What Should You Know About Microplastics and Health?
Microplastics — plastic particles smaller than 5mm — are now ubiquitous in the environment and human body. While the full health implications remain under investigation, a landmark 2024 NEJM study linking microplastics in arterial plaque to cardiovascular events has elevated scientific concern from theoretical to evidence-based.
The study by Marfella et al. published in the New England Journal of Medicine examined carotid artery plaque from 312 patients undergoing endarterectomy. Those with detectable polyethylene microplastics in their plaque had a 4.53-fold higher risk of heart attack, stroke, or death over a median follow-up of 34 months compared to those without. This represents the first direct evidence linking microplastic tissue accumulation to adverse clinical outcomes in humans.
Humans are estimated to ingest approximately 50,000 microplastic particles per year and inhale a similar number. Major exposure sources include food packaging, bottled water (containing 10-100x more particles than tap), seafood, synthetic textiles, and airborne particles. Nanoplastics — particles smaller than 1 micrometer — can cross cell membranes and the blood-brain barrier, raising additional concerns about organ-level effects.
A 2024 NEJM study found 4.53-fold higher cardiovascular risk with microplastics in plaque
How Can You Reduce Your Microplastic Exposure?
Practical steps include using glass or stainless steel food/drink containers, avoiding microwaving food in plastic, filtering drinking water, choosing natural fiber clothing when possible, reducing single-use plastic, and improving indoor ventilation to reduce airborne particle exposure.
Switch from plastic food storage containers to glass or stainless steel, especially for hot foods — heating plastic dramatically increases microplastic release. A study found that microwaving plastic containers released up to 4 billion nanoplastic particles per square centimeter. Use loose-leaf tea instead of tea bags (many contain polypropylene). Choose fresh foods over those in plastic packaging when possible. For drinking water, invest in a reverse osmosis or quality activated carbon filter.
For airborne microplastics, regular vacuuming with a HEPA filter, good ventilation, and reducing synthetic textiles in the home can help. When washing synthetic clothing, use a microfiber-catching laundry bag or filter to prevent fibers from entering waterways. While complete elimination of microplastic exposure is impossible in the modern world, these practical measures can meaningfully reduce your daily intake.
Microwaving plastic releases up to 4 billion nanoplastic particles per square centimeter


