Microplastics are widely recognized as emerging environmental contaminants in aquatic and wastewater systems, with potential implications for ecosystem quality and human exposure (
6). Their persistence in treated wastewater is concerning because wastewater treatment plants may act both as partial barriers and as pathways for environmental release (
7). Current evidence indicates that the potential health effects of microplastics should be interpreted cautiously and in accordance with the strength of the available evidence (
8). Environmental occurrence and the potential for human exposure are well established. In contrast, many reported biological effects, including oxidative stress, inflammatory responses, endocrine-related effects, and immune modulation, are supported primarily by experimental and toxicological studies rather than by definitive human epidemiological evidence (
9). Some studies have reported the presence or translocation of micro- and nanoscale plastic particles in biological tissues, including placental tissue, raising questions about their ability to interact with biological barriers. However, the extent, mechanisms, dose relevance, and clinical significance of these findings under real-world environmental exposure conditions remain uncertain. Similarly, although experimental studies have suggested pathways that may be relevant to chronic inflammation and possibly other long-term adverse effects, direct causal evidence linking environmental microplastic exposure to specific human diseases, including cancer, remains limited. Therefore, health-risk statements should be regarded as emerging and precautionary rather than definitive. From a policy perspective, the persistence of microplastics in wastewater effluent justifies preventive monitoring and control measures even in the presence of scientific uncertainty, particularly because long-term exposure pathways and cumulative effects have not yet been fully characterized (
4,
10-
12).
A limitation of the present policy interpretation is that the health relevance of environmental microplastic contamination cannot yet be fully quantified on the basis of currently available evidence. Much of the literature on biological effects is based on in vitro, animal, or experimental exposure studies, and direct extrapolation to human disease risk under typical environmental exposure conditions remains uncertain.