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Babies vs. Plastics: The public health problem of our time—and how you can help

News Feed
Monday, April 22, 2024

Plastic is everywhere. We pump crude oil from the ground and then process it into just about anything we want.It’s on and in all your electronics. Kitchens and bathrooms are mostly coated in it. Around 60% of all clothing is technically considered a type of plastic. Then there’s furniture, cars, ships, and even the internal coating of drink cans.Our world is inundated with plastic, not just in our surroundings but also in our food and bodies. About 300 million tons of plastic are manufactured each year, including a mind-boggling five trillion plastic bags and 583 billion plastic bottles.That’s about 650 plastic bags per person annually, each taking about 1,000 years to disintegrate. All that plastic breaks down into microscopic fragments that can quickly enter our bodies.Studies show that microplastics can enter our bloodstream and even end up in our brains, causing inflammation, neurological disorders, or even neurodegenerative diseases such as Alzheimer’s or Parkinson’s.But there’s plenty of action being taken to try to change our addiction to plastic. The End Plastics Initiative, part of the Washington, D.C.,-based Earth Day organization, aims to reduce our dependence on plastic by 60% over the next 16 years.Reckon spoke with Aidan Charron, the director of Earth Day’s plastic initiative, about what’s happening in that world and how we can cut back.Reckon:There still seems to be a lack of public awareness about plastic. Some people don’t believe it’s harmful. What strategies do you use when encountering people who have no idea or are reluctant to think this stuff is bad for us?Aidan Charron:That’s part of the reason we wrote the Babies vs. Plastics report. There’s a main group of people that are saying they don’t want to believe the big issues we’re having with plastic. That’s hard to do when faced with all the evidence. If you don’t want to believe that oil is killing you, you have to understand at least that there are 16,000 possible chemicals and only 4,200 of them are non-toxic, and that’s only because those are the only ones that have been tested. I tell people to look into some of these chemicals and what they can do to our bodies and the environment.Why did you call it babies vs plastic?We wanted to convey the idea that plastic affects all of us and isn’t just floating in the sea far away.But it’s also not just hurting minority groups, like indigenous populations and Black and brown communities. It’s affecting everybody, including those in the frontline communities dealing with the most pollution types. We chose the name because we wanted people to know that our children are also being exposed to these chemicals among groups most of us don’t think about.Given that plastic is used in our clothes, phones, laptops, advanced medical devices, and even inside our bodies, is ending plastic a practical vision?We’re not completely crazy. We know plastic will never go away completely. That’s why we came up with the 60% reduction by 2040 goal. We do see that as feasible because 50% of all plastic is single-use. So if we phase out single-use plastic and make sure that all the materials are reusable, that requires us to transition backward even to some materials that are actually inert, like glass or aluminum, and in a lot of cases, stainless steel.We can go ahead and cut off 50% of our production right there. That involves coming up with alternatives to the plastic we put in laptops and, for example, building materials that don’t use regenerative materials. PVC piping, a widely used building material, is one of the most dangerous types of piping out there. If we can transition away from those things, that will eventually lead us to that 60% reduction goal.Is there a new technology out there that could replace plastics?We’re a little hesitant to talk about it because sometimes, the new technology or material in five years turns out not to be so great for the environment or people. The ones I’ve seen are pretty cool and are things like mycelium or mushrooms to replace  Styrofoam packaging. The question with things like that is, is it scalable? Is it expensive? What investments do we need to make to get it going?Then there’s hemp, right? Hemp is an extremely versatile material that we seem to ignore.The alternatives to fast-fashion clothing are well known, and it’s a sector where we can easily progress in replacing it. That would be organic hemp, organic cotton, and wool, which are all regenerative. It’s just better than wearing stuff that could also power a car. It’s wild to think we are wearing oil.How can regular people like me and my neighbors cut back on our plastic use?Every environmentalist you talk to will tell you to use more renewable and reusable materials. And that is really the simplest thing to do: use reusable water bottles, preferably made of glass, stainless steel, or aluminum.Transition away from Saran wrap to tin foil or aluminum foil if you can. I also use cotton and beeswax materials to cover my food. Plastic Tupperware has inserted itself into every part of society in the U.S. Switch to glass. By heating plastic food containers in a microwave, you’re exposing yourself to the plastics of the container and the microplastics already in your food.Many of these big plastic-using companies, like Coca-Cola, Pepsi, and Nestle, go to great lengths to greenwash us. And yet, I know they hire highly intelligent business executives and creatives who surely know the products they manufacture harm people, wildlife, and the environment.Do you ever think about who these people are, what they stand for, and how it would be much easier if they admitted what we already know about their products?Yes, it would be much easier if they were honest. Then, I wouldn’t have to work as hard to ensure that at least somebody’s being honest. Part of my job is talking to government officials and getting them to be honest about plastic use. Companies are a little bit more complicated. I understand they all have families and their living expenses. But it’s hard for me to think what the price is for someone to sell their soul and the souls of 8 billion people. I get it. A CEO making $200 million a year is a lot of money. But then you go down the line, like, you are a chemical engineer for Coca-Cola developing a new set of plastics for $80,000 a year. That’s all it took for you to sell out?Do you think that has to do with the fact that plastic is such an enormous and useful part of our culture and is elevated above how we feel about garbage, sewage, and littering? How might that change?I also think that. Hopefully, in my lifetime, more burdens will be placed on these companies regarding the damage they’re doing. Plastic is cheap and quick. But then there’s all the underlying health costs that producers don’t have to worry about.Plastic and its additive chemicals cost the healthcare industry $250 billion a year because of the different health issues it causes. That’s just in the U.S. Plastic producers don’t have to pay anything towards those costs. We’ll see big plastic changes if the healthcare industry becomes involved.In the same vein, do you think those big plastic producers will have to bear some legal responsibility for the health issues and pollution they cause in the same way the EPA is gradually going after companies that put chemicals forever in our food and water?For a long time, I felt like the EPA wasn’t doing nearly enough, and I do think it can do a lot more. However, I’m glad to see they’re starting to target some of these chemical companies, which makes me think it will eventually pivot to the plastics industry. We also have the global plastics treaty, which we hope can bring greater awareness and policy.I’ve also seen many more rules and regulations coming from the EPA, but I fear it’s all for show since the agency can’t enforce what’s already on the books.Honestly, I’ve been feeling the same way. It sucks because that’s what we’re relying on to fight these battles. The EPA has been heavily underfunded for years and still doesn’t have the funding to put toward lawsuits like petrochemical and chemical companies do. It’s hard to go up against some of the most profitable businesses ever, even for the government. Then, you get certain administrations coming through that gut funding, which makes auditing and environmental regulation much harder.

Plastic is one of the great human inventions, but the downsides are deadly.

Plastic is everywhere. We pump crude oil from the ground and then process it into just about anything we want.

It’s on and in all your electronics. Kitchens and bathrooms are mostly coated in it. Around 60% of all clothing is technically considered a type of plastic. Then there’s furniture, cars, ships, and even the internal coating of drink cans.

Our world is inundated with plastic, not just in our surroundings but also in our food and bodies. About 300 million tons of plastic are manufactured each year, including a mind-boggling five trillion plastic bags and 583 billion plastic bottles.

That’s about 650 plastic bags per person annually, each taking about 1,000 years to disintegrate. All that plastic breaks down into microscopic fragments that can quickly enter our bodies.

Studies show that microplastics can enter our bloodstream and even end up in our brains, causing inflammation, neurological disorders, or even neurodegenerative diseases such as Alzheimer’s or Parkinson’s.

But there’s plenty of action being taken to try to change our addiction to plastic. The End Plastics Initiative, part of the Washington, D.C.,-based Earth Day organization, aims to reduce our dependence on plastic by 60% over the next 16 years.

Reckon spoke with Aidan Charron, the director of Earth Day’s plastic initiative, about what’s happening in that world and how we can cut back.

Reckon:

There still seems to be a lack of public awareness about plastic. Some people don’t believe it’s harmful. What strategies do you use when encountering people who have no idea or are reluctant to think this stuff is bad for us?

Aidan Charron:

That’s part of the reason we wrote the Babies vs. Plastics report. There’s a main group of people that are saying they don’t want to believe the big issues we’re having with plastic. That’s hard to do when faced with all the evidence. If you don’t want to believe that oil is killing you, you have to understand at least that there are 16,000 possible chemicals and only 4,200 of them are non-toxic, and that’s only because those are the only ones that have been tested. I tell people to look into some of these chemicals and what they can do to our bodies and the environment.

Why did you call it babies vs plastic?

We wanted to convey the idea that plastic affects all of us and isn’t just floating in the sea far away.

But it’s also not just hurting minority groups, like indigenous populations and Black and brown communities. It’s affecting everybody, including those in the frontline communities dealing with the most pollution types. We chose the name because we wanted people to know that our children are also being exposed to these chemicals among groups most of us don’t think about.

Given that plastic is used in our clothes, phones, laptops, advanced medical devices, and even inside our bodies, is ending plastic a practical vision?

We’re not completely crazy. We know plastic will never go away completely. That’s why we came up with the 60% reduction by 2040 goal. We do see that as feasible because 50% of all plastic is single-use. So if we phase out single-use plastic and make sure that all the materials are reusable, that requires us to transition backward even to some materials that are actually inert, like glass or aluminum, and in a lot of cases, stainless steel.

We can go ahead and cut off 50% of our production right there. That involves coming up with alternatives to the plastic we put in laptops and, for example, building materials that don’t use regenerative materials. PVC piping, a widely used building material, is one of the most dangerous types of piping out there. If we can transition away from those things, that will eventually lead us to that 60% reduction goal.

Is there a new technology out there that could replace plastics?

We’re a little hesitant to talk about it because sometimes, the new technology or material in five years turns out not to be so great for the environment or people. The ones I’ve seen are pretty cool and are things like mycelium or mushrooms to replace  Styrofoam packaging. The question with things like that is, is it scalable? Is it expensive? What investments do we need to make to get it going?

Then there’s hemp, right? Hemp is an extremely versatile material that we seem to ignore.

The alternatives to fast-fashion clothing are well known, and it’s a sector where we can easily progress in replacing it. That would be organic hemp, organic cotton, and wool, which are all regenerative. It’s just better than wearing stuff that could also power a car. It’s wild to think we are wearing oil.

How can regular people like me and my neighbors cut back on our plastic use?

Every environmentalist you talk to will tell you to use more renewable and reusable materials. And that is really the simplest thing to do: use reusable water bottles, preferably made of glass, stainless steel, or aluminum.

Transition away from Saran wrap to tin foil or aluminum foil if you can. I also use cotton and beeswax materials to cover my food. Plastic Tupperware has inserted itself into every part of society in the U.S. Switch to glass. By heating plastic food containers in a microwave, you’re exposing yourself to the plastics of the container and the microplastics already in your food.

Many of these big plastic-using companies, like Coca-Cola, Pepsi, and Nestle, go to great lengths to greenwash us. And yet, I know they hire highly intelligent business executives and creatives who surely know the products they manufacture harm people, wildlife, and the environment.

Do you ever think about who these people are, what they stand for, and how it would be much easier if they admitted what we already know about their products?

Yes, it would be much easier if they were honest. Then, I wouldn’t have to work as hard to ensure that at least somebody’s being honest. Part of my job is talking to government officials and getting them to be honest about plastic use.

Companies are a little bit more complicated. I understand they all have families and their living expenses. But it’s hard for me to think what the price is for someone to sell their soul and the souls of 8 billion people. I get it. A CEO making $200 million a year is a lot of money. But then you go down the line, like, you are a chemical engineer for Coca-Cola developing a new set of plastics for $80,000 a year. That’s all it took for you to sell out?

Do you think that has to do with the fact that plastic is such an enormous and useful part of our culture and is elevated above how we feel about garbage, sewage, and littering? How might that change?

I also think that. Hopefully, in my lifetime, more burdens will be placed on these companies regarding the damage they’re doing. Plastic is cheap and quick. But then there’s all the underlying health costs that producers don’t have to worry about.

Plastic and its additive chemicals cost the healthcare industry $250 billion a year because of the different health issues it causes. That’s just in the U.S. Plastic producers don’t have to pay anything towards those costs. We’ll see big plastic changes if the healthcare industry becomes involved.

In the same vein, do you think those big plastic producers will have to bear some legal responsibility for the health issues and pollution they cause in the same way the EPA is gradually going after companies that put chemicals forever in our food and water?

For a long time, I felt like the EPA wasn’t doing nearly enough, and I do think it can do a lot more. However, I’m glad to see they’re starting to target some of these chemical companies, which makes me think it will eventually pivot to the plastics industry. We also have the global plastics treaty, which we hope can bring greater awareness and policy.

I’ve also seen many more rules and regulations coming from the EPA, but I fear it’s all for show since the agency can’t enforce what’s already on the books.

Honestly, I’ve been feeling the same way. It sucks because that’s what we’re relying on to fight these battles. The EPA has been heavily underfunded for years and still doesn’t have the funding to put toward lawsuits like petrochemical and chemical companies do. It’s hard to go up against some of the most profitable businesses ever, even for the government. Then, you get certain administrations coming through that gut funding, which makes auditing and environmental regulation much harder.

Read the full story here.
Photos courtesy of

Thousands of US Hazardous Sites Are at Risk of Flooding Because of Sea Level Rise, Study Finds

A new study finds that thousands of hazardous sites across the U.S. are at risk of flooding due to sea level rise that could pose public health threats to neighboring communities

If heat-trapping pollution from burning coal, oil and gas continues unchecked, thousands of hazardous sites across the United States risk being flooded from sea level rise by the turn of the century, posing serious health risks to nearby communities, according to a new study.Researchers identified 5,500 sites that store, emit or handle sewage, trash, oil, gas and other hazards that could face coastal flooding by 2100, with much of the risk already locked in due to past emissions. But more than half the sites are projected to face flood risk much sooner — as soon as 2050. Low-income, communities of color and other marginalized groups are the most at risk.With even moderate reductions to planet-warming emissions, researchers also determined that roughly 300 fewer sites would be at risk by the end of the century. “Our goal with this analysis was to try to get ahead of the problem by looking far out into the future," said Lara J. Cushing, associate professor in the Department of Environmental Health Sciences at the University of California, Los Angeles who co-authored the paper published in the science journal Nature Communications.“We do have time to respond and try to mitigate the risks and also increase resilience," she added, speaking at a media briefing Wednesday ahead of the study's release. The study was funded by the Environmental Protection Agency and builds on previous research from California. Climate change is driving and accelerating sea level rise. Glaciers and ice sheets are melting, and the sea's waters are expanding as they warm. In many places along the coastal U.S., sea level rise is accelerating faster than the global average because of things like erosion and land sinking from groundwater pumping, according to the National Oceanic and Atmospheric Administration. Thomas Chandler, managing director at the National Center for Disaster Preparedness at Columbia University who was not involved in the research, said it’s “a really important study” that the public, policy makers and government agencies “need to make note of.” Derek Van Berkel, an associate professor in the school for environment and sustainability at University of Michigan who was also not involved in the study, wasn't surprised to learn about the disproportionate risks. What was “alarming” was considering the magnitude of “feedback effects” from flooding, he said. How researchers approached the data The study's researchers started by identifying and classifying tens of thousands of hazardous sites near the coasts of Puerto Rico and the 23 states with coastline. Next, they wanted to know each site's projected future flood risk. They did this by calculating how likely each year coastal flooding could inundate a site using historical sea level measurements and projected sea level rise in 2050 and 2100 under low and high emissions scenarios. Lastly, they identified and classified communities as being at-risk if homes are located within 1 kilometer (0.62 miles) of a hazardous site with a high threat of future flooding, and compared those communities' characteristics with other coastal neighborhoods with no at-risk sites nearby. But researchers did not include all types of hazardous facilities, such as oil and gas pipelines, nor did they account for groundwater upwelling or more intense and frequent storms in the future, which could lead to underestimates. On the other end, the flood-risk model they used could have overestimated the number of threatened sites. “It is important to note that previous disasters, such as hurricanes Katrina, Rita and Harvey, did result in a lot of toxic contamination from oil and gas pipelines,” Chandler said. The 5,500 at-risk sites includes 44% that are fossil fuel ports and terminals, 30% power plants, 24% refineries and 22% coastal sewage treatment facilities. Most of the sites — nearly 80% — are in Louisiana, Florida, New Jersey, Texas, California, New York and Massachusetts. Potential health impacts from exposure to hazards People exposed to flood waters near industrial animal farms or sewage treatment plants could be exposed to bacteria like E. coli, said Sacoby Wilson, professor of global, environmental and occupational health at the University of Maryland during the briefing. Symptoms can include bloody or watery diarrhea, severe stomach cramps or vomiting and fever. Those living near industrial sites like refineries could be exposed to heavy metals and chemicals that can cause rashes, burning of the eyes, nose and throat, headaches or fatigue, added Wilson, who was not involved in the study. “For folks who are vulnerable, maybe have an underlying health condition, those health conditions could be exacerbated during those flood events.” Longer term, some of these exposures could contribute to cancer, liver, kidney or other organ damage, or have reproductive effects, he said. For Chandler, the Columbia University director, the study highlights the need to heavily invest in hazard mitigation. “It's really important for federal, state and local governments in the United States to address these factors through multi-stakeholder resilience planning and encouraging local governments to integrate climate risk assessments into their mitigation strategies.”The Associated Press receives support from the Walton Family Foundation for coverage of water and environmental policy. The AP is solely responsible for all content. For all of AP’s environmental coverage, visit https://apnews.com/hub/climate-and-environment.Copyright 2025 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.Photos You Should See – Nov. 2025

RFK Jr.’s Miasma Theory of Health Is Spreading

The agency is picking up Robert F. Kennedy Jr.’s argument that a healthy immune system can keep even pandemic germs at bay.

Last week, the two top officials at the National Institutes of Health—the world’s largest public funder of biomedical research—debuted a new plan to help Americans weather the next pandemic: getting everyone to eat better and exercise.The standard pandemic-preparedness playbook “has failed catastrophically,” NIH Director Jay Bhattacharya and NIH Principal Deputy Director Matthew J. Memoli wrote in City Journal, a magazine and website published by the Manhattan Institute for Policy Research, a conservative think tank. The pair argue that finding and studying pathogens that could cause outbreaks, then stockpiling vaccines against them, is a waste of money. Instead, they say, the United States should encourage people to improve their baseline health—“whether simply by stopping smoking, controlling hypertension or diabetes, or getting up and walking more.”On its own, Bhattacharya and Memoli’s apparently serious suggestion that just being in better shape will carry the U.S. through an infectious crisis is reckless, experts told me—especially if it’s executed at the expense of other public-health responses. In an email, Andrew Nixon, the director of communications at the Department of Health and Human Services—which oversees the NIH—wrote that the agency “supports a comprehensive approach to pandemic preparedness that recognizes the importance of both biomedical tools and the factors individuals can control.” But more broadly, Bhattacharya and Memoli’s proposal reflects the spread of a dangerous philosophy that Robert F. Kennedy Jr., the secretary of HHS, has been pushing for years: a dismissal of germ theory, or the notion that infectious microbes are responsible for many of the diseases that plague humankind.In his 2021 book, The Real Anthony Fauci: Bill Gates, Big Pharma, and the Global War on Democracy and Public Health, Kennedy, a longtime anti-vaccine activist, argues that modern scientists have blamed too much of infectious disease on pathogens, which he suggests are rarely problematic, unless the immune system has been compromised by poor nutrition, toxins, and other environmental stressors. He credits sanitation and nutrition for driving declines in infectious-disease deaths during the 20th century; vaccination, he has baselessly claimed, was largely ineffective and unnecessary. In his view, germs don’t pose a substantial threat to people who have done the work of “fortifying the immune system”—essentially, those who have taken their health into their own hands.In terms of general health, most Americans would benefit from improvements in diet and exercise. A strong emphasis on both has been core to the Make America Healthy Again movement, and in one important aspect, Kennedy and his allies are correct: The immune system, like other bodily systems, is sensitive to nutritional status, and when people are dealing with chronic health issues, they often fare less well against infectious threats, Melinda Beck, a nutrition and infectious-disease researcher who recently retired from the University of North Carolina, told me. Conditions such as obesity and diabetes, for instance, raise the risk of severe COVID and flu; malnutrition exacerbates the course of diseases such as tuberculosis and measles.But applied to widespread infectious outbreaks, the MAHA prescription is still deeply flawed. Being generally healthy doesn’t guarantee survival, or even better outcomes against infectious diseases—especially when an entire population encounters a pathogen against which it has no immunity. Although some evidence suggests that the 1918 flu pandemic strongly affected certain groups of people who were less healthy at baseline—including undernourished World War I soldiers—“relatively healthy people, as far as we could understand, were the main victims,” Naomi Rogers, a historian of medicine at Yale, told me. Smallpox, too, infected and killed indiscriminately. HIV has devastated many communities of young, healthy people.In his book, Kennedy relies heavily on the term miasma theory as a shorthand for preventing disease “through nutrition and by reducing exposures to environmental toxins and stresses.” He’s employing that phrase incorrectly: Historically, at least, miasma theory referred to the notion that epidemics are caused by bad air—such as toxic emanations from corpses and trash—and was the predominant way of describing disease transmission until scientists found definitive proof of infectious microbes in the late 19th century. But his choice of words is also revealing. In pitting his ideas against germ theory, he plays on a centuries-old tension between lifestyle and microbes as roots of illness.In its early days, germ theory struggled to gain traction even among physicians, many of whom dismissed the idea as simplistic, Nancy Tomes, a historian at Stony Brook University, told me. After the idea became foundational to medicine, scientists still had to work to convince some members of the public that microbes could fell healthy people, too. In the early days of polio vaccination, when the virus still ran rampant in the U.S., some vaccine-skeptical Americans insisted that children were falling seriously ill primarily because their parents weren’t managing their kids’ nutrition well and “had disrupted the child’s internal health,” Rogers told me.Over time, as pharmaceutical companies made global businesses out of selling antibiotics, vaccines, and antivirals, the products became a symbol, for some people, of how germ theory had taken over medicine. Accepting vaccines came to represent trust in scientific expertise, Rogers said; misgivings about the industry, in contrast, might translate into rejecting those offerings. In that skeptical slice of the American public and amid the rise of alternative-wellness practitioners, Kennedy has found purchase for his ideas about nutrition as a cure-all.Since taking over as health secretary, he has on occasion made that distrust in germ theory national policy. In his book, he wrote that “when a starving African child succumbs to measles, the miasmist attributes the death to malnutrition; germ theory proponents (a.k.a. virologists) blame the virus.” Earlier this year, when measles raged through undervaccinated regions of West Texas, the secretary acted out his own miasmist theory of the outbreak, urging Americans to rely on vitamin-A supplementation as a first-line defense, even though deficiency of that vitamin is rare here.But germ theory is key to understanding why outbreaks become pandemics—not because people’s general health is wanting, but because a pathogen is so unfamiliar to so many people’s immune systems at once that it is able to spread unchecked. Pandemics then end because enough people acquire sufficient immunity to that pathogen. Vaccination, when available, remains the safest way to gain that immunity—and, unlike lifestyle choices, it can represent a near-universal strategy to shore up defenses against disease. Not all of the risk factors that worsen disease severity are tunable by simply eating better or working out more. For COVID and many other respiratory diseases, for instance, old age and pregnancy remain some of the biggest risk factors. Genetic predispositions to certain medical conditions, or structural barriers to changing health habits—not just lack of willpower—can make people vulnerable to disease, too.In their article, Bhattacharya and Memoli purport to be arguing against specific strategies of pandemic preparedness, most prominently the controversial type of gain-of-function research that can involve altering the disease-causing traits of pathogens, and has been restricted by the Trump administration. But the pair also mischaracterize the country’s current approach to pandemics, which, in addition to calling for virus research and vaccine development, prioritizes measures such as surveillance, international partnerships, and improved health-care capacity, Nahid Bhadelia, the director of the Center on Emerging Infectious Diseases at Boston University, told me. And Bhattacharya and Memoli’s alternative approach cuts against the most basic logic of public health—that the clearest way to help keep a whole population healthy is to offer protections that work on a societal level and that will reach as many people as possible. Fixating on personal nutrition and exercise regimens as pandemic preparedness would leave many people entirely unprotected. At the same time, “we’re basically setting up society to blame someone” in the event that they fall ill, Jennifer Nuzzo, the director of the pandemic center at the Brown University School of Public Health, told me.Kennedy’s book bemoans that the “warring philosophies” of miasma and germ theory have become a zero-sum game. And yet, at HHS, he and his officials are presenting outbreak preparedness—and the rest of public health—as exactly that: The country should worry about environment or pathogens; it should be either pushing people to eat better or stockpiling vaccines. Over email, Nixon told me that “encouraging healthier habits is one way to strengthen resilience alongside vaccines, treatments, and diagnostics developed through NIH-funded research.” But this year, under pressure from the Trump administration, the NIH has cut funding to hundreds of vaccine- and infectious-disease focused research projects; elsewhere at HHS, officials canceled nearly half a billion dollars’ worth of contracts geared toward developing mRNA vaccines.The reality is that both environment and pathogens often influence the outcome of disease, and both should be addressed. Today’s public-health establishment might not subscribe to the 19th-century version of miasma theory, but the idea that environmental and social factors shape people’s health is still core to the field. “They’re saying you can only do one thing at a time,” Bhadelia told me. “I don’t think we have to.”

Clinicians can help address environmental toxics in reproductive health, international experts say

In a recent opinion paper published in the International Journal of Gynecology & Obstetrics, the International Federation of Obstetrics and Gynecology (FIGO) addresses how exposures to environmental toxics — including endocrine disrupting chemicals — have a wide range of impacts on reproductive health, and how clinicians can play a role in addressing this issue.In short: Extensive research has linked exposure to environmental toxics with an increased risk of polycystic ovary syndrome (PCOS), endometriosis, uterine fibroids, hormonally mediated cancers, menopause, and both female and male infertility. The key mechanisms behind these impacts include hormone disruption, oxidative stress, inflammation, and epigenetic changes that can affect multiple generations.FIGO emphasizes that harm from environmental toxics can be addressed, and that clinicians play a crucial role in ensuring environmental factors are meaningfully considered as a part of patient care. Key quote: “As trusted health advisors, obstetricians and gynecologists (OBGYNs) have an essential role in integrating environmental health into routine gynecologic and fertility care.” Why this matters: In this opinion paper, FIGO argues that clinicians should incorporate environmental health into routine care, and provides practical strategies to do so. Some of these strategies include taking environmental histories, counseling patients on risk reduction and healthy lifestyles, recognizing high-risk settings (e.g., occupational exposures), and advising patients on simple steps to reduce exposure — particularly during sensitive windows like preconception, pregnancy, puberty, and menopause. Clinicians should be aware of regional environmental health alerts, such as air quality advisories or contamination events. In addition, clinicians can advocate for policy change.Related EHN coverage: Chemical mixtures may impact fertility and IVF success, new study findsUnderstanding how the environment affects pregnant people’s healthMore resources: Additional International Federation of Obstetrics and Gynecology (FIGO) statements and opinions relating to the environment:FIGO opinion on reproductive health impacts of exposure to toxic environmental chemicalsFIGO calls for removal of PFAS from global useRemoval of glyphosate from global usageClimate Crisis and HealthStatement on Draft Strategy on health, environment and climate changeToxic chemicals and environmental contaminants in prenatal vitaminsDeNicola, Nathaniel et al. for International Journal of Gynecology & Obstetrics. Sept. 26, 2025

In a recent opinion paper published in the International Journal of Gynecology & Obstetrics, the International Federation of Obstetrics and Gynecology (FIGO) addresses how exposures to environmental toxics — including endocrine disrupting chemicals — have a wide range of impacts on reproductive health, and how clinicians can play a role in addressing this issue.In short: Extensive research has linked exposure to environmental toxics with an increased risk of polycystic ovary syndrome (PCOS), endometriosis, uterine fibroids, hormonally mediated cancers, menopause, and both female and male infertility. The key mechanisms behind these impacts include hormone disruption, oxidative stress, inflammation, and epigenetic changes that can affect multiple generations.FIGO emphasizes that harm from environmental toxics can be addressed, and that clinicians play a crucial role in ensuring environmental factors are meaningfully considered as a part of patient care. Key quote: “As trusted health advisors, obstetricians and gynecologists (OBGYNs) have an essential role in integrating environmental health into routine gynecologic and fertility care.” Why this matters: In this opinion paper, FIGO argues that clinicians should incorporate environmental health into routine care, and provides practical strategies to do so. Some of these strategies include taking environmental histories, counseling patients on risk reduction and healthy lifestyles, recognizing high-risk settings (e.g., occupational exposures), and advising patients on simple steps to reduce exposure — particularly during sensitive windows like preconception, pregnancy, puberty, and menopause. Clinicians should be aware of regional environmental health alerts, such as air quality advisories or contamination events. In addition, clinicians can advocate for policy change.Related EHN coverage: Chemical mixtures may impact fertility and IVF success, new study findsUnderstanding how the environment affects pregnant people’s healthMore resources: Additional International Federation of Obstetrics and Gynecology (FIGO) statements and opinions relating to the environment:FIGO opinion on reproductive health impacts of exposure to toxic environmental chemicalsFIGO calls for removal of PFAS from global useRemoval of glyphosate from global usageClimate Crisis and HealthStatement on Draft Strategy on health, environment and climate changeToxic chemicals and environmental contaminants in prenatal vitaminsDeNicola, Nathaniel et al. for International Journal of Gynecology & Obstetrics. Sept. 26, 2025

Thousands of Tunisian Doctors Strike, Say Health System Close to Collapse

By Tarek AmaraTUNIS (Reuters) -Thousands of young doctors went on strike across Tunisia on Wednesday to demand higher pay and warn of an impending...

TUNIS (Reuters) -Thousands of young doctors went on strike across Tunisia on Wednesday to demand higher pay and warn of an impending collapse of the health system, part of a broader wave of social unrest convulsing the country.A spate of environmental and anti-government protests prompted by a worsening economic crisis and disruptions in public services has posed the biggest challenge to President Kais Saied since he seized all power in 2021."We are exhausted, underpaid and working in a system that is breaking down," said Marwa, who declined to give her surname, while attending a protest rally in the capital Tunis with hundreds of other doctors."If nothing changes, more doctors will leave and the crisis will only deepen," she added.The protesters, wearing white coats, brandished placards that read "Dignity for doctors" and "Save our hospitals" as they gathered near Tunisia's parliament.As well as low wages, the protesters complained of outdated equipment and shortages of essential medical supplies, factors which they said were fuelling a growing exodus of young health professionals to Europe and the Gulf.“As long as the authorities ignore our demands, we will continue to escalate, resist and lead the social movement in the country," Wajih Dhakkar, head of the Young Doctors’ Organisation, told Reuters.The Health Ministry did not immediately respond to a request for comment.President Saied has accused what he describes as conspirators and infiltrators of fabricating crises in various sectors in order to undermine the state.Tunisia has seen strikes over pay by transport workers and bank employees in recent months, while the southern city of Gabes has been a focal point of protests over a pollution crisis blamed on a state-owned chemical plant.(Reporting By Tarek AmaraEditing by Gareth Jones)Copyright 2025 Thomson Reuters.Photos You Should See – Nov. 2025

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