Past Issues
Convergence of environmental determinants and clinical toxicology: The challenge of the exposome in a changing climate
Autoridad de Cuenca Matanza Riachuelo (ACUMAR). Hospital General de Agudos "José M. Penna". Former toxicologist, Hospital Nacional "Prof. Alejandro Posadas", Buenos Aires, Argentina.
Abstract
Climate change is increasingly recognized as a major determinant of human health and a powerful modifier of environmental exposures. The exposome, which encompasses the cumulative environmental, chemical, physical, and biological exposures experienced throughout life, provides a valuable framework for understanding how environmental change influences toxicologic risk. Emerging evidence indicates that climate-related changes influence a broad range of toxicologic conditions, including substance use disorders, medication-related toxicity, envenomation, environmental exposures, and mental health outcomes. This mini-review examines the intersection between climate change, the exposome, and clinical toxicology. Integrating climate-related determinants and exposome-based perspectives into risk assessment, surveillance, prevention, and patient care may improve the recognition of emerging hazards and strengthen responses to the evolving toxicologic challenges of a changing world.
