Expert Insights from Dr. Ganesh Dhanuka, Internal Medicine & Nephrology Specialist, International Modern Hospital

As daily transactions become increasingly digital, a growing body of research is shining light on the hidden health and environmental risks of traditional thermal paper receipts. These slips—common in supermarkets, restaurants, retail stores, and ATMs—often contain bisphenol chemicals such as BPA and BPS, known endocrine disruptors linked to hormonal imbalance and potential long-term effects.
Dr. Ganesh Dhanuka, a highly experienced Internal Medicine & Nephrology Specialist at International Modern Hospital, highlights the urgent need to re-evaluate how receipts are currently used and handled.

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The Push Toward Digital Receipts for Better Health and Environment

According to Dr. Dhanuka, shifting entirely toward digital receipts can play a significant role in reducing health risks associated with thermal paper.
He explains that BPA and BPS, widely used in thermal printing, can be absorbed through the skin—especially among retail workers who handle receipts repeatedly throughout the day.

“A full transition to digital receipts would significantly reduce public exposure to chemicals found in thermal paper. These substances are known endocrine disruptors and are linked to several health concerns. Digital systems are safer, practical, and much more environmentally responsible,” says Dr. Dhanuka.

Beyond health, thermal paper contributes to environmental waste as it is not easily recyclable due to its chemical coating. Digital systems, by contrast, eliminate unnecessary paper use and reduce carbon footprint.

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Are There Safe Alternatives to Thermal Paper?

Dr. Dhanuka confirms that several safer solutions already exist:

• Phenol-free thermal paper, which uses non-phenolic developers and is considered less harmful
• Ink-based POS systems, which rely on traditional ink rather than heat-activated chemicals
• Fully digital receipts, delivered through email, SMS, or QR code

“These alternatives reduce exposure to harmful chemicals and are more sustainable for both consumers and workers,” he notes.

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Global Regulations: A Growing Trend

Several countries and health authorities have already taken action to limit or ban the use of BPA-containing thermal paper:

• The European Union banned BPA in thermal paper in 2020.
• U.S. states such as California and Massachusetts have strict controls and require disclosure of safer alternatives.
• Organizations like OSHA recommend minimizing thermal paper exposure, especially for retail workers.

Many global retailers have voluntarily shifted to digital receipts as part of wider sustainability and health-protection policies.

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Should Local Health Authorities Introduce Regulations?

Dr. Dhanuka strongly believes that introducing new regulations at the national level would be beneficial.

“Reducing or phasing out thermal paper containing BPA or BPS will protect workers who handle receipts frequently, reduce exposure among vulnerable groups like pregnant women and children, and support long-term environmental sustainability,” he says.

He recommends a gradual regulatory approach—starting with mandatory labeling, followed by reduction, and eventually complete elimination of harmful thermal receipts.

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How to Reduce Reliance on Paper Receipts: Practical Solutions

Dr. Dhanuka outlines several strategies that businesses and community members can adopt to accelerate the shift toward safer alternatives.

A. Technological Solutions

• Make digital receipts the default option.
• Use QR codes that allow customers to instantly download their invoices.
• Offer email or SMS receipts at checkout.
• When physical copies are needed, use ink-based printing systems instead of thermal paper.

B. Public Awareness

• Launch awareness campaigns about the potential health risks of BPA/BPS exposure.
• Educate staff to avoid using hand sanitizers before handling receipts, as they increase chemical absorption.
• Encourage consumers to choose digital options whenever possible.

C. Business-Level Policies

• Introduce “Digital Receipt First” policies in major malls, supermarkets, and retail chains.
• Offer incentives or recognition for businesses that successfully transition to digital systems.
• Place visible signage promoting digital receipts as healthier and eco-friendly alternatives.

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Toward a Safer, Smarter, and Greener Future

With safer alternatives readily available and digital technology becoming the norm, Dr. Ganesh Dhanuka emphasizes that the time is right for a nationwide transition to digital receipts. Such a move would drastically reduce exposure to harmful chemicals, protect workers and consumers, and contribute to a more sustainable environment.

As the UAE continues advancing in digital transformation and public health leadership, adopting safer receipt systems can be a small but meaningful step toward a healthier society.