Newborns lie swaddled in hazardous nylon thermal wraps in the Neonatal Intensive Care Unit at GMC Anantnag, Jammu & Kashmir, receiving care with safety at the hospital's neonatal unit. Photo/Rao Farman Ali
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How Infants Are Being Poisoned by the Clothes They Wear

A global study shines new light, with lessons for J&K; Solution lies in banning the synthetic and toxic textiles for organic cotton and wool for new born infants

Rao Farman Ali

Are the newborns being wrapped in an invisible embrace of industrial toxins?

The sight of infants in a cradle, snug in their brightly coloured jumpsuits, fleece blankets, and synthetic thermal wear would hardly ever raise an eyebrow. But what if these clothes meant to protect them actually expose their small bodies to a complex toxic soup?

A landmark study published in Environmental Research journal in October 2025 reveals that infant textiles are a major pathway for hundreds of hazardous compounds. In what should be among the world's purest air, babies are absorbing toxins from the very fabrics keeping them warm.

This research turns a global problem into an urgent local health priority for the babies of Jammu & Kashmir, given their physiological vulnerability and climate concerns. It calls for a societal and legislative ban on the use of acrylic and nylon clothes for infants and young children, as well as a responsible return to the classic, domestic use of pure cotton and wool.

At GMC Anantnag, Jammu & Kashmir, a woman holds her two-day-old baby in a nylon blanket. Medical guidance advises against nylon for newborns—it can cause overheating and skin irritation. Spreading awareness can help keep more babies safe.

A Chemical Cocktail in the Cradle

The foundation of this awakening is the ground-breaking study ("Heavy Metals in Infant Clothing: Assessing Dermal Exposure Risks and Pathways for Sustainable Textile Policies - PMC").

The results are unsettling. Researchers conducted a thorough, non-targeted investigation of forty-three infant textile products including bodysuits, shirts, pants, and socks purchased in the United States of America. Using sophisticated methods like gas and liquid chromatography combined with high-resolution mass spectrometry, they launched a forensic investigation into what these clothes concealed.

The outcomes were astounding. The study identified 303 distinct compounds, shifting the conversation from abstract worry to actual emergency. These substances, roughly classified into worrisome groups with well-documented hazardous characteristics, were not just trace contaminants.

Pharmaceuticals: Researchers found hormones, opioids, and antidepressants like venlafaxine in more than half the samples, a discovery that stunned the scientific community.

According to the study, this indicates "pervasive environmental pollution of water and/or ingredients used in textile manufacture," implying that newborns may be directly exposed to psychoactive and endocrine-active chemicals through the skin. These substances, designed to alter brain and body chemistry, have significant and mostly unknown effects on developing infants.

Endocrine Disruptors: Hormonal sabotage is sewn into modern baby clothes. Phthalates, parabens, bisphenol replacements (BPS, BPF), and UV filters were easily identified. These substances mimic, block, or interfere with the body's sensitive hormonal signaling systems.

"Even subtle biochemical disruptions can contribute to long-term adverse health effects, including male infertility, endometriosis, and cancer," the study's authors write, highlighting infants' critical vulnerability. Exposure during these foundational windows programs future disease rather than causing immediate poisoning.

Carcinogens and Persistent Toxins: The list included genotoxic substances like acridine, flame retardants, and known or suspected carcinogens such as aromatic amines used in dyes. The study's leaching trials were perhaps most practically terrifying. During basic water washing simulations intended to replicate baby perspiration, saliva, or drool, many of these materials moved from the textiles.

When a baby suckles on its sleeve, the chemicals become "bioavailable," meaning they can be absorbed through skin or consumed orally.

Infant physiology further increases this danger. Compared to adults, a newborn's skin is up to 30% thinner and far more permeable. Their surface area to body weight ratio is significantly larger, meaning more chemical-laden cloth contacts, more absorbent skin.

They are surrounded by textiles for 16-24 hours daily and consistently move their hands to their mouths. Importantly, their liver and kidneys—the body's detoxification organs—are underdeveloped and unprepared to handle this toxic assault.

The 2025 study made a clear conclusion: infant textiles should be viewed as an exposure and risk source. The cradle has been chemically damaged.

A newborn lies swaddled in hazardous nylon thermal wrap in the NICU at GMC Anantnag, Jammu & Kashmir, receiving care with safety at the hospital's neonatal unit.

Climate, Customs, and Converging Risk in the Jammu & Kashmir Context

In the different microclimates of Jammu's plains and Kashmir valley, clothing an infant is customarily an act of defense against a real, tangible threat—the cold. Layers of natural fibres were determined by generations of knowledge. But in recent decades, globalised, manufactured convenience has quietly invaded, adding a new, invisible risk atop the previous, evident one.

The Artificial Trap of Modern Warmth: Parents increasingly use "high-performance" synthetics to protect against harsh winters. Polyester fleece, nylon-blend inners, acrylic sweaters, and petrochemical-derived "warm" clothing are commonplace. These materials contain numerous chemical additions: plasticisers like phthalates for softening, perfluorinated compounds (PFAS) for water and stain resistance, antimony trioxide as a catalyst in polyester manufacturing, and various dyes and finishing agents.

A distinguished pediatrician who served at the Children's Hospital affiliated with GMC Srinagar notes a concerning pattern, speaking anonymously. "We detect a gradual rise in unexplained contact dermatitis and persistent rashes among infants. While we examine their food and pollution, we must now consider what comes into frequent contact with their skin throughout the day—their clothing," he observed.

The 2025 study provides scientific support for this clinical suspicion.

The Layering Fallacy: Placing artificial "heated" clothing directly against the skin to "trap heat" is widespread, motivated by marketing and sincere desire for warmth. From a toxicological standpoint, this might also trap a chemical reservoir against the baby's most vulnerable barrier. Chemicals can reach circulation directly through dermal absorption, bypassing the liver's "first-pass metabolism," which would otherwise break them down if consumed. This may increase their toxic potency and systemic bioavailability.

The Cultural Custom and Its Unspoken Risk: Giving and donning new garments is deeply ingrained in Kashmiri culture, particularly for newborns. However, these modern clothes are frequently stiff with factory-applied chemical finishes: heavy metals in dyes for color fastness, PFAS for water resistance, and formaldehyde resins for anti-wrinkling. Often, they are put on a baby after a quick wash or not at all. According to the 2025 study, dangerous substances persist "even after basic water cleaning," meaning this practice can unintentionally initiate a cycle of high-dose exposure.

J&K's specific climate requirement for warmth has created a perfect storm of a population particularly dependent on layered clothing, a market overflowing with cheap synthetic alternatives, and a fragile populace with unmatched exposure time.

Rather than shivering, the answer is to wisely return to the fibres that have historically provided insulation: cotton and wool. The most prevalent dangerous synthetics, acrylic and nylon, must be banned to strengthen this return.

A woman cradles her 16-month-old child, both bundled in warm nylon clothes. In the softly blurred scene, she holds a mobile phone in her right hand as the child gazes intently at the glowing screen at GMC Anantnag, Jammu & Kashmir.

Need for a Complete Prohibition of Acrylic and Nylon

All synthetic materials are dangerous, but acrylic and nylon deserve specific and immediate condemnation for use in infants and young children.

Acrylic (Polyacrylonitrile): Often called "soft wool," acrylic differs greatly from its natural equivalent. Acrylonitrile, a likely human carcinogen, is one of the hazardous and volatile monomers used in its synthesis. The cloth may still contain residual monomers.

Moreover, acrylic is extremely flammable and frequently requires extensive treatments with brominated or chlorinated flame retardants—persistent organic pollutants associated with hormonal and neurological harm. Additionally, it is a significant source of microplastic pollution, releasing fibres with each wash that contaminate air and water before entering our bodies and the food chain.

Nylon (Polyamide): Adipic acid and hexamethylenediamine, two petroleum-derived precursors, are used in nylon's energy-intensive manufacturing. Compounds like caprolactam, known to irritate skin, eyes, and respiratory system, may remain after the process. Chemical coatings are frequently applied to nylon textiles for easy maintenance and static resistance, increasing the toxic burden. Like acrylic, it sheds microplastics in large quantities.

Given the overwhelming evidence of chemical migration and skin absorption, plus infants' special vulnerability, allowing these materials in children's wear is unacceptable.

An innovative public health approach should ban the production, marketing, and sale of acrylic and nylon clothes for children aged 0-5 in Jammu & Kashmir. This would immediately eliminate a significant exposure source, direct consumer choices toward safety, and send a strong message about prioritising children's long-term health over harmful, low-cost convenience.

Cotton and Wool as Health and Economic Necessities

The global study's recommendation is straightforward and deeply consistent with Kashmir's cultural traditions.

Only 100% cotton should be used for all newborn and infant apparel, particularly layers in direct skin contact. Pure, unprocessed wool is the better, safer option for winter outerwear and mid-layers. This move away from prohibited synthetics is not just about health. It is also a powerful stimulus for restoring and maintaining Jammu & Kashmir's indigenous industries.

Three reasons why cotton cannot be negotiated for the first layer.

Firstly, it is a Shield Without Chemicals. Global Organic Textile Standard certified organic cotton is grown without artificial pesticides and processed without hazardous dye complexes, formaldehyde-based finishes, or chlorine bleaches. It offers a chemically and physically pure barrier.

According to Faesal, an environmental researcher at the University of Madras, "Kashmir's alluvial soils, especially in the Jammu plains, have historically been amenable to cotton growing in the past." Revitalizing organic cotton production for regional baby clothing requires investment but creates a sustainable, health-conscious agriculture economy while protecting our children's biological integrity. Every cotton garment must be seen as a health intervention.

Secondly, cotton's breathability reduces heat rash and fungal infections. Unlike synthetics, which retain moisture and chemicals on skin, it wicks moisture (sweat, drool) away. Thirdly, properly processed pure cotton is inherently soft and non-irritating for delicate baby skin prone to eczema.

Similarly, wool is the economic pillar and winter warrior. Wool is a marvel of natural engineering, especially from regional sheep breeds of Kashmir, the valleys of Chenab and Pir Panjal, the renowned Merino or Pashmina (Changthangi) goat, or common wool freely available in the areas. Its keratin-based structure provides superior thermoregulation, warming in winter and cooling in moist conditions. Importantly, it maintains its insulating qualities even when damp, crucial given Kashmir's moderate climate.

Secondly, wool is secure and robust. High-quality wool is naturally flame-resistant, eliminating the need for chemical flame retardants. Because of its inherent antibacterial qualities (lanolin), it lessens odor and the need for frequent, harsh cleaning. Longevity is a direct result of this resilience.

Additionally, in a convergence of economic revival and public health policy, promoting pure wool in baby clothing gives local pastoralists, spinners, weavers, and craftspeople a direct market.

"Our ancestors covered their newborns in smooth, undyed pashmina and fine wool for centuries," says master craftsman octogenarian Samad Joo from Srinagar's cultural hub (Downtown) Kani shawl tradition. “It was extreme warmth and still is, but it was also about purity and people carefully preserved the cloth for the next baby. Science is demonstrating the wisdom of our grandmothers today."

Thus, the switch to cotton and wool, enforced by a ban on dangerous synthetics, is a comprehensive policy that could protect infant health, break the connection to international chemical supply chains, and support the local artisan and agrarian economy from soil to stitch.

Clinical Perspectives in J&K

The clinical perspective from Jammu & Kashmir hospitals gives this problem a crucial, urgent aspect. Neonatologists caring for the most vulnerable lives during their early days are aware of the compounded vulnerability.

"In the Neonatal Intensive Care Unit (NICU), we use cotton and wool because they are safe and effective," says Dr. Showkat Shifa, a neonatologist at GMC Anantnag, speaking with the authority of someone who fights for newborn survival.

"However, when they are discharged, parents frequently wrap them in artificial layers, thinking it will be 'warmer.' The 2025 research compels us to consider both thermal and chemical safety. When chemical-laden textiles are applied to a newborn's permeable skin, one issue is resolved at the expense of a long-term, silent one. My recommendation should become a medical prescription. The skin layer ought to be made entirely of cotton. Cover it with clean wool for warmth. In pediatric care, the use of acrylic and nylon should be deemed contraindicated."

Dr Muneeb, a consulting physician in Budgam, drawing attention to a crucial public health issue, points out that nylon and acrylic, often mistaken for soft wool, are made of plastic and can negatively impact developing lungs and sensitive skin. He promotes early and direct counseling for parents, especially those with low incomes who might feel compelled to use such fabrics out of necessity. With a focus on prevention, he suggests training ASHA workers to assist expectant mothers in preparing a chemical-free layette.

Dr Zahoor Gilkar, general surgeon (urologist) at GMC Anantnag, advises against small toddlers wearing synthetic garments. He acknowledges that there is little specific research on newborn genitalia, but affirms that these substances have unquestionably negative impacts on children's skin between ages 0 and 5. He emphasizes the significance of selecting skin-friendly textiles and advises avoiding synthetics for this age group to minimise potential skin irritation and related problems.

Creating a Safer Future

A coordinated, multistakeholder response throughout Jammu & Kashmir is required by the evidence, leading to decisive policy action.

Families should adopt the cotton mandate and reject synthetics, ensuring that all clothing touching newborn skin must be made entirely of cotton. Before wearing any new clothing for the first time, wash it two or three times using a mild, fragrance-free detergent. Reject labels with "Acrylic," "Polyamide (Nylon)," or the chemical treatments listed above. Layer wisely, for instance by covering a cotton base with a mid-layer of soft, fine wool.

Healthcare professionals must include "safe clothing recommendations" in prenatal and postpartum care. They should also start observational research to link clothing choices to local infant health issues. This local data can greatly benefit advocacy.

The critical steps for policy makers and civil society should include public awareness campaigns with the involvement of Directorate of Health Services, ICDS, and the Handloom Department; blanket ban on synthetic textiles for infants; encourage and support organic cotton production and revive environmentally friendly wool processing; while ensuring a fair transition through assistance and alternatives to regional merchants and small businesses so they can shift their inventory.

Let the children of Jammu and Kashmir be shielded from the slow-releasing mixture of invisible toxins by the legal protection of natural fibers, which have been proven safe. Now is the moment to impose a ban. It is time to act.

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