Evidence map›Paper›PMID 42625198›Full record

ReviewOne health outlook2026

Does plastic waste present an infection hazard? Current evidence, surveillance challenges and research priorities.

Patrick Ken Kalonde, Kestern Mkoola, Michael Ormsby, Taonga Mwapasa, Precious Innocent Mastala, Madalitso Mphasa, Katalina Tonthola, Fanuel Meckson Bickton, Peter Nambala, Tony Robertson and 8 more

Abstract readReview
In one paragraph

Review in One health outlook, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Patrick Ken KalondeMalawi-Liverpool-Wellcome Programme, Kamuzu University of Health Sciences, Blantyre, Malawi. pkalonde@mlw.mw.
Kestern MkoolaMalawi-Liverpool-Wellcome Programme, Kamuzu University of Health Sciences, Blantyre, Malawi.
Michael OrmsbySchool of Biodiversity, One Health and Veterinary Medicine, University of Glasgow, Glasgow, UK.
Taonga MwapasaCentre for Water, Sanitation, Health, and Appropriate Technology Development (WASHTED), University of Business and Applied Sciences, Blantyre, Malawi.
Precious Innocent MastalaMalawi-Liverpool-Wellcome Programme, Kamuzu University of Health Sciences, Blantyre, Malawi.
Madalitso MphasaMalawi-Liverpool-Wellcome Programme, Kamuzu University of Health Sciences, Blantyre, Malawi.
Katalina TontholaMalawi-Liverpool-Wellcome Programme, Kamuzu University of Health Sciences, Blantyre, Malawi.
Fanuel Meckson BicktonMalawi-Liverpool-Wellcome Programme, Kamuzu University of Health Sciences, Blantyre, Malawi.
Peter NambalaMalawi-Liverpool-Wellcome Programme, Kamuzu University of Health Sciences, Blantyre, Malawi.
Tony RobertsonSchool of Health and Wellbeing, University of Glasgow, Glasgow, G12 8TB, UK.
Richard S QuilliamBiological & Environmental Sciences, Faculty of Natural Sciences, University of Stirling, Stirling, FK9 4LA, UK.
Kondwani ChidziwisanoCentre for Water, Sanitation, Health, and Appropriate Technology Development (WASHTED), University of Business and Applied Sciences, Blantyre, Malawi.
Tracy MorseDepartment of Civil and Environmental Engineering, University of Strathclyde, Glasgow, UK.
Christopher M JonesLiverpool School of Tropical Medicine, Liverpool, UK.
Michelle C StantonLiverpool School of Tropical Medicine, Liverpool, UK.
Peter M AtkinsonFaculty of Science and Technology, Lancaster University, Lancaster, LA1 4YR, UK.
Marc Y R HenrionMalawi-Liverpool-Wellcome Programme, Kamuzu University of Health Sciences, Blantyre, Malawi.
Nicholas FeaseyMalawi-Liverpool-Wellcome Programme, Kamuzu University of Health Sciences, Blantyre, Malawi.

Funding

Natural Environment Research Council NE/VOO5847/1Wellcome TrustWellcome Trust 206545/Z/17/Z
6 · The paper itself

Abstract

Unmanaged plastic waste is widespread in settings with limited waste collection, yet its contribution to infectious disease risk remains poorly understood. In this review, we synthesise current evidence on the human health implications of plastic waste, with a specific focus on environmentally persistent bacteria that are transmitted to humans through the faecal oral route. We examine studies documenting microbial colonisation of plastic surfaces, including pathogenic and antimicrobial-resistant bacteria, and assess how well existing human and environmental surveillance systems capture these risks. We also review recent developments in remote sensing for detecting waste accumulation and evaluate spatial and statistical approaches that could link mapped waste to human exposure or infection data. Drawing on this synthesis, we identify major gaps that limit assessment of plastic-associated disease risk and outline key research priorities: improving methods for mapping waste using remotely sensed imagery, characterising spatial and temporal patterns of waste accumulation, and developing exposure metrics that incorporate environmental transport pathways. This review provides a foundation for advancing One Health research on plastic waste and its potential role in disease transmission.

Indexed as

Antimicrobial resistanceEnvironmental surveillanceOne HealthPlastic wasteRemote sensing

Identifiers

PMID42625198
PMCPMC13491761

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.