Permethrin, a synthetic pyrethroid insecticide, was selected for the previous aggregate SHEDS-Multimedia model application in Zartarian et al. (2012) because it is the most commonly used pyrethroid pesticide and the first pyrethroid reviewed under FQPA. This paper extends that research, applying SHEDS-Multimedia to a cumulative seven pyrethroids case study (permethrin, cypermethrin, cyfluthrin, allethrin, resmethrin, deltamethrin, and esfenvalerate), including variability analyses for key pathways and chemicals, and Ibrutinib model evaluation results. To select the seven pyrethroid pesticides for this case study, we used the 2001–2002

Residential Exposure Joint Venture (REJV) consumer pesticide product use survey provided to the U.S. EPA (Jacobs et al., 2003) and NHANES biomarker data (Barr et al., 2010Table 1). To our knowledge, this is the first comprehensive cumulative exposure assessment using SHEDS-Multimedia combined with publicly available datasets. The objectives of this case study were to: (1) quantify children’s pyrethroid exposures from residential and dietary routes, identifying major chemicals and find more pathways; (2) provide reliable input data and methods for cumulative risk assessment; and (3) evaluate SHEDS-Multimedia

using NHANES biomarker data. The SHEDS-Multimedia technical manuals describe in detail the model algorithms, methodologies, and input and output capabilities (Glen et al., 2010 and Xue et al., 2010b). SHEDS-Multimedia is comprised of both a residential module (SHEDS-Residential version 4.0; Glen

et al., 2010, Isaacs et al., 2010a and Zartarian et al., 2008), and a dietary module (SHEDS-Dietary version 1.0; Xue et al., 2010a, Xue et al., 2010b, Xue et al., 2012 and Isaacs et al., 2010b) linked by a methodology illustrated in Fig. 1. This case study quantifies population cumulative exposures for 3–5 year olds (one of the EPA recommended age groups in U.S. EPA, 2005) from both dietary ingestion and nine residential application scenarios of seven pyrethroids. The seven pyrethroids were selected based on residential usage patterns and degradation to the common metabolites, 3-PBA and heptaminol DCCA (Barr et al., 2010). For this multiple pyrethroids case study, nine residential exposure scenarios were selected based on analyses of the REJV data (Jacobs et al., 2003), including indoor crack and crevice (aerosol and liquid), indoor flying insect killer (aerosol), indoor fogger (broadcast), lawn (granular – push spreader and liquid – hand wand), pet treatment (liquid and spot-on), and vegetable garden (dust, powder). Model input values for chemical-specific and non-specific data inputs for these seven pyrethroids were mined from peer-reviewed publications, OPP’s Residential Exposure Standard Operating Procedures (U.S. EPA, 2012), recommendations by OPP’s FIFRA SAP, EPA’s Exposure Factors Handbook and Child-Specific Exposure Factors Handbook (U.S. EPA, 1997 and U.S.