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	<title>Journal of Exposure Science and Environmental Epidemiology &#8211; Science</title>
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	<title>Journal of Exposure Science and Environmental Epidemiology &#8211; Science</title>
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		<title>Infants’ and Children’s Activity Patterns Affect Soil Exposure</title>
		<link>https://scienmag.com/infants-and-childrens-activity-patterns-affect-soil-exposure/</link>
		
		<dc:creator><![CDATA[Ophelia Keating]]></dc:creator>
		<pubDate>Wed, 19 Nov 2025 14:19:44 +0000</pubDate>
				<category><![CDATA[Medicine]]></category>
		<category><![CDATA[children's activity patterns and health]]></category>
		<category><![CDATA[environmental health risk assessments]]></category>
		<category><![CDATA[hand-to-mouth activity in infants]]></category>
		<category><![CDATA[heavy metals exposure in children]]></category>
		<category><![CDATA[infants exposure to soil contaminants]]></category>
		<category><![CDATA[Journal of Exposure Science and Environmental Epidemiology]]></category>
		<category><![CDATA[modernized exposure databases]]></category>
		<category><![CDATA[pesticides and industrial pollutants]]></category>
		<category><![CDATA[real-world activity patterns]]></category>
		<category><![CDATA[soil and dust ingestion risks]]></category>
		<category><![CDATA[vulnerable stages of human development]]></category>
		<guid isPermaLink="false">https://scienmag.com/infants-and-childrens-activity-patterns-affect-soil-exposure/</guid>

					<description><![CDATA[In a groundbreaking advancement poised to transform environmental health risk assessments, a new study has meticulously characterized the time-activity patterns of infants and children to better estimate their exposure to soil and dust contaminants. This pioneering research, published in the Journal of Exposure Science and Environmental Epidemiology, addresses a critical gap in existing exposure datasets, [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>In a groundbreaking advancement poised to transform environmental health risk assessments, a new study has meticulously characterized the time-activity patterns of infants and children to better estimate their exposure to soil and dust contaminants. This pioneering research, published in the Journal of Exposure Science and Environmental Epidemiology, addresses a critical gap in existing exposure datasets, which predominantly rely on decades-old studies primarily designed to evaluate air pollution exposure rather than soil and dust ingestion. The implications of this work are vast, offering a refined lens through which we can understand and mitigate hazardous exposures during some of the most vulnerable stages of human development.</p>
<p>Children’s interaction with their environments, particularly through hand-to-mouth activity and close contact with soil and dust particles, represents a significant vector for exposure to toxins such as heavy metals, pesticides, and industrial pollutants. Historically, risk assessments have relied on adult-based or outdated child-centric activity data, which inadequately capture the complexities of contemporary children’s lifestyles and environments. Recognizing this deficiency, the research team led by Lupolt, Etzkorn, Huynh, and colleagues embarked on an ambitious effort to develop a modernized, robust database reflecting real-world activity patterns that influence soil and dust exposure.</p>
<p>The study hinges on detailed time-activity pattern data, which track where and how young children spend their time—be it indoors or outdoors, engaging in different types of play, or interacting with various surfaces. This nuanced behavioral data is crucial because exposure risk to contaminants is dynamically affected by the duration and type of contact with potentially polluted materials. By capturing these parameters with unprecedented granularity, the authors have created a foundation that risk assessors can trust for more accurate ingestion rate estimates.</p>
<p>A key challenge tackled by the researchers was the lack of contemporary datasets that reflect changes in children’s activities over recent decades. Modern shifts include increased indoor time due to digital entertainment, variations in outdoor play behaviors, and changes in urban design that alter access to natural soil environments. These factors dramatically influence the pathways and magnitude of soil and dust ingestion, necessitating updated and representative time-activity data that reflect today’s norms rather than environmental and societal patterns from the late 20th century.</p>
<p>Through an extensive collection of observational and survey data, the authors systematically quantified the duration and frequency of specific activities that bear on exposure risk. For infants and young children, who exhibit unique exploratory behaviors, the study differentiates phases of development, acknowledging how mobility milestones such as crawling and walking shift exposure risks. The researchers highlight that infants’ replicated hand-to-mouth actions and proximity to floor surfaces uniquely amplify their contact with contaminants, nuances which older datasets have insufficiently addressed.</p>
<p>This refined understanding of behavior has striking implications. The updated time-activity data enables the recalibration of soil and dust ingestion rates in risk models, potentially revealing previously underappreciated exposure levels or disproving prior assumptions of negligible risk in certain settings. Such recalibrations are vital for regulatory agencies like the EPA, which depend on accurate parameters to formulate public health guidelines and prioritize remediation efforts effectively.</p>
<p>Moreover, the study’s emphasis on real-world variability — acknowledging differences across environments such as urban, suburban, and rural contexts — enriches the applicability of the findings across diverse populations. This inclusivity ensures that exposure assessments can better capture disparities and address environmental justice concerns, as populations in different settings may experience vastly different exposure profiles due to behavioral and environmental heterogeneities.</p>
<p>In a broader context, this research also underscores the evolving nature of exposure science itself. It demonstrates the necessity of integrating behavioral sciences with environmental toxicology and epidemiology to produce multidimensional assessments that reflect the lived realities of those most at risk. By doing so, it paves the way for more personalized and context-sensitive interventions, ranging from community health advisories to urban planning designed to minimize contact with hazardous soils and dust.</p>
<p>A notable strength of this study lies in its methodological rigor. The team employed state-of-the-art tracking technologies and validated survey instruments to obtain reliable data, fostering confidence in the reproducibility and robustness of their findings. This rigorous approach sets a new standard, emphasizing that precise exposure assessment must consider temporal and contextual dynamics rather than static assumptions.</p>
<p>The implications extend beyond policy and science; they call for a reimagining of public health messaging tailored to caregivers and communities. As the findings clarify how specific activities heighten soil and dust ingestion, educational efforts can target critical behavior modifications or environmental adjustments to reduce exposure risk, especially among infants and toddlers.</p>
<p>Looking forward, the authors suggest that their newly developed time-activity profiles should be integrated into computational exposure models and risk assessment frameworks utilized by governments and researchers worldwide. This integration promises a leap forward in predictive accuracy, ultimately contributing to more effective protection strategies for children’s health.</p>
<p>The study also signals the importance of ongoing data collection to capture evolving behavioral trends. With technological and societal transformations likely to continue reshaping children’s activity patterns, continuous updates to such databases will be essential for maintaining the relevance and efficacy of exposure risk assumptions.</p>
<p>Finally, the research opens novel avenues for cross-disciplinary collaborations. Soil scientists, toxicologists, pediatricians, urban planners, and behavioral researchers are now positioned to collaborate more closely, leveraging these enriched data to design healthier environments and reduce harmful exposures seamlessly through evidence-based interventions.</p>
<p>In conclusion, this transformative study redefines our understanding of how infants and children interact with their environments in the context of soil and dust exposure. By delivering contemporary, nuanced, and actionable time-activity data, the research marks a pivotal moment in exposure science. It not only enhances the precision of risk assessments used by regulatory bodies but also equips communities with the knowledge necessary to safeguard the health of future generations from environmental contaminants lurking in the very ground beneath their feet.</p>
<hr />
<p><strong>Subject of Research</strong>: Characterization of infants’ and children’s time-activity patterns for improved estimation of soil and dust exposure.</p>
<p><strong>Article Title</strong>: A characterization of infants’ and children’s time-activity patterns for use in soil and dust exposure estimation.</p>
<p><strong>Article References</strong>:<br />
Lupolt, S.N., Etzkorn, L., Huynh, C. et al. A characterization of infants’ and children’s time-activity patterns for use in soil and dust exposure estimation. <em>J Expo Sci Environ Epidemiol</em> (2025). <a href="https://doi.org/10.1038/s41370-025-00824-9">https://doi.org/10.1038/s41370-025-00824-9</a></p>
<p><strong>Image Credits</strong>: AI Generated</p>
<p><strong>DOI</strong>: 19 November 2025</p>
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		<post-id xmlns="com-wordpress:feed-additions:1">107994</post-id>	</item>
		<item>
		<title>Mobility Reveals Hidden Air Pollution Inequality in Boston</title>
		<link>https://scienmag.com/mobility-reveals-hidden-air-pollution-inequality-in-boston/</link>
		
		<dc:creator><![CDATA[Russell Cooper]]></dc:creator>
		<pubDate>Sat, 08 Nov 2025 04:25:35 +0000</pubDate>
				<category><![CDATA[Medicine]]></category>
		<category><![CDATA[air quality inequality research]]></category>
		<category><![CDATA[Boston environmental health study]]></category>
		<category><![CDATA[environmental justice in urban areas]]></category>
		<category><![CDATA[exposure assessment methodologies]]></category>
		<category><![CDATA[innovative approaches to air quality]]></category>
		<category><![CDATA[Journal of Exposure Science and Environmental Epidemiology]]></category>
		<category><![CDATA[microenvironments and pollution exposure]]></category>
		<category><![CDATA[mobility data in health studies]]></category>
		<category><![CDATA[mobility patterns and air pollution]]></category>
		<category><![CDATA[real-time pollution monitoring technologies]]></category>
		<category><![CDATA[socioeconomics and air pollution]]></category>
		<category><![CDATA[urban planning and public health]]></category>
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					<description><![CDATA[In a groundbreaking new study published in the Journal of Exposure Science and Environmental Epidemiology, researchers have unveiled a revolutionary approach to measuring air pollution exposure that challenges long-standing assumptions in environmental health sciences. Moving beyond the traditional residence-based models, this study provides compelling evidence that mobility patterns—how people move through their environments throughout the [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>In a groundbreaking new study published in the Journal of Exposure Science and Environmental Epidemiology, researchers have unveiled a revolutionary approach to measuring air pollution exposure that challenges long-standing assumptions in environmental health sciences. Moving beyond the traditional residence-based models, this study provides compelling evidence that mobility patterns—how people move through their environments throughout the day—significantly alter their exposure to harmful air pollutants. This discovery carries profound implications for public health, urban planning, and environmental justice initiatives.</p>
<p>For decades, air pollution exposure assessments have largely relied on static residential locations, under the assumption that individuals spend most of their time at home or nearby. However, this method overlooks the complex web of human mobility—commuting, running errands, social interactions, and other daily activities—that transports people through vastly different air quality microenvironments. By integrating mobility data into exposure estimates, the new research reveals that individuals may be subjected to pollution levels that are much higher or lower than previously estimated, fundamentally reshaping our understanding of pollution’s health impacts.</p>
<p>The study focuses on the metropolitan area of Boston, a city known for its socioeconomically diverse neighborhoods and varying air pollution landscapes. Using mobility-driven exposure models that leverage anonymized location data, real-time pollution monitors, and advanced computational frameworks, the research team meticulously tracked how individuals traverse the urban atmosphere. Their analyses uncovered stark patterns: certain populations, particularly those in lower socioeconomic brackets, face considerably elevated exposure due to their occupational and travel patterns—a disparity hidden when only residence data is considered.</p>
<p>One of the study’s key revelations is that residence-based exposure assessments systematically underestimate actual pollutant doses for vulnerable communities. People living in less affluent areas often have jobs or daily routines that require frequent travel through highly polluted corridors—such as major highways, industrial zones, and construction sites—exposing them to a greater concentration of harmful particles and gases. This mobility-induced exposure gap underscores deep-rooted environmental inequalities and calls for targeted policy interventions.</p>
<p>Technically, the researchers employed state-of-the-art geospatial and statistical tools to merge longitudinal mobility trajectories with granular air pollution datasets emitted by both stationary monitors and mobile sensing platforms. By processing millions of location points with corresponding pollution intensity values, the study constructed individualized exposure profiles that capture real-world dynamics with unprecedented resolution. These profiles reveal that pollution exposure is a dynamic variable, intensely dependent on the spatial-temporal context of daily activities rather than a fixed attribute of the residential neighborhood.</p>
<p>The implications extend far beyond methodological innovation. Health risk assessments based on static residence models likely misrepresent the true burden of air pollution-related diseases such as asthma, cardiovascular conditions, and stroke—especially among populations with high daily mobility in polluted environments. Recognizing mobility-driven exposure disparities can lead to improved public health surveillance, more accurate epidemiological models, and precise allocation of resources for pollution mitigation and healthcare services.</p>
<p>Moreover, the findings provide compelling evidence to revisit urban design and transportation policies. Cities can leverage mobility data to identify pollution exposure hotspots and optimize infrastructure development, transit routes, and zoning laws to minimize vulnerable populations’ contact with air pollution. The research advocates for integrating real-time environmental sensing with mobility analytics in urban planning, effectively creating “smart cities” that prioritize health equity and sustainability.</p>
<p>It is critical to highlight that this study utilizes privacy-conscious methodologies to handle personal mobility data, an ethical consideration paramount in contemporary research. By anonymizing data and aggregating movement patterns rather than identifying individuals, the researchers maintain confidentiality while extracting vital insights into population-level exposure trends.</p>
<p>The novel approach also opens new avenues for environmental justice advocacy. Communities historically marginalized in environmental policy debates can now present data-driven evidence of unequal pollution burdens linked to mobility patterns. This enhanced understanding equips policymakers with the tools necessary to implement equitable interventions that address functional exposure disparities, not just residential conditions.</p>
<p>In methodological terms, the team integrated advanced machine learning algorithms to predict pollution exposure in areas where monitoring stations are sparse. This interpolation enhances the spatial coverage of pollution data, making exposure assessment more representative and scalable to other urban centers. The researchers also calibrated their models against health outcome data, solidifying the connection between mobility-informed pollution exposure and adverse health effects.</p>
<p>Beyond health and policy, this work invites a reexamination of traditional environmental exposure paradigms. It challenges researchers to consider not only where individuals live but also where they work, commute, and engage socially. Such a holistic temporal-spatial framework could transform disciplines from epidemiology to urban sociology, emphasizing the interconnectedness of mobility, environment, and health.</p>
<p>Furthermore, the study’s findings have important ramifications for emergency response planning and climate resilience strategies. By understanding how pollution exposure fluctuates with daily movement, authorities can better anticipate population vulnerabilities during smog events, wildfires, or industrial accidents. This dynamic perspective enhances preparedness and can inform targeted warnings and interventions.</p>
<p>The research was supported by a multidisciplinary team including environmental scientists, epidemiologists, data scientists, and urban planners—a testament to the growing necessity for collaboration across fields to tackle complex public health challenges. Their collective expertise enabled the sophisticated integration of environmental data with human behavioral patterns that few prior studies have achieved.</p>
<p>In conclusion, the mobility-driven estimate of air pollution exposure represents a pivotal shift in environmental health research. By accounting for the fluidity of human movement, it uncovers hidden disparities in pollution burden and sets a new standard for accurate, equitable exposure assessment. As cities worldwide grapple with rising pollution challenges, adopting mobility-informed approaches will be crucial for safeguarding health, promoting justice, and designing resilient urban futures.</p>
<p>This paradigm shift mandates that scientists, policymakers, and communities rethink the way air pollution risks are quantified and managed. Further research building on these findings could expand to other pollutants, incorporate wearable sensor technology, and explore temporal variations across seasons and events. Ultimately, integrating mobility into exposure science promises a more accurate and just representation of how the air we breathe varies across the spaces we inhabit and traverse.</p>
<p>The Boston case study also serves as a model for other diverse urban environments, highlighting the universal relevance of mobility considerations in exposure research. As data technologies and environmental monitoring capabilities advance, the potential for real-time, personalized pollution exposure assessment becomes increasingly feasible, heralding a future where mitigation efforts can be precisely targeted to those who need them most.</p>
<p>This transformative work not only deepens scientific understanding but empowers societies to confront fundamental inequities in environmental exposure. By acknowledging and addressing the mobility dimension, we move closer to ensuring clean air access for all, regardless of where they live or how they move.</p>
<hr />
<p>Subject of Research: Mobility-driven air pollution exposure assessment and socioeconomic disparities in Boston.</p>
<p>Article Title: Mobility-driven estimate reveals elevated air pollution exposure and socioeconomic disparities beyond residence-based approaches in Boston.</p>
<p>Article References:<br />
Bashan, N.F., Zhang, Y., Bell, M.L. et al. Mobility-driven estimate reveals elevated air pollution exposure and socioeconomic disparities beyond residence-based approaches in Boston. J Expo Sci Environ Epidemiol (2025). https://doi.org/10.1038/s41370-025-00820-z</p>
<p>Image Credits: AI Generated</p>
<p>DOI: 08 November 2025</p>
]]></content:encoded>
					
		
		
		<post-id xmlns="com-wordpress:feed-additions:1">102844</post-id>	</item>
		<item>
		<title>Championing Exposure Science: Protecting America’s Health</title>
		<link>https://scienmag.com/championing-exposure-science-protecting-americas-health/</link>
		
		<dc:creator><![CDATA[Phoebe Ingram]]></dc:creator>
		<pubDate>Thu, 22 May 2025 09:47:38 +0000</pubDate>
				<category><![CDATA[Medicine]]></category>
		<category><![CDATA[challenges faced by exposure scientists]]></category>
		<category><![CDATA[chemical and biological agents in environments]]></category>
		<category><![CDATA[Dr. E.N. Haynes exposure science advocacy]]></category>
		<category><![CDATA[environmental factors impacting human health]]></category>
		<category><![CDATA[exposure science and public health]]></category>
		<category><![CDATA[intervention strategies for health preservation]]></category>
		<category><![CDATA[Journal of Exposure Science and Environmental Epidemiology]]></category>
		<category><![CDATA[preventive medicine and environmental justice]]></category>
		<category><![CDATA[risk assessments in exposure science]]></category>
		<category><![CDATA[role of exposure science in public policy]]></category>
		<category><![CDATA[safeguarding public health through research]]></category>
		<category><![CDATA[systematic study of environmental exposures]]></category>
		<guid isPermaLink="false">https://scienmag.com/championing-exposure-science-protecting-americas-health/</guid>

					<description><![CDATA[In the ever-evolving landscape of public health and environmental safety, exposure science has emerged as a cornerstone discipline pivotal to understanding and mitigating the myriad ways in which environmental factors impact human health. Dr. E.N. Haynes, a prominent voice in this field, recently articulated a compelling case in support of exposure science and the dedicated [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>In the ever-evolving landscape of public health and environmental safety, exposure science has emerged as a cornerstone discipline pivotal to understanding and mitigating the myriad ways in which environmental factors impact human health. Dr. E.N. Haynes, a prominent voice in this field, recently articulated a compelling case in support of exposure science and the dedicated scientists whose meticulous research safeguards the well-being of millions across America. This statement, published in the Journal of Exposure Science and Environmental Epidemiology in 2025, underlines the critical importance of exposure science not only as a scientific endeavor but as a societal necessity intertwined with public policy, preventive medicine, and environmental justice.</p>
<p>Exposure science, at its core, is the systematic study of how humans come into contact with chemical, physical, and biological agents in their environments. It encompasses the identification, characterization, and quantification of these exposures, extending from the macroscopic level of air and water pollutants to the microscopic realm of nanoparticles and bioaerosols. This discipline leverages complex models and sophisticated instrumentation to unravel the pathways through which potentially harmful agents influence populations, thereby informing risk assessments and intervention strategies that ultimately preserve health.</p>
<p>Dr. Haynes’ statement highlights the formidable challenges faced by exposure scientists, who must navigate the inherent variability of human environments and behaviors. Unlike traditional laboratory research, where conditions are tightly controlled, exposure science often contends with dynamic, real-world settings where factors such as geography, socioeconomic status, occupation, and lifestyle interplay to shape individual and community-level exposures. It is this nuanced understanding, gleaned from integrating environmental monitoring data with epidemiologic and toxicologic insights, that empowers scientists to identify vulnerable populations and prioritize interventions.</p>
<p>Moreover, the statement underscores the methodological innovations propelling exposure science forward. Advances in wearable sensor technology, high-throughput analytical chemistry, and data science have revolutionized the capacity to measure exposures with unprecedented accuracy and temporal resolution. For instance, personal exposure monitors now enable real-time tracking of inhaled pollutants, ultraviolet radiation, or endocrine-disrupting chemicals, capturing data that reveal exposure patterns and peaks previously obscured. These technological breakthroughs, coupled with machine learning algorithms, facilitate the processing of vast multidimensional datasets, fostering predictive models that forecast exposure risks under varying environmental scenarios.</p>
<p>The societal implications of exposure science research are profound. Dr. Haynes emphasizes that effective translation of exposure data into actionable public health policies can significantly reduce disease burden associated with environmental factors. Chronic conditions such as asthma, cardiovascular disease, and certain cancers are well-documented to correlate with long-term exposures to airborne particulate matter, volatile organic compounds, and heavy metals. By quantifying dose-response relationships and identifying exposure thresholds, exposure scientists provide the evidential backbone for regulatory standards that limit pollutant emissions and mandate safer industrial practices.</p>
<p>Additionally, Dr. Haynes draws attention to the role exposure science plays in advancing environmental justice. Disparate exposures often align with socioeconomic and racial disparities, as marginalized communities disproportionately reside in polluted neighborhoods or work in hazardous industries. Through rigorous exposure assessment, scientists illuminate these inequities, advocating for targeted policies that address environmental determinants of health disparities. This commitment not only promotes fairness but enhances overall societal resilience by protecting those most at risk.</p>
<p>Importantly, the statement acknowledges that exposure science is inherently interdisciplinary, requiring collaboration among chemists, toxicologists, epidemiologists, engineers, and social scientists. Dr. Haynes calls for continued investment in training and infrastructure to cultivate a robust workforce adept at tackling emerging challenges, such as climate change’s impact on exposure pathways and the health effects of novel synthetic chemicals. The complexity of environmental exposures demands that scientists adapt and innovate, fostering integrative approaches that combine field studies, laboratory experiments, and computational modeling.</p>
<p>In navigating the policy landscape, Dr. Haynes emphasizes the necessity of clear communication between exposure scientists and stakeholders, including policymakers, industry leaders, and the public. Transparency and accessibility of data are paramount in building trust and facilitating informed decision-making. Scientists serve not only as researchers but as advocates who must translate technical findings into compelling narratives that resonate with diverse audiences, bridging the gap between science and society.</p>
<p>Furthermore, the statement calls attention to the ethical dimensions intrinsic to exposure science. Protecting human subjects in exposure studies, preserving environmental integrity, and ensuring equitable access to the benefits of research are fundamental considerations guiding scientific conduct. Dr. Haynes advocates for rigorous ethical oversight and community engagement to uphold the highest standards of responsibility and respect in research endeavors.</p>
<p>The dynamic nature of exposure science also entails responsiveness to emerging threats. Novel chemicals and materials, such as engineered nanomaterials, pose uncertainties about long-term health effects and environmental persistence. Dr. Haynes advocates for proactive surveillance and adaptive regulatory frameworks that can swiftly incorporate new scientific evidence to safeguard public health without stifling technological innovation.</p>
<p>Amidst the global challenges of urbanization and climate change, exposure science provides crucial insights into the interactions between environmental stressors and health outcomes. For example, increasing temperatures amplify ground-level ozone formation, exacerbating respiratory ailments in vulnerable populations. Rising sea levels and extreme weather events influence the distribution of environmental contaminants, complicating exposure patterns. Dr. Haynes stresses that integrating exposure science into climate resilience planning is indispensable for protecting the health of communities facing these multifaceted threats.</p>
<p>The statement also celebrates the dedication and expertise of exposure scientists themselves. These researchers often operate behind the scenes, their work unsung despite its profound impact on public health. Dr. Haynes calls for greater recognition and support, including sustainable funding, career development opportunities, and platforms for dissemination, to ensure that exposure science continues to thrive and innovate.</p>
<p>In conclusion, Dr. E.N. Haynes’ statement is a clarion call that elevates exposure science from a specialized research domain to a public health imperative. Through rigorous methodologies, technological innovation, and interdisciplinary collaboration, exposure scientists illuminate pathways to healthier environments and equitable protections for all. Their contributions, while complex and sometimes underappreciated, form the scientific foundation upon which safe and sustainable societies are built. Supporting this vital work is, as Dr. Haynes asserts, essential to making America healthy now and for generations to come.</p>
<hr />
<p>Subject of Research: Exposure science and its role in protecting public health through understanding environmental exposures.</p>
<p>Article Title: Statement in support of exposure science and the scientists that make America healthy.</p>
<p>Article References:<br />
Haynes, E.N. Statement in support of exposure science and the scientists that make America healthy. <em>J Expo Sci Environ Epidemiol</em> (2025). <a href="https://doi.org/10.1038/s41370-025-00779-x">https://doi.org/10.1038/s41370-025-00779-x</a></p>
<p>Image Credits: AI Generated</p>
<p>DOI: <a href="https://doi.org/10.1038/s41370-025-00779-x">https://doi.org/10.1038/s41370-025-00779-x</a></p>
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