Research gap and further research
It is necessary to do research on effects on assemblages and consequences on
ecosystem functioning and capacity that they provide [30]. Additionally, research on
childhood and other vulnerable groups' exposure to the both BPA and other chemicals
from plastics, especially in developing countries, is very limited. Hence it is strongly
recommended to study wide-spreading pathways of human exposure to BPA and other
compounds coming from plastic.
In developing countries, especially Vietnam and Thailand, the status of counterfeiting
use of plastic is common [44] and the information of BPA contamination in the food
industry is very little. Hence, it is urgent to monitor sources, fates and effects of BPA
general and particular in the food industry. Besides that, in Vietnam with over 1000 km
of length shoreline, it is necessary to academically investigate a current status of
occurrence of plastic debris in the shoreline (including tourist beaches, river-dominated
beaches, and stable beaches as well as unstable beaches).
Consequently, studies of exposure pathways and risk assessment of potential health
effects, and risk assessment are in critical need. The outcomes should be disseminated
exactly and widely to limit the use of plastic food contact products. In addition, it is
strongly recommended to implement further research on the elimination of BPA
concentration and other compounds coming from plastic in human. On the other hand,
use of plastic products like cups, disposal tableware in the fast food industry can cause
both adverse impacts on the environment and human health via food contact containers.
Many business of fast food replaced their food-contact products by environmentally
friendly products such as the Jococup, the Keepcup, and the Starbuck reusable cup, as
well as the Eco cup (the Guardian, 2014). Therefore, it is possible to widen and develop
the use of both reusable cups and other items in fast food industry.
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HNUE JOURNAL OF SCIENCE DOI: 10.18173/2354-1059.2018-0042
Natural Sciences 2018, Volume 63, Issue 6, pp. 167-176
This paper is available online at
SINGLE-USE PLASTIC ITEMS AND ITS ADVERSE IMPACTS ON HUMAN HEALTH
AND THE ENVIRONMENT: A MINI-REVIEW
Do Thi Kim Chi
1
and Le Van Khoa
2
1
Faculty of Biotechnology, Ho Chi Minh City Open University
2
Faculty of Environment and Natural Resource, Ho Chi Minh City University of Technology
Abstract. Urban modern lifestyle creates time pressure on its residents. To adapt to the time
pressure, the urban residents pick up fast food as the main option due to lack of time to
prepare traditional meals. The on-going up growing fast food services leads to the increases
in solid waste, especially food packaging waste and disposal tableware made of plastic, that is
generally called single use plastic items in this paper. The use of single use plastic items
(SUPIs) not only causes consumers‟ health issues via absorbing bisphenol A from plastic
food containers but also adversely impacts on the environment after throwing them away.
This paper aims to review of the current findings on the negative impact of SUPIs on both
human health and the environment, particularly adverse impacts on (1) human health; (2)
persistence of plastic in the environment; and (3) moving them in the ecosystem. Furthermore,
future research issues and research gaps are also identified.
Keywords: Fast food industry, disposal tableware, plastic waste, environmental impact.
1. Introduction
Humans generate considerable amounts of waste, and the quantities are increasing as
standards of living and the increasing population. Especially, in modern societies, there is an
increasing trend in use of fast food due to its popularity and convenience [1]. Use of fast food
causes potential risks to human health and its consequence ([2] Pereira et al., 2005; [3] Bowman
& Vinyard, 2004; [4] Harnack & French, 2003; [5] Heidal et al., 2012) [6]. Also, the fast food
industry makes a large number of solid waste, among which food packaging waste are the
majority and highly recoverable [7]. It is a fact that solid waste in the industry is diversity and
depends on many factors such as solid waste management policy options in different countries
(developed countries vs. developing countries) and consumer„s lifestyle and behavior as well as
environmental perspective of producers [8]. The solid waste in this service includes mainly food
waste, food packaging, and disposal tableware. However, the plastic waste from this industry is
partly responsible for total plastic waste at both global and local levels.
At the global level, about one trillion plastic bags are annually used. According to China
Trade News (2010), 3 billion plastic bags are consumed daily only in China. In 2010, it was
approximately calculated that 98.6 billion plastic carrier bags was bought in European countries
and about 100 billion plastic bags have been placed additionally every year (European
Commission, 2013c). Therefore, on average, each EU citizen consumed almost 200 disposable bags
Received June 20, 2018. Revised July 4, 2018. Accepted July 11, 2018.
Contact: Do Thi Kim Chi, e-mail address: chi.dtk@ou.edu.vn
Do Thi Kim Chi and Le Van Khoa
168
on an annual basis, and 8 billion of them went to seas and other water recipients (European
Commission, 2013b).
At the local level, according to the Vietnam Environment Administration (VEA, 2012), the
average amount of municipal solid waste was approximate 7000 tons and amount of plastic bags
were used up to 34-60 tons every day. The analyzing of municipal solid waste components
indicates that plastic waste is always the second high proportion after food waste in discarding
sources, transferring stations and treatment manufacturers (roughly 9 - 23%, 9 - 23%, and 20 - 22%,
respectively). Plastic waste also takes highly up 13 - 57% of total domestic waste, in which the
plastics discarded in restaurants/hotels accounts for nearly 23 percent of total plastic waste in the
domestic waste (Ho Chi Minh City Department of Natural Resource and Environment, 2015). It is
noticeable that the majority of plastic bags and other plastic waste was placed in landfills such as
Da Phuoc and Phuoc Hiep landfills due to the limitation of source waste separation and waste
collection system in Ho Chi Minh City. According to Vietnam Plastic Association (2011), plastic
consumption of the South of Vietnam in packaging area accounts for nearly 85.7% of total
national plastic packaging.
In term of plastic discard, plastic waste not only leads to increase in municipal solid waste in
Ho Chi Minh city, but also then occupies considerably area in the landfills that have been
narrowed gradually due to its urbanization. More importantly, plastic disposal tableware maybe
threats human health due to absorbing bisphenol A and other chemicals that are maybe transferred
into fast food in particular conditions. On the other hand, plastic waste creates pressure on the
environment and the ecosystems due to its persistence. The article aims to review negative effects
of general plastic waste, particularly single use plastic items use of fast food industry on human
health and the environment. The article begins by presenting adverse impact of single use plastic
items that are used in fast food industry on human health, followed by introducing its persistence
in the environment and subsequently its moving in the ecosystem. The article ends with revealing
further research, prior to the concluding remarks.
2. Content
2.1. Impact of single use plastic items on human health
Most plastics contain organic polymers. The plastics based on a synthetic polymer are made
from phenol and formaldehyde. Plastic products contain different additives that make plastic
waste toxic. For example, plasticizers like adipates and phthalates are commonly added to brittle
plastics like polyvinyl chloride (PVC) that help them become more pliable to use in food
packaging, toys, and many other items [9] (Popphd et al. 2014). In fast food industry, many
disposable foodservice products can be made of plastic: Cups , plates, bowls, trays, food
containers and cutlery. Polystyrene (PS) is one of the most common types of plastics used for
foodservice packaging, for examples, food container, disposal cups. Polypropylene (PP) (drinking
straws) and Polyethylene terephthalate (PET) (such as disposal tableware) are also regularly used
in this industry. In general, the kinds of the above plastics are allowed to use in food industry
according to its safe limitation and plastic standards in each country. However, in developing
countries, plastics recycled or counterfeited to turn into disposal items are used in food industry
contaminate into food and then cause potential risk to human health [10] (Poovarodom et al. 2010).
Although the most researches reveal BPA, a known endocrine disruptor [11], exposure to
human health at a low level that is under standards laid down (excepted a few sample of [12]
Potter et al., 2010), its adverse effect on human health depends on different conditions such as
temperature, periodal development of human and others. More detail, researches carried out in
this century (after 2000) show the potential risk of BPA (bisphenol A) to human health such as
Single-use plastic items and its adverse impacts on human health and the environment: A mini-review
169
sexual maturation, decreased male fertility, aggressive behavior, and others (reviewed in [13]
Schrenk & Kaiserslautern, 2014). On the contrary, a few research published before that revealed
that “the potential exposure to bisphenol A (BPA) from the use of consumer products or packages
made from bisphenol A derived polycarbonate resins was calculated. The calculation was made
by migration data from moulded discs prepared from a composite of polycarbonate resins. Using
these data, along with FDA's conventional procedure for estimating potential dietary exposure
using food simulating migration data, the potential dietary exposure to bisphenol A from the use
of polycarbonate resins was determined to be less than 0.25 ppb” [14] (Howe et al. 1998).
Recent research on BPA potential exposure to human is quite diversity in research subjects
and its concentration. Particularly, according to Calafat et al., 2008, carrying out a research on
BPA impact on research subjects different in ages, demographic and their income indicates that
“females had statistically higher BPA LSGM (Least Square Geometric Mean) concentrations than
males and children had higher concentrations than adolescents, who also had higher
concentrations than adults”. The result demonstrates that LSGM concentrations were detected
lower in participants in the high household income category (> $45,000/year). According to
Calafat et al. (2005), 95% of USA adult population was the prevalence of BPA concentration in
their urine and difference in urine concentrations of total BPA depended on by race/ethnicity, age,
sex, and household income [15].
Generally, most research on BPA exposure to human illustrates that BPA concentrations
detected in human is different in sensitive groups like young, female and pregnant groups,
according to Schrenk & Kaiserslautern, 2014; [14] Howe et al., 1998; [16] Calafat et al., 2008;
Talsness et al. 2009; Potter et al., 2010 and also discussed in North & Halden, 2013.
In term of adverse impact of BPA and other compounds coming from plastic, experimental
investigations in animals show that there are potential risks to human health with a wide variety of
effects associated with prevalence of these compounds, according to Belcher et al., 2015;
Cantonwine et al., 2016; Ferguson et al., 2016; Talsness et al., 2009; Veiga-Lopez et al., 2016;
Yalcin et al., 2016. In particular, Talsness concluded that “concentrations of BPA in the fetal
mouse within the range of unconjugated BPA levels observed in human fetal blood have produced
effects in animal experiments.” [20]. According to Belcher et al., (2015) also confirmed that “RNA
sequence analysis identified significant sex-specific changes in gene expression in response to
BPA that were consistent with the observed exposure-related phenotypic changes in the
collagenous and non-collagenous extracellular matrix, cardiac remodeling, altered autonomic
responses, changes in ion channel and transporter functions, and altered glycolytic and lipid
metabolism” [17]. On the other hand, it is possible to show an association of potential obesogens
with plastic components (discussion in [23] North & Halden, 2013).
According to [18] Cantonwine et al., (2016), there is a relationship, depending on infant sex,
between the urinary concentration of BPA and preeclampsia. The research groups confirmed that
“significantly elevated hazard ratios were found across gestation for all di-2-ethylhexyl phthalate
(DEHP) metabolites”, in which the DEHP is commonly used in a variety of polyvinyl chloride
(PVC) containing products as plasticizers. Furthermore, the maternal prevalence of DEHP during
pregnancy was linked to decrease in fetal growth, and growth parameters like head circumference,
femur length [19]. For other vulnerable groups, for instances, the capacity of BPA elimination is
reduced significantly in obese, diabetic individuals and the cirrhotic livers via sulfonation in
comparison with the healthy livers [22] (Yalcin et al., 2016). To deal with this situation, there is a
few researches that focuses on elimination of BPA concentration in human. For instance,
Chavarro et al., (2016), indicated that it is possible to be against adverse reproductive effects of
BPA via soy food intake, even which is the first stepinitial research on interaction between BPA
and soy. For that reason, USA, and Europe recently banned BPA use in infant bottles and spill-
Do Thi Kim Chi and Le Van Khoa
170
proof cups for toddlers in an effort to protect a particularly vulnerable population like pregnant,
infant groups [25].
In summary, despite the known adverse impact of plastic products on both human and
animals, there remains the lack of data on childhood exposure, especially in developing countries
like Vietnam, other vulnerable groups, and it is strongly recommended to study wide-spreading
pathways of human exposure to BPA and other compounds coming from plastic.
2.2. Adverse impacts of plastic on the environment
2.2.1. Persistence of plastic in the environment
The environment can be seriously degradable by pollutants coming from disposal plastics.
For instance, the plastics appear not only in rivers via discarding sources like wastewater with
micro-plastic, but also in lands via landfill‟s leachates, then they end up in oceans. Particularly,
“many additives and constitutional monomers leach out of plastics, and the discharged leachate
can introduce plastic-derived contaminants into the environment” [26]. According to plastic
persistence, it does not mix or bind with water in the marine environment. Hence it can only be
ingested by organisms (wildlife) or otherwise buried in the seabed, especially in shoreline [27].
Plastic wastes amounted to approximately 10 percent of the municipal waste stream by
weight and up to about 80 % of the waste accumulating on land, shorelines, the ocean surface or
seabed (reviewed in Barnes et al. 2009). Obviously, the research indicated that plastics can exist
in the environment for thousands of years. The existence altered from emission sources to the
ocean due to their migration. According to Li et al. (2016), there is a list of research on
widespread occurrence of plastic with a different concentration in sediment at a variety of beaches
over the global (see Table 1). In Belgian coast, plastic debris concentrates highly on harbors
(Claessens et al., 2011). Accumulation rates of plastic are much lower in the Southern
Hemisphere but are still increasing significantly [28]. The occurrence of plastic debris can
adversely impact on the environment that presents, in particular, only after approximately two
months, the presence of plastic carrier bag as litter in intertidal shore-generated anoxic conditions
that can fast alter assemblages and the ecosystem services it provides (Green et al., 2015).
The evidence from the Table 1 shows that plastics and plastic debris appear at a wide scale in
the environment over the world, including Asia, Europe, America, Australia and Antarctica.
It does not mention include the shoreline areas of developing countries, where have not been fully
investigated on both scales of distribution and occurrence of plastics, especially such majority of
beaches in Vietnam. Although plastic waste is not an urgently harming factor to human and
creatures, when associated with other impacts, such as uncontrolled fishing or oil spills, it may
add cumulatively to severe effects (European Commission, 2011).
In term of sustainable development, the accumulation and transform of contaminants from
plastic in the environment may cause other environmental issues, such as bioaccumulation in the
food chain, change in the circular cycle in the ecosystem and the environment due to the plastic
persistence. The majority of research on the abundance of plastic waste focuses on beaches, shores,
and seabed as well as estuaries. However, it is necessary to study the deep accumulation of plastic
concentrations in sediments of rivers or of estuaries to demonstrate that a variety of plastic
concentration from river basins to oceans.
2.2.2. Transformation of plastic in the ecosystem
There is evidence showing chemical compounds from plastic may cause
environmental pollution and are transformed to organisms [26] and there is increasing in
number of plastic debris floating to coastal habitats. As reported by the European
Commission (2011), “plastic could potentially transport these chemicals to otherwise
Single-use plastic items and its adverse impacts on human health and the environment: A mini-review
171
clean environments and when ingested by wildlife, plastic could cause the transfer of
chemicals into the organism‟s system. Research has indicated that some species or
developmental stages are more vulnerable to ingestion of plastic waste and the toxic
effects of the chemicals associated with it”. Particularly, as a stated in Teuten et al.,
(2009), more organic contaminants accrues from polyethylene (PE) than other plastics
such as polypropylene (PP), and polyvinyl chloride (PVC). There are hidden threats
coming from plasticizers and other plastics additives as well as constitutional monomers
to terrestrial environments due to leach of micro-plastic from landfills into groundwater
and/or surface waters. [26]. On the other hand, plastic debris can bring alien, for instance,
the bryozoan Membranipora tuberculate is induced to “have crossed the Tasman Sea,
from Australia to New Zealand, encrusted on plastic pellets” (Gregory, 1978) (reviewed
in Derraik, 2002). In line with Fig. 1, plastics are released into the marine environment by
industrial activities and other human activities like fishing; they are then broken into
micro-plastic by fragmentation and degradation, particularly by chemical and physical
processes as well as the biochemical process. The mico-plastics are then ingested by
marine organisms like mammals and continue to be transformed into the food chain or
otherwise they are fouled into sedimentation and then come into the food chain with the
same process (discussion in Li et al., 2016).
Table 1. Occurrence of plastic debris found in beach sediment
Location Occurrence Plastic type Plastic
sizes
Reference
Edinburgh
coast, UK
Average density of 0.8
items m
-2
Velander &
Mocogni, (1999)
Mumbai,
India
Average abundance of
7.49g and 68.83 items m
-2
Micro-plastics and
macro-plastics
< 5 mm to
10 mm
(Jayasiri et al.
(2013)
Tasmania,
Australia
Average abundance of
113 items or 1.69kg of
debris per beach
(Slavin et al.
(2012)
Nakdong
River
Estuary,
South
Korea
Average abundance of
8205 particles m
-2
in May
and 27.606 particles m
-2
in
September items or
1.69kg of debris per beach
Micro-plastics and
macro-plastics
1 mm to >
25 mm
Lee et al. (2013)
San Diego,
California
2453 individuals plastic
debris
Micro-plastics and
macro-plastics
< 5 mm to
50 mm
Van et al. (2012)
UK Maximum 8 particles kg
-1
Thompson et al.
(2004)
Do Thi Kim Chi and Le Van Khoa
172
Hongkong Average abundance of
5595 items m
-2
and
maximum 258,408 items
m
-2
Micro-plastics 0.315 to
5mm
Fok and Cheung
(2015)
Western
coast of
Portugal
Average density of 185.1
items m
-2
Micro-plastics
(72%)
macro-plastics
(18%)
50 μm to
20 cm
Martins & Sobral
(2011)
Hawai Average weight of debris
per sample was 23.38g
plastic
Micro-plastics and
macro-plastics
1 - 2.8 mm
(43%), 2.8 -
4.75 mm
(48%)
> 4.75 mm
(9%)
McDermid &
McMullen (2004)
Belgian
coast
Average 92.8 particles kg
-
1
dry sediment
Micro-plastics 38 μm to 1
mm
Claessens et al.
(2011)
Norderney Mean 1.76kg
-1
dry
sediment
Micro-plastics and
macro-plastics
< 1 mm to
> 2mm
Dekiff et al.
(2014)
East Frisian
Islands,
Germany
Maximum 621 particles
per 10g
Liebezeit and
Dubaish (2012)
Singapore Maximum 3 particles kg
-1
Ng and Obbard
(2006)
North
Atlantic
Coast
Average density of 0.15-
12.5 items m
-2
Barnes and Milner
(2005)
Northeast
Brazillian
Coast
Average density of 82.1
items m
-2
Santos et al.
(2009)
Malta
Island
>1000 particles m
-2
Micro-plastics 1.9 to 5.6
mm
Tunner and
Holmes (2011)
Source: (reviewed in Li et al., 2016)
Although adverse impacts of plastic debris floating on marine environment on its
organisms, such as mammals and birds, have been broadly reported, the full extent of
effects in various the marine habitats have been not fully proved or very little, notably
ecosystem function [30].
Single-use plastic items and its adverse impacts on human health and the environment: A mini-review
173
Figure 1. Potential pathways of plastic debris transportation and its biological
interactions (Ivar Do Sul & Costa, 2014, and discussion in Li et al., 2016)
2.3. Research gap and further research
It is necessary to do research on effects on assemblages and consequences on
ecosystem functioning and capacity that they provide [30]. Additionally, research on
childhood and other vulnerable groups' exposure to the both BPA and other chemicals
from plastics, especially in developing countries, is very limited. Hence it is strongly
recommended to study wide-spreading pathways of human exposure to BPA and other
compounds coming from plastic.
In developing countries, especially Vietnam and Thailand, the status of counterfeiting
use of plastic is common [44] and the information of BPA contamination in the food
industry is very little. Hence, it is urgent to monitor sources, fates and effects of BPA
general and particular in the food industry. Besides that, in Vietnam with over 1000 km
of length shoreline, it is necessary to academically investigate a current status of
occurrence of plastic debris in the shoreline (including tourist beaches, river-dominated
beaches, and stable beaches as well as unstable beaches).
Consequently, studies of exposure pathways and risk assessment of potential health
effects, and risk assessment are in critical need. The outcomes should be disseminated
exactly and widely to limit the use of plastic food contact products. In addition, it is
strongly recommended to implement further research on the elimination of BPA
concentration and other compounds coming from plastic in human. On the other hand,
use of plastic products like cups, disposal tableware in the fast food industry can cause
both adverse impacts on the environment and human health via food contact containers.
Many business of fast food replaced their food-contact products by environmentally
Do Thi Kim Chi and Le Van Khoa
174
friendly products such as the Jococup, the Keepcup, and the Starbuck reusable cup, as
well as the Eco cup (the Guardian, 2014). Therefore, it is possible to widen and develop
the use of both reusable cups and other items in fast food industry.
3. Conclusion
It is clear that human and animals have been prevalent with contaminants coming from
plastics in a few of particular conditions, for instance, the BPA can cause adverse effects on
human health and animals like endocrine disruption. Widespread occurrence of plastic debris in
the environment at the global, especially the marine environment, has been definitively proved
and is increasing substantially due to the growth of plastic use, including SUPIs of fast food
service. The occurrence can cause a health risk to the environment and ecosystem. It is necessary
to carry out research on distributions and occurrence of plastic debris in developing countries, and
pathways of human exposure to these compounds as well as their potential risk to human health. It
is nonetheless urgent to reduce plastic products in the food industry and instead of
environmentally friendly products (as well as towards sustainable consumption) to protect the
environment and forward to sustainable development.
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