Health Effects of Fossil Fuel–Derived Endocrine Disruptors

Pollution, including air pollution, water pollution, pollution from lead and other chemicals, and toxic occupational exposures, is the leading cause of premature death globally, with more than 90% of pollution- related deaths occurring in low- and middle-income countries.1 Chemical pollution is estimated to be responsible for at least 1.8 million deaths each year.1 This number is probably an underestimate, since less than 5% of approximately 350,000 chemicals registered for use globally have been adequately studied; most countries do not re- quire testing for chemical health harms or disclosure of use