Indications of Toxic PFAS “Forever Chemicals” Found in Toilet Paper — Report

Does your toilet paper contain indications of toxic PFAS “forever chemicals?” Mamavation was asked that question by our audience and the only way to find out was to send the most popular toilet paper products to the lab. So that is what we did in our latest consumer study on PFAS. You’ve trusted Mamavation to bring you topics like best green beauty makeup sans PFAS, best & worst cookware sans PFAS, & best water filters to capture PFAS, now join us for a consumer study on indications of PFAS and toilet paper. Scroll down to the bottom of this post to see the raw data from our EPA-certified laboratory.

Disclosure: This consumer study is released in partnership with Environmental Health News. Scientific reviews were performed by (1) Terrence Collins, Teresa Heinz Professor of Green Chemistry & Director of Institute for Green Sciences at Carnegie Mellon University, (2) Linda S. Birnbaum, Scientist Emeritus and Former Director of the National Institute of Environmental Health Sciences and National Toxicology Program, (3) Pete Myers, Chief Scientist at Environmental Health Sciences, Adjunct Professor of Chemistry at Carnegie Mellon University, and Co-Author of Our Stolen Future, & (4) Scott Belcher, Associate Professor with the Center for Environmental & Health Effects of PFAS at North Carolina State University. This post was medically reviewed by Sondra Strand, RN, BSN, PHN. Donations were provided by Environmental Health News and Mamavation community members. This post contains affiliate links. 

Mamavation Finds Indications of PFAS in Toilet Paper

PFAS “forever chemicals” are per- and polyfluoroalkyl substances used as stain-resistant, water-resistant, & oil-resistant chemicals in commerce. They have been used for decades inside consumer products, manufacturing, and building materials. There are over 12,000 different chemicals in the PFAS chemical class (including PFOA & PTFE), and because there are so many of them, they are incredibly hard to identify and test for. In fact, it’s only really possible to identify about 100 or so in a really good commercial laboratory.

The biggest problem with PFAS is their staying power–they do not leave the environment or our bodies for many many years, which is the reason they are dubbed “forever chemicals.”

Mamavation sent 17 toilet paper products to an EPA-certified laboratory to test for organic fluorine, which is a marker for PFAS “forever chemical” compounds. We included as many types of toilet paper we could such as bamboo, sugarcane, recycled, and conventional wood pulp. We purchased the products between October 2021 and June 2022 from Amazon.com, using Instacart, or in-store from retailers in Los Angeles.

Here are the main findings from Mamavation’s Toilet Paper PFAS Consumer Study:

• 24% of toilet paper tested at Mamavation’s EPA-certified lab had indications of PFAS “forever chemicals”, while 76% of toilet paper tested did not. In other words, 4 out of 17 products contained indications of PFAS “forever chemicals.”
• According to our lab, levels of organic fluorine, a marker for PFAS, were found between 10 parts per million (ppm) to 35 parts per million (ppm).
• 50% of the products with detectable levels of organic fluorine were bamboo products. In other words, 2 out of 4 detectable products were made from bamboo, one was made from conventional wood pulp, and one was made from recycled paper.

When PFAS is detected in personal care products, such as toilet paper, in the amounts we are seeing they are unlikely added on purpose but are more likely present due to manufacturing or packaging contamination of some kind in the supply chain. 

[updated to add on 10/22: We tested additional brands based on public demand. 6 additional toilet paper products tested bringing the total to 23. 22% of all toilet paper sent to the lab came back with indications of PFAS. Overall, 3/5 brands with detections were made of bamboo.]

Potential Health Impacts of Exposure to PFAS “Forever Chemicals” in Toilet Paper

PFAS “forever chemicals” are problematic to human health and the environment. They are considered ubiquitous, persistent, and toxic. Many can last for years in our bodies. Therefore, it’s imperative to reduce the amount of PFAS you are exposed to from food and water and personal care products such as toilet paper. No one knows the direct impact of using toilet paper with indications of PFAS, but that doesn’t mean there is no danger.

However, we do know what the health impacts are when exposure to PFAS through water and food and they are listed below:

• Reduction in immunity
• Reduced vaccination response
• Increased risk of allergies & asthma in young children
• Affected growth, learning, and behavior of infants and older children
• Increase cholesterol levels
• Metabolic diseases like obesity & diabetes
• Cardiovascular disease
• Lowered a woman’s chance of getting pregnant
• Lowered male fertility
• Smaller penis size
• Increased the risk of kidney & testicular cancers
• Causes endocrine disruption
• Disrupted normal thyroid function

Special Consideration: Toilet Paper Touches Our Most Intimate Parts

Thousands of chemicals are used to process commercial paper products like baby wipes, toilet paper, and paper towels. But most importantly, what we put next to our body, especially touching our vascular private parts, has the potential to have an impact on our health.

There isn’t a lot known about dermal exposure of PFAS “forever chemicals” to our intimate parts, but that doesn’t mean that there is no danger; it really just means we don’t know the extent of the danger. But we do have some clues from studies that were done on dermal exposure and that potential problem:

• One study found that dermal exposure to PFBA demonstrated effects on the liver and showed similar results to oral PFBA and PFOA exposure.
• One study looking at PFAS in infant car seats found that PFAS can migrate from fabric to sweat, suggesting a potential risk of dermal exposure.
• Another study found that dermal exposure is similar to oral exposure to PFOA and can be immunotoxic.

Linda S. Birnbaum, Scientist Emeritus and Former Director of the National Institute of Environmental Health Sciences and National Toxicology Program says “PFAS cause effects in males and females of animals and people in nearly every organ and at every life stage. Because toilet paper is created to rub up against such vascular parts of the body, it’s logical to be concerned with this exposure.”

Bleaching — More Potential Health & Environmental Risks

Toilet paper has also been suspected of chronic irritation of the vulva because of bleach. Dyes made from petroleum can also be used to change the color of the toilet paper. In a 2010 study, they found that toilet paper may be to blame for chronic irritation of the vulva because a carcinogen, formaldehyde, was found present to improve the strength of the toilet paper. That’s concerning for any toilet paper using that type of bleaching method.

The American Forest & Paper Association (AFPA) recognizes these ways of bleaching and as you can see there are benefits and drawbacks to most methods:

• Elemental Chlorine Bleaching: Elemental chlorine is used to bleach and soften toilet paper. This process can pollute the environment. Most products manufactured in North America do not use this process anymore, however paper products manufactured overseas are more likely to use this method.
• Elemental Chlorine Free (ECF): While they don’t use the harsh element chlorine, they do use a chlorine derivative like chlorine dioxide. This process is far less toxic than using elemental bleach to process.
• Process Chlorine Free (PCF): This process is typically used by recycled paper products that have not been re-bleached with chlorine-based compounds. Because it’s recycled with the PCF method, it’s impossible to know whether the virgin papers were bleached with elemental chlorine or chlorine dioxide.
• Totally Chlorine Free (TCF): No chlorine or chlorine compounds were used to bleach the pulp. Instead, they use oxygen-based agents or hydrogen peroxide. Unfortunately, TCF is primarily done in China, which is unregulated and sometimes uses poor and unsafe standards.
• Unbleached: Means it’s untreated and typically very rough to the touch.

Additional Toxic Additives That Don’t Belong In Toilet Paper

Toilet paper with scents or lotions and flushable wipes likely contain problematic ingredients that enter as ingredients or as part of the manufacturing process. We are unsure at this point if the use of PFAS is part of how these additional ingredients are used or manufactured themselves. But it’s clear that these types of products are not considered eco-friendly toilet papers or sustainable toilet papers.

• Polyethylene Glycol (PEGs): This was a problem with flushable wipes. Many of them contained a variety of PEG compounds.  Ethoxylated ingredients (like PEGs) on their own are of lower concern to humans, however, the process of ethoxylation can leave behind trace amounts of carcinogens: ethylene oxide and 1,4-dioxane.
• Undisclosed fragrances: Because there’s no way to know what components are in the fragrance, we have no way to know if the ingredients are harmful or can cause an allergic reaction. Synthetic musks and phthalates typically hide in hidden “fragrance” that is undisclosed. Phthalates are potent endocrine-disrupting chemicals linked to obesity, hyperactivity in children, and degraded sperm quality, among many other health problems.
• Paraffin wax: This is made from petroleum by-products.

Therefore, selecting toilet paper that does the least amount of harm to both our bodies and the environment is wise.

Bisphenol A (BPA) or Bisphenol S (BPS) Can Contaminate Recycled Toilet Paper

While recycled paper is, of course, the best option for the planet, there is one dirty little secret it is hiding–bisphenols like BPA and BPS. Bisphenols like BPA have been discovered as a hideaway inside recycled toilet paper according to a study published in the journal Environmental Science and Technology. Researchers found BPA levels in paper that were 100 to 1 million times higher than amounts detected in canned and packaged foods.

This is because thermal receipt paper and shipping labels, contaminated with bisphenols BPA & BPS, end up finding their way into recycled paper products like toilet paper. Bisphenols like BPA are endocrine disruptors and studies have linked them to reproductive problems, early puberty, low sperm count, obesity, and breast cancer.

(Luckily, thanks to Mamavation you no longer need to worry about bisphenols like BPA or BPS on the receipt paper at Target. A few years back, we petitioned Target to make their receipts safer and after gathering over 50,000 petition signatures and meeting with Target, they did so in 2020. Trader Joe’s, Best Buy, CVS, and other brands have followed suit, however not all brands have fixed their receipts so it’s still a big problem.)

Estimation of How Much Potential PFAS Exposure is Possible Through Toilet Paper

Every year the average American consumer uses 12.7 kg of toilet paper, according to statistics from 2018, and that toilet paper ends up in sewage every year. If all toilet paper had 10 ppm, the average person flushed in 2018 in the US 12.7 kg = 12,700 g = 12,700,000 mg. (12,700,000 mg paper 0.000001 mg PFAS/mg paper)/person = 12.7 mg PFAS/person)

The population in the US in December 2018 was 328,082,386 persons. Therefore, 2018 National Releases = 12.7 mg PFAS/person x 328,082,386 persons = 4166646302.2 mg = 4166 kg = 4.165 tonnes of PFAS released to environment.

So not knowing how much PFAS-contaminated toilet paper was used (only know 4 brands had between 10-35 ppm), let’s use the lower limit and examine what the amount would be if 10% of the tissue used in 2018 was PFAS contaminated at 10 ppm and all toilet paper went to sewage. Therefore, about 0.4165 tonnes would be released to the environment through sewage sludge and municipal wastewater.

One of our main advisors has some context for you to share:

“The movie Dark Waters documented hideous injustice around the PFAS compound, perfluorooctanoic acid (PFOA). In bringing this injustice to light, Robert Bilott, the lawyer who did battle with DuPont over the PFOA poisoning of the Parkersburg citizenry, has become a magnificent American hero. His work led to the biggest epidemiological study of all time which found that PFOA is capable of immense health impacts at tiny doses.

Other PFAS compounds are known to share PFOA’s injurious properties. And because PFAS compounds tend to be impossible for nature to degrade on any meaningful time scale, the American people cannot seem to escape the impacts. It has become unacceptable that measurable amounts of PFAS should be found in everyday consumer products such as toilet paper” says Terrence Collins, Teresa Heinz Professor of Green Chemistry & Director of Institute for Green Sciences at Carnegie Mellon University.

Sustainable Issue–TP Production Disrupts Largest Carbon Sink in World

There are some additional considerations when selecting your toilet paper that have to do with the health of our Planet–most American toilet paper comes from the Canadian Boreal Forest, the largest carbon sink in the world.

Americans use close to 8 million tons of toilet paper per year according to Consumer Reports. Paper production like toilet paper, paper towels, baby wipes, tissue paper, coffee filters, & writing paper are incredibly toxic to the environment, leave a huge carbon footprint, and deplete forests all over the world. In fact, the paper production industry, according to the National Resource Defense Council, is the 3rd largest polluter.

One of the most important regions in the world for capturing carbon is the Boreal Forest in Canada in North America. Your toilet paper and toilet roll likely started there as a tree in the largest carbon sink in the world. Cutting down on toilet paper made from wood pulp and looking for alternatives like bamboo & sugarcane helps this effort. Watch how your choice of toilet paper helps fight climate change.

According to a report by the National Resources Defense Fund, “industrial logging claims more than a million acres of boreal forest every year, equivalent to seven National Hockey League rinks each minute, in part to meet demand for tissue products in the United States.” Long story short, if you want to become part of this solution, looking for alternatives would be the way to go. They are only logging the Boreal forest because we demand toilet paper made from wood pulp. Start demanding toilet paper made from bamboo & sugarcane instead.

Alternatives to Toilet Paper for Your Home — The Bidet

If you’ve ever traveled in Europe, the Middle East, or Asia, you may have come across a bidet. The bidet uses water to perform a similar function to toilet paper, but cleaner. Some bidets are stand-alone washbasins that are located close to the toilet, while other bidets can be hooked up to a regular toilet. No need for a pack of toilet paper or to buy any toilet paper in bulk when you have these systems.

Here are some bidets to check out to cut down on toilet paper use:

• Hello Tushy Classic Bidet (This is the one I have! Use discount code “NUMBERTWO2” for 20% off purchases.)
• Lux Self-Cleaning Bidet
• Lux NEO Bidet 185 Plus
• CRX Smart Toilet Bidet 
• SmartBidet Electronic Bidet Seat
• BioBidet Bliss Elongated Toilet Seat
• SmartBidet Electric Bidet Seat
• Brondell Swash Elongated Bidet
• Brondell Advanced Bidet
• BLAUX Electric Portable Bidet
• Sanamity Toilet with Bidet & Dryer

Mamavation’s Investigation of Toilet Paper & PFAS “Forever Chemicals” — Raw Data From Lab

Mamavation sent 17 different toilet paper products off to an EPA-certified laboratory to look for indications of PFAS “forever chemicals.” The products consisted of conventional toilet paper, FSC certified toilet paper, bamboo toilet paper, and bamboo & sugarcane blended toilet paper. We did not purchase any products specifically for septic tanks or septic systems, but some of these products are considered septic safe.

Mamavation’s lab used marker testing to identify the potential presence of PFAS “forever chemicals” in toilet paper products. Organic fluorine is a marker for PFAS because all PFAS chemicals are carbon-based compounds that contain fluorine.  The specific lab method used by Mamavation tested for total fluorine was the Determination of Total Fluorine by Oxygen Flask Combustion and Ion-Selective Electrode. If total fluorine was observed at a detection level of 10ppm, the lab did the Determination of free Fluoride Ion in the toilet paper by Ion-Selective Electrode and then subtracted that from the Total Fluorine to determine the amount of organic fluorine. This marker testing is likely to show the presence of PFAS, but other possibilities are things like fluorinated pesticide residue and fluorinated pharmaceuticals.

4 brands out of the 17 brands we tested came back with detectable levels of organic fluorine, which means PFAS is likely present. Testing for PFAS directly is impossible to do because there are over 12,000 different compounds. Therefore, we are using this marker testing, which is also used by the food packaging industry to determine whether products are “compostable” or not.

Scott Belcher, Ph.D. & Associate Professor with the Center for Environmental & Health Effects of PFAS at North Carolina State University says “fluoropolymers, such as polytetrafluoroethylene (PTFE) or Teflon®, are extremely common forms of PFAS that could be contributing to the organic fluorine found in food products. Methods used for detecting individual PFAS, such as PFOA or GenX, cannot directly identify PTFE. However, the analysis of total organic fluorine does account for all PFAS contaminants in food, including PTFE. Therefore, this serves as a good ‘spot-check’ of consumer products.”

[updated to add: on 10/22 we added 6 additional brands based on public demand. 1/6 brands had indications of PFAS according to our lab. Therefore, 6/23 brands tested for indications of PFAS in total, which is 22%. The additional brand we added was also made of bamboo, bringing that total to 3/6 brands with detections made of bamboo.]

Not Our Favorite Toilet Paper

According to lab tests, these products contain organic fluorine, which is a marker for PFAS “forever chemicals.” We do not recommend you purchase from this category.

• Charmin Ultra Soft Toilet Paper — 13 parts per million (ppm) organic fluorine
• Seventh Generation 100% Recycled Bath Tissue — 35 parts per million (ppm) organic fluorine
• Tushy Bamboo Toilet Paper — 10 parts per million (ppm) organic fluorine
• Who Gives a Crap Bamboo Toilet Paper — 11 parts per million (ppm) organic fluorine
• DeBella Bamboo Septic Safe Bath Tissue — 10 parts per million (ppm) organic fluorine [updated on 10/22]

Better Toilet Paper

These products did not contain detectable organic fluorine but are not made of sustainable materials. These brands are very likely consuming materials from the Boreal Forest in Canada or a similar forest which is contributing to deforestation and adding more carbon to the atmosphere. Forest Stewardship Council (FSC) is preferred over Sustainable Forestry Initiative (SFI) certification for fibers.

• Angel Soft 230+ Sheets Double Roll Toilet Paper (made with Sustainable Forestry Initiative certified fiber)– non-detect organic fluorine
• Cottonelle Mega Ultra Comfort Care — non-detect organic fluorine
• Kirkland (Costco) Bath Tissue — non-detect organic fluorine [updated on 10/22]
• Presto (Amazon) Ultra-Soft Septic Safe Toilet Paper — non-detect organic fluorine [updated on 10/22]
• Scott 1000 Sheets Per Roll Toilet Paper (made with FSC Certified fiber)– non-detect organic fluorine
• Signature Select (Albertsons) Mega Ultra Premium Bath Tissue — non-detect organic fluorine
• Trader Joes Super Soft Bath Tissue The Big Roll — non-detect organic fluorine [updated on 10/22]
• Quilted Northern Ultra Plush Soft & Strong Premium Comfort Toilet Paper  (made with FSC certified fiber) — non-detect organic fluorine
• Value Corner (Safeway) Bathroom Tissue — non-detect organic fluorine

Best Toilet Paper

These products did not contain detectable organic fluorine and are also made of more sustainable materials like 100% recycled wood pulp, bamboo, and cane sugar. Because sometimes recycled papers can contain trace amounts of bisphenol S (BPS) or bisphenol A (BPA), we prefer you choose from the bamboo or cane sugar versions. Processing is either chlorine-free or elemental chlorine free and fragrance-free.

• Caboo Tree-Free Bamboo Bath Tissue — non-detect organic fluorine (Use discount code “EHN25” for 25% off your purchase price at Caboo Products!)
• Cheeky Panda Eco-Friendly Natural Bamboo Toilet Paper — non-detect organic fluorine [updated on 10/22]
• Cloud Paper Bamboo Toilet Paper — non-detect organic fluorine [updated on 10/22]
• ECOS Treeless Bamboo & Sugarcane Bathroom Tissue — non-detect organic fluorine
• Nature Z Way Bamboo Bath Tissue — non-detect organic fluorine
• Open Nature 100% Recycled Paper Bathroom Tissue — non-detect organic fluorine
• Public Goods Toilet Paper (Bamboo & Cane Sugar) — non-detect organic fluorine
• Reel Bamboo Toilet Paper — non-detect organic fluorine [updated on 3/23]
• Seedling by Grove Tree-Free Toilet Paper (made with FSC certified bamboo)– non-detect organic fluorine
• Sprouts 100% Recycled Toilet Paper — non-detect organic fluorine

Additional Mamavation Investigations To Help Your Family

Mamavation has been working hard to discover where to find PFAS “forever chemicals” inside food & other products we purchase and bring inside our homes. This is why we have decided to commission our own consumer studies on indications of PFAS in different consumer categories and share that information with you.

• Soft Contact Lenses
• Green Beauty Makeup
• Dental Floss
• Toilet Paper
• Period Underwear
• Tampons
• Sanitary Pads, Pantiliners, & Incontinence Pads
• Electrolytes 
• Pasta & Tomato Sauces
• Nut Butters (Peanut butter, etc.)
• Cooking Oils (olive oil, almond oil, canola oil, etc)
• Ketchup
• Activewear (Yoga Pants)
• Sports Bras
• Parchment Paper
• Cupcake Liners
• Plastic-Free Straws
• Children’s Probiotics
• Bamboo Flooring
• Baby Strollers

We also have other non-toxic investigations on products for your children or the rest of your family. Here are some that we thought you may like.

• Best Yoga mats 
• Best Organic Mattresses
• Best Air purifiers
• Best Cookware
• Best Plant-Based Milks
• Best Water Filters for PFAS Filtration
• Best Collagen
• Best Electrolyte Replacement Drinks, Sports Drinks, & Coconut Water
• Best Infrared Saunas
• Best Bubble Bath

Click here for a complete list of product investigations.