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What scientists have learned from 20 years of microplastics research

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Friday, September 20, 2024

Twenty years ago, a team of U.K. scientists sounded the alarm on a then-underappreciated problem: the breakdown of plastic litter into small, even microscopic, fragments. While many previous reports had documented the buildup of plastic bottles and bags in the natural environment, much less attention had been paid to what the scientists dubbed “microplastics.”  Due to “the rapid increase in plastic production, the longevity of plastic, and the disposable nature of plastic items,” the researchers concluded that there was “considerable potential” for microplastic pollution to become a major problem for the environment and human health. It turns out, they were right. Over the past two decades, the rate of plastic production has roughly doubled, to more than 400 million metric tons per year, about the weight of 1,200 Empire State Buildings. In the same time period, microplastics — defined as particles with a diameter less than 5 micrometers, about the width of a human hair — have exploded into the public consciousness, riding on a wave of research into the particles’ prevalence across ecosystems and in humans’ bodies. Since that 2004 paper, one of the first to use the term “microplastics,” microscopic plastic fragments have been found everywhere from deep sea sediments to the top of Mount Everest, as well as in human blood, breast milk, colons, kidneys, livers, lungs, placentas, and other body parts. Many of these findings are synthesized in a review paper published this week in the journal Science. The paper considers what we’ve learned from thousands of research articles about microplastics — including where they come from, where they end up, and how they affect organisms — and appraises regulatory options for dealing with the problem.  Research on the topic has “kind of taken off,” said Richard Thompson, a professor of marine biology at the University of Plymouth in the U.K. who was lead author on the paper from 20 years ago and the new one published on Thursday. “It’s now pretty clear that this stuff is everywhere,” he added, and that unless something changes, humanity will eventually reach a point of “wide-scale” and “irreversible” harm to the environment.  One thing that has become much clearer since the early 2000s is the sheer extent of microplastic pollution. While Thompson’s 2004 paper documented small fragments of acrylic, nylon, and polyester in coastal environments around the U.K., further investigation has shown that contamination is global. By now, microplastics have been found in virtually every ecosystem researchers have looked, including in soils, lakes, and rivers, and on remote mountains. One alarming study from 2020 found that microplastics are present in rainwater, while others have shown that the particles are ubiquitous in the indoor air we breathe. Earlier this year, the environmental consulting firm Earth Action estimated that nearly 13 million metric tons of microplastic enter the oceans and terrestrial environment annually. Tires are a major source of microplastics, which are released as they rub against the roadway. Nasir Kachroo / NurPhoto via Getty Images Where did all these microplastics come from? Early on, scientists intuited that they were generated by larger pieces of plastic debris breaking down — and this is indeed the most significant source of microplastics. But many more have been identified. Paint, for example, contains plastic polymers and may contribute as much as 1.9 million metric tons of microplastics to the marine environment annually. Some of the other most significant sources of microplastics include rubber tires, which shed microplastics as they rub against the road, and synthetic textiles, which release microfibers when worn and washed. An unknown amount of microplastic pollution comes from plastic-derived fishing nets and gear, which make up a huge fraction of plastic in the ocean more broadly. One reason scientists have found microplastics so far and wide is because there are more of them looking than ever before. But those scientists also have better technologies at their disposal. A kind of imaging called pyrolysis-gas chromatography-mass spectroscopy, for instance, has recently made it easier for researchers to identify small, dark microplastics released by the erosion of rubber tires. Other methods have made it possible to more precisely count the number of microplastics in a given sample, and to sort them by size and polymer — all of which can yield clues about their toxicity.  More researchers and better technology have also led to the detection of microplastics in living organisms. Over the past 20 years, scientists have documented microplastics in more than 1,300 aquatic and terrestrial species, and throughout the human body. Eye-catching headlines over the past few months have highlighted the particles’ presence in human testicles and penises, and this February, scientists at the University of New Mexico found microplastics in every placenta out of 62 that they tested. Scientists still don’t have a complete picture of how exactly this contamination is affecting human health, but lab studies have linked microplastics to cell inflammation and the spread of cancer. Some epidemiological evidence suggests they may be a risk factor for heart disease.  Synthetic textiles release plastic microfibers when washed and worn. Dieter Menne / Picture Alliance via Getty Images These findings help explain why microplastics have risen so quickly to the top of many average people’s priority lists. In Germany, for example, consumers in a 2023 survey said they were more concerned about microplastics in food than any other health topic, including antibiotic resistance and pesticides residues on food. Another recent survey showed that more than 90 percent of U.S. voters are also “somewhat” or “very” concerned about microplastics in the human body. Many jurisdictions are seeking to hold plastic makers responsible for the pollution they’ve caused, and at least two lawsuits against the plastics industry — one brought by the New York attorney general’s office and the other brought by the City of Baltimore — specifically call out the proliferation and health risks of microplastics. Industry groups acknowledge that humans are being exposed to microplastics, but deny that there is any evidence that they may harm human health or the environment. On its website, the Plastics Industry Association says the industry “supports more and better research on microplastics” and highlights its investments in pollution prevention and recycling infrastructure. “Everyone agrees on one thing,” the trade group says: “Plastics, large or small, don’t belong in our waterways.” On that narrow point, Thompson agrees. He thinks there’s already enough evidence of microplastics’ harms that scientists should concentrate on ways to stop microplastics from entering the environment in the first place. Several interventions have already been taken — a 2020 French law, for example, now requires new washing machines to come with microfiber filters, and the European Union is phasing glitter and other microplastics out of products like shampoo and lotion. But Thompson’s paper highlights the need for multidisciplinary approaches that take into account insights from a variety of fields, including economics and behavioral science. Initiatives to replace single-use plastics with reusable alternatives, for example, could play a major role in reducing the generation of microplastics — but they’ll only work if they’re inexpensive and convenient enough for consumers to accept them. “To get something to work, it’s not just about a chemistry experiment in a lab,” Thompson said. “It’s going to take changes in social norms, the economy, society, legal frameworks.” At the broadest level, Thompson, other scientists, and environmental advocates are supportive of measures to limit overall plastic production and ban the most problematic categories of plastic, both of which would indirectly reduce the generation of microplastics. These solutions are currently being discussed as part of  a high-profile United Nations treaty to end plastic pollution. Jen Fela, vice president of programs and communications for the nonprofit Plastic Pollution Coalition, described the treaty as “the best chance we have” to address the plastic pollution crisis. “Solutions exist,” she told Grist. “The only way to stop plastic pollution is to significantly reduce plastic production.” The fifth and final round of negotiations over the treaty is scheduled to take place this November and December in Busan, South Korea. This story was originally published by Grist with the headline What scientists have learned from 20 years of microplastics research on Sep 20, 2024.

The particles are everywhere, and they may harm human health.

Twenty years ago, a team of U.K. scientists sounded the alarm on a then-underappreciated problem: the breakdown of plastic litter into small, even microscopic, fragments. While many previous reports had documented the buildup of plastic bottles and bags in the natural environment, much less attention had been paid to what the scientists dubbed “microplastics.” 

Due to “the rapid increase in plastic production, the longevity of plastic, and the disposable nature of plastic items,” the researchers concluded that there was “considerable potential” for microplastic pollution to become a major problem for the environment and human health.

It turns out, they were right.

Over the past two decades, the rate of plastic production has roughly doubled, to more than 400 million metric tons per year, about the weight of 1,200 Empire State Buildings. In the same time period, microplastics — defined as particles with a diameter less than 5 micrometers, about the width of a human hair — have exploded into the public consciousness, riding on a wave of research into the particles’ prevalence across ecosystems and in humans’ bodies. Since that 2004 paper, one of the first to use the term “microplastics,” microscopic plastic fragments have been found everywhere from deep sea sediments to the top of Mount Everest, as well as in human blood, breast milk, colons, kidneys, livers, lungs, placentas, and other body parts.

Many of these findings are synthesized in a review paper published this week in the journal Science. The paper considers what we’ve learned from thousands of research articles about microplastics — including where they come from, where they end up, and how they affect organisms — and appraises regulatory options for dealing with the problem. 

Research on the topic has “kind of taken off,” said Richard Thompson, a professor of marine biology at the University of Plymouth in the U.K. who was lead author on the paper from 20 years ago and the new one published on Thursday. “It’s now pretty clear that this stuff is everywhere,” he added, and that unless something changes, humanity will eventually reach a point of “wide-scale” and “irreversible” harm to the environment. 

One thing that has become much clearer since the early 2000s is the sheer extent of microplastic pollution. While Thompson’s 2004 paper documented small fragments of acrylic, nylon, and polyester in coastal environments around the U.K., further investigation has shown that contamination is global. By now, microplastics have been found in virtually every ecosystem researchers have looked, including in soils, lakes, and rivers, and on remote mountains. One alarming study from 2020 found that microplastics are present in rainwater, while others have shown that the particles are ubiquitous in the indoor air we breathe. Earlier this year, the environmental consulting firm Earth Action estimated that nearly 13 million metric tons of microplastic enter the oceans and terrestrial environment annually.

Closeup of a worn black tire, with the word "Bridgestone" written on it.
Tires are a major source of microplastics, which are released as they rub against the roadway.
Nasir Kachroo / NurPhoto via Getty Images

Where did all these microplastics come from? Early on, scientists intuited that they were generated by larger pieces of plastic debris breaking down — and this is indeed the most significant source of microplastics. But many more have been identified. Paint, for example, contains plastic polymers and may contribute as much as 1.9 million metric tons of microplastics to the marine environment annually. Some of the other most significant sources of microplastics include rubber tires, which shed microplastics as they rub against the road, and synthetic textiles, which release microfibers when worn and washed. An unknown amount of microplastic pollution comes from plastic-derived fishing nets and gear, which make up a huge fraction of plastic in the ocean more broadly.

One reason scientists have found microplastics so far and wide is because there are more of them looking than ever before. But those scientists also have better technologies at their disposal. A kind of imaging called pyrolysis-gas chromatography-mass spectroscopy, for instance, has recently made it easier for researchers to identify small, dark microplastics released by the erosion of rubber tires. Other methods have made it possible to more precisely count the number of microplastics in a given sample, and to sort them by size and polymer — all of which can yield clues about their toxicity. 

More researchers and better technology have also led to the detection of microplastics in living organisms. Over the past 20 years, scientists have documented microplastics in more than 1,300 aquatic and terrestrial species, and throughout the human body. Eye-catching headlines over the past few months have highlighted the particles’ presence in human testicles and penises, and this February, scientists at the University of New Mexico found microplastics in every placenta out of 62 that they tested. Scientists still don’t have a complete picture of how exactly this contamination is affecting human health, but lab studies have linked microplastics to cell inflammation and the spread of cancer. Some epidemiological evidence suggests they may be a risk factor for heart disease

White washing machines lined up on a row on a shopping room floor, with shoppers looking at them.
Synthetic textiles release plastic microfibers when washed and worn. Dieter Menne / Picture Alliance via Getty Images

These findings help explain why microplastics have risen so quickly to the top of many average people’s priority lists. In Germany, for example, consumers in a 2023 survey said they were more concerned about microplastics in food than any other health topic, including antibiotic resistance and pesticides residues on food. Another recent survey showed that more than 90 percent of U.S. voters are also “somewhat” or “very” concerned about microplastics in the human body. Many jurisdictions are seeking to hold plastic makers responsible for the pollution they’ve caused, and at least two lawsuits against the plastics industry — one brought by the New York attorney general’s office and the other brought by the City of Baltimore — specifically call out the proliferation and health risks of microplastics.

Industry groups acknowledge that humans are being exposed to microplastics, but deny that there is any evidence that they may harm human health or the environment. On its website, the Plastics Industry Association says the industry “supports more and better research on microplastics” and highlights its investments in pollution prevention and recycling infrastructure. “Everyone agrees on one thing,” the trade group says: “Plastics, large or small, don’t belong in our waterways.”

On that narrow point, Thompson agrees. He thinks there’s already enough evidence of microplastics’ harms that scientists should concentrate on ways to stop microplastics from entering the environment in the first place. Several interventions have already been taken — a 2020 French law, for example, now requires new washing machines to come with microfiber filters, and the European Union is phasing glitter and other microplastics out of products like shampoo and lotion. But Thompson’s paper highlights the need for multidisciplinary approaches that take into account insights from a variety of fields, including economics and behavioral science. Initiatives to replace single-use plastics with reusable alternatives, for example, could play a major role in reducing the generation of microplastics — but they’ll only work if they’re inexpensive and convenient enough for consumers to accept them.

“To get something to work, it’s not just about a chemistry experiment in a lab,” Thompson said. “It’s going to take changes in social norms, the economy, society, legal frameworks.”

At the broadest level, Thompson, other scientists, and environmental advocates are supportive of measures to limit overall plastic production and ban the most problematic categories of plastic, both of which would indirectly reduce the generation of microplastics. These solutions are currently being discussed as part of  a high-profile United Nations treaty to end plastic pollution. Jen Fela, vice president of programs and communications for the nonprofit Plastic Pollution Coalition, described the treaty as “the best chance we have” to address the plastic pollution crisis.

“Solutions exist,” she told Grist. “The only way to stop plastic pollution is to significantly reduce plastic production.” The fifth and final round of negotiations over the treaty is scheduled to take place this November and December in Busan, South Korea.

This story was originally published by Grist with the headline What scientists have learned from 20 years of microplastics research on Sep 20, 2024.

Read the full story here.
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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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