The landmark 2022 study by Leslie et al. provided the first direct evidence of microplastics circulating in human blood. Using pyrolysis-gas chromatography/mass spectrometry, researchers analyzed blood samples from 22 healthy volunteers and detected quantifiable concentrations of plastic particles in 17 of them (77%). The most common polymers found were PET (polyethylene terephthalate, used in drink bottles and food packaging), polystyrene (used in disposable food containers), and polyethylene (the most common plastic worldwide, used in bags and packaging). The mean total concentration of microplastics in blood was 1.6 micrograms per milliliter [1].
The drinking water pathway has been thoroughly characterized. Koelmans et al. conducted a systematic review of studies on microplastics in drinking water and found that while concentrations vary widely by geography and source, microplastics are consistently detected in both treated and untreated water. Conventional water treatment processes (coagulation, filtration, disinfection) remove a substantial fraction but not all particles, particularly at the nanoscale [2]. Mason et al. tested 259 individual bottles of water from 11 brands across 9 countries and found an average of 325 microplastic particles per liter, with some samples exceeding 10,000 particles per liter. Notably, bottled water contained roughly double the concentration of microplastics compared to tap water, likely due to contamination from the plastic packaging itself [5].
The WHO's 2022 technical report synthesized the available evidence on dietary and inhalation exposure. It concluded that while microplastics are ubiquitous in the food chain and ambient air, significant data gaps remain regarding nanoplastic exposure, long-term bioaccumulation kinetics, and the relative contribution of different exposure routes. The report called for standardized analytical methods and large-scale epidemiological studies to better quantify risk [3].
Campanale et al. reviewed the full spectrum of human exposure sources and estimated that the average person ingests approximately 0.1 to 5 grams of microplastic per week, depending heavily on dietary habits (seafood consumption, bottled vs. tap water, processed vs. whole foods) and environmental context (urban vs. rural, indoor air quality). They noted that exposure assessments remain uncertain due to the lack of standardized measurement protocols across studies [4].