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    How PFAS Can Harm Your Health

    Even at low levels, these chemicals have been linked to kidney disease, lowered immunity in kids, and a variety of other health concerns

    Illustration of a beaker exuding toxicity with a Black child playing with blocks and a dark skinned person filling up a glass of water from the faucet.
    Forever chemicals—used to make many products stain-resistant, waterproof, and nonstick—can pose health risks even at low levels.
    Illustration: Lacey Browne/Consumer Reports

    In recent decades, PFAS exposure has been linked to a growing list of health problems, including immune system suppression, lower birth weight, and increased risk for some cancers. These chemicals are added to many materials to make them resistant to grease, water, and stains, and to add nonstick properties. But their effects on human health and the environment have put their widespread use under increased scrutiny.

    In 2022 Consumer Reports tests of more than 100 food packaging products from U.S. restaurants and supermarkets found dangerous PFAS chemicals in many of them, including paper bags for french fries, wrappers for hamburgers, molded fiber salad bowls, and single-use paper plates. (Recent action by the Food and Drug Administration suggests that such uses may be on the way out.) Previous CR tests found PFAS—per- and polyfluoroalkyl substances—in drinking water and bottled water. We’ve also identified dental flosses that contain these chemicals and found certain PFAS in nonstick cookware that manufacturers said were not present.

    In this article

    How People Are Exposed to PFAS

    PFAS are often called “forever chemicals” because they break down extremely slowly, if ever. That persistence, combined with the many products that now contain PFAS, means that there are many ways the chemicals can enter the environment and eventually reach humans, too. 

    More on PFAS

    Consider, for example, the production of food packaging with PFAS coating. In Maine, wastewater sludge from mills where such products are produced has reportedly been used to fertilize fields where cattle graze. In 2020 the Maine Department of Agriculture, Conservation, and Forestry tested milk from dairy farms and found levels of one particular PFAS in a sample from a farm that were more than 150 times higher than state regulations permit.

    When food packaging contains PFAS, some of those chemicals can migrate into food. Other products, like stain-resistant carpets, can leave PFAS in household dust and air. 

    And finally, once food packaging or other products containing PFAS are thrown away, PFAS can leach out from landfills or spread from incinerators into the environment, where they can contaminate soil, food, water, and air—just like they can when they’re first produced. 

    People may then eat food containing the chemicals, drink water that contains them, or even breathe in the chemicals.

    On April 10 the Environmental Protection Agency announced the first nationwide limits on PFAS, setting enforceable limits on certain PFAS in drinking water. The agency estimates that these limits—which are far stricter than the nonenforceable levels the agency previously used—will require 6 to 10 percent of water utilities to take action. The EPA says these new limits are the strictest that are feasible but acknowledges that even lower levels may pose health risks.

    PFAS Are Linked to Many Health Problems

    For decades PFAS manufacturers have had information indicating that the chemicals may harm human health, according to reporting from the Environmental Working Group. But for the first 60 or so years that PFAS were in production, many people—including many health experts—thought that potential harms were specific to workers exposed to the chemicals at an industrial scale, not the general public.

    Then, in 1998, a West Virginia farmer named Wilbur Tennant started raising concerns about the effects that pollution from a nearby DuPont factory had on his cattle. This helped lead to a class-action lawsuit alleging that this contamination—with the PFAS chemical PFOA, also known as C8—could be affecting about 70,000 people who got water from the same polluted source.

    The resulting settlement led to the creation of the C8 science panel, which between 2005 and 2013 assessed links between exposure to PFOA and a number of diseases, and found probable links between PFOA exposure and thyroid disease, higher cholesterol levels, kidney and testicular cancer, ulcerative colitis, and pregnancy-induced hypertension. Other research on various PFAS has found links to metabolic changes in children, as well as liver damage and kidney disease.

    There are consistent patterns across these chemicals, and the most consistent pattern is that they’re toxic.

    Miriam Rotkin-Ellman, a former senior scientist at the Natural Resources Defense Council

    PFAS Pose Health Concerns Even at Low Levels

    Calculating the exact level of PFAS exposure that causes harm isn’t straightforward, especially because there are thousands of different PFAS, some more toxic than others. But growing research has shown that health risks can occur even at very low levels. Case in point: The effects from PFAS are present even on the pristine Faroe Islands, a group of 18 small, rocky islands midway between Iceland and Norway.

    In 2010 and 2011, Philippe Grandjean, PhD, a professor of environmental medicine at the University of Southern Denmark, studied children in the Faroes to see whether certain chemicals in the environment could dampen the immune system’s response to childhood vaccines. When he saw a study showing that PFAS could affect animal immune systems, he and colleagues decided to see whether PFAS also affected how children responded to the vaccines.

    The results were dramatic. “I fell off my chair,” Grandjean says. “It was very clear these compounds were inhibiting the immune system.”

    In 2012 Grandjean and colleagues published research showing that higher levels of PFAS in blood samples taken from the children were associated with less effective protection after being vaccinated. 

    The findings were alarming not just for people in the Faroes. Blood PFAS levels among children in the U.S. are comparable, Grandjean says. Follow-up research in other countries has confirmed this effect and has also shown that children with higher blood levels of PFAS have more infections, he says.

    Are PFAS Replacements Safe?

    Manufacturers have stopped producing certain PFAS chemicals in the U.S. as concerns about their impact on health have become more widely known. But they’ve been replaced by newer substances in the same chemical family that have not been as thoroughly studied by independent researchers.

    Both the Food and Drug Administration and the American Chemistry Council, which represents PFAS manufacturers, argue that we don’t know for sure that newer PFAS are as unsafe as the ones they are replacing. 

    But a growing body of research suggests that many do pose risks, says Miriam Rotkin-Ellman, formerly a senior scientist at the Natural Resources Defense Council. A database of research on more than two dozen different PFAS compiled by a group of scientists who have studied the chemicals suggests harmful effects associated with many of them. “There are consistent patterns across these chemicals,” she says, “and the most consistent pattern is that they’re toxic.”

    @consumerreports

    Our tests of 118 food packaging products found PFAS—‘forever chemicals’ linked to a growing list of health problems—in all kinds of food packaging. Learn more at CR.org/pfaspackaging #foodtok #foodsafety

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    Head shot image of CRO Health editor Kevin Loria

    Kevin Loria

    Kevin Loria is a senior reporter covering health and science at Consumer Reports. He has been with CR since 2018, covering environmental health, food safety, infectious disease, fitness, and more. Previously, Kevin was a correspondent covering health, science, and the environment at Business Insider. Kevin lives in Washington, D.C., with his wife and children. Follow him on Twitter @kevloria.