Risk assessment of endocrine disruptors: Does unresolved uncertainties require extra precaution?

Minimizing exposure to endocrine disruptors (EDs) is a priority within the European Union’s political agenda. These chemical substances interfere with the endocrine system, leading to adverse effects on human health and the environment. Despite extensive research, significant uncertainties remain regarding safe levels of exposure to EDs. This paper highlights the need for cautious risk assessment due to substantial knowledge gaps, limitations in testing and unresolved questions about thresholds, non-monotonic dose-responses and low-dose effects. On this basis, we recommend a precautionary approach to risk assessment of EDs and, in general, support initiatives to reduce exposure by phasing out use and production. In cases where EDs are found in, for instance, food and drinking water, we propose the use of an additional uncertainty factor of 10 (as default) for the nature of ED effects to ensure more protective risk assessments. Our recommendations aim to contribute to the ongoing discussion on how to effectively manage the risks associated with EDs.