Project

A project is a collaborative, funded endeavor, that occurs over a defined period of time, involving research, that is carefully planned to achieve a particular aim.

A planned initiative aim to respond the specific population's needs through the implementation of targeted and coordinated actions.

Study

A study is a program of data collection and/or analysis of the data collected using a methodology to answer a particular research question.

An approach that enables knowledge to be acquired, using a methodology and objectives specific to the research question.

Data Collection

A data collection is a systematic gathering of data in order to answer a specific research question.

A process aim to obtain relevant and specific information in order to answer a research question

Design

Framework, or the set of methods and procedures used to collect and analyze data on variables specified in a particular research problem.

doi: 10.4103/picr.PICR_124_18

Cross-sectional study

This is a transversal study, in which individuals are selected from a previously defined population and provide information on exposure and outcomes in a single point in time without any follow-up.

dos Santos Silva, I. (1999). Cancer epidemiology: principles and methods. IARC.

Cohort studies (longitudinal)

An observational epidemiological study in which subsets of a defined population can be identified who are, have been, or in the future may be exposed or not exposed to a factor or factors hypothesized to influence the occurrence of a given outcome.

Porta M (ed) (2014) A dictionary of epidemiology. Oxford University Press, Oxford

Prospective cohort

The study is performed by tracking exposure to outcome from the present (prospective).

Belbasis, L., & Bellou, V. (2018). Introduction to epidemiological studies. Genetic Epidemiology: methods and protocols, 1-6.

Retrospective cohort

The study goes back in time to identify the cohorts and follows them up to the present (retrospective).

Belbasis, L., & Bellou, V. (2018). Introduction to epidemiological studies. Genetic Epidemiology: methods and protocols, 1-6.

Case – control studies

Study groups include cases, selected based on the outcome of interest, and controls (comparison group without the outcome of interest); information on relevant exposures is collected retrospectively by the researchers.

dos Santos Silva, I. (1999). Cancer epidemiology: principles and methods. IARC.

Nested case-control study/ Case-cohort study

A type of case-control study in which cases and controls are drawn from the population in a cohort study.

Porta M (ed) (2014) A dictionary of epidemiology. Oxford University Press, Oxford

Intervention studies

An investigation involving intentional change in some aspect of the status of the subjects, e.g., introduction of a preventive or therapeutic regimen or an intervention designed to test a hypothesized relationship.

Porta M (ed) (2014) A dictionary of epidemiology. Oxford University Press, Oxford

Age Group (WHO)

  • Adult: Aged between 18-65 years
  • Senior: Aged 66 years or over
  • Neonate: Newborn up until 28 days of age
  • Child: Aged between 29 days and 17 years
  • All: People from all age ranges
  • Mixed: People from two or three different age groups

EPI studies

An observational study that compares two groups of people that are similar in every way other than for one variable, for example, two demographically similar populations living in similar conditions other than one population is exposed to a potentially damaging chemical

Activity pattern data

Data that characterize the habits/behaviour of the target population

US-EPA (2011) WHO/IPCS (2004, part 2)

Activity pattern

Habits/behaviour of the target population

Biological Sex

Refers to the physical and physiological characteristics of an individual. It is determined by anatomy (genitalia, reproductive organs), chromosomes (XX, XY, or variations), and hormones (such as estrogen and testosterone)

Gender identity is how individuals perceive themselves and how they identify, which may not necessarily align with their biological sex.

Absorption barrier

Any exposure surface that may retard the rate of penetration of an agent into a target. Examples include the skin, respiratory tract lining, and gastrointestinal tract wall

US-EPA (2011)

Acute exposure

Synonymous terms: Short-term exposure

Agent

A chemical, biological, or physical entity that contacts a target

Includes the terms substance, chemical, biological agent, physical agent, Stressor

WHO/IPCS (2004; part 2), ISO/TS 21623 (2017)

Aggregate (d) exposure

Exposure to one agent from different exposure sources, via different exposure pathways and/or exposure routes

If all routes and sources have been considered, the aggregate exposure is equivalent to "total exposure" to a specific agent or stressor

US-EPA (2011), ECHA (2016)

Background level

The amount of an agent in a medium (e.g., air, water, soil, biological media) that is not attributed to the source(s) under investigation in an exposure assessment. Background level(s) can be naturally occurring and/or the result of human activities

Natural background is the concentration of an agent in a medium that occurs naturally or is not the result of human activities

WHO/IPCS (2004, part 2)

Bioaccumulation

The increase in internal concentration of an agent in an organism due to repeated exposure and due to all routes of exposure where metabolism and excretion have not been able to cope with the repeated exposure (and absorption) over time (new definition, based on van Leeuwen & Vermeire, 2007)

Bioconcentration often refers to the net result of uptake, distribution and elimination of a substance due to water-borne exposure of an organism. Together with bioaccumulation is may lead to biomagnification by which tissue concentrations of bioaccumulated chemicals increase as the chemical passes up to two or more trophic levels (van Leeuwen & Vermeire, 2007)

ISO/TS 21623 (2017)

Bioavailability

Synonymous terms: Systemic availability

The rate and extent to which an agent is systemically absorbed by an organism via all possible exposure routes and is available for metabolism or interaction with biologically significant receptors. Bioavailability involves both release from a medium (if present) and absorption by an organism

US-EPA (2011), WHO/IPCS (2004, part 2), ISO/TS 21623 (2017)

Biomarker of exposure

Synonymous terms: Biological marker of exposure

An indicator of the exposure of biological systems to an agent. Biomarkers of exposure refer to chemical-analytical measurements of the analyte in the biological system.

US-EPA (2011), WHO/IPCS (2004, part 2), EFSA (2017), ISO/TS 21623 (2017)

Biomonitoring

The measurement of chemical agents and/or their metabolites, or markers of subsequent health effects, in organisms and biological media such as tissues, cells or fluids (based on HBM4EU 2020 leaflet)

EFSA (2017), IUPAC (2007)

Chronic exposure

Synonymous terms: Long-term exposure

Cumulative exposure

Synonymous terms: Combined exposure, mixture exposure

Total or aggregate exposures (or doses) for multiple chemicals or stressors evaluated together.

Broadly discussed in WHO/IPCS (2009) and Meek et al. (2011). Cumulated exposure may vary from a small number to mixtures of a broad variety of agents. Cumulative exposure is generally understood for substances having similar actions. Within (occupational) epidemiology, cumulative exposure is generally and frequently to describe chronic exposure (exposure level > year)

US EPA (2002)

Dose

The amount of an agent that enters a target due to total exposure over a certain time-period. Dose can refer to the amount of chemical taken in by the entire target organism or the amount taken in by specific target cells within the target organism. In the case of absorption, the dose is an absorbed dose/uptake dose (see uptake); otherwise, it is an intake dose. (Adopted from US-EPA, 2011; WHO-IPCS, 2004 part 2,)

US-EPA (2011) WHO/IPCS (2004, part 2) OECD (2003) EFSA (2017), ISO/TS 21623 (2017)

Emission

Synonymous terms: Release

Release of an agent from an exposure source, including discharges into the wider environment (van Leeuwen and Vermeire, 2007)

ISO/TS 21623 (2017)

Exposome

The totality of a person's exposure from conception to death (based on Wild, 2005)

This term is not mentioned in any of the reference documents mentioned previously. However, it is an emerging, important term that should be considered in a list on exposure terminology. The proposed definition is a condensation of wording in Wild, 2005 ("At its most complete, the exposome encompasses life-course environmental exposures (including lifestyle factors), from the prenatal period onwards."

Exposure

Contact between an agent and a target. Exposure is measured as the concentration or amount of a particular agent that reaches a target organism, system or (sub) population in a specific exposure frequency for a defined exposure duration (OECD, 2003; WHO/IPCS, 2004 part 1)

In WHO/IPCS (2008), exposure is characterized by the three elements "exposure scenario", "exposure model", and "exposure parameters".

US-EPA (2011), WHO/IPCS (2004, part 2), OECD (2003), EFSA (2017), ISO/TS 21623 (2017)

Exposure assessment

The process of estimating or measuring the magnitude, frequency, and duration of exposure to an agent, along with the number and characteristics of the population exposed. (US-EPA, 2011)

OECD, 2003; WHO/IPCS, 2004 part 1; US-EPA, 2011 WHO/IPCS, 2004 part 2; ECHA (2013, 2016, 2016a), EFSA (2012, 2017), ISO/TS 21623 (2017)

Exposure duration

The length of time over which continuous or intermittent contacts occur between an agent and a target.# (WHO/IPCS, 2004 part 2)

For example, if an individual is in contact with an agent for 10 min, it is short term exposure. If the contact is every day for 300 days over a 1-year time period, the exposure duration is 1 year; it is long-term exposure

US-EPA (2011), WHO/IPCS (2004, part 2), ISO/TS 21623 (2017)

Exposure event

A single event during which there is continuous contact between an agent and a target. The event is normally of a short duration (less than 24 hours)

The attribute "continuous contact" in this context means that there is no interruption of the exposure

US-EPA (2011), WHO/IPCS (2004, part 2), ISO/TS 21623 (2017)

Exposure factor

Exposure factors are exposure parameters related to human behaviour and characteristics that help determine an individual's exposure to an agent (US-EPA, 2011)

US-EPA (2011), ISO/TS 21623 (2017)

Exposure frequency

The number of exposure events in an exposure duration

US-EPA (2011), WHO/IPCS (2004, part 2)

Exposure model

A conceptual or mathematical representation of one or more exposure processes

WHO/IPCS (2004, part 2)

Exposure parameter

All (model) data that are necessary to calculate exposure, including exposure factor and agent concentrations

In WHO/IPCS (2008), the term "exposure parameter" is mentioned as one of the three elements of exposure, namely exposure scenario, exposure model and exposure parameter. The ISO/TS 21623 (2017) term refers to temperature differences and cannot be applied for exposure assessment

Exposure pathway

The course an agent takes from the exposure source to the target (WHO/IPCS 2004, part 2)

US-EPA (2011), WHO/IPCS (2004, part 2), ISO/TS 21623 (2017)

Exposure route

Synonymous terms: Route of exposure

The means through which an agent enters a target organism after contact (e.g. by ingestion, inhalation, or dermal absorption)

US-EPA (2011) WHO/IPCS (2004, part 2), ISO/TS 21623 (2017)

Exposure Scenario

A combination of facts, assumptions, and inferences that define a discrete situation where potential exposures may occur. These may include the exposure source, the exposed target population, and the time frame of exposure, microenvironment, and activities. Scenarios are often created to aid exposure assessors in estimating exposure (WHO/IPCS, 2004)

In regulatory risk assessments, a range of exposure scenarios is often investigated (e.g. realistic as well as worst-case scenarios, meaning an average as well as an extreme exposure situation). In the European Chemicals Regulation (REACH), the Exposure scenario is defined by regulation (European Union, 2006)

US-EPA (2011), WHO/IPCS (2004, part 2), OECD (2003), ECHA (2013, 2016, 2016a), ISO/TS 21623 (2017)

Exposure Science

Exposure science studies the contact between stressors and receptors and the associated exposure sources, exposure pathways and processes potentially leading to impacts on human health and the natural and built environment. Stressors primarily refer to chemical, biological, and physical agents, and receptors range from molecules, cells, and organs to humans and other organisms. (based om Fandtke et al., 8)

Exposure Source

Synonymous terms: Source of exposure

The origin of an agent entering an exposure pathway for the purposes of an exposure assessment (based on WHO/IPCS; 2004, part2)

US-EPA (2011), WHO/IPCS (2004, part 2), ISO/TS 21623 (2017)

External exposure

Synonymous terms: External dose

Exposure of an organism at an exposure barrier before it is taken up by an organism

Internal dose

Synonymous terms: Absorbed dose

The amount of an agent that enters the organ system by crossing an absorption barrier

US-EPA (2011)

Intake

The process by which a substance crosses the outer boundary of an organism without passing an absorption barrier (e.g., through ingestion or inhalation)

US-EPA (2011) WHO/IPCS (2004, part 2)

Intake fraction

Fraction of chemical mass emitted into the environment that eventually passes into an individual or a population through intake (i.e., inhalation or ingestion) or dermal absorption. (based on Bennet et al., 2002)

Long-term exposure

Synonymous terms: Chronic exposure

Continuous exposure, or multiple exposures, occurring over an extended period of time or a significant fraction of the organism's lifetime (US-EPA 2011)

In human toxicology, chronic exposure corresponds to chronic toxicity, which is defined as the effects observed following repeated exposure by the oral, dermal, or inhalation route for more than approximately 10% of the life span in humans (more than approximately 90 days to 2 years in typically used laboratory animal species) and in environmental toxicology as the effects observed following multiple exposures occurring over an extended period of time or over a significant fraction of an organism's lifetime. Chronic exposures can be understood as a special case of "long-term exposure"

US-EPA (2011), WHO/IPCS (2004, part 2, EFSA (2017)

Monitoring

Measuring one or more agents/stressors in environmental media or in body fluids or tissues (derived from the definition of biomonitoring)

Many different types of monitoring exist: risk monitoring, biomonitoring, exposure monitoring, and human biomonitoring, environmental monitoring, monitoring at the workplace (e.g. personal air sampling). Definitions exist in terms of the particular types of monitoring and should be evaluated

ISO/TS 21623 (2017

Reference Dose (RfD)

An estimate of the daily dose of an agent for a human population that is likely to be without deleterious effect even if continued exposure occurs over a lifetime (OECD, 2003). In the case of inhalation exposure, the reference "dose" is a reference concentration.

US-EPA (2011), WHO/IPCS (2004, part 1), ISO/TS 21623 (2017)

Risk assessment

A process intended to calculate or estimate the risk for a specified target organism, system, or (sub)population, including the identification of related uncertainties, following exposure to a particular agent, taking into account the inherent characteristics of the agent of concern as well as the characteristics of the specific target system. The risk assessment process includes the following steps: hazard identification, problem formulation), hazard characterization (related term: Dose–response assessment), exposure assessment, and risk characterization. Risk assessment is the first component in a risk analysis process ((US-EPA, 2011)

Risk assessment may also include the assessment of statistical correlations between an analyte level (exposure biomarker) and an effect level (effect biomarker or apical effect)

US-EPA (2011), WHO/IPCS (2004, part 1), EFSA (2017)), ISO/TS 21623 (2017)

Risk characterization

The qualitative and, wherever possible, quantitative determination, including related uncertainties, of the probability of occurrence of known and potential adverse effects of an agent in a given organism, system, or (sub) population, under defined exposure conditions. Risk characterization is the fourth step in the risk assessment process (WHO/IPCS, 2004)

US-EPA (2011), WHO/IPCS (2004, part 2), EFSA (2017), ISO/TS 21623 (2017)

Risk management

Decision-making process involving considerations of political, social, economic, and technical factors with relevant risk assessment information relating to a hazard so as to develop, analyze, and compare regulatory and non-regulatory options and to select and implement appropriate response option(s) to that hazard. Risk management comprises three elements: risk evaluation; emission and exposure control; and risk monitoring (OECD, 2003)

Risk management is primarily supported by exposure assessment, which delivers the essential information needed for risk reduction

WHO/IPCS (2004, part 1), EFSA (2017), ISO/TS 21623 (2017)

Sensitivity analysis

Process of changing one variable of a quantitative analysis while keeping the others constant to determine its effect on the output. Generally, this procedure varies each uncertain quantity between its credible lower and upper bounds (holding all others at their nominal values, such as medians) and computes the results of each combination of values. The results help to identify the variables that have the greatest effect on exposure estimates and help focus further information-gathering efforts

US-EPA (2011), ISO/TS 21623 (2017)

Short-term exposure

Synonymous terms: Acute exposure

A single exposure to a toxic agent/stressor which may result in severe biological harm or death. Short-term exposures are usually characterized as lasting no longer than a day, as compared to longer, continuing exposure over a period of time (according to the definition of 'acute exposure' in US-EPA, 2011)

Acute exposure corresponds to the acute (severe) effects observed following a single exposure or an exposure of a duration of less than a day. In ecotoxicology, the term short-term toxicity or acute toxicity is used for the effects observed after an exposure that is short in relation to the lifespan of an organism. Acute exposure can be understood as a special case of "Short-term exposure"

US-EPA (2011), WHO/IPCS (2004, part 2), ISO/TS 21623 (2017)

Stressor

Any entity, stimulus, or condition that can modulate normal functions of an organism or ecosystem or induce an adverse response (e.g., an agent, lack of food, drought) (WHO/IPCS, 2004, part 2)

Stressors primarily refer to adverse effects from chemical, biological, and physical agents, which induce the adverse effects, and receptors range from molecules, cells, and organs to humans and other organisms and ecosystems (Fantke et al., 2020)

WHO/IPCS (2004, part 2), EFSA (2017)

Target

Any biological entity that receives an exposure or a dose (e.g., a human, a human population, or a human organ, cell or receptor)

US-EPA (2011), WHO/IPCS (2004, part 2), ISO/TS 21623 (2017)

Target Population

Group or subgroup of human or environmental populations defined by a particular physiological status (species, age-range and gender, disease status). Because of their particular physiological status, pregnant and lactating women are specific target populations

EFSA (2017)

Total exposure

The sum of exposure originating from all exposure sources in any consumer products, workplace exposures and via the environment to a particular agent. (in accordance with the US-EPA (2011) definition of total food exposure)

Total exposure may refer to the total of "Aggregate (d) exposure" or of “Cumulative exposure”

US-EPA (2011)

Toxicokinetics

Synonymous terms: Pharmacokinetics

The entry into, the distribution through and the metabolism and excretion of an agent through an organism as a function of dose and time

US-EPA (2011), EFSA (2017), ISO/TS 21623 (2017)

Uptake

Synonymous terms: Absorption

The process by which an agent crosses an absorption barrier and is absorbed into the body

US-EPA (2011)), ISO/TS 21623 (2017)

Uncertainty

Lack of knowledge that can lead to inaccurate or biased estimates of exposure. Can refer to exposure scenario, exposure parameter, and exposure model

US-EPA (2011), WHO/IPCS (2004, part 1), EFSA (2017), ISO/TS 21623 (2017)

Variability

True heterogeneity across locations, time, or individuals in a human or environmental population. Variability can affect the precision and accuracy of exposure estimates and the degree to which they can be generalized

US-EPA (2011), EFSA (2017), ISO/TS 21623 (2017)