Global plastic production exceeds 300 million tons per year and wastewater treatment plants release over 4 million microplastics, defined as between 1μm to 5 mm in diameter, per day to streams. Since microplastics act as a substrate for microorganisms, pathogenic bacteria can more easily transport downstream using microplastics as a vector. Furthermore, microplastics deposit and accumulate within stream transient storage areas such as streambed sediments, where previous studies on fine particles in the same size range as microplastics have shown persistence within these stream transient storage areas for months to years. Thus, plastic and fecal pollution sourced from point and non-point sources can increase both the public health risk via disease transmission and the impairment of the ecological quality of aquatic systems. The overall goal of project MICROPATH was to pioneer the development and field validation of a microplastic fate and transport model for predicting the persistence of microplastics and pathogens in streams worldwide. The overarching research objective was to quantify the persistence and fate of microplastics in rivers, and their potential role in disease transmission as a vector of pathogenic bacteria.