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    Breathing Plastic: The Health Impacts of Invisible Plastics in the Air

    As the worlds understanding of the plastics crisis grows, new facets of the problem emerge and reveal impacts on human health and the environment. Recent advances in science are allowing scientists to explore how micro- and nanoplastics form a critical piece of the plastic pollution problem. First thought to be mainly a marine pollution issue, over the last decade, scientists have discovered micro- and nanoplastics exist in every environmental compartment from freshwater to soil and air and in thousands of species, including humans.[1] But like climate change and hazardous chemicals, most plastics are invisible to the naked human eye, meaning their impact goes relatively unseen.[2]

    Contrary to popular depictions, oceans are not the final sink[3] for microplastics. These tiny plastic particles can travel worldwide, ending up in urban, rural, and remote areas. They take an even faster transport pathway than oceanic currents: the atmosphere.[4] Moving through the air, micro- and nanoplastics can cover thousands of kilometers in a matter of days to weeks, creating what could be a never-ending loop of plastic transport.[5] The serious potential for long-range transport means that micro- and nanoplastics can affect locations and populations vast distances from the sources of plastic pollution, making microplastics one of the most ubiquitous pollutants released by anthropogenic activities[6] and a grave public health issue.[7] While scientists may not yet know the full scope of the health impacts of micro- and nanoplastics, the cause is undeniably clear: the production and use of plastics.

    The Problem

    Everywhere they look, scientists are finding microplastics.[8] Often so small that they are invisible to the human eye, these tiny plastic particles are imperceptible as they pass through airways and reach the very bottom of the lungs. Scientists have found that inhalation is a major contributor to human intake of micro- and nanoplastics, and exposure rates the amount of atmospheric micro- and nanoplastics in an individuals vicinity can be as high as 5,700 microplastics per cubic meter.[9] Its estimated that humans can inhale up to 22,000,000 micro- and nanoplastics annually.[10]

    To better understand the issue, it is essential to examine the scales used to classify plastic particles. Microplastics are plastic particles less than 5 millimeters (mm) in diameter, about the size of an orange seed.[11] Airborne microplastics, however, are much smaller even a 0.5 mm (500 micrometer (m)) particle is considered large. When plastic fragments are below 0.001 mm in size (equivalent to 1 m or 1,000 nanometers (nm)), they are less than 1/100th of the thickness of a human hair. Particles this small are called nanoplastics and cannot be seen by the naked eye.[12]

    Infographic depicting the size of nano- and microplastics.

    Multiple Sources, Same Origin

    Fundamentally, atmospheric microplastics come from human creation and use of plastics. Microplastics fall into categories based on their origin.[13] Primary microplastics[14] are intentionally produced at microscale for a specific use (such as agrochemicals or pharmaceuticals). In contrast, secondary microplastics result from the mechanical, chemical, and physical fragmentation of larger (macro) plastics, which can include legacy plastics disposed of in the environment decades ago. Every stage of the plastics life cycle, from the extraction of feedstocks to production, transport, use, disposal, and remediation, emits both primary and secondary microplastics and other hazardous substances.[15]

    Moving through Air

    Since air is a strong environmental media, the spread and effects of airborne microplastics can remain localized or extend far beyond the point of release. While concentration levels vary, no location remains untouched. Airborne microplastics have been collected worldwide, but especially in the Northern Hemisphere, including France, Iran, China, Japan, Vietnam, Nepal, the United States, Colombia, Saudi Arabia, South Korea, Kuwait, Greece, Romania, Pakistan, and India.[16]

    Inside the Body

    Infographic depicting microplastics in the human body.

    Infographic depicting where microplastics get trapped in the human body.

    Exposure to airborne microplastics can occur through inhalation, penetration through skin pores, and ingesting foods that contain them.[17] Microplastics reach inside the human body depends on their properties, size, shape, and an individuals metabolism, susceptibility, and lung anatomy.[18] They can enter the respiratory system through the nose or mouth before being deposited in the upper airways or deep in the lungs.[19]

    Once there, evidence shows that micro- and nanoplastics can be transferred from the lung epithelial surface to lung tissue,[20] potentially to internal organs and the vascular system,[21] and beyond.

    A Trojan Horse

    The very characteristics of microplastics reveal their potential to be a dangerously potent vector for toxics and pathogens. Microplastics often have large specific surface areas and are predominantly hydrophobic, meaning they repel water. These characteristics make airborne microplastics a Trojan Horse capable of hiding and carrying harmful substances inside the animals or humans who inhale, absorb, and ingest them.[22] Therefore, knowing whats inside plastic is as important as knowing what lies on it.[23]

    Health Impacts

    While airborne microplastics research is in its infancy, studies on the inhalation of micro- and nanoparticles of plastics show a series of adverse effects along the respiratory tract and beyond, ranging from irritation to the onset of cancer in cases of chronic exposure.[24] These adverse effects include:

    • immediate asthma-like reactions;
    • inflammatory reactions and fibrotic changes, like chronic bronchitis;
    • lung disorders such as extrinsic allergic alveolitis and chronic pneumonia;
    • pulmonary emphysema;[25]
    • the development of interstitial lung diseases,[26] resulting in coughing, difficulty breathing, and a reduction in lung capacity;[27]
    • oxidative stress and the formation of reactive oxygen species (ROS) and thus the ability to damage cells (cytotoxic effects);[28] and
    • autoimmune diseases.[29]

    Infographic depicting the health impacts of exposure to chemicals in microplastics.

    A Toxic Cocktail

    Exposure to airborne microplastics is not happening in a vacuum. Humans are exposed to multiple pollutants and hazardous chemicals daily, including microplastics ingested via other sources, such as food or drink. While research on airborne microplastics is in its infancy, microplastic exposure typically happens alongside other toxic substances.

    The Bigger Picture

    If no action is taken, the volume of airborne microplastic emissions will follow the expected rise in plastic production, resulting in a greater risk of spreading potentially toxic chemicals. Regulators need to dramatically reduce the production of plastics and phase out hazardous chemicals.

    Recommendations

    1. Consider the combined cocktail effect. Exposure to micro- and nanoplastics is a multi-faceted problem touching on air, water, terrestrial environments, food, and more. Regardless of how exposure occurs, it typically happens alongside other toxics. Humans are exposed to multiple pollutants and hazardous chemical compounds daily, including endocrine disruptors and POPs linked to diabetes, infertility, and hormone-related cancers. Regulators need to apply the precautionary principle to address the risks of combined exposure. Such an approach should include ensuring access to information on the petrochemical compounds in plastics products and processes (both voluntary and non-intentionally added) for ALL plastic products, not just food-grade plastics.
    2. Adopt legally binding measures without any further delay. Self-regulation and voluntary approaches have failed to reduce plastic and microplastic pollution. Banning intentionally added microplastics is the first step. Mandatory regulations will need to reduce the production and release of plastic and its associated compounds and reduce human exposure to plastics, microplastics, and nanoplastics.
    3. Address the full life cycle of plastics. Airborne micro- and nanoplastics are part of the bigger story of plastics. Thus, a systemic effort is needed to address the full issue, beginning with the extraction of fossil fuels and associated chemicals used in plastic production. Decision makers should further support action at the global level, supporting ambitious and effective provisions, including strict enforcement measures in the future international legally binding agreement on plastic that will be negotiated before the end of 2024.

    This post is an adapted summary of thisissue brief.

    Published March 27th, 2023


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