Fragrance Tidbits

PEOPLE WHO REPORT REACTIONS TO FRAGRANCES:

General Population

▪ Research done in 2004, 2005 and 2009 by Stanley M.Caress and Anne C. Steinemann “… found that nearly 38% of Americans report adverse effects when exposed to some kind of fragranced product. For instance, approximately 20% of Americans report breathing difficulties, headaches, or other health problems when exposed to air fresheners and deodorizers, and more than 10% report adverse effects when exposed to laundry products vented outdoors. Percentages are nearly twice as high for asthmatics” (Steinemann, Exposure Assessment).

▪ Results aggregated from both surveys found that 30.5% of the general population reported scented products on others irritating, 19% reported adverse health effects from air fresheners, and 10.9% reported irritation by scented laundry products vented outside (2009 Study, Steinemann).

▪ Additionally, 31.1% of those sampled reported adverse reactions to fragranced products, and 17.6% experienced breathing difficulties and other health problems when exposed to air fresheners (2004 Study, Caress).

▪ “Even if the general population isn’t likely to suffer acute effects from exposure to fragrances, there are long-term chronic health effects connected to these chemicals that we don’t fully understand yet,” says [Carrie] Loewenherz [an industrial hygienist for the New York Committee for Occupational Safety and Health] (Lyman).

▪ By design, fragrances are composed of materials that quickly get into the air. Once in the air, these materials pose serious health concerns for many with asthma, allergies, migraines, chronic lung disease, and other health conditions (FPINVA, By Design).

People with Allergies and Asthma

▪ As many as 50 million people in the United States suffer from allergic disease (AAAAI).

▪ In 1998, it was estimated that 26.3 million Americans have been diagnosed with asthma in their lifetime (ALA of Texas).

▪ The Institute of Medicine placed fragrance in the same category as second hand smoke in triggering asthma in adults and school age children (FPINVA, By Design).

▪ Up to 72% of asthmatics report their asthma is triggered by fragrance. Asthmatics and others that are negatively impacted by fragrance often have difficulties working, obtaining medical care, and going about activities of daily living because of others’ use of scented products (FPINVA).

People with Chemical Sensitivities / Toxic Encephalopathy / Chemical Injury

▪ Approximately 12.6% of the population suffers from multiple chemical sensitivity (MCS), a condition in which they experience reactions from exposure to low concentrations of common chemicals…” (2003 Press Release, Adams).

▪ The authors found that a majority of hypersensitive individuals (52.2%) experienced either “severe” or “somewhat severe” symptoms. The most common triggers of symptoms were cleaning products (88.4%), tobacco smoke (82.6%), perfume (81.2%), pesticides (81.2%), and car exhaust (72.5%) (2002 Study, Caress).

▪ Of all respondents, 253 (6.3%) reported doctor-diagnosed “environmental illness” or “multiple chemical sensitivity” (MCS) and 643 (15.9%) reported being “allergic or unusually sensitive to everyday chemicals.” Sensitivity to more than one type of chemical was described by 11.9% of the total sample population (1999 Study, Kreutzer).

▪ Our prevalence for MCS is similar to that (15.9%) found by the California Department of Health Services in California and suggests that the national prevalence may be similar (2004 S.E US Study, Caress).

▪ [MCS is] marked by multiple symptoms in multiple organ systems (usually the neurological, immune, respiratory, skin, ‘GI,’ and/or musculoskeletal) that recur chronic-ally in response to multiple chemical exposures. MCS Symptoms commonly include difficulty breathing, sleeping and/or concentrating, memory loss, migraines, nausea, abdominal pain, chronic fatigue, aching joints and muscles, and irritated eyes, nose, ears, throat and/or skin. In addition, some with MCS show impaired balance and increased sensitivity not just to odors but also to loud noises, bright lights, touch, extremes of heat and cold, and electromagnetic fields (MCRR).

▪ MCS is often triggered, or initiated, by an acute one-time exposure to a specific toxic agent, or chronic exposure to one or more toxic substances, even at low levels. After initiation, a wider range of substances can cause subsequent reactions (2003 Press Release, Adams).

▪ A significant percentage (27.5%) reported that their hypersensitivity was initiated by an exposure to pesticides, whereas an equal percentage (27.5%) attributed it to solvents (2003 Study, Caress).

▪ Of those reporting such hypersensitivity, 13.5% (or 1.8% of the entire sample) reported losing their jobs because of it. Extrapolated to a U.S. population of 290 million, today’s study means as many as 36.5 million Americans are suffering from MCS, and more than 5.2 million may lose jobs as a result (2003 Press Release, Adams).

▪ Lifestyle modifications varied; 76.8% changed their household cleaning/personal hygiene products, 47.8% began using water and/or air filtration systems, and 13% found it necessary to change residence (2003 Study, Caress).

▪ For the average person, breathing in fragrances from perfumes, colognes, hair sprays, deodorants, air fresheners and/or cleaners can just be a little annoying, “…but for a growing number of others, these smells, called ‘emissions of volatile organic compounds,’ can be a form of torment that throws their bodies into reactive overdrive. One whiff of a chemical cocktail…can result in a vast array of debilitating symptoms” (Ephraim).

▪ Commenting on the study, Dr. Jim Burkhart, science editor for EHP, says, “There are clearly large numbers of people suffering from MCS. At one point, people theorized that this condition might have a psychological basis, but this study also indicates that very few patients had any mental illness prior to MCS. Unfortunately, over 37% reported emotional problems after their physical symptoms emerged. This is a significant public health issue” (2003 Press Release, Adams).

▪ Only 1.4% had a history of prior emotional problems, but 37.7% developed these problems after the physical symptoms emerged. This suggests that MCS has a physiologic and not a psychologic etiology (2003 Study, Caress).

CHEMICALS REPORTED IN FRAGRANCES:

▪ We investigated volatile organic compounds (VOCs) emitted from 25 common fragranced consumer products—laundry products, personal care products, cleaning supplies, and air fresheners—using headspace analysis with gas chromatography/mass spectrometry (GC/MS). Our analysis found 133 different VOCs emitted from the 25 products, with an average of 17 VOCs per product. Of these 133 VOCs, 24 are classified as toxic or hazardous under U.S. federal laws, and each product emitted at least one of these compounds (2010 Study,  Steinemann).

▪ Findings, published online this week in the journal Air Quality, Atmosphere and Health, show that air vented from machines using the top-selling scented liquid laundry detergent and scented dryer sheet contains hazardous chemicals, including two that are classified as carcinogens. “This is an interesting source of pollution because emissions from dryer vents are essentially unregulated and unmonitored,” said lead author Anne Steinemann, a UW professor of civil and environmental engineering and of public affairs. “If they’re coming out of a smokestack or tail pipe, they’re regulated, but if they’re coming out of a dryer vent, they’re not” (2011 Press Release, Hickey).

▪ [In 1991 a study performed by the EPA] Identification of Polar Volatile Organic Compounds in Consumer Products and Common Microenvironments, found numerous chemicals commonly used in fragrance products, including, among others: acetone; benzaldehyde; benzyl acetate; benzyl alcohol; camphor; ethanol; ethyl acetate; limonene; linalool; methylene chloride, one or all of which, or in combination with one another, cause, when inhaled, “central nervous system disorders, dizziness, nausea, incoordination, slurred speech, drowsiness, irritation to the mouth, throat, eyes, skin, lungs and GI tract, kidney damage, headache, respiratory failure, ataxia, and fatigue, among other symptoms and illnesses.” Material Safety Data Sheets on each chemical confirm these findings (Dewey).

▪ Perfume formulations changed sometime around the late 70s and early 80s. Today, they are approximately 95-100% synthetic (man-made) (Pitts, Featured Author). Using crude oil or turpentine oil as the base material, synthetics are usually derived from chemical reactions (Bridges).

▪ Perfumes, colognes, and many other scented products contain an abundance of harmful chemicals, many of which are listed on the EPA’s Hazardous Waste List. They also include numerous carcinogenic chemicals, neurotoxins, respiratory irritants, solvents, aldehydes, hundreds of untested and unregulated petrochemicals, phthalates (which can act as hormone disrupters), narcotics, and much more (Pitts, Featured).

▪ Approximately 95% of chemicals used in fragrances are synthetic compounds derived from petroleum (USHR).

▪ Petroleum based chemicals are being found to cause significant attritional effects to the nervous system and immune system after prolonged exposure. Illnesses identified in the medical research include adult and child cancers, numerous neurological disorders, immune system weakening, autoimmune disorders, asthma, allergies, infertility, miscarriage, and child behavior disorders including learning disabilities, mental retardation, hyperactivity and ADD (attention deficit disorders) (Pressinger and Sinclair).

SOME CHEMICALS FOUND IN FRAGRANCED PRODUCTS:

▪ Principal chemicals found in scented products are: These 3 are Main Ones in Most products people use everyday, shampoos, toothpastes, cleaning gels, deodorant and beauty products: COCOAMIDE DEA (diethylalomine) TEA, MEA,– detergent in most shampoos, moisturizers and more. PROPYLENE GLYCOL – industrial antifreeze- in deodorant, shampoos, shaving gels, moisturizers and more. SODIUM LAURYL SULFATE-AND FLUORIDE garage floor cleansers, detergents- in shampoos, toothpastes, more (OLP).

   1. ACETONE (in: cologne, dishwashing liquid and detergent, nail enamel remover) On EPA, RCRA, CERCLA Hazardous Waste lists. “Inhalation can cause dryness of the mouth and throat; dizziness, nausea, incoordination, slurred speech, drowsiness, and, in severe exposures, coma.” “Acts primarily as a central nervous system (CNS) depressant.”

   2. BENZALDEHYDE (in: perfume, cologne, hairspray, laundry bleach, deodorants, detergent, vaseline lotion, shaving cream, shampoo, bar soap, dishwasher detergent) Narcotic. Sensitizer. “Local anesthetic, CNS depressant”… “irritation to the mouth, throat, eyes, skin, lungs, and GI tract, causing nausea and abdominal pain.” “May cause kidney damage.” “Do not use with contact lenses.”

   3. BENZYL ACETATE (in: perfume, cologne, shampoo, fabric softener, stickup air freshener, dishwashing liquid and detergent, soap, hairspray, bleach, after shave, deodorants) Carcinogenic (linked to pancreatic cancer); “From vapors: irritating to eyes and respiratory passages, exciting cough.” “In mice: hyperanemia of the lungs.” “Can be absorbed through the skin causing systemic effects.” “Do not flush to sewer.”

   4. BENZYL ALCOHOL (in: perfume, cologne, soap, shampoo, nail enamel remover, air freshener, laundry bleach and detergent, vaseline lotion, deodorants, fabric softener) “irritating to the upper respiratory tract” …”headache, nausea, vomiting, dizziness, drop in blood pressure, CNS depression, and death in severe cases due to respiratory failure.”

   5. CAMPHOR (in: perfume, shaving cream, nail enamel, fabric softener, dishwasher detergent, nail color, stickup air freshener) “local irritant and CNS stimulant” …”readily absorbed through body tissues” …”irritation of eyes, nose and throat” …”dizziness, confusion, nausea, twitching muscles and convulsions” “Avoid inhalation of vapors.”

   6. ETHANOL (in: perfume, hairspray, shampoo, fabric softener, dishwashing liquid and detergent, laundry detergent, shaving cream, soap, vaseline lotion, air fresheners, nail color and remover, paint and varnish remover) On EPA Hazardous Waste list; symptoms: “…fatigue; irritating to eyes and upper respiratory tract even in low concentrations…” “Inhalation of ethanol vapors can have effects similar to those characteristic of ingestion. These include an initial stimulatory effect followed by drowsiness, impaired vision, ataxia, stupor…” Causes CNS disorder.

   7. ETHYL ACETATE (in: after shave, cologne, perfume, shampoo, nail color, nail enamel remover, fabric softener, dishwashing liquid) Narcotic. On EPA Hazardous Waste list; “…irritating to the eyes and respiratory tract” …”may cause headache and narcosis (stupor)” …”defatting effect on skin and may cause drying and cracking” …”may cause anemia with leukocytosis and damage to liver and kidneys” “Wash thoroughly after handling.”

   8. LIMONENE (in: perfume, cologne, disinfectant spray, bar soap, shaving cream, deodorants, nail color and remover, fabric softener, dishwashing liquid, air fresheners, after shave, bleach, paint and varnish remover) Carcinogenic. “Prevent its contact with skin or eyes because it is an irritant and sensitizer.” “Always wash thoroughly after using this material and before eating, drinking, …applying cosmetics. Do not inhale limonene vapor.”

   9. LINALOOL (in: perfume, cologne, bar soap, shampoo, hand lotion, nail enamel remover, hairspray, laundry detergent, dishwashing liquid, vaseline lotion, air fresheners, bleach powder, fabric softener, shaving cream, after shave, solid deodorant) Narcotic. …”respiratory disturbances” … “Attracts bees.” “In animal tests: ataxic gait, reduced spontaneous motor activity and depression … development of respiratory disturbances leading to death.” …”depressed frog-heart activity.” Causes CNS disorder.

   10. METHYLENE CHLORIDE (in: shampoo, cologne, paint and varnish remover) Banned by the FDA in 1988! No enforcement possible due to trade secret laws protecting chemical fragrance industry. On EPA, RCRA, CERCLA Hazardous Waste lists. “Carcinogenic” …”Absorbed, stored in body fat, it metabolizes to carbon monoxide, reducing oxygen-carrying capacity of the blood.” “Headache, giddiness, stupor, irritability, fatigue, tingling in the limbs.” Causes CNS disorder.

   11. a-PINENE (in: bar and liquid soap, cologne, perfume, shaving cream, deodorants, dishwashing liquid, air freshener) Sensitizer (damaging to the immune system).

   12. g-TERPINENE (in: cologne, perfume, soap, shaving cream, deodorant, air freshener) “Causes asthma and CNS disorders.”

   13. a-TERPINEOL (in: perfume, cologne, laundry detergent, bleach powder, laundry bleach, fabric softener, stickup air freshener, vaseline lotion, cologne, soap, hairspray, after shave, roll-on deodorant) …”highly irritating to mucous membranes”… “Aspiration into the lungs can produce pneumonitis or even fatal edema.” Can also cause “excitement, ataxia (loss of muscular coordination), hypothermia, CNS and respiratory depression, and headache.” “Prevent repeated or prolonged skin contact.”

   NOTE: Unable to secure MSDS for the following chemicals: 1,8-CINEOLE; b-CITRONELLOL; b-MYRCENE; NEROL; OCIMENE; b-PHENETHYL ALCOHOL; a-TERPINOLENE (OLP).

SOME CHEMICALS FOUND IN FRAGRANCED LAUNDRY PRODUCTS:

▪ The following are “regulated as toxic/hazardous chemical” under 1-7 laws (except Benzyl Acetate). They are also listed as either a recognized or suspected as a Carcinogen, Neurotoxicant, Immunotoxicant, Kidney Toxicant, Liver Toxicant, Blood Toxicant, Developmental Toxicant, Respiratory Toxicant, Gastrointestinal Toxicant, Reproductive Toxicant, Endocrine Toxicant, Skin and/or Sense Organ Toxicant. Acetaldehyde (recognized carcinogen), 1,4-DIOXANE (recognized carcinogen), CHLOROMETHANE (recognized developmental toxicant,  2-BUTANONE, a-Pinene, Benzyl Acetate, Ethanol, Ethyl Acetate, Limonene, Linalool (Steinemann, Laundry).

SOME CHEMICALS FOUND IN AIR FRESHENERS:

▪ The following are “regulated as toxic/hazardous chemical” under 1-7 laws (except Benzyl Acetate and O, M, or P-Cymene). They are also listed as either a recognized or suspected as a Carcinogen, Neurotoxicant, Immunotoxicant, Kidney Toxicant, Liver Toxicant, Blood Toxicant, Developmental Toxicant, Respiratory Toxicant, Gastrointestinal Toxicant, Reproductive Toxicant, Endocrine Toxicant, Skin and/or Sense Organ Toxicant. Acetaldehyde (recognized carcinogen), Acetone, Ethanol, Benzaldehyde, Isopropyl Alcohol, a-Pinene, Benzyl Acetate (no reg), Ethyl Acetate, Isoamyl Acetate (1-Butanol, 3-Methyl-, Acetate), O, M, or P-Cymene (no reg), Limonene, Linalool (Steinemann, Air Fresheners).

▪ Researching air freshener/plug-in ingredients from their Material Safety Data Sheets we find that these ingredients are toxic. Let’s look at a few of the toxic chemicals in air fresheners: Benzyl Alcohol – “…upper respiratory tract irritation, headaches, nausea and vomiting, a depressed central nervous system and a drop in blood pressure.” Camphor – “On EPA’s Hazardous Waste List… readily absorbed through the body tissues…irritation of eyes, skin, nose, and throat…dizziness, confusion, nausea, twitching muscles and convulsions…avoid inhalation of vapors.” Dichlorobenzene – “extremely toxic, a central nervous system depressant, kidney and liver poison. One of the chlorinated hydrocarbons that is long-lasting in the environment and is stored in body fat. Vapor irritating to skin, eyes and throat. Banned in California.”   Ethanol– “… derived from petroleum and is carcinogenic… toxic to the skin, respiratory, cardiovascular, developmental, endocrine, neurological, and gastrointestinal systems.” Formaldehyde – “…toxic if inhaled, poisonous if swallowed, skin and eye irritant, carcinogenic…” Limonene – “ …Carcinogenic, prevent its contact with skin or eyes because it is an irritant and sensitizer …always wash thoroughly after using this material and before eating or drinking…do not inhale limonene vapor.” Naphthalene – “… a carcinogen that accumulates in our waters and marine life. It can be irritating to the skin, alter kidney function, cause cataracts, and is toxic (cardiovascular and developmental), especially to children. It can be poisonous if inhaled, swallowed, or absorbed through the skin. Phenol – “…can cause skin to swell, burn, peel, and break out in hives … cold sweats,convulsions, circulatory collapse, coma and even death. Pinene – “…Flammable Incompatible with strong oxidizing agents. Eye, skin, & respiratory irritant. May be absorbed through skin…very destructive of mucous membranes (Fleming).

▪ Air “fresheners,” according to the Household Hazardous Waste Project, do not freshen the air at all. What they do is mask one odor with another, while diminishing one’s sense of smell with a nerve-deadening agent (Pitts, Whiff).

▪ Colorado researchers have helped figure out why mothballs and air fresheners can cause cancer – their chemicals block the natural process of “cell suicide,” allowing tumors to develop (Scanlon).

BENZENE, TOLUENE AND PTHALATES IN FRAGRANCES:

▪ Toluene (methyl benzene) was detected in fragrance samples and collected by the EPA in 1991. Toluene is a ‘hazardous waste.’ It is flammable and volatile, it attacks the central nervous system, blood, liver, kidneys, eyes, and skin, and it serves as an asthma trigger….Methylene chloride is also found in pesticides and septic tank cleaners (Pitts, Get a Whiff of This).

▪ Another solvent found in personal care products is benzene. More than 3,000 excess leukemia cases each year can be linked to benzene. One often-overlooked source of benzene is in perfume. Industry statistics show that, on average, people in just Britain alone go through about 14 bottles a year. As a result, rare chemicals in perfumes, such as benzene vapors, are released (O’Connell).

▪ The major effect of benzene from long-term exposure is on the blood. (Long-term exposure means exposure of a year or more.) Benzene causes harmful effects on the bone marrow and can cause a decrease in red blood cells, leading to anemia. It can also cause excessive bleeding and can affect the immune system, increasing the chance for infection. The Department of Health and Human Services (DHHS) has determined that benzene causes cancer in humans. Long-term exposure to high levels of benzene in the air can cause leukemia, cancer of the blood-forming organs (CDC).

▪ Some women who breathed high levels of benzene for many months had irregular menstrual periods and a decrease in the size of their ovaries. It is not known whether benzene exposure affects the developing fetus in pregnant women or fertility in men. Animal studies have shown low birth weights, delayed bone formation, and bone marrow damage when pregnant animals breathed benzene (CDC).

▪ Phthalates are found in many every day products like hair spray, deodorant, nail polish and perfume (NTP, Facts). In May 2002 a coalition of environmental and public health organizations contracted with a major national laboratory to test 72 name-brand, off-the-shelf beauty products for the presence of phthalates, a large family of industrial chemicals linked to permanent birth defects in the male reproductive system. The laboratory found phthalates in nearly three-quarters of the products tested (NTP, Cosmetics).

▪ The animal research and one recent human study show that prenatal DBP [dibutyl phthalate] exposure disrupts development of the male reproductive system in ways that may increase the risk of testicular cancer. Cellular studies also suggest cause for concern among females. DBP increases proliferation of MCF-7 breast cancer cells in culture and promotes drug resistance to the action of tamoxifen in these cells. Sometimes DBP is not listed as an ingredient on product labels—phthalates are often concealed in the term “fragrance” (Evans).

▪ Some scented candles contain acetone, benzene, lead, carbon monoxide, toluene and more (Pitts, Whiff). In addition to many fragrance chemicals, chloroform was found in tests of fabric softeners (EHN) and a room containing air freshener had a high level of p-dichlorobenzene (a carcinogen) and ethanol (EPA).

FRAGRANCE REGULATIONS:

▪ Manufacturers are not required to disclose any ingredients in cleaning supplies, air fresheners or laundry products, all of which are regulated by the Consumer Product Safety Commission. Neither these nor personal care products, which are regulated by the Food and Drug Administration, are required to list ingredients used in fragrances, even though a single “fragrance” in a product can be a mixture of up to several hundred ingredients, Steinemann said (2010 Press Release, Hickey).

▪ A study led by the University of Washington discovered that 25 commonly used scented products emit an average of 17 chemicals each. Of the 133 different chemicals detected, nearly a quarter are classified as toxic or hazardous under at least one federal law. Only one emitted compound was listed on a product label, and only two were publicly disclosed anywhere  (2010 Press Release, Hickey).

▪ More than 80 percent of the chemical ingredients in these products have never been tested to see if they are poisonous to humans. Some have been tested only minimally (LA).

▪ By all accounts, the fragrance industry is primarily self-regulated. Safety tested before marketing is not required and ingredients used in fragrance formulas do not have to be disclosed even to regulatory agencies. In general fragrance is a very low priority among regulatory agencies and there is little monitoring of compliance or enforcement of laws that are in place. There is a self-regulatory system in place within the fragrance industry. Compliance with recommendations are voluntary and rarely monitored (FPINVA, Facts and Fiction).

▪ The fragrance industry has traditionally been a very secretive industry. For decades secrecy was required to protect fragrance formulas from being copied by others. Fragrance formulas are considered ‘trade secrets’ and do not have to be revealed to anyone, including regulatory agencies. The secrecy of the industry has lead to tremendous problems in terms of regulation, monitoring, and impact on those that have problems from fragrance (FPINVA, By Design).

▪ The Cosmetic Regulations state that within 10 days after starting to sell a product, a list of ingredients must be provided. ‘Fragrance’ is considered a specific ingredient, and no disclosure of the potentially hundreds of chemicals within the fragrance is required (QGBS).

REFERENCES:

(1999 Study, Kreutzer) Kreutzer R, Neutra RR, Lashuay N. (1999). Prevalence of people reporting sensitivities to chemicals in a population-based survey. American Journal of Epidemiology. 1999 Jul 1;150(1):1-12. PubMed.gov. PMID: 10400546 [PubMed - indexed for MEDLINE]. Quote from study excerpt.

(2002 Study, Caress) Caress SM, Steinemann AC, Waddick, C (2002).  State University of West Georgia (2002). Symptomatology and etiology of multiple chemical sensitivities in the southeastern United States. Full Study. Archives of Environmental Health; Sep/Oct 2002; 57, 5; ProQuest Medical Library, pg. 429. University of Washington.

(2003 Press Release, Adams) Adams, Brandon (September 2003). “More than 12% of the Populations Reports Extreme Sensitivity to Low Levels of Common Chemicals.” Journal of Environmental Health Perspectives (EHP). Article references 2003 Study, Caress.

(2003 Study, Caress) Caress SM, Steinemann AC. State University of West Georgia (2003). A review of a two-phase population study of multiple chemical sensitivities. Environmental Health Perspectives. 2003 Sep;111(12):1490-7. PubMed.gov. PMID: 12948889 [PubMed - indexed for MEDLINE] PMCID: PMC1241652.

(2004 Study, Caress) Caress SM, Steinemann AC. State University of West Georgia (2004). A national population study of the prevalence of multiple chemical sensitivityArch Environ Health. 2004 Jun;59(6):300-5. PubMed.gov. PMID: 16238164 [PubMed - indexed for MEDLINE].

(2004 S.E US Study, Caress) Caress SM, Steinemann AC. State University of West Georgia (2004). Prevalence of multiple chemical sensitivities: a population-based study in the southeastern United States. American Journal of Public Health. 2004 May;94(5):746-7. PubMed.gov. PMID: 15117694 [PubMed - indexed for MEDLINE] PMCID: PMC1448331

(2009 Study, Steinemann) Caress, SM, Steinemann, AC (2009) Prevalence of fragrance sensitivity in the American population. Journal of Environmental Health 2009 Mar; 71(7); 46-50. PubMed.gov. PMID: 19326669 [PubMed – indexed for MEDLINE.

(2010 Study, Steineman) Steinemann, Anne C., MacGregor, Ian C., Gordon, Sydney M., Gallagher, Lisa G., Davis, Amy L., Ribeiro, Daniel S., Wallace, Lance A. (2010). Fragranced consumer products: Chemicals emitted, ingredients unlisted. University of Washington, Department of Civil and Environmental Engineering, and Evans School of Public Affairs, WA. Environmental Impact Assessment Review. Elsevier. xxx (2010) xxx-xxx. EIR-056-86; No of Pages 6.

(2010 Press Release, Hickey) Hickey, Hannah (October 2010). University of Washington. Scented Consumer Products Show to Emit Many Unlisted Chemicals. Article references 2010 Study, Steineman.

(2011 Study, Steineman) Steinemann, Anne C., Gallagher, Lisa, Davis, Amy at University of Washington. MacGregor, Ian at Battelle Memorial Institute (2011). Scented laundry products emit hazardous chemicals through dryer vents. Published in Air Quality, Atmosphere and Health, 2011. Final publication available at www. springerlink.com.

(2011 Press Release, Hickey) Hickey, Hannah (August 2011). University of Washington. Scented laundry products emit hazardous chemicals through dryer vents. Article references 2011 Study, Steinemann (above).

(AAAI) American Academy of Allergy & Immunity (Spring 2002). “The Impact of Allergies.” Spring Allergies & Asthma Survival Guide. www.aaaai.org (Accessed Nov. 2005).

(ALA) American Lung Association of Texas (July 2005). “Asthma in Adults Fact Sheet.” Asthma & Allergy. www.lungusa.org (Accessed September 23, 2006)

(Bridges) Bridges, Betty RN. “Safety of Fragrances: A Case for Concern.” Fragranced Products Information Network www.fpinva.org (Accessed September 2, 2005).

(CDC) Centers for Disease Control and Prevention. “Facts About Benzene” www.bt.cdc.gov/agent/benzene/basics/facts.asp. (Accessed June 26, 2006).

(Dewey) Dewey, David Lawrence (October 7, 1999). “Food For Thought: Colognes – Perfumes – Pesticides
Are They Slowly Killing You?” Dewey’s World: www.dldewey.com (Accessed September 23, 2006).

(EHN) Environmental Health Network . “Fabric Softeners: Health Risks from Dryer Exhaust and Treated Fabrics.” Distributed by the EHN, with permission of Julia Kendall http://users.lmi.net/~wilworks/ehnfs.htm.(Accessed Nov. 2005).

(EPA) Environmental Protection Agency (March 1, 1991). “Identification of Polar volatile Organic Compounds in Consumer Products and Common Microenvironments.” Report No. EPA/600/D-91/074, Paper #A312: Our Little Place www.ourlittleplace.com (Accessed Nov. 2005).

(Ephram) Ephraim, Rebecca RD, CCN (April 2002). “Smells Can Make You Sick.” Health Conscious. Chicago Conscious Choice: www.consciouschoice.com (Accessed November 2005).

(Evans) Evans, Nancy (Spring 2006). “Cosmetics Ingredient Raises Risk for Breast Cancer and Birth Defects.” Strong Voices newsletter. Breast Cancer Fund: www.breastcancerfund.org/site/pp.asp?c=kwKXLdPaE&b=1598645

(Fleming) Fleming, Julie. “Let’s Clear the Air About Air Fresheners and Plug-Ins.” www.MCS-Global.org. (Accessed July 27, 2006).

(FPINVA) Fragranced Products Information Network. “Fragrances by Design.” www.fpinva.org. (Accessed September 2, 2005).

(FPINVA) Fragranced Products Information Network. “Fragrance Facts & Fiction.” www.fpinva.org (Accessed September 2, 2005).

(LA) The Lung Association: New Brunswick. “No Scents Makes Sense.” (Accessed Nov. 2005).

(Lyman) Lyman, Francesca (Feb 12, 2003). “What the nose knows – Think twice before buying a loved one perfume, cologne.” MSNBC: http://msnbc.msn.com/id/3076635/.

(MCRR) MCS Referral and Resources (2000). “Multiple Chemical Sensitivity Syndrome- Fact Sheet.” www.mcsrr.org (Accessed September 23, 2006).

(NTP) Not Too Pretty. “Pthealate Facts.” www.nottoopretty.org (Accessed Nov. 2005).

(NTP) Not Too Pretty. “Phthalates in Cosmetics in America Report.” www.nottoopretty.org (Accessed Nov. 2005).

(O’Connell) O’Connell, A. “Unseen perils are lurking in your home.” The Times (London). April 11, 2000.

(OLP) Our Little Place. “Twenty Most Common Chemicals in Thirty-one Fragranced Products [based on a] 1991 EPA Study.” www.ourlittleplace.com (Accessed Oct. 24, 2006).

(Pitts, Featured) Pitts, Connie Pitts (2003). “Featured Author. Connie Pitts – Get a Whiff of This: Perfumes (Fragrances) – The Invisible Chemical Poisons.” Integrative Ink www.integrativeink.com (Accessed September 2, 2005).

(Pitts, Invisible) Pitts, Connie (2003). Get a Whiff of This: Perfumes (fragrances) – the Invisible Chemical Poisons (Bloomington, IN: 1stBooks), xx.

(Pressinger) Pressinger, Richard M.Ed and Sinclair, Wayne MD (Sept 2, 2005). “Chem-Tox.com: Researching effects of chemicals and pesticides upon health.” Chem-Tox.com www.chem-tox.com (Accessed Nov. 2005).

(QGBS) Quantum Growth Business Solutions. “Dangers of fragrance: WHY GO FRAGRANCE FREE?” http://quantumgrowth.net (Accessed September 2, 2005).

(Scanlon) Scanlon, Bill (June 21, 2006). “CU sniffs out cancer link in moth balls.” Rocky Mountain News (RMN).

(Steinemann) Steinemann, Anne C. Exposure Assessment – FAQ. Civil and Environmental Engineering, and Public Affairs. Washington University.

(Steinemann, Air Fresheners) Steinemann, Ann C. Professor, Civil and Environmental Engineering and Public Affair, University of Washington. Toxic Chemicals in Air Fresheners and Health Effects. 2011.

(Steinemann, Laundry) Steinemann, Ann C. Professor, Civil and Environmental Engineering and Public Affair, University of Washington. Toxic Chemicals in Fragranced Laundry Products and Health Effects. 2011.

(USHR) U.S. House of Representatives (Sept. 16, 1986). “Neurotoxins: At Home and the Workplace.” Report by the Committee on Science & Technology, Report 99-827.

Copyright © 2006 – 2012 Cleaner Indoor Air www.CleanerIndoorAir.org. A Campaign Launched by the Invisible Disabilities Association www.InvisibleDisabilities.org. All rights reserved. This handout cannot be republished electronically in websites or emails. Readers are welcome to print up to 5 copies of this page for their personal use only. However, readers must request permission to distribute or publish this article in a hard-copy newsletter. If you would like to share this article by email, on Facebook, Twitter and more, simply choose the options below! Thank you!

DISCLAIMER: Neither Cleaner Indoor Air (CIA), the Invisible Disabilities Association (IDA), nor any parties affiliated with CIA or IDA endorse, promote or necessarily agree with any or all information contained within this website, pages, articles, comments, links, etc. Posted links and information does not constitute endorsement of any website, organization, business, product or service. Neither IDA nor any of our affiliates, board members, volunteers etc. can be held responsible for any information, misinformation, reports, comments or opinions expressed within this site or any linked sites. Data contained in this web site should not be construed as legal, medical or scientific advice. Use your own discretion and seek legal, medical or scientific advice from a professional before taking action or making any changes.