Philippines’ marine plastic pollution, a chemically driven health crisis

21 hours ago
By Rey Eliseo F. Regidor

The Philippines, the world's top source of riverine plastic pollutants, is at the epicenter of a public health and environmental crisis. This catastrophe is fueled by the rampant use of cheap, single-use plastics and a systemic failure in waste management, with about 74 percent of marine debris leaking from open landfills. With over 70 million coastal residents relying on the sea for survival, the plastic tide is an immediate danger. While past efforts focused on visible debris, this crisis is underscored by a greater, often overlooked, chemical threat.

A new study by Santos et al. (2025) shifts the focus to the thousands of chemical additives in plastic. These additives, which can constitute up to 80 percent of a plastic product's mass, are leaking into the ocean and are causing significant, long-term harm to biological processes at the cellular level, directly threatening the health of the Filipino people. The impact of marine pollution is dire for the nearly one million Filipino households whose livelihoods depend entirely on the ocean. Communities engaged in fishing, aquaculture, and shellfish harvesting are not passive observers; they face the highest, most direct, and most frequent exposure. The threat is further magnified by microplastics, which constitute an estimated 30 percent of the archipelago's plastic pollution. As bulk plastic debris degrades, these microparticles become pervasive in the ambient air and inevitably ingested through local food sources, making contamination unavoidable in the very fish these families rely on. [Mar Pollut Bull 2025;220:118288]

To map the chemical threat, the study performed a comprehensive analysis of plastic polymers and goods, utilizing data gathered from 44 previous studies spanning 10 of the Philippines' 17 administrative regions. The researchers intentionally concentrated collection sites within hydrologically active zones with high human activity, such as beaches, mangroves (which function as important pollutant transport pathways), and major river networks, including the Pasig, Imus, and Marikina Rivers. This ensured that the resulting analysis accurately reflected the most prevalent and threatening marine debris, specifically concentrating on polymer and product categories that collectively comprise over 95 percent of all sampled plastic waste.

The chemical analysis of plastic products recovered from the marine environment yielded a staggering total of 992 distinct chemical additives. Of these, the findings raised immediate alarm: 143 additives already possess scientifically verified impacts on crucial gene expression pathways and have concrete, established proof of human danger. The study definitively closed the gap between marine pollution and human exposure. By cross-referencing these chemicals with the FCCHumon biomonitoring database (a registry that tracks food contact chemicals found in humans), the analysis confirmed that 80 of the 992 marine plastic additives are currently detectable in human tissue. Crucially, the base polymers themselves—polypropylene, polyethylene, and polyvinyl chloride—were also found in both marine organisms and human tissues. This multi-layered evidence conclusively confirms that a chemical exposure pathway from "sea to cell" is not merely a theoretical risk but a documented, actively occurring phenomenon impacting the population.

The chemical threat from plastic is compounded by a severe regulatory gap. The International Agency for Research on Cancer (IARC) has classified less than 25 percent of additives in any polymer type, leaving over 90 percent of all identified plastic chemicals unclassified. This regulatory blind spot allows chemicals, some of which are potential carcinogens, to be introduced into plastic polymers with minimal monitoring, despite the polymers themselves being considered non-carcinogenic. The gene expression pathway analysis highlighted that these chemicals pose risks to three major physiological systems, all of which are already urgent public health concerns in the Philippines.

The endocrine system is the primary area of concern. Endocrine-related illnesses are surging in the Philippines: adult diabetes cases are estimated to increase from 3.9 million in 2019 to about 7.2 million by 2045, and the incidence of thyroid cancer is significantly higher than the global average. The study points to a potential accelerating factor: 106 additives (about 11 percent of the total) showed significant enrichment in pathways linked to hormone signaling and endocrine disruption. These chemicals act in several ways: as obesogens, accounting for 93 percent of the endocrine-affecting additives, which cause fat storage and metabolic problems by triggering pathways like PPAR and LXR; as hormone sensitizers, comprising 75 percent of the additives, which may increase the body's sensitivity to hormonal signals and intensify the impact of other hormone-altering substances; and through receptor disruption, directly interfering with the action of key hormones involved in reproduction, such as the estrogen receptor (ER) and androgen receptor (AR). These endocrine-disrupting chemicals are widely found in clothing, food packaging, and beverage containers, which indicates a high likelihood of chronic exposure, risking long-term effects on sexual development, metabolic diseases like type 2 diabetes, and insulin resistance.

The second major concern involves the steady rise in cancer incidence among Filipinos. The study showed that 132 additives (13 percent of the total) had a substantial impact on genes linked to cancer, including pathways for colorectal, renal cell, prostate, ovarian, lung, and pancreatic cancers. Exposure to these chemicals may influence cancer development primarily through two routes: inhalation, where microplastic deposition in the lungs can trigger oxidative stress and inflammation, which are key factors in carcinogenesis; and ingestion, where the accumulation of microplastics in the gastrointestinal system can cause inflammation and alter the gut microbiota, which is linked to a higher risk of pancreatic and colorectal cancer. These chemicals disrupt vital cellular processes, including cell signaling, cell cycle regulation, DNA damage repair, apoptosis, and autophagy.

The immune system is the third major concern, with autoimmune diseases like systemic lupus erythematosus (SLE) already common in the country. The study observed changes in gene expression across immune-related pathways in 123 additives (12 percent of the total). These disturbances include effects on lymphocyte function and pathways linked to B and T cell function (essential for adaptive immunity); changes in cytokine and interleukin signaling (e.g., IL4/IL-13 and IL10), which control the inflammatory response; and effects on platelet signaling, homeostasis, and macrophage biology. Since the immune system views these plastic substances as foreign, their presence, especially from polymers like polyvinyl chloride (PVC), can trigger chronic inflammatory reactions.

For years, the marine plastic crisis was framed as an aesthetic and ecological problem. This study forces a critical shift, revealing a severe, chemically driven public health emergency. The most alarming finding is that toxic plastic additives are concentrated in everyday food and beverage packaging, underscoring a widespread and direct human exposure pathway.

The findings demand a swift, two-pronged response. Environmentally, the Philippines must urgently enhance waste management and mandate the reduction of single-use plastics like thin wraps and sachets. Policy-wise, the regulatory gap on plastic's health implications must be addressed. Regulatory bodies must mandate and expedite toxicological testing of all plastic chemicals, shifting the burden of proof from public health onto manufacturers.

For a country integral to the ocean, preserving the marine environment is essential for citizen well-being. The fight must fundamentally shift from managing visible garbage to controlling the invisible chemical threat that spreads "from sea to cell."