Confine a liquid to a region a millimetre or less in size, and you’re in the weird world of “microfluidics” – where surface tension and capillary action dominate in ways we easily overlook from our macro-scale vantage point. Despite being a term that was coined only in 1992, the underlying phenomena have been with us for millennia, as Albert Folch argues in How the World Flows: Microfluidics From Raindrops to COVID Tests.
Folch, who is a professor of bioengineering at the University of Washington in the US, has spent his career developing microfluidic devices that exploit the peculiar properties of flows at this scale. In this book, he now steps back to admire the full scope and impact of microfluidics, revelling in droplets that form rainbows, deliver inhalable asthma medications, make up salad dressings and cosmetics, and print scaffolds of living tissue to aid patients’ healing.
I particularly enjoyed Folch’s ode to the Olmec – Indigenous people who lived in Central America from about 1200 BCE to 400 BCE. They would harvest latex from Panama rubber trees by tapping the bark and collecting the liquid drop by drop before the day’s heat caused the latex to coagulate and seal the cut. The Olmec even had their own version of vulcanization – the process that makes rubber elastic – using the juice of morning glory vines to process the sap into bouncy elastic balls, stretchy bands, shoe soles and raingear.
The Olmec spread their knowledge to neighbours as well. In fact, the name “Olmec” comes from the Aztec language and literally means “the rubber people”. Like the maple sugar industry – which gets its own historical treatment from Folch – the Olmecs’ latex harvest relied on a tree’s vascular system, made up of narrow 25 µm capillaries that carry liquids like water, sap, resin and latex to nourish and defend the tree. Although the Olmec civilization eventually declined, their technology and ingenuity lived on, impacting the entire world.
Folch walks readers not just through the physics and biology of these systems – capillary rise, photosynthesis, transpiration – but through their human impact, too. He includes wonders, such as natural rubber powering a Victorian-era craze that brought us tyres, inflatable boats, children’s dummies (pacifiers) and other objects. Folch also covers darker stuff, such as the British businessman Henry Wickham (1846–1928) who smuggled thousands of rubber tree seeds out of the Brazilian Amazon to establish plantations in Africa and Asia, where he could exploit cheaper labourers.
Another chapter begins in the mountains near Granada, Spain, where villagers are rebuilding acequias – open-air waterways originally built by the Moors in medieval times. For nearly 1000 years, acequias turned the arid slopes into terraced fruit gardens by diverting snowmelt toward agriculture and recharging the groundwater. Water seeps downward through the acequia’s dirt bottom, protecting it from evaporating in the hot Sun and feeding aquifers.
As Folch notes, aquifers contain nearly 30% of Earth’s freshwater – far more than is found in rivers and lakes, which make up less than 1% of the total. But in the US alone, industrial agriculture has been draining aquifers at rates as high as 60 cm per year, far exceeding the slow percolation of rainfall into these underground reservoirs.
In fact, aquifers take hundreds or thousands of years to recharge, which, Folch notes, means a depleted aquifer effectively ceases to exist for those of us living now. Without acequias and other dedicated efforts to replenish aquifer levels through microfluidic flow, today’s corn fields will soon turn to dust.
Candles to kidneys
How the World Flows charts the history of other unexpectedly microfluidic technologies too. Candles, for example, carry their fuel to the flame by capillary action along the wick. Then there’s paper, which soaks up ink through capillary action. Among more recent microfluidic inventions, Folch offers special laurels to the ballpoint pen, of which BIC alone has sold over 100 billion units since 1950.
Folch also takes care to introduce readers to many microfluidic medical devices, which might not be as widespread as ballpoint pens, but are perhaps more important. They range from dialysis machines that clean blood for failing kidneys, to COVID tests and continuous glucose monitors that let diabetics manage their blood glucose levels – a microfluidic technology that’s critical in my own home.
Folch describes the microfluidic devices that enable the Human Genome Project, as well as prototype instruments that could one day catch cancer cells through a simple blood screening. He also covers devices that could pick the perfect personalized drug cocktail for treating a patient’s tumour by studying their biopsied cells.
The most stunning microfluidic device Folch describes may be us.
But the most stunning microfluidic device Folch describes may be us. As he argues, we ourselves are microfluidic. From our lungs to our cardiovascular system, from our lymphatic system to our sweat glands, our bodies rely on flow through tiny vessels.
Our bodies make up for diffusion’s slow pace by operating in parallel. Like the many co-operating central-processing units in a supercomputer, our bodies absorb oxygen through 500 million micro-sized alveoli in our lungs. We hear through ears equipped by microfluidics to act as both microphones and accelerometers. Our kidneys clean some 200 litres of blood a day – sending two litres of urine to our bladders as they do – through massively parallelized filtration.
Throughout How the World Flows, Folch’s enthusiasm for his subject shines. His approach is that of a storyteller, rather than a scientist, and the book is all the better for it. Whether readers are microfluidics experts or not, they will walk away with new stories to tell. (Don’t skip the footnotes…)
Although Folch’s stories are wide-ranging and entertaining, he stumbles at times with the overarching narrative. Some transitions are rough, and it’s not always clear why he’s chosen to order the stories in the way they’re presented. Nevertheless, his book is a fun and highly readable introduction to microfluidics that’s sure to entertain lay readers and excite a new generation of microfluidic engineers.
- 2025 Oxford University Press 306pp £22.31hb £19.16ebook
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