PFAS – Not just Forever, but Everywhere and Harmful – What to Know and Do

My last blogpost introduced the group of chemicals, polyfluoroalkyl substances or PFAS, also known as “forever” chemicals, and their risks to the environmental and public health. For this post, I want to stress the extent of our exposure to these chemicals and their impact to our health.

The fact that there are more than 4,500 PFAS compounds produced ought to tell us that they are found in a huge number of products. Also, the question of why do we need so many non-stick like chemicals  comes to mind. Most of us may only be familiar with only a few of products that contain PFAS — non-stick cookware, and stain resistant fabrics for clothing, carpet, and furniture. In reality the number of common everyday products containing PFAS number in the hundreds, and many of these will surprise you. For example, PFAS can be found in some: candy wrappers, cleaning products, cosmetics, dental floss, electronics and circuit boards, fire-fighting foams, food packaging, hydraulic fluid, inks, metal plating paints, pesticides, photographic processing paper, polishes, shampoo, surfactants, and other related products. With PFAS in so many products we use or are in contact with daily, it is no wonder that 98% of us have PFAS in our blood, and the extent that they are found in our water and the environment. So, including the descriptor “everywhere” in addition to “forever” is reasonable.

Being forever and everywhere alone is reason for alarm, but combining the growing understanding of the impacts to human health, greatly escalates the danger of this group of compounds. Research studies on PFAS and human health are relatively recent, but the variety of adverse health risks known to date are highly significant and should prompt immediate response. Studies have shown the health effects include increased risk of: asthma, diabetes, decreased birth weight, cancer (kidney, testicular), increased cholesterol, kidney and liver disease, decreased immune response, decreased fertility, obesity, thyroid disease, and reduced vaccine response. These health impacts are what we know now from studies that have only looked into a small portion of the PFAS compounds.

All this information on the persistent, ubiquitous, and harmful characteristics of PFAS compounds should be a wake up call for all of us — consumers, manufacturers, regulators, and policy makers. Fortunately, the level of concern and action is slowly increasing in society. EPA is investing many resources in new regulations and research, and some states are moving rapidly to set higher drinking water standards and bans of PFAS in some or all products. A few recent examples include:

  • California banned PFAS in paper products and requires cookware to disclose the presence of PFAS, and further they will ban PFAS in children’s clothing
  • Colorado banned use of fire-fighting foams with PFAS
  • New York state ban of PFAS in detergents and paper products in 2022 
  • Maine banned the intentional addition of PFAS in food packaging in 2019  and has banned added PFAs in all products, and will be phased in
  • Pennsylvania has limited two common PFAS compounds, PFOA and PFOS in drinking water to 14 and 18 parts per trillion.
  • Vermont will ban PFAS in food packaging, carpets, rugs and ski wax
  • Washington state prohibited PFAS in food packaging in 2022
To date 2,850 locations in all 50 states are known to have PFAS contamination (Check out Environmental Working Groups’ interactive map: https://www.ewg.org/interactive-maps/pfas_contamination/map/).

Unfortunately, there is still much to learn, and we can expect new research to expand our understanding of the risks and seriousness of this issue. What can we as consumers do now?

A couple of suggestions are:

Check out these other tips from Clean Water Fund.

PFAS – Prevalent and Persistent Pollution 

Per- and poly-flouroalkyl substances (PFAS) are a family of over 4,500 manufactured fluorine chain chemicals that are used in a wide variety of non-stick, heat, stain and oil resistant products. Common applications and products containing PFAS include non-stick cookware, food packaging, stain resistant fabrics, cleaning products, shampoo, cosmetics, toothpaste and floss, paint, pesticides, and firefighting foams. 

Due to the extensive use, PFAS compounds have been observed in groundwater and drinking water supplies, invertebrates, fish, amphibians, reptiles, birds, mammals, and humans throughout the United States and world. Due to the many carbon to fluorine bonds, one of the strongest bonds in nature, these compounds are very resistant to breakdown and therefore persist in the environment, giving rise to the term “forever” chemicals. 

Furthermore, studies have shown that over 95% of people in the US have measurable amounts of PFAS in their bodies, with certain PFAS compounds remaining in the body for 4-8 years. Compounding this prevalence and persistence is the fact that the amounts are increasing in the environment, some food products and animals, a process known as bioaccumulation, and as the use of PFAS containing products increase, the amount in surface and groundwater accumulate. 

The source of PFAS in humans is from food, dust and drinking water, with recent studies showing that the contribution from drinking water is as high as 90%. The effect on human health has been researched only on a dozen or less PFAS compounds including PFOA and PFOS, the most widely used PFAS compounds. 

Exposure to these two chemicals have been attributed to significant health risks including increased risk of cancer, increased cholesterol, hormonal changes and decreased fertility, thyroid disruption and low birth weight. PFOA and PFOS were phased out by the mid 2000’s, and concentrations in humans have decreased slightly since then. However, many more PFAS are being used and produced and there remains a significant gap of knowledge on the environmental and human health effects of other PFAS compounds.

PFAS concentrations in drinking water tend to be greater near manufacturing plants, military bases and airports were firefighting foam is used. The EPA has issued a health advisory (not a regulation) of 70 parts per trillion (ppt) for drinking water, whereas Europe and several US states have imposed more stringent limits of PFAS in drinking water. 

Even though our knowledge of the extent of risks of all PFAS compounds is very limited, the good news is that several filtration systems have been shown to be effective in removing many PFAS contaminants. These include activated carbon (10-97% removal), ion exchange (90-99% removal) and reverse osmosis (93-99% removal). These filters can be installed in homes to treat either the entire home (point of entry, POE), or point of use (POU) typically installed under the sink for drinking and cooking use. 

In addition to treating our drinking water, we can all be better stewards by the choices we make. Proper recycling and disposal of unwanted household goods and products may help contain some PFAS. Investing in learning what products contain PFAS could help in making better product choices, but unfortunately, only broad product categories, as described earlier, are published. Whether a specific product contains PFAS is not readily available since no labeling requirement exists currently. More info on PFAS can be found at: CDC: https://www.cdc.gov/biomonitoring/PFAS_FactSheet.html; EPA: https://www.epa.gov/pfas; and MDE: https://mde.maryland.gov/programs/Water/water_supply/Pages/PFAS_Home.aspx   


  • PFAS compounds are very resistant to breakdown and therefore persist in the environment, giving rise to the term “forever” chemicals.
  • Studies have shown that over 95% of people in the US have measurable amounts of PFAS in their bodies, with certain PFAS compounds remaining in the body for 4-8 years.
  • Health risks include increased risk of cancer, increased cholesterol, hormonal changes and decreased fertility, thyroid disruption and low birth weight.

Walktober Comes to Maryland

Despite the recent weather, October is the perfect time to get outside and celebrate Maryland’s official state exercise — walking! Officially, yesterday was Walk Maryland Day with events planned across the state, but all month offers opportunities to get outside and enjoy the fall.

Walking offers many health benefits, and among them getting out in nature can improve your mental health. According to the American Psychological Association, spending time outdoors can lead to improved attention, lowered stress, better moods, and even increased empathy and cooperation.

Maryland offers ample places to get out and spend time in nature, from state parks to local trails, and we’ve collected a list of localities where everyone can work on improving their physical, mental and emotional health, just by taking a walk amongst the trees.

To find the list of walking trails by county, go to https://extension.umd.edu/resource/walktober and click on “County Walking Opportunities.” Also find more information about Walktober, how you can become a walk leader, or join in next year’s celebration.