Thousands of Indians die every year from heart disease. Now you may link it to high cholesterol and a lack of physical exercise, but the reality is different. According to researchers, these deaths are a result of exposure to a harmful chemical that is present in shampoos, food containers and all other common household plastic products. A recent study published in The Lancet eBioMedicine has identified a significant link between exposure to di-2-ethylhexyl phthalate (DEHP)—a chemical commonly used to make plastics more flexible—and heart disease deaths. Surprisingly, among the 200 countries evaluated, India had the highest burden of DEHP-linked cardiovascular deaths and accounted for almost a third of the global mortalities.What Is DEHP?DEHP is prevalent in numerous household items, including food containers, medical equipment, toys, shampoos and lotions. The study, conducted by researchers at NYU Langone Health, analysed urine samples and environmental data from over 200 countries and territories. They found that in 2018, DEHP exposure was associated with around 356,238 deaths among individuals aged 55 to 64, accounting for over 13 per cent of global heart disease deaths in that age group. The researchers attributed India's elevated mortality to the rapid expansion of its plastics industry, widespread use of DEHP-containing products and weaker regulatory controls compared to some other nations. It is estimated that chemicals in plastic were linked to nearly 350,000 heart disease deaths across the world in 2018. Adding to that, is this study published in the journal eBioMedicine, which estimated that roughly 13 per cent of cardiovascular deaths among 55- to 64-year-olds worldwide that year could be attributed to phthalates.Where Are Phthalates are esters of phthalic acids, which are added to plastics to increase their flexibility, transparency, durability, and longevity. They are found in personal care products like shampoos and lotions as well as in food containers and packaging. It is also possible to ingest them through food, absorb them through skin from products containing them or breathe them from dust.Study Shows Phthalates Increase Risk of Heart DiseasesSome studies have shown an association between phthalates and cardiovascular disease, but there isn’t strong evidence to show that the chemicals directly cause heart issues, said Sung Kyun Park, a professor of epidemiology and environmental sciences at the University of Michigan School of Public Health. However, there is enough evidence that states that phthalates increase the risk of metabolic disorders like obesity and Type 2 diabetes, which can cause cardiovascular disease. One way phthalates may do this is by increasing oxidative stress—cell and tissue damage that happens when there are too many unstable molecules in the body—and by promoting inflammation.