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Objectives. To assess the US incarcerated population’s risk of exposure to per- and polyfluoroalkyl substances (PFASs). Methods. We assessed how many of the 6118 US carceral facilities were located in the same hydrologic unit code watershed boundaries as known or likely locations of PFAS contamination. We conducted geospatial analyses on data aggregated from Environmental Protection Agency databases and a PFAS site tracker in 2022 to model the hydrologically feasible known and presumptive PFAS contamination sites for nearly 2 million incarcerated people. Results. Findings indicate that 5% (∼310) of US carceral facilities have at least 1 known source of PFAS contamination in the same watershed boundary and that it is at a higher elevation than the facility; also 47% (∼2285) have at least 1 presumptive source. A minimum of 990 000 people are incarcerated in these facilities, including at least 12 800 juveniles. Exposure risks faced by incarcerated youths are disproportionately underassessed. Conclusions. The long-term impacts from potential exposures to PFAS are preventable and exacerbate health inequities among incarcerated populations. Widespread public attention to PFASs can be parlayed into broader environmental monitoring for imprisoned people. ( Am J Public Health. 2024;114(5):501–510. https://doi.org/10.2105/AJPH.2024.307571 ) 

This article examines how ignorance can be produced by regulatory systems. Using the case of contamination from per- and polyfluoroalkyl substances (PFAS), we identify patterns of institutionalized ignorance in U.S. chemical regulation. Drawing on in-depth interviews and archival research, we develop a chemical regulatory pathway approach to study knowledge and ignorance production through the regulatory framework, the Toxic Substances Control Act (TSCA). Investigating TSCA’s operation, we consider why PFAS were relatively recently recognized as a significant public health threat, despite evidence of their risks in the 1960s. The historical context of TSCA’s enactment, including the mobilization of the chemical industry, contributed to the institutionalization of organizational practices promoting distinct types of ignorance based on stakeholder position: chemical manufacturers who have discretion over knowledge production and dissemination, regulators who operate under selective ignorance, and communities and consumers who experience nescience, or total surprise.