Peer-reviewed papers

Micro- and nanoplastics (MNPs) in foodstuffs lead to widespread human exposure and are often linked to environmental contamination. However, the role of plastics in food contact articles (FCAs) has received less attention, despite being a known source. Thus, we compiled a systematic evidence map of MNPs present in foodstuffs in contact with all types of plastic FCAs. We extracted data on experimental design, FCAs, MNPs, and food or food simulants and critically appraised the general data quality, material identification methods, polymer type reporting, and study design. We included 103 eligible studies and created 600 database entries accessible in an interactive dashboard. Seven studies were appraised as highly reliable. We conclude that the normal/intended use of FCAs can lead to the migration of MNPs. Further research is needed to systematically characterize MNP migration related to materials and use. To better protect human health, regulations could mandate MNP migration testing for FCAs.

The rapid expansion of the global chemical industry, fueled by consumerism and economic growth, has created severe environmental and public health challenges. The current chemicals management approach primarily regulates the “production system”, setting standards and imposing large responsibilities on the chemical industry. However, this approach has been found inadequate as it often neglects the vital role of the “consumption system” in driving chemicals’ production, use, and pollution caused by them. To address this imbalance, we propose a systematic integration of behavior-shaping tools into the global and local chemical management strategies, aimed at shifting consumer behavior towards safer and more sustainable chemical consumption. By applying ethical marketing and social- and behavioral-science techniques, consumers, including risk-sensitive groups like women of childbearing age and children, can be nudged and empowered to make and adopt safer and mindful chemical choices, ultimately reducing their exposure to toxic chemicals. This consumer-oriented approach complements traditional “industry-focused” chemical regulations. Such an integrated approach (with management roles spanning across different stakeholders) is particularly required in regions with outdated or weak regulatory enforcement. Furthermore, fostering consumer demand for safer and more sustainable chemicals consumption will incentivize chemical industry innovations and encourage the market to move towards safer alternatives. Ultimately, a comprehensive integrated approach that focuses on both production and consumption systems could better strengthen global chemicals management, leading to improved environmental and public health outcomes and advancing progress toward the Sustainable Development Goals.

Humans are widely exposed to synthetic chemicals, especially via food. The types of chemical contaminants in food (including food contact chemicals) are diverse, and many of these are known to be hazardous, with mounting evidence that some contribute to noncommunicable diseases. The increasing consumption of ultra-processed foods, which contain synthetic chemicals, also contributes to adverse health. If the chemical contamination of foods were better characterized, then this issue would likely receive more attention as an important opportunity for disease prevention. In this Review, we discuss types and sources of synthetic food contaminants, focusing on food contact chemicals and their presence in ultra-processed foods. We outline future research needs and highlight possible responses at different food system levels. A sustainable transition of the food system must address the health impacts of synthetic chemicals in food; we discuss existing solutions that do justice to the complexity of the issue while avoiding regrettable substitutions and rebound effects.

Agriculture and food systems are major sources of plastic pollution but they are also vulnerable to their diverse lifecycle impacts. However, this problem is not well-recognized in global policy and scientific discourse, agendas, and monitoring of food systems. The United Nations-led Global Plastics Treaty, which has been under negotiation since 2022, is a critical opportunity to address pollution across the entire plastics lifecycle for more sustainable and resilient food systems. Here, we offer aspirational indicators for future monitoring of food systems’ plastics related to (1) plastic polymers and chemicals, (2) land use, (3) trade and waste, and (4) environmental and human health. We call for interdisciplinary research collaborations to continue improving and harmonising the evidence base necessary to track and trace plastics and plastic chemicals in food systems. We also highlight the need for collaboration across disciplines and sectors to tackle this urgent challenge for biodiversity, climate change, food security and nutrition, health and human rights at a whole systems level.

Among the crises engulfing the world is the symbiotic rise of ultra-processed foods (UPFs) and plastics. Together, this co-dependent duo generates substantial profits for agri-food and petrochemical industries at high costs for people and planet. Cheap, lightweight and highly functional, plastics have ideal properties that enable business models to create demand for low-cost, mass-produced and hyper-palatable UPFs among populations worldwide, hungry, or not.

Evidence linking UPF consumption to deterioration in diet quality and higher risk of chronic diseases is well-established and growing rapidly. At the same time, the issue of plastic food contact chemicals (FCCs) is receiving increasing attention among the human health community, as is the generation and dispersion of micro- and nanoplastics.

In this commentary, we explore how the lifecycles and shared economic benefits of UPFs and plastics interact to co-produce a range of direct and indirect harms. We caution that the chemical dimension of these harms is underappreciated, with thousands of plastic FCCs known to migrate into foodstuffs. Some of these are hazardous and have been detected in humans and the broader environment, while many are yet to be adequately tested.

We question whether policies on both UPF and plastic chemicals are fit for purpose when production and consumption of these products is adding to the chronic chemical exposures that plausibly contribute to the increasing global burden of non-communicable diseases.

In the context of ongoing negotiations for a legally binding global treaty to end plastics pollution, and rapidly growing concern about the burgeoning share of UPFs in diets worldwide, we ask: What steps are needed to call time on this toxic relationship?

Many nations have food contact material (FCM) legislation purporting to protect citizens from hazardous chemicals, often specifically by regulating genotoxic carcinogens. Despite such regulations, cancers that are associated with harmful chemical exposures are highly prevalent, especially breast cancer. Using the novel Key Characteristics of Toxicants framework, Kay et al. found 921 substances that are potential mammary carcinogens. By comparing Kay et al.‘s chemicals list with our own Database on migrating and extractable food contact chemicals (FCCmigex), we found that 189 (21%) of the potential mammary carcinogens have been measured in FCMs. When limiting these results to migration studies published in 2020–2022, 76 potential mammary carcinogens have been detected to migrate from FCMs sold in markets across the globe, under realistic conditions of use. This implies that chronic exposure of the entire population to potential mammary carcinogens from FCMs is the norm and highlights an important, but currently underappreciated opportunity for prevention. Reducing population-wide exposure to potential mammary carcinogens can be achieved by science-based policy amendments addressing the assessment and management of food contact chemicals.

Background: Over 1800 food contact chemicals (FCCs) are known to migrate from food contact articles used to store, process, package, and serve foodstuffs. Many of these FCCs have hazard properties of concern, and still others have never been tested for toxicity. Humans are known to be exposed to FCCs via foods, but the full extent of human exposure to all FCCs is unknown. To close this important knowledge gap, we conducted a systema􀆟c overview of FCCs that have been monitored and detected in human biomonitoring studies according to a previously published protocol. We first compared the more than 14,000 known FCCs to five biomonitoring programs and three metabolome/exposome databases. In a second step, we prioritized FCCs that have been frequently detected in food contact materials and systematically mapped the available evidence for their presence in humans. For 25% of the known FCCs (3601), we found evidence for their presence in humans. This includes 194 FCCs from human biomonitoring programs, with 80 of these having hazard properties of high concern. Of the 3528 FCCs included in metabolome/exposome databases, most are from the Blood Exposome Database. We found evidence for presence in humans for 63 of the 175 prioritized FCCs included in the systema􀆟c evidence map, and 59 of the prioritized FCCs lack hazard data. Notwithstanding that there are also other sources of exposure for many FCCs, these data will help to priori􀆟ze FCCs of concern by linking information on migration and biomonitoring. Our results on FCCs monitored in humans are available as an interactive dashboard (FCChumon) to enable policymakers, public health researchers, and food industry decision makers to make food contact materials and articles safer, reduce human exposure to hazardous FCCs and improve public health.

PFASs are linked to serious health and environmental concerns. Among their widespread applications, PFASs are known to be used in food packaging and directly contribute to human exposure. However, information about PFASs in food packaging is scattered. Therefore, we systematically map the evidence on PFASs detected in migrates and extracts of food contact materials and provide an overview of available hazard and biomonitoring data. Based on the FCCmigex database, 68 PFASs have been identified in various food contact materials, including paper, plastic, and coated metal, by targeted and untargeted analyses. 87% of these PFASs belong to the perfluorocarboxylic acids and fluorotelomer-based compounds. Trends in chain length demonstrate that long-chain perfluoroalkyl acids continue to be found, despite years of global efforts to reduce the use of these substances. We utilized ToxPi to illustrate that hazard data are available for only 57% of the PFASs that have been detected in food packaging. For those PFASs for which toxicity testing has been performed, many adverse outcomes have been reported. The data and knowledge gaps presented here support international proposals to restrict PFASs as a group, including their use in food contact materials, to protect human and environmental health.

Food contact materials (FCMs) and food contact articles are ubiquitous in today’s globalized food system. Chemicals migrate from FCMs into foodstuffs, so called food contact chemicals (FCCs), but current regulatory requirements do not sufficiently protect public health from hazardous FCCs because only individual substances used to make FCMs are tested and mostly only for genotoxicity while endocrine disruption and other hazard properties are disregarded. Indeed, FCMs are a known source of a wide range of hazardous chemicals, and they likely contribute to highly prevalent non-communicable diseases. FCMs can also include non-intentionally added substances (NIAS), which often are unknown and therefore not subject to risk assessment. To address these important shortcomings, we outline how the safety of FCMs may be improved by (1) testing the overall migrate, including (unknown) NIAS, of finished food contact articles, and (2) expanding toxicological testing beyond genotoxicity to multiple endpoints associated with non-communicable diseases relevant to human health. To identify mechanistic endpoints for testing, we group chronic health outcomes associated with chemical exposure into Six Clusters of Disease (SCOD) and we propose that finished food contact articles should be tested for their impacts on these SCOD. Research should focus on developing robust, relevant, and sensitive in-vitro assays based on mechanistic information linked to the SCOD, e.g., through Adverse Outcome Pathways (AOPs) or Key Characteristics of Toxicants. Implementing this vision will improve prevention of chronic diseases that are associated with hazardous chemical exposures, including from FCMs.

In the battle against plastic pollution many efforts are being undertaken to reduce, reuse, and recycle plastics. If tackled in the right way, these efforts have the potential to contribute to reducing plastic waste and plastic’s spread in the environment. However, reusing and recycling plastics can also lead to unintended negative impacts, because hazardous chemicals, like endocrine disrupters and carcinogens, can be released during reuse and accumulate during recycling. In this way, plastic reuse and recycling become vectors for spreading chemicals of concern. This is especially concerning when plastics are reused for food packaging, or when food packaging is made with recycled plastics. Therefore, it is of utmost importance that care is taken to avoid hazardous chemicals in plastic food contact materials, and to ensure that plastic packaging that is reused or made with recycled content is safe for human health and the environment. The data presented in this review are obtained from the Database on Migrating and Extractable Food Contact Chemicals (FCCmigex), which is based on over 700 scientific publications on plastic food contact materials. We provide systematic evidence for migrating and extractable food contact chemicals (FCCs) in plastic polymers that are typically reused, such as polyamide (PA), melamine resin (MelRes), polycarbonate (PC), and polypropylene (PP), or that contain recycled content, such as polyethylene terephthalate (PET). 1332 entries in the FCCmigex database refer to the detection of 509 FCCs in repeat-use food contact materials made of plastic. 853 FCCs are found in recycled PET, of which 57.6% have been detected only once. Here, we compile information on the origin, function, and hazards of FCCs that have been frequently detected, such as melamine, 2,4-di-tert-butylphenol, 2,6-di-tert-butylbenzoquinone, caprolactam and PA oligomers, and highlight key knowledge gaps that are relevant for the assessment of chemical safety.