2001) Global Assessment on Endocrine Disrupters,in press.
Willcox, B.J., Fuchigami, K., Willcox, D.C., Kendall, C.W.C., Suzuki, M., Todoriki, H., and Jenkins, D.J.A. (1995) Isoflavone intake in Japanese and Japanese-Canadians, Am. J. Clin. Nutr. 61, S901.
Wilkinson, T.J., Coils, B.M., and Schluter, P.J. (1992) Increased incidence of germ cell testicular cancer in New Zealand Maoris, Br. J. Cancer 65, 769–771.
Wolff, M.S., Toniolo, P.G., Lee, E.W., Rivera, M., and Dublin, N. (1993) Blood levels of organochlorine residues and risk of breast cancer, J. Natl. Cancer Inst. 85, 648–652.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2001 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Hens, L. (2001). Risk Assessment of Endocrine Disrupters. In: Nicolopoulou-Stamati, P., Hens, L., Howard, C.V. (eds) Endocrine Disrupters. Environmental Science and Technology Library, vol 18. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-9769-2_8
Download citation
DOI: https://doi.org/10.1007/978-94-015-9769-2_8
Publisher Name: Springer, Dordrecht
Print ISBN: 978-90-481-5729-7
Online ISBN: 978-94-015-9769-2
eBook Packages: Springer Book Archive