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Research Letter |

Handling of Thermal Receipts as a Source of Exposure to Bisphenol A

Shelley Ehrlich, MD, ScD, MPH1,4; Antonia M. Calafat, PhD2; Olivier Humblet, ScD3; Thomas Smith, PhD1; Russ Hauser, MD, ScD, MPH1
[+] Author Affiliations
1Harvard School of Public Health, Boston, Massachusetts
2Centers for Disease Control and Prevention, Atlanta, Georgia
3University of California, San Francisco
4Dr Ehrlich is now with the Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio
JAMA. 2014;311(8):859-860. doi:10.1001/jama.2013.283735.
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Human exposure to bisphenol A (BPA) has been associated with adverse health outcomes, including reproductive function in adults1 and neurodevelopment in children exposed perinatally.2 Exposure to BPA is primarily through dietary ingestion, including consumption of canned foods.3 A less-studied source of exposure is thermal receipt paper,4 handled daily by many people at supermarkets, ATM machines, gas stations, and other settings. We hypothesized that handling of thermal receipts significantly increases BPA exposure, but use of gloves during handling minimizes exposure.

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Figure.
Geometric Mean–Specific Gravity-Adjusted Urinary Bisphenol A (BPA) Concentration

Error bars indicate 95% confidence intervals. NHANES indicates National Health and Nutrition Examination Survey.aAdjusted BPA at 0 hours (baseline).bAdjusted BPA at 4 hours (handled receipts for 2 hours).

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