The widespread occurrence of emerging organic contaminants (EOCs), including pharmaceuticals, personal care products, pesticides, and industrial chemicals, is a growing concern for environmental and human health. Conventional analytical techniques, such as gas and liquid chromatography coupled to mass spectrometry, provide high sensitivity and reliability but remain costly, resource-intensive, and unsuitable for rapid or on-site monitoring. In this context, paper-based sensors are a promising alternative, offering low cost, portability, simple fabrication, and environmental sustainability. This review provides an overview of recent advances in paper-based sensors for the detection and monitoring of EOCs. Key fabrication strategies, including photolithography, wax printing, inkjet printing, screen printing, and laser-based approaches, are discussed with respect to device performance, scalability, and field deployability. Major transduction mechanisms, including electrochemical, colourimetric, fluorescence, and chemiluminescence approaches, are examined together with optimisation strategies based on nanomaterials, molecular recognition elements, and microfluidic design to improve sensitivity and selectivity. Applications in environmental monitoring, healthcare, and pharmaceutical and food analysis are reviewed, with emphasis on real-sample analysis and method validation. Current limitations related to matrix effects, reproducibility, environmental robustness, and large-scale manufacturing are identified, and future perspectives are outlined.
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