Health risk assessment of microplastics contamination in the daily diet of South Asian countries

South Asian countries face a major threat concerning microplastics (MPs) contamination in food. This study explores the existing evidence of MPs in major foods of South Asian countries and links with available health risk indices through meta-analysis. Overall range of MPs in treated water, bottled water, fish, milk, salt, wheat, rice, and sugar were 0.75-35.33 particles L, 0.07-500 particles L, 0.006-361.6 particles g, 11.1-295.5 particles L, 0.01-350 particles g, 4.57 particles g, 0.303 particles g and 0.343 particles g, respectively. Daily intake of MPs through food items was estimated with a range of 508-2280 particles person day depending on age group. Hazard score of MPs contaminated food indicates high to very high hazard scores in salt with an average PHI of 10,817.6 followed by fish (9012.9), milk (4900.4) and drinking water (3752.9) which are higher than the global values. High-risk polymers include Polyvinyl Chloride, Polyacrylamide, Styrene-Butadiene copolymer, Polyester, Polyurethane, and Polyamide. Average rate of microplastics ingestion ranged between 0.64 and 36.3 g person year with fish stand apex followed by bottled water, salt and milk. This study further investigates research gaps on MPs contamination in the foods of South Asian countries. Overall, the present study summarised the present level of MPs ingestion through different food sources in South Asian countries, highlighting the need for strong regulation to monitor level of MPs contamination in food.