Bridging the knowledge-governance gap: community perspectives on endocrine-disrupting chemicals and the quest for accountability in a South African industrial municipality
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health systems, private, roodepoort, South Africa
Popul. Med. 2026;8(Supplement Supplement 1):A472
ABSTRACT
INTRODUCTION:
Endocrine-disrupting chemicals (EDCs) represent a global risk to our metabolic, reproductive, and developmental well-being. In Africa, although there is evident environmental contamination, significant deficiencies exist in policy and monitoring. The dangers are exacerbated by industrial operations and socio economic inequalities. This study explored the general public's knowledge, attitudes, and perceptions of endocrine disruptors among adults in Mogale City, Gauteng province
METHODS:
A qualitative design was used, data collected through in-depth interviews with 15 participants (19–65 years) from various demographics within Mogale City, until data saturation was achieved. data were transcribed verbatim using inductive thematic analysis utilizing NVivo software, identified key themes related to awareness, perceived risks, behavioural practices and expectations for regulatory mechanisms.
RESULTS:
The analysis revealed a contradiction: although residents expressed significant concerns regarding environmental and health risks—frequently associating the deterioration with local mining and industrial operations—their comprehension of EDCs was surprisingly inadequate. Their capacity to implement protective actions hindered by informational gaps, distrust in the sources, and a perception of regulatory inadequacy. While communities acknowledged industrial activities as a primary source of exposure, they felt powerless to effect change. A pronounced demand for knowledge surfaced, accompanied by a distinct request for trustworthy, comprehensible information and responsible governance.
CONCLUSIONS:
This research extends beyond the realms of industrial pollution, information gaps, and sluggish regulatory frameworks. The results indicate that relying exclusively on technical solutions is inadequate when addressing systemic issues. To effectuate a significant change, strategy necessary are : (1) education that transforms concern into proactive measures; (2) robust and transparent regulations that ensure accountability for polluting corporations; and (3) cooperative governance that confronts the fundamental causes of environmental injustice. In an era where global resources are scarce, empowering frontline communities with knowledge and political influence, is crucial for halting a silent epidemic of diseases associated with environmental factors.