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                             relationship includes understanding the importance of the intensity of exposure, the
                             concentration vs. time relationship, whether a chemical has a threshold level, and
                             the shape of the dose–response curve. In the determination of a dose response and
                             exposure response, the following aspects need to be considered: the metabolism of
                             a chemical at different doses, its persistence  over time, and an estimate of the
                             similarities in disposition of a chemical between humans and animals.
                                The dose–response and exposure–response functions are based on toxicological
                             dose-oriented and epidemiological exposure-oriented studies. Figure 4.3 proposes
                             to illustrate the difference between the toxicological and the epidemiological
                             approaches. Although the toxicological approach is based on bioassays or animal
                             tests that allow determining dose–response functions, the epidemiological approach
                             uses empirical studies in which correlations are established between exposure situ-
                             ations and observed human effects. In this way exposure–response functions, which
                             allow an estimation of human effects depending on the exposure concentration, are
                             calculated. Epidemiological studies focus more on macropollutants responsible for
                             respiratory effects such as SO , NO  and particles because they usually act together
                                                         x
                                                     2
                             and it is quite difficult to conduct laboratory assays. The dose–response functions
                             permit the determination of risk due to the accumulation of pollutants in the human
                             organism. The risk is a way to foresee the probability of physical impacts. Bioassays
                             are the foundations to obtain toxicological information for micropollutants, i.e.,
                             heavy metals and the huge number of organic compounds like PCDD/Fs or PAH


                                                   Emission


                                                     Fate



                                                   Exposure
                                                                  Correlation   Empirical studies

                                             Risk due to  Prevision   Physical
                                            accumulation            impact

                                                                   Prevision
                                       Dose -           Potential cancer  Exposure -
                                    response function     risk factor    response function


                                               Bioassays
                                              animal tests

                             FIGURE 4.3 Comparison of the toxicological approach by bioassays and animal tests and
                             the epidemiological approach using empirical studies to determine damage factors for human
                             health impacts.


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