Friday, July 25, 2025

Central American countries most affected by plastic bottle pollution




The first regional study to track plastic bottles (and caps) on beaches and coastal cities in 10 Latin American countries




University of Barcelona

Central American countries most affected by plastic bottle pollution 

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Bottles found on a beach on Gorgona Island, Colombia.

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Credit: Photo: Ostin Garcés





Most of the plastic bottles and caps that pollute the Pacific coasts of Latin American countries are of local origin, and are mainly produced by the multinational companies The Coca-Cola Company, Aje Group and PepsiCo. The countries most affected by these pollutants are those in Central America, probably due to high consumption of beverages in plastic containers, poor waste management and transport by ocean currents. On the island coasts, bottles of Asian origin are more abundant, probably dumped from ships and transported by currents.

These are some revealing findings of the first regional study to track plastic bottles (and caps) on beaches and coastal cities in 10 Latin American countries. Along more than 12,000 kilometres of Pacific coastline from Mexico to Chile — including islands such as Rapa Nui (Easter Island), the Galápagos and Robinson Crusoe — the study sampled a total of 92 mainland beaches, 15 island beaches and 38 human settlements.

The paper, published in the Journal of Cleaner Production, involves researchers Miquel Canals and Ostin Garcés-Ordóñez, from the Consolidated Research Group in Marine Geosciences of the Faculty of Earth Sciences of the University of Barcelona, who are also director and member, respectively, of the UB Chair on Sustainable Blue Economy, sponsored by the environmental consultancy Tecnoambiente.

The study, which covered Mexico, Guatemala, El Salvador, Nicaragua, Costa Rica, Panama, Colombia, Ecuador, Peru and Chile, relied heavily on citizen science, thanks to the involvement and collaboration of 1,000 volunteers and 200 local leaders from 74 social organizations.

Faced with the problem of plastic pollution, the study warns of the urgent need to strengthen local waste management and to implement regional actions to reduce the environmental impact of these products. Given that the most consumed products are single-serve and single-use bottles, it is recommended that the production of returnable and reusable packaging be encouraged by the companies that produce them.

Bottles carrying information

Plastic pollution is a problem that affects the entire planet. On the coasts, plastic bottles and caps are a major component of accumulated litter and it is therefore essential to identify where they come from in order to improve the management of this type of waste and prevent its environmental impacts.

Between 2023 and 2024, citizens and other participants collaborated with scientists to collect samples of plastic beverage containers and their caps as part of the most ambitious study to date on Latin America’s Pacific coast to determine the abundance, source and characteristics of these pollutants.

“In addition to the great value of citizen science, a particularly remarkable element of the work carried out is the intelligent use of the information contained in the bottles and their caps (labels, engravings) to obtain key information about the manufacturer, and the date and place of manufacture, among others,” says Miquel Canals, professor at the Department of Earth and Ocean Dynamics. “This allowed us to identify the sources of this contamination and the route taken by individual items until they reach the beach or town where they were collected.”

Soft drinks, energy drinks and water containers were the most common, reflecting regional trends in beverage consumption. Most of the bottles were single-serve bottles, which contributes to inadequate waste management and increased environmental impact. Single bottles, with and without caps, predominated in urban areas and on mainland beaches (54.9%), while bottles with caps were more common (73.4%) on island beaches.

 

Fifty-three percent of the beverage bottles and caps collected had visible dates, while 59% of the items with identifiable origin were from Latin American Pacific countries themselves. A total of 356 brands belonging to 253 companies were identified, the most frequent being The Coca-Cola Company, Aje Group and PepsiCo.

The oldest objects were a Powerade® bottle from 2001, collected on a mainland beach in Peru, and a Coca-Cola® bottle from 2002, found on a Chilean island.

In general, the predominant bottles were less than one year old, while the highest percentages of older bottles were found on island beaches in Chile and Ecuador, as well as on mainland beaches in Mexico, El Salvador and Costa Rica.

“These findings point to a spatial pattern in the age of the items: the most recent ones predominate in human settlements, while the oldest ones are found on beaches, especially on the beaches of oceanic islands,” says researcher Ostin Garcés-Ordóñez, lead author of the study and member of the UB’s Consolidated Research Group in Marine Geosciences and the University of La Guajira (Colombia).

Bottles of local origin, but also Asian, European and North American

Regarding the origin of the bottles, the majority of those analysed with an identifiable origin (59.2%) came from Pacific countries of Latin America. Smaller proportions came from Asia (1.8%), North America (0.3%) and Europe (0.04%). In 38.7% of cases, the origin could not be identified.

“On the mainland beaches of Mexico, Guatemala and the southern countries — Colombia, Ecuador, Peru and Chile — most of the bottles came from the same country. In contrast, in the Central American countries — El Salvador, Nicaragua, Costa Rica and Panama — the percentages of locally sourced items were significantly lower, with those of external origin predominating,” the authors note.

On the island beaches, 42.4% of the bottles came from Latin American countries, but also had the highest percentage of items of Asian origin, and smaller proportions of European and North American origin. Panama showed the greatest diversity of origins, with items from at least six Latin American, Asian and North American countries. The island beaches of Rapa Nui and the Galápagos had very low percentages of locally sourced bottles and high proportions of products from Asia.

“The distribution of bottle origins is not random, but geographically structured, with a predominance of specific countries of origin in specific environments and sub-regions, and also in specific countries, of course,” the authors say. “This trend would reflect the consumption habits, waste management practices (where they exist) and oceanographic transport processes that influence the distribution of these plastic pollutants.”

“The study also identified the presence of epibionts — organisms that live on other living things or surfaces, such as those on plastic bottles and caps, and which are indicators of the exposure and residence times of objects in the marine environment — in 8.8% of the bottles found on beaches on average, a proportion that was higher on mainland beaches in Central American countries. This pattern reinforces the idea of plastic bottles and caps arriving at these sites via marine currents.

Towards greater individual, social and corporate responsibility

Raising public awareness about respect for the environment, promoting the use of reusable packaging and strengthening the corporate social responsibility of producers — together with international actions such as the UN Global Plastic Treaty — are essential strategies to reduce plastic pollution and protect coastal ecosystems. These actions could be replicated in other regions of the world to minimise the human footprint on natural environments and improve the healthiness of urban environments.

“In the future, we want to analyse the impact of seasonal climatic variations, river inputs and tourist activity on the dynamics of plastic bottle and cap pollution on coasts and in coastal cities. Oceanographic modelling could also be integrated to track the transport trajectories of plastic litter in the ocean and thus identify distant sources of pollution,” conclude Miquel Canals and Ostin Garcés-Ordóñez.
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Bottle collection in El Salvador. 

Sorting bottles in Costa Rica.

Credit

Photo: Mauricio Ergas


Bottles and caps collected on the beach in Puntarenas, Costa Rica. 

Credit

Photo: Científicos de la Basura

ZOONOSIS

Bird-to-human jump by trichomonas parasites illuminated in new study



Genomic analysis creates datasets for future research on one of the world’s most common STIs



Johns Hopkins Bloomberg School of Public Health




A new study led by researchers at the Johns Hopkins Bloomberg School of Public Health reveals how genetic changes in the parasite responsible for one of the world’s most common sexually transmitted infections may have helped it adapt to human hosts. 

The parasite Trichomonas vaginalis is thought to be the result of adaptation to human hosts by Trichomonas parasites that lived in birds sometime in the past several thousand years. Previously, little was known about how the parasite made the jump from birds to humans.  

For their study, the researchers performed what is thought to be the most extensive genomic comparison of T. vaginalis and other Trichomonas species to date and identified T. vaginalis genes that were likely involved in the switch. 

The findings offer a robust dataset for further study, and help researchers start thinking about vulnerabilities in the parasite that future treatments might exploit. The drug metronidazole is currently the first-line treatment for trich infections, but some strains of the parasite are resistant to it. No vaccine is available.

The results were published online July 24 in Nature Communications.

“There is a strong interest these days in learning how microorganisms jump successfully from birds to humans, and these findings shed light on genes and biological mechanisms that are important for that adaptation in parasites like T. vaginalis,” says study senior author Jane Carlton, PhD, Bloomberg Distinguished Professor at the Bloomberg School.

T. vaginalis infection, also called trichomoniasis or “trich,” affects hundreds of millions of people around the world. In the U.S., trich is considered one of the most prevalent non-viral sexually transmitted infections. Although many trich infections go unnoticed, they can cause itching, discharge, and inflammation in the vagina and urethra. 

Trich infection can also enhance the transmission of other pathogens including HIV. Studies have linked trich infections to higher risks of infertility, prostate cancer, cervical cancer, and adverse pregnancy outcomes including low-weight babies.

Research suggests that Trichomonas parasites originated in Australasia and may have begun jumping from pigeons and doves to humans after the human colonization of the Americas. In the past two decades, researchers have found that T. vaginalis is closely related to a different species, Trichomonas stableri, that infects the GI tract of pigeons and doves.

“Traditionally, humans and birds have bathed in the same places, so that may have been one route of transmission,” Carlton says. “Also, some of our human ancestors used bird gullets as condoms, which may have offered a more direct route.”

In the new study, Carlton and her team sequenced the full genomes of seven different Trichomonas parasite species. These included T. vaginalis; T. tenax, which can colonize the human mouth; and pigeon-infecting T. stableri.

The researchers’ analysis revealed dozens of T. vaginalis genes that appear to be changing over time in ways that suggest adaptation to the human host. Carlton and her colleagues note that these genes have been associated in prior studies with several key parasite functions: “phagocytosis,” in which the parasite essentially eats cells in its host, in part to gain nutrients, and “exosomes”—tiny capsules, secreted by T. vaginalis, that are filled with various molecules capable of affecting surrounding tissues. Some of these genes were already considered “virulence factors” that help T. vaginalis establish infection or cause disease. 

The researchers also examined segments in Trichomonas genomes known as transposable elements that often move to a new genomic position or create copies of themselves at new positions. Trichomonas species have relatively large numbers of these “jumping genes,” and T. vaginalis has by far the most—they make up about half of its genome length.

The scientists’ analysis suggests that the expansion of these mobile elements in human-infecting Trichomonasspecies likely reflects an increase in genetic drift—causing a relaxation of evolutionary selection pressures—in the new human host environment.

“Studying how these elements move, what they disrupt, and how T. vaginalis clamps down on them should be broadly useful for understanding their biology,” says Carlton, who also directs the Johns Hopkins Malaria Research Institute at the Bloomberg School. “We also need to find chinks in the parasite’s armor so we can develop better ways of treating trich—though I don’t think we'll ever manage to eliminate it completely, as long as people are having sex.” 

Comparative Genomics of the Parasite Trichomonas vaginalis Reveals Genes Involved in Spillover from Birds to Humans” was written by Steven A. Sullivan, Jordan C. Orosco, Francisco Callejas-Hernández, Frances Blow, Hayan Lee, T. Rhyker Ranallo-Benavidez, Andrew Peters, Shane R. Raidal, Yvette A. Girard, Christine K. Johnson, Krysta H. Rogers, Richard Gerhold, Hayley Mangelson, Ivan Liachko, Harsh Srivastava, Chris Chandler, Daniel Berenberg, Richard A. Bonneau, Po-Jung Huang, Yuan-Ming Yeh, Chi-Ching Lee, Hsuan Liu, Ting-Wen Chen, Petrus Tang, Cheng-Hsun Chiu, Michael C. Schatz, and Jane M. Carlton.

The study was supported by the National Institute of Allergy and Infectious Diseases of the National Institutes of Health (R21AI149449 and U24AI183870); the NYU IT High Performance Computing (resources, services, and staff expertise); Chang Gung Memorial Hospital (CMRPD1M0571-2) and the National Science and Technology Council, Taiwan (NSTC–110–2320B–182–016–MY3) Taiwan; and the Australian Government Wildlife Exotic Disease Preparedness Program.

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Reliance on administrative billing codes to track medical conditions can lead to high diagnostic error rates



Relying on billing codes may misclassify up to two-thirds of cases



University of California - Los Angeles Health Sciences





Use of billing codes in big data sets to find diagnoses can result in up to two-thirds of cases being mistakenly identified, new UCLA-led research finds.

Databases frequently used for medical research such as those for the Centers for Medicare & Medicaid Services or the National Inpatient Survey typically rely on ambulatory billing codes to identify diseases or medical procedures, but their accuracy is rarely verified in publications that rely on this data, the researchers write in a report published in the peer-reviewed journal British Journal of Surgery.

Though the findings in this paper focused on hernia diagnoses, reliance on billing codes in research reports can lead to similar discrepancies with other diseases or conditions, said Dr. Edward Livingston, health sciences professor of surgery at the David Geffen School of Medicine at UCLA and the research letter’s senior author.

“Researchers often assume that if a code appears for a certain diagnosis in one of these big data sets that the disease truly is present,” Livingston said. “Our research demonstrates that is not the case in many instances. Research relying on these codes to identify diseases may lead to false conclusions because of this problem.”

The researchers examined records for 1.36 million patients, of whom 41,700 were diagnosed with hernias based on the coding—12,800 (45%) with diaphragmatic hernias, 7000 (24%) with ventral hernias, and 8,800 (31%) with inguinal hernias.

But the researchers had corresponding images for 28,600 of code-based diagnosed patients. Of those, the images verified that 10,234 (36%) actually had hernias; 4,325 (34%) diaphragmatic hernias, 3,069 (44%) were ventral hernias, and 2,840 (32%) were inguinal hernias.

The researchers suspect that the discrepancy stems from physicians basing their coding on the clinical problem for which they initially examined the patient and not on what they ultimately found. For instance, a patient visit for a possible hernia will be coded as a hernia in the record and remains that way even if that initial diagnosis is ruled out during subsequent examination.

“These findings highlight a fundamental weakness in using administrative data for disease identification,” the researchers write. “Encounter coding occurs because a diagnosis is considered, and not necessarily proven. We found that reliance on billing codes for hernia identification could result in 2/3 of cases being erroneously identified. This issue extends beyond hernia, highlighting a serious limitation in using administrative data for clinical research. Validation of coding accuracy against actual disease presence is essential before assuming diagnosis validity.”

Hila Zilicha, Dr. Douglas Bell, and Dr. Yijun Chen co-authored the paper.

The UCLA Department of Surgery Research Funds and the National Center for Advancing Translational Science (NCATS) of the National Institutes of Health under the UCLA Clinical and Translational Science Institute (UL1TR001881) funded the research.

 

Most hospital visits of impaired, terminal nursing home residents are avoidable



Florida Atlantic University
Hospital Transfers of Nursing Home Residents 

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Up to 80% of emergency department visits and more than one-third of hospitalizations in severely impaired and terminally ill nursing home residents were potentially avoidable.

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Credit: Alex Dolce, Florida Atlantic University





Hospitalizations and emergency department (ED) visits can be distressing and costly for nursing home residents – especially those who are severely impaired or terminally ill. Despite their vulnerability, these individuals are frequently transferred to hospitals, even though up to 40% of such transfers over the past 25 years are considered potentially avoidable by health care professionals.

These unnecessary transfers not only cause distress and discomfort for residents and families but also lead to hospital-acquired complications and added costs for the health care system. In the United States, hospital transfers from nursing homes significantly contribute to health care costs, particularly for Medicare, with an estimated $14.3 billion annually. 

Most studies of hospitalizations and ED visits among severely impaired and terminally ill nursing home residents have not examined diagnoses associated with hospitalizations and potentially avoidable hospitalizations in any detail, nor have they separated severely impaired from terminally ill residents.

In one of the largest studies of its kind, researchers from Florida Atlantic University’s Schmidt College of Medicine and Christine E. Lynn College of Nursing, and collaborators, conducted a secondary analysis of data from 264 nursing homes across the U.S. to dive deeper into this issue.

Using information from a randomized trial of the Interventions to Reduce Acute Care Transfers (INTERACT) program, the study identifies the specific medical conditions most frequently linked to hospitalizations, ED visits and those considered potentially avoidable among severely impaired and terminally ill nursing home residents.

Results of the study, published in the Journal of the American Medical Directors Association, reveal that among more than 6,000 severely impaired nursing home residents, one in three experienced a hospitalization – more than one third of which were potentially avoidable. Nearly 20% visited the ED without being admitted, and 70% of those visits were deemed preventable.

Among more than 5,800 terminally ill residents, hospitalizations and ED visits were less common but even more likely to be unnecessary. Notably, 80% of ED visits in this group could potentially have been avoided.

In the severely impaired group, feeding tube complications were the most common reason for these visits, often due to blockages, dislodgement or infections. Transfers related to trauma – largely from falls, including head trauma and fractures – were common among terminally ill residents. And in many cases, deemed preventable. 

The study also revealed that certain diagnoses were frequently associated with potentially avoidable hospitalizations. Among severely impaired residents, urinary tract infections (UTIs), seizures, and low blood pressure (hypotension) were the most common causes of hospital stays that could have been prevented with timely and appropriate care. UTIs, in particular, are widely known to be over-diagnosed and over-treated in nursing home settings, despite clear clinical guidelines recommending treatment only when specific findings are present.

For terminally ill residents, pneumonia, UTIs, acute kidney failure, and heart failure were most often linked to avoidable hospitalizations. Other common diagnoses across both groups included infections, breathing difficulties, and altered mental status.

“The specific diagnoses we identified such as UTIs, pneumonia, and sepsis aren’t surprising, but they highlight some clear, actionable opportunities to improve care,” said Joseph G. Ouslander, M.D., senior author and professor of geriatric medicine, Schmidt College of Medicine. “These are conditions we know how to manage better in nursing homes, using existing guidelines, care paths and preventive strategies. With the right tools and staffing, many of these hospital transfers could be avoided, reducing both resident suffering and unnecessary health care costs.”

While the definition of “potentially avoidable” varies, the findings align with previous studies and underscore the urgent need for proactive care strategies. Many of these hospitalizations could be prevented through clearer care protocols, timely symptom management, and, critically, regular advance care planning.

The researchers say ensuring that residents have documented care preferences and that families understand their options can help avoid crisis-driven decisions and reduce needless transfers. However, barriers such as reluctance to enroll in hospice and financial constraints still pose challenges. Addressing these issues could improve quality of life for residents and free up hundreds of millions in health care spending for reinvestment in other aspects of care.

“To reduce potentially avoidable hospital transfers, we need to strengthen the capabilities of nursing home staff and ensure active involvement from skilled medical directors and clinicians,” said Ouslander. “This isn’t just about individual effort – it requires support from nursing homes, provider organizations and policymakers. We need bold changes, like pragmatic national staffing standards, better-resourced facilities for complex care, and payment models that truly support high-quality, person-centered care for the most vulnerable residents.”

Study co-authors are Gabriella Engstrom, Ph.D., corresponding author and a research assistant professor of emergency medicine; Zhiyou Yang, a data analyst at Massachusetts General Hospital; Bernardo Reyes, M.D., program director, internal medicine, HCA Florida Aventura Hospital; Ruth Tappen, Ed.D., professor and Christine E. Lynn Eminent Scholar, FAU Christine E. Lynn College of Nursing; and Peter J. Huckfeldt, Ph.D., Vernon E. Weckwerth Professor in Healthcare Administration Leadership, Division of Health Policy & Management, University of Minnesota. 

This work was supported by the National Institutes of Health/National Institute for Q5 Nursing Research. 

The study analyzed data from the federally mandated Minimum Data Set (MDS 3.0), which includes assessments of nearly all residents in Medicare- or Medicaid-certified U.S. nursing homes. Researchers focused on a specific subset of nursing home residents with defined clinical and functional impairments, allowing for a more detailed examination of outcomes in this high-risk group. While the findings offer important insights into this vulnerable population, they are most applicable to residents with similar characteristics.

- FAU -

About the Charles E. Schmidt College of Medicine:

Florida Atlantic University’s Charles E. Schmidt College of Medicine is one of approximately 159 accredited medical schools in the U.S. The college was launched in 2010, when the Florida Board of Governors made a landmark decision authorizing FAU to award the M.D. degree. After receiving approval from the Florida legislature and the governor, it became the 134th allopathic medical school in North America. With more than 170 full and part-time faculty and more than 1,300 affiliate faculty, the college matriculates 80 medical students each year and has been nationally recognized for its innovative curriculum. The college offers M.S. (thesis and non-thesis) and Ph.D. programs in biomedical science, along with a certificate in genomics and precision medicine. Taught by top researchers, the curriculum combines cutting-edge coursework with hands-on learning, preparing graduates for careers in medicine, research, industry, and academia. To further Florida Atlantic’s commitment to increase much needed medical residency positions in Palm Beach County and to ensure that the region will continue to have an adequate and well-trained physician workforce, the FAU Charles E. Schmidt College of Medicine Consortium for Graduate Medical Education (GME) was formed in fall 2011 with five leading hospitals in Palm Beach County. The consortium currently has five Accreditation Council for Graduate Medical Education (ACGME) accredited residencies including internal medicine, surgery, emergency medicine, psychiatry, and neurology, and five fellowships in cardiology, hospice and palliative care, geriatrics, vascular surgery, and pulmonary disease and critical care medicine. The college also manages the Florida Atlantic University Medical Group, offering comprehensive primary care, and the Marcus Institute of Integrative Health specializes in integrative pain management, precision therapies, and mental health. A 2023 partnership with Broward Health expands academic medicine, clinical training, and research opportunities.

 

About Florida Atlantic University:
Florida Atlantic University, established in 1961, officially opened its doors in 1964 as the fifth public university in Florida. Today, Florida Atlantic serves more than 30,000 undergraduate and graduate students across six campuses located along the Southeast Florida coast. In recent years, the University has doubled its research expenditures and outpaced its peers in student achievement rates. Through the coexistence of access and excellence, Florida Atlantic embodies an innovative model where traditional achievement gaps vanish. Florida Atlantic is designated as a Hispanic-serving institution, ranked as a top public university by U.S. News & World Report, and holds the designation of “R1: Very High Research Spending and Doctorate Production” by the Carnegie Classification of Institutions of Higher Education. Florida Atlantic shares this status with less than 5% of the nearly 4,000 universities in the United States. For more information, visit www.fau.edu.