Recent research from Mount Sinai has uncovered concerning evidence that fetuses may be exposed to significantly higher levels of PFAS—commonly referred to as “forever chemicals”—than previously understood. This groundbreaking study analysed umbilical cord blood samples and found an alarming 42 distinct PFAS compounds, far exceeding the number typically detected in standard tests.
Extensive Research Uncovers Hidden Risks
Traditionally, testing of umbilical cord blood has focused on a limited selection of PFAS, including well-known compounds like PFOA and PFOS. However, the latest findings from Mount Sinai’s research challenge this narrow approach. By employing a more comprehensive “non-targeted analysis” method on 120 umbilical cord samples, researchers were able to identify a total of 42 PFAS compounds. This revelation indicates that newborns are likely exposed to a wider array of these hazardous chemicals than previously acknowledged.
Co-author Shelley Liu, an associate professor at the Icahn School of Medicine, emphasised the importance of these findings. “Babies are exposed to many more PFAS than we previously thought,” Liu stated. “It is crucial to understand the implications during such a vulnerable period of development.”
Understanding PFAS and Their Health Implications
PFAS, a group of roughly 15,000 synthetic chemicals, are widely used to produce water-, grease-, and stain-resistant products. Their persistence in the environment has led to serious health concerns, including links to cancer, birth defects, and various chronic diseases. The term “forever chemicals” stems from their resistance to natural breakdown, which raises significant alarm regarding their accumulation in the human body and environment.

A comprehensive review of existing research found PFAS in 30,000 umbilical cord blood samples across 40 studies, suggesting that the exposure is not an isolated issue. Higher levels of PFAS in pregnant mothers have been correlated with increased infant mortality rates, low birth weight, and long-term health complications such as obesity and neurological disorders in children.
The legacy compounds, like PFOA and PFOS, were prevalent until recently but have been largely phased out. In their place, new generations of PFAS have been introduced, which chemical manufacturers claim are less toxic—though these claims often lack substantial evidence.
Regulatory Challenges and Future Analysis
Current regulatory practices have struggled to keep pace with the evolving landscape of PFAS. The US Environmental Protection Agency (EPA), for example, typically only tests for 30 to 40 compounds in water samples, leaving a significant gap in the detection of thousands of additional PFAS that have been identified by independent researchers. A 2022 analysis by The Guardian highlighted the frequent underreporting of PFAS levels, raising questions about the effectiveness of existing monitoring methods.
The Mount Sinai study underscores the necessity of broadening the scope of PFAS testing. Liu noted that their thorough analysis revealed 31 compounds absent from the EPA’s certified blood tests, further illustrating the inadequacy of current regulatory measures. Although the EPA has recently expanded its testing capabilities to include 53 compounds, this still falls short of capturing the full extent of PFAS contamination.
Implications for Public Health
While the Mount Sinai study did not directly investigate the health impacts of elevated PFAS levels in fetuses, the correlation between high PFAS exposure and adverse health outcomes is clear. David Andrews, acting chief science officer at the Environmental Working Group, stressed the urgent need for robust health-protective regulations. “This paper serves as a stark reminder of how lax oversight can lead to babies being born pre-polluted with harmful chemicals like PFAS,” he stated.

The blood samples studied were part of the federal government’s Home study, which monitors PFAS exposure and health outcomes over time. The authors from Mount Sinai plan to further investigate the potential health implications of their findings, aiming to shed light on the risks associated with these widespread pollutants.
Why it Matters
The findings of this study have profound implications for public health, particularly for pregnant women and their unborn children. As the evidence mounts regarding the dangers of PFAS exposure, it becomes increasingly clear that regulatory frameworks must adapt to address this pressing issue. Without immediate action to improve testing methods and enforce stricter regulations, future generations may face significant health risks from these pervasive chemicals. The revelation that fetuses are exposed to a broader spectrum of PFAS compounds than previously recognised calls for urgent public awareness and policy reform to safeguard the health of the most vulnerable members of society.