What GAO Found
United States Government Accountability Office
Why GAO Did This Study
Highlights
Accountability Integrity Reliability
Au
ust 2010
FORMALDEHYDE IN TEXTILES
While Levels in Clothing Generally Appear to Be Low,
Allergic Contact Dermatitis Is a Health Issue for Some
People
Highlights of GAO-10-875, a report to
congressional committees
Formaldehyde—one of the most
widely produced chemicals in the
world—is used in many products,
including disinfectants, pressed-
wood, and clothing and other
textiles. Exposure to this chemical,
which has been linked to adverse
health effects for more than 30 years,
typically occurs through inhalation
and dermal (skin) contact.
Formaldehyde can be used to
enhance wrinkle resistance in some
clothing and textiles, especially those
made of cotton. The Consumer
Product Safety Commission
reviewed formaldehyde in clothing in
the 1980s and determined that the
levels found did not pose a public
health concern. At that time, most
clothing sold in the United States
was made here—but the market has
changed such that most U.S. clothing
is now made in other countries. This
market change has raised anew
questions about the levels of
formaldehyde in clothing.
In response to a mandate in the
Consumer Product Safety
Improvement Act of 2008, this report
provides information on what is
known about (1) the health risks of
exposure to formaldehyde,
particularly from clothing, and (2)
the levels of formaldehyde in
clothing sold in the United States.
GAO analyzed government reviews
and the medical literature, as well as
studies on levels of formaldehyde in
clothing, and had a sample of 180
textiles—primarily clothing—tested
for formaldehyde by an accredited
laboratory. While illustrative of
formaldehyde levels that may be
found in clothing, the test results
from GAO’s sample cannot be
projected to all clothing sold in the
United States. This report contains
no recommendations.
The potential health risks associated with formaldehyde
ary, depending
largely on the means of exposure (e.g., inhalation or dermal contact), the
concentration of the formaldehyde, and the duration of exposure. Inhaled
formaldehyde may cause such effects as nausea, exacerbation of asthma, and
cellular changes that may lead to the development of tumors. In fact,
comprehensive reviews by the Department of Health and Human Services, the
Environmental Protection Agency, and the World Health Organization have
found that chronic inhalation exposure to formaldehyde may cause cancer.
However, the health risk of greatest concern associated with formaldehyde in
clothing—allergic contact dermatitis—stems from dermal exposure. A form
of eczema, allergic contact dermatitis affects the immune system and
produces reactions characterized by rashes, blisters, and flaky, dry skin that
can itch or burn. Another potential health effect from dermal exposure to
formaldehyde—irritant contact dermatitis—is also a form of eczema and has
similar symptoms; however, this condition does not affect the immune
system. Avoiding clothing containing formaldehyde is typically effective at
preventing allergic and irritant contact dermatitis and relieving symptoms, but
doing so can be difficult as clothing labels do not identify items treated with
or containing formaldehyde. Washing clothing before it is worn often reduces
formaldehyde levels but is not always successful. In some cases, avoiding or
relieving allergic contact dermatitis requires more drastic measures, such as
taking medications with potentially serious side effects. Finally, consumers
may also experience dermal exposure to formaldehyde by using some
cosmetics and skin care products, such as shampoos and sunscreens that
contain formaldehyde.
Comprehensive data on formaldehyde levels in clothing sold in the United
States are not publicly available. While formaldehyde levels in clothing are not
regulated in the United States, the apparel industry reports that 13 countries
have laws or regulations that limit formaldehyde levels in clothing. Most of the
180 items GAO had tested had formaldehyde levels that were below the most
stringent of these industry-identified regulatory limits. GAO’s test results are
similar to those of recent studies of formaldehyde levels in clothing by the
European Union, New Zealand, and Australia—that is, most items were found
to meet the most stringent limits. Moreover, government studies we reviewed
showed a decline in the formaldehyde levels in clothing since the 1980s, and
the levels reported in these studies are generally consistent with the decline in
levels reported in the medical literature. This decline is associated with the
development and use of low-formaldehyde technologies (resins) in
manufacturing clothing, which has been encouraged by such factors as the
identification of formaldehyde as a probable human carcinogen via inhalation;
the promulgation of federal regulations protecting workers from inhalation
exposure to
formaldehyde; and limits on formaldehyde levels that some U.S.
retailers have established for clothing they sell.
View GAO-10-875 or key components.
For more information, contact John B.
Stephenson at (202) 512-3841 or