Evidence mapPaperPMID 42472117Full record

ArticleiScience2026

A conceptual framework linking health related costs of PFAS pollution to the polluter pays principle.

Zoë Vandamme, Brigitte Reimann, Bo Vandenbulcke, Nick Portugaels, Larissa Vanhooff, Freek Louckx, Britt Weyts, Michelle Plusquin, Koen Putman

Abstract read
In one paragraph

Article in iScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Zoë VandammeInteruniversity Centre for Health Economics Research (i-CHER), Vrije Universiteit Brussel, Brussels, Belgium.
Brigitte ReimannCentre for Environmental Sciences, Hasselt University, Diepenbeek, Belgium.
Bo VandenbulckeInteruniversity Centre for Health Economics Research (i-CHER), Vrije Universiteit Brussel, Brussels, Belgium.
Nick PortugaelsUniversity of Antwerp, Antwerp, Belgium.
Larissa VanhooffUniversity of Antwerp, Antwerp, Belgium.
Freek LouckxUniversity of Antwerp, Antwerp, Belgium.
Britt WeytsUniversity of Antwerp, Antwerp, Belgium.
Michelle PlusquinCentre for Environmental Sciences, Hasselt University, Diepenbeek, Belgium.
Koen PutmanInteruniversity Centre for Health Economics Research (i-CHER), Vrije Universiteit Brussel, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exposure to per- and poly-fluoroalkyl substances is associated with adverse health outcomes and may generate substantial healthcare and societal costs. This concept study presents an interdisciplinary framework that links epidemiological evidence, health economic modeling, and legal analysis to estimate the health-related costs of PFAS pollution and explore compensation under the polluter pays principle. The framework combines systematic evidence synthesis, pooled effect estimates, and population attributable fractions to quantify the disease burden attributable to PFAS exposure. These estimates are integrated into cost-of-illness analyses to assess preventive and curative healthcare costs, productivity losses, and wider societal impacts. Legal analysis, including hypothetical cases and existing compensation fund mechanisms, is used to examine how quantified health-related costs can inform liability and compensation approaches. By connecting scientific evidence, economic valuation, and legal reasoning, the framework supports evidence-informed policymaking and adaptable compensation mechanisms as knowledge on PFAS-related health effects develops.

Indexed as

cost-of-illnessfinancial responsibilityPFAS exposurepolluter pays principlepopulation attributable fractionpopulation-based analysis

Identifiers

PMID42472117
PMCPMC13380435

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.