Saloni Profile picture
Aug 22 20 tweets 6 min read Read on X
I read this recent 'microplastics in the brain' article and I have a lot of questions. 🧵
First, the reporting of this study...

The Guardian article says it's "a pre-print paper still undergoing peer review that is posted online by the National Institutes of Health"

Note the NIH has many disclaimers on their site explaining they don't endorse the content of articles
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(For context, the NIH's PubMed provides public access to studies, republishing them from journals where they were originally published.

In this case, the preprint was originally published on Research Square, and is under review at the journal Nature Portfolio. Not by NIH.)
The Guardian article says the researchers looked at brain samples from people with & without dementia including Alzheimer's.

But this isn't mentioned anywhere in the paper
Or in other papers by the same author. Where's this claim from?
(ht @literalbanana) ncbi.nlm.nih.gov/pmc/articles/P…
The pre-print brain study led by Campen also hinted at a concerning link. In the study, researchers looked at 12 brain samples from people who had died with dementia, including Alzheimer’s disease. These brains contained up to 10 times more plastic by weight than healthy samples.
The article has this quote: "You can draw a line - it's increasing over time."

When I read this, I thought the study found consistently rising concentrations over the years between 2016 and 2024.

But in fact, there were samples from only two years: 2016 and 2024. Image
The samples come from the Office of the Medical Investigator (OMI) in New Mexico, which conducts statewide autopsies of any sudden deaths each year.

But the study doesn't give any detail about why samples only came from two specific years.
This is not just a matter of transparency, but having data from more years helps understand whether this was an actual trend, rather than a discrepancy or fluctuation.
One more: the Guardian article originally comes from this article in The New Lede.

It has some alarming quotes which didn't make it into the Guardian piece. thenewlede.org/2024/08/its-sc…
Given the research findings, “it is now imperative to declare a global emergency” to deal with plastic pollution, said Sedat Gündoğdu, who studies microplastics at Cukurova University in Turkey. 
Note, in the study, there were a total of 27 samples from 2016 and 24 samples from 2024.

That's seems fine for a preliminary study. But I question how much we can learn from these specific samples about microplastics concentrations across New Mexico, let alone at a global scale.
Let's actually look at the study though.

To recap, the study is a preprint where 27 samples from 2016 and 24 samples from 2024 were obtained from the statewide autopsy department and analysed for concentrations of microplastics in different organs.
As I understand it, a major challenge with microplastics studies is properly accounting for potential contamination while handling or analysing samples.

Indeed, the study mentions some reasons the authors believe their results aren't due to contamination. The present data are derived from novel analytical chemistry methods that have yet to be widely adopted and refined. Several quality control steps ensure that external contaminants are not incorporated into the sample calculations, including KOH blank samples and measurement of the polymer composition of all plastic tubes and pipette tips that are essential in the digestion and measurement process. Notably, given the consistent nature of handling and processing across varying organ samples (i.e., brain, liver, kidney), the dramatic, selective accumulation of MNPs in the brain cannot be dism...
For example, they say in the Limitations that they had KOH blank samples and measured the polymer composition of all plastic tubes and pipette tips, which are essential in the digestion and measurement process.
But these aren't mentioned anywhere else in the study or supplement. No KOH blanks, pipette tips, tubes.

What were the results of these quality assurance steps?
How about potential contamination at other steps before the researchers obtained the samples from the autopsy department — including the fixation and storage of the samples?
The graphs in the results sections also have some oddities that aren't clarified in the paper.

For example, the concentrations in brain samples in 2024 have much less variation than the other data. I think this is implausible, but the authors don't comment on it. Image
Maybe these questions will be answered during the review process at Nature Portfolio, but maybe they won't — either way, the reporting of this preprint is very poor.
In my view, science journalists should ask questions to researchers and peers about the methods of studies, and tell us what they said.

Tell us what was done and why. We shouldn't only hear impressions of the headline results.
Sorry, I made a mistake here - this quote was also in the Guardian piece
It would also be good to hear from others e.g. chemists and forensics/autopsy researchers, on whether they think the specific methods were appropriate, aside from the points I made.

For example, I did not know this:

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More from @salonium

May 15
@drStuartGilmour Hi! Thanks for the comments with this. I think there's a lot of confusion here, let me try to clarify each point further.
@drStuartGilmour As I describe in the article, checkboxes don’t directly feed into vital stats in other countries. Italy has enhanced surveillance to investigate potential maternal deaths; it shows their vital stats also underreport maternal deaths

epicentro.iss.it/en/itoss/mater…
@drStuartGilmour These are slightly different statistics:

Left shows maternal deaths per 100,000 women, for which there’s global comparable data in the WHO mortality database). Right shows maternal deaths per 100,000 live births.
Read 6 tweets
Mar 17
What do people die from at different ages?

I hadn’t seen a satisfying chart that showed causes of death in different age groups all at once, so I just made it myself.

Turns out, in the US, “external causes” are a majority of deaths until ~age 40
scientificdiscovery.dev/p/20-so-many-g…
Image
In childhood, the most common cause of death are ‘external causes’.

This is a broad category (in red) that includes accidents, falls, violence & overdoses.

Also a notable contribution from birth disorders (muted green), childhood cancers (blue) & respiratory diseases (cyan).
The share of deaths from childhood cancers stood out to me.

We’ve seen lots of progress against childhood cancers over the last 50 years — e.g. treating leukemia, brain cancers, kidney cancers, lymphomas & retinoblastoma — but this is a reminder that there’s still further to go
Read 28 tweets
Feb 24
Looking for a movie to watch this weekend?

I watched around 250 films from the “classic Hollywood era” of the 1930s-50s, while I was at university.

Screwball comedies, film noir, lots of great films still fun to watch today. Here are my favourites with one-line synopses. 🧵
First, the comedies:
The Thin Man (1934):

A witty couple solves mysteries with their dog.

(This is the first of six films in The Thin Man series, which are all great) Image
Read 33 tweets
Dec 15, 2023
You probably knew that lung cancer death rates rose and fell greatly over the 20th century.

But did you know this also affected cardiovascular diseases?

Since the 1950s, crude cardiovascular death rates have declined by almost half, in the US
Image
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If you look at age-standardized death rates, i.e. people of the same age, you'll see the decline is even larger:

a reduction of almost 75% since the 1950s: Image
Smoking not only raised the risks of cancers, but also the risks of cardiovascular diseases, such as strokes and ischemic heart disease: Image
Read 6 tweets
Nov 29, 2023
Women live longer than men.

On average, the gap in life expectancy is 5 years globally.

But this gap isn't a constant — it varies widely around the world and has changed over time. How and why?

New article by me!
ourworldindata.org/why-do-women-l…

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The sex gap in life expectancy begins at birth:

Newborn boys tend to have higher death rates than newborn girls, as they’re more vulnerable to diseases and genetic disorders.

In 2021, all countries were above the diagonal, showing that infant male death rates were higher. Image
The gap in life expectancy continues in youth, when boys have a higher death rate than girls, typically due to violence and accidents. Image
Read 13 tweets
Oct 27, 2023
This is a great scientific achievement.

But I also see it as an economic & political blunder — the world could have had a malaria vaccine sooner. We should learn from this, not just celebrate & move on. That's what this 9000 word essay is about.
worksinprogress.co/issue/why-we-d…
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The malaria vaccine was trialled for the first time in humans in 1997.

It was approved in 2021.

Each step of the journey faced struggles in funding and operations, to set up & run each next stage of trials.
In 2015, after the vaccine went through all prelicensure stages of clinical trials, the WHO asked for pilot projects to rule out potential side effects, that were based on post-hoc analyses of the trial data.

It then took another 4 years just to *start the pilot project.*
Read 7 tweets

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