Update on human exposure to glyphosate, with a complete review of exposure in children

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Update on human exposure to glyphosate, with a complete review of exposure in children Christina Gillezeau, Wil Lieberman-Cribbin and Emanuela Taioli*

Abstract Background: Glyphosate, a commonly used pesticide, has been the topic of much debate. The effects of exposure to glyphosate remains a contentious topic. This paper provides an update to the existing literature regarding levels of glyphosate exposure in occupationally exposed individuals and focuses or reviewing all the available published literature regarding glyphosate exposure levels in children. Methods: A literature review was conducted and any articles reporting quantifiable exposure levels in humans published since January 2019 (the last published review on glyphosate exposure) were reviewed and data extracted and standardized. Results: A total of five new studies reporting exposure levels in humans were found including 578 subjects. Two of these studies focused on occupationally exposed individuals while three of them focused on glyphosate exposure levels in children. Given the sparse nature of the new data, previously identified studies on exposure to glyphosate in children were included in our analysis of children’s exposure. The lowest average level of glyphosate exposure reported was 0.28 μg/L and the highest average exposure levels reported was 4.04 μg/L. Conclusion: The literature on glyphosate exposure levels, especially in children, remains limited. Without more data collected in a standardized way, parsing out the potential relationship between glyphosate exposure and disease will not be possible. Keywords: Review, Round up, Youth, Glyphosate exposure, AMPA, Urinary biomarkers

Introduction The concerns associated with exposure to glyphosate, the active ingredient in the pesticide Round Up, have been a topic of much debate due to recent rulings and legal cases in the United States against the company that manufactures Round Up, Monsanto, which have concluded that the chemical may be carcinogenic [1]. Despite its widespread use worldwide and because of the introduction of genetically modified seeds that are * Correspondence: [email protected] The Institute for Translational Epidemiology at the Icahn School of Medicine at Mount Sinai, One Gustave L Levy Place, Box 1133, New York, NY 10029, USA

Round-Up resistant, and its adoption in the early 2000s as a mean to speed up crop desiccation [2], the amount of exposure in the general population and the potential effects of sustained exposure on human health are largely unknown. The amount of permissible residues of glyphosate on crops has increased correspondingly [3], despite the fact that the literature on the health effects is scarce. A recent meta-analysis has suggested that glyphosate use in an occupational setting may raise the risk of non-Hodgkin lymphoma as much as 41% [4]; a pooled analysis of case-control studies from North America confirmed the association, and suggested that specific histologic subtypes of non-Hodgkin lymphoma may be

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