Background

Environmental exposures have been shown to play a pivotal role in the rising incidence of non-communicable diseases. The exposome concept offers environmental, clinical, and social scientists a holistic approach that transcends the examination of individual health determinants, embracing an interdisciplinary evaluation of a wide array of factors. These encompass both indoor and outdoor environments, socioeconomic conditions, lifestyle choices, and an individual's resilience to various stressors, such as infections or psychological stress. This integrative framework facilitates a deeper understanding of how these multifaceted influences collectively impact health outcomes.

Addressing this intricate interplay of direct and indirect exposures necessitates the development of high-throughput methods. These methods should enable the quantification of chemical exposure markers and the characterization of biological processes initiated by such exposures. A robust capacity of high-resolution instruments coupled with expertise in non-target profiling of chemical mixtures and multi-residual methods for confirmatory quantitative data is essential for risk assessment. These innovative methods will complement the existing portfolio of "omics" technologies, bolstering the assessment of exposure-effect associations. The harmonization of existing population cohorts will facilitate the widespread application of this toolkit in large-scale studies. To enable integrative analysis of available data, robust data management principles, advanced bioinformatics tools, remote sensing technologies, and GIS-based computational platforms utilizing artificial intelligence need to be established.

The insights derived from this comprehensive analysis will help elucidate causal associations between exposures and health effects, deepen our understanding of the underlying mechanisms, improve protective measures, and potentially identify early markers of chronic
conditions for diagnostic applications.

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