Hygiene and Occupational Medicine · MU Sofia

10. Plastics. Microplastics. Effects on health and the environment.

Covers plastics as synthetic polymers and the common types used in everyday and medical products, including polyethylene, polypropylene, PVC, polystyrene and PET. It then explains primary and secondary microplastics, where they are found, and how they enter the body. Health risks are set out in three groups: physical particle effects, chemical toxicity from additives such as BPA and phthalates, and microbial carriage. The note closes with environmental effects on marine life, soil and water, and with public health significance and preventive measures.

Inside: 1 section · 15 flashcards · 3 min

Topic 10 of 78 in the MU Sofia syllabus for Hygiene and Occupational Medicine (Medicine, Year 4). The free AceMed note covers it in 1 section, about 383 words (3 min of reading), with 15 flashcards.

In this note

  1. Plastics. Microplastics. Effects on health and the environment.

Plastics. Microplastics. Effects on health and the environment.

Plastics: Synthetic polymers derived mainly from petroleum and natural gas. They are lightweight, durable, and resistant to degradation.

Common Types:

  • Polyethylene (PE): Used in plastic bags, bottles, films.
  • Polypropylene (PP): Used in containers, medical syringes, lab equipment.
  • Polyvinyl Chloride (PVC): Used in pipes, flooring, cables, and medical tubing.
  • Polystyrene (PS): Used in disposable cups, trays, and packaging materials.
  • Polyethylene Terephthalate (PET): Used in drinking bottles, food containers, and fibers for textiles.

Environmental Issue: Plastics do not biodegrade easily. Instead, they fragment into microplastics over time.

Microplastics

Plastic particles <5 mm in size, originating from:

  • Primary microplastics: intentionally manufactured (cosmetics, microbeads, textile fibers)
  • Secondary microplastics: formed by breakdown of larger plastic waste by sunlight and abrasion

Where They Are Found:

  • Drinking water (tap + bottled)
  • Soil and crops
  • Fish and seafood
  • Air (indoor & outdoor dust)

Health Effects on Humans: Microplastics can enter the body via ingestion, inhalation, and skin contact.

Potential Risks:

  1. Physical impact: Particles may accumulate in the lungs, bloodstream, liver, and intestines, causing tissue irritation, inflammation, and impaired organ function.
  2. Chemical toxicity: Plastics contain phthalates, Bisphenol A (BPA), flame retardants, and other endocrine-disrupting chemicals that can:
  • Alter hormones and fertility
  • Increase risk of metabolic and reproductive disorders
  • Affect infant development

→ Leading to long-term hormonal imbalance and developmental issues.

  1. Microbial contamination: Microplastics can carry pathogenic bacteria and viruses on their surfaces, which may trigger infections, oxidative stress, inflammation, and immune system disruption in the body.

Environmental Effects

  • In marine environments, fish, shellfish, and seabirds often ingest microplastics, which lowers their survival and reproductive capacity.
  • In soil, plastics reduce fertility and negatively affect plant growth.
  • Water pollution occurs as plastics are found in rivers, lakes, and even groundwater, and they are very difficult to remove once they accumulate.

Public Health and Environmental Significance

  • Persistent contaminant: Microplastics and chemicals like BPA do not break down easily, leading to accumulation in the environment and long-term exposure risks for humans and wildlife.
  • Food chain contamination: These substances can enter and bioaccumulate in the food chain, affecting human health and ecosystem stability.
  • Environmental impact: They contribute to soil, water, and marine pollution, reduce soil fertility, and harm aquatic and terrestrial organisms.
  • Preventive measures: Effective strategies include strict regulation, reducing plastic use, proper waste management, recycling, and development of biodegradable alternatives to minimize human and environmental harm.

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