Recent research has uncovered a disturbing reality: fetuses may be exposed to significantly higher levels of ‘forever chemicals’—known scientifically as per- and polyfluoroalkyl substances (PFAS)—than previously recognised. A study conducted by Mount Sinai has detected 42 different PFAS compounds in umbilical cord blood samples, raising urgent questions about the implications for infant health.
Unprecedented Findings in Fetal Exposure
Traditionally, testing for PFAS in umbilical cord blood has focused on a limited selection of compounds, primarily PFOA and PFOS. However, the Mount Sinai research, which analysed 120 samples, employed a non-targeted approach that examined a broader range of these harmful substances. The results indicate that the total PFAS levels in fetal blood are far greater than earlier estimates, suggesting that the scope of exposure is much larger than previously believed.
Study co-author Shelley Liu, an associate professor at the Icahn School of Medicine, emphasised the importance of these findings, noting, “It’s particularly important to understand because it is a very vulnerable period when fetuses are exposed.” The implications of these compounds on health during such a critical stage of development cannot be understated.
The Dangers of PFAS
PFAS, a group of approximately 15,000 synthetic chemicals, are known for their water-, stain-, and grease-resistant properties. These compounds have been associated with a host of serious health issues, including cancer, birth defects, and immune system dysfunction. Dubbed “forever chemicals” due to their persistence in the environment and the human body, PFAS do not break down naturally, leading to bioaccumulation over time.

A comprehensive review of 40 studies revealed PFAS in nearly all of the 30,000 umbilical cord blood samples examined, underscoring the widespread nature of this contamination. Elevated levels of these chemicals in mothers have been linked to increased infant mortality, low birth weight, and a higher likelihood of obesity in later life. Furthermore, fetal exposure to PFAS has been correlated with a range of long-term health problems, including cancer and neurological disorders.
Regulatory Oversight Falling Short
The issue of PFAS detection is compounded by regulatory shortcomings. The US Environmental Protection Agency (EPA) has been slow to adapt its testing methods, typically screening for only 30 to 40 PFAS compounds in water samples, while independent researchers have identified thousands. The new Mount Sinai study underscores the inadequacies of current testing protocols, revealing 31 PFAS compounds that the EPA’s recent certification does not include.
As Liu pointed out, the expanded testing provides a clearer picture of the PFAS landscape. While the EPA’s recent update to include 53 chemicals is a step forward, it still lags behind the reality of chemical exposure.
Health Implications and Future Research
Although the Mount Sinai study did not specifically examine the health implications of the increased PFAS levels, the correlation between higher blood concentrations and health risks is well-documented. The blood samples analysed were part of the federal government’s Home Study, which tracks PFAS exposure and associated health outcomes over time. Researchers at Mount Sinai plan to investigate the potential health effects of these findings.

David Andrews, acting chief science officer at the Environmental Working Group, commented on the study’s significance, stating, “This paper is a stark reminder of the importance of health-protective regulations and how lax oversight can result in babies being born pre-polluted with harmful chemicals such as PFAS.”
Why it Matters
The findings from this study are not just a concerning statistic; they highlight a pressing public health crisis. With fetuses exposed to a cocktail of harmful chemicals, the long-term consequences could shape the health of future generations. This research calls for immediate action from regulatory bodies to enhance testing methods and establish stricter regulations. The health of our children—and the environment they inherit—depends on our ability to confront and mitigate these toxic exposures.