text: Biomonitoring involves the use of organisms to assess environmental contamination, such as of surrounding air or water. It can be done qualitatively by observing and noting changes in organisms, or quantitatively by measuring accumulation of chemicals in organism tissues. By observing or measuring the effects the environment has on its resident organisms, pollution may be suspected or inferred.
  Historically, public health regulations have been based on theoretical risk calculations according to known levels of chemical substances in air, water, soil, food, other consumer products and other sources of potential exposure. Human biomonitoring offers the opportunity to analyze the actual internal levels of bodily substances from all potential routes of exposure at one time, which may contribute to improving risk assessments.
  Scientific advancements have made it possible to detect a greater number of chemical substances in smaller concentrations in the body, with some chemicals detectable at levels as low as parts per trillion. A single biomonitoring measurement is only one snapshot in time and may not accurately reflect the level of exposure over longer periods.
  The presence of an environmental chemical in the body does not necessarily indicate harm. The analytical chemistry of detecting chemicals has advanced more rapidly than the ability to interpret the potential health consequences. Health risks are usually established from toxicity studies in laboratory animals and epidemiological evidence in humans. Lead is a well studied chemical with a CDC action level of concern, currently at 10 µg/dL, or 100 parts per billion, in blood; however, neurobehavioral impairment has been noted below this level. Because this approach requires establishment of cause and effect in epidemiological studies and a thorough understanding of human dose response, data to support these types of action levels exist for only a few environmental chemicals.  The concept of Biomonitoring Equivalents (BEs) has been developed as an alternative approach to aid in interpreting and communicating biomonitoring results in the context of potential risks to health.
  There are different types of biomarkers that indicate exposure, effect, or susceptibility.