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Health experts' 8 recommendations for the UN Plastics Treaty

A leading expert in the health impacts of plastic pollution and microplastics is calling on the UN to end the use of toxic chemicals in all plastics, cap and reduce plastic production and argues against a treaty focused on waste management and recycling, as part of an international Plastics Treaty.

The World Health Organization (WHO) are attributable to environmental harm including chemicals, pollution and waste.

Much of this pollution is linked to plastic production, use and disposal, and disproportionately affects low- and middle-income countries. Alarmingly, plastic production is .

Dr. Nicholas Chartres, Senior Research Fellow at the University of Sydney School of Pharmacy, has joined with other leading health experts, authoring an for the WHO which outlines eight considerations the United Nations Environment Program should consider when its members meet in August to discuss an international, legally-binding treaty to end plastic pollution. The editorial appears in the Bulletin of the World Health Organization.

"Plastics are a health hazard around the globe, affecting numerous bodily systems and increasing rates of chronic diseases, cancers, and infertility," says Dr. Chartres.

"The United Nations Environment Assembly resolved in March 2022 to negotiate a plastics treaty that would obligate member states to end plastic production because of its danger to human health," Dr. Chartres said.

"Yet, despite the importance of health in driving efforts to manage plastics pollution, the current proposed treaty text has major gaps that put human health at risk from hazardous chemicals and plastics."

Dr. Chartres and his co-authors argue the treaty needs to:

1. Protect health and the environment as core treaty objectives;
2. Mandate consideration of health risks and impacts in all relevant treaty obligations and decisions;
3. Focus on capping and reducing plastic production and incentivize alternatives;
4. End production and use of toxic chemicals in all plastics and ensure safe, toxin-free alternatives while preventing substitution of similar hazardous chemicals;
5. Remove toxic releases and emissions at all stages of the lifecycle of plastics, including banning recycling of plastics that contain toxic chemicals;
6. Require reporting, transparency and accountability on plastic production and wastes, imports and exports (including their associated chemicals);
7. Use all financing mechanisms to implement the treaty, including extended producer responsibility and the 'polluter pays' principle;
8. Reject blanket exemptions, including plastics in health care—a major generator of plastic waste—while ensuring essential medicines and health products remain accessible and affordable to those who need them.

Microplastics and forever chemicals

"Plastics are made of more than 16,000 chemicals, mostly derived from oil and gas. , while the toxicity of the majority of the remaining is unknown," said Dr. Chartres.

This includes per- and poly-fluoroalkyl substances (known as "forever chemicals"), phthalates and bisphenols (the ""), and other endocrine-disrupting chemicals, which can interfere with our bodies' natural hormone systems and lead to harmful health effects.

Exposure to these and many other chemicals used in plastics has been identified to increase rates of chronic disease, including cancer, neurodevelopmental harm and infertility.

The authors also note the , and have been linked to some forms of cancer based on their world-first review led by Dr. Chartres.

Meanwhile, the health care industry has become increasingly reliant on single-use plastics, especially following the COVID-19 pandemic.

"Much of this plastic has gone to waste with little evidence of benefit from the shift. A plastics treaty should incentivize the health sector to promote environmental sustainability and innovations for safer materials."