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Constantine Kaniklidis
Director, Medical Research, No Surrender Breast Cancer Foundation (NSBCF)
Oncology Reviewer, Current Oncology
Member, European Association for Cancer Research (EACR)
Society for Integrative Oncology (SIO)
International Cardio-oncology Society (ICOS)
Association for Frontotemporal Dementia (AFTD)
Alzheimer's Association International Society to Advance Alzheimer's Research and Treatment (ISTAART)
International Society for Infectious Diseases (ISID)
ORCID ID/Profile: https://orcid.org/0000-0002-7043-5937
ResearchGate.net: https://www.researchgate.net/profile/Constantine_Kaniklidis
Date: January, 2022 edition
Abstract
This review of the aggregated data to date finds the overwhelming weight of the evidence supports the
contention that many laundry and household cleaning products add significant elevated risk to humans
in the domains of reproductive/fertility risk; respiratory/pulmonary (asthma, cardiopulmonary disease)
risk; neurological/cognitive (ADHD, autism) risk; metabolic (diabetes, obesity) risk; and oncogenic
(cancer) risk. We focus discussion on laundry products, the subject of much research and regulatory
scrutiny. We also provide a summary of existing and emerging legislation, national and global, to
regulate and thereby limit the potential multifaceted harms of these products (phthalates, plasiticizers,
bisphenols, PBDEs, PAHs, phenols, PFAS substances, and the contaminant 1,4-dioxane). Concerns
have been sufficiently serious and well evidenced that most of these toxic chemicals have been banned
in the EU and over 40 other nations, as well as in California, with pending prohibitions in over a dozen
other states (including CT, NY, NJ, MA), and with retailers like Home Depot, Lowe's, Walmart, Target,
Apple, Hewlett Packard and 100+ others pledging for their elimination from cosmetics, personal care
and household products in near future.
Overview of the Dangers: Our review of the aggregated data to date finds the weight of the evidence
demonstrating that among household, personal care, and cosmetic products, dryer sheets in
particular along with fragranced laundry products, add significant risk to humans in various domains:
Reproductive/fertility: this stems largely from endocrine disrupting chemical (EDC)
components like phthalates, bisphenols, and parabens that can dysregulate estrogen
pathways, and can also serve as “pubertal influencers”, advancing to younger years the age of
puberty.
Respiratory/pulmonary: in particular asthma and cardiopulmonary diseases.
Neurological/cognitive: the components can exert neurotoxic activity, with adverse impact on
ADHD and autism, among others.
Metabolic disease: especially diabetes and obesity, where the components can be said to be
obesogenic.
Oncogenic (cancer): increasing risk of endocrine-related cancers, especially breast cancer and
prostate cancer, but also lung, thyroid and hepatocellular cancer.
1
TOXICITIES OF LAUNDRY PRODUCTS: REVIEW OF THE EVIDENCE
Numerous extensive investigations and aggregated scientific safety and toxicity studies have
concluded that common products used in the laundry process contain complex mixtures of
endocrine-disrupting compounds (EDCs) and asthma-related compounds [Dodson 2012]. EDCs are
agents that can alter hormonal signaling, mimicking estrogen, and have potential effects on
developing reproductive and nervous systems, metabolism, and cancer, and can also be associated
with adverse developmental effects and in humans [Colborn 1993] [Parlett 2013] [Jurewicz 2011]
[Chen 2014] [Ventrice 2014].
Phthalates are used in fragrances, home and personal care products, and laundry products, and
because they are semi-volatile, they are found in indoor air and dust, with exposure to humans via
inhalation, ingestion, and skin absorption. In addition, note that phthalates – like DEP (diethyl
phthalate) - are often added to fragrance to make the scent linger, so are extremely common in all
scented products including dryer sheets and softeners. These phthalates (Phth), known endocrine-
disruptors, may play a role in breast carcinogenesis. Low-molecular-weight phthalates (LMWPhth)
are commonly found in personal care products while high MWPhth (HMWPhth) are used primarily as
plasticizers. The weight of the scientific evidence finds that phthalates are associated with asthma
and wheezing in children [Bornehag 2010] [Kumar 1995] [Parks 2020], among other harms (see
below), as are other common laundry agents. The specific epidemiology of one of these, asthma-
related QACs (quaternary ammonium compounds, aka “quats”) has been reviewed extensively by the
Mount Sinai Selikoff Centers for Occupational Health (SSCOH) in collaboration with the Bellevue/NYU
Occupational & Environmental Medicine Clinic (BNOEMC) [SSCOH/BNOEMC 2016].
This has led to numerous calls by environmental scientists for the total prohibition from all consumer
products of such agents. One of the latest is that of Dr. Russ Hauser, Professor of Reproductive
Physiology and Professor of Environmental and Occupational Epidemiology at Harvard T.H. Chan
School of Public Health recent issuance, along with experts in toxic chemicals and neurodevelopment
who are members of Project TENDR (Targeting Environmental Neuro-Development Risks)
[http://projecttendr.com/], of a National Call to Action (“Why phthalates should be restricted or
banned from consumer products” [Hauser 2021]), supported by
the National Institute of Environmental Health Sciences NIEHS) National Toxicology Program
(NTP),
the Center for Environmental Research and Children’s Health (CERCH),
the American Academy of Pediatrics Environmental Health Council,
the Environmental Defense Fund (EDF),
the Collaborative on Health and the Environment (CHE),
the Commission on Environmental Health National Medical Association,
the Science and Environmental Health Network,
the Natural Resources Defense Council (NRDC),
the Children’s Environmental Health Network,
among dozens of others across the nation. (See our summary of legislation in the Appendix of this
document). Collectively, on the neurological front alone, there is overwhelming scientific evidence
linking these toxic environmental chemicals to neurodevelopmental disorders that can impair brain
development and increase risks for learning, attention, and behavioral disorders in childhood,
2
including autism spectrum disorder, attention deficits, hyperactivity, intellectual disability and
learning disorders [Engel 2021].
What’s Lurking in the Laundry: The labeling terms “natural,” “nontoxic,” and “green” are unregulated
and require no standardized ingredient information. Indeed, in a recent study [Steinemann 2011]
found that the VOC composition of “green”-labeled fragranced products was not significantly
different from that of other fragranced products with regard to number of hazardous chemicals as
defined under U.S. federal laws [Potera 2011]. Testing by the Environmental Working Group (EWG)
has also revealed that 75% of the fragrances contain phthalates, linked to diabetes, obesity and
hormone (endocrine) disruption which affects both development and fertility, and the Mt. Sinai
Children’s Environmental Health Center (CEHC) has linked exposure to synthetic fragrance that
including endocrine disruptors (as with dryer sheets) in first and third prenatal exposure to ADHD and
autism [Landrigan 2012] [Mount Sinai 2012] [Bagasra 2013]. Recognizing the household dust is a
vast repository of consumer product chemicals and pollutants, researchers at UC Davis conducted a
large study of these potentially hazardous agents in California house dust [Shin 2020],including
semivolatile organic compounds (SVOCs) for which household dust in a reservoir, finding that in the
-119 newly detected compounds, 13 had endocrine disrupting potential, while another 7 had
neurotoxic potential. These included phthalates, plasiticizers, bisphenols, PBDEs (polybrominated
-diphenyl ethers), OP FRs (organophosphate flame retardants); PAHs (polycyclic aromatic
hydrocarbons), phenols, and PFAS.
PFAS in the Laundry, and in Us, Forever
-This latter group of chemicals, the PFAS (per and polyfluoroalkyl substances) represents a class of
over 5000 chemicals used cosmetics, laundry products, household cleaning products, cookware and
food packaging, carpeting, outdoor attire, firefighting foams and in almost innumerable industrial
processes before been discharged into our waterways and which are linked to cancer promotion,
hormone disruption, immune suppression, and adverse reproductive functioning. Because of the fact
that they are highly resistant to breaking down in the environment and so may be with us forever,
they are commonly called “forever chemicals”, and can be found in the blood, breast milk, and a
newborn baby’s umbilical cord blood [Perfluorochemicals CDC 2017]. And contrary to constant
reassurance by the chemical industry that current use of PFAS does not build up in humans, recent
evidence decisively shows the opposite: in a recent study [Zheng 2021] these toxic PFAS chemicals
were found in 100% of breast milk samples in mothers tested in the United States, exposing nursing
infants to significant harms, including the later development of immune dysfunction, dyslipidemia,
pregnancy-induced hypertension, damage to the liver, elevated risk of thyroid disease, reduced
fertility, and various cancers [Rappazo 2017] [Sunderland 2019]. And it is demonstrated that current-
use short-chain PFAS have been increasing worldwide, doubling about every 4 years [Zheng 2021].
Finally, there’s is mounting evidence that PFAS exposure may exert immunotoxic activity, likely
compromising the effective immune response, especially critical in vulnerable populations and in a
time of the COVID-19 pandemic [Quinete 2021].
The Fragrance-Free Myth
Note that although many of these products may be labeled as 'fragrance-free' they may still contain
fragrance compounds if those are used not for scent per se, but rather as preservatives or fixatives.
3
In a seminal study of effective VOC-reduction strategies [Goodman 2019], researchers conducted a
comprehensive study of emissions from dryer vents during use of fragranced versus fragrance-free
laundry products, showing that the simple strategy of changing from fragranced to fragrance-free
products can be an effective approach to reducing ambient air pollution and potential health risks.
This, in households using fragranced laundry detergent, the highest concentration of d-limonene (a
common fragrance agent found in laundry products like dryer sheets and detergents) from a dryer
vent was 118 μg/m3, compared to just 0.26 μg/m3 in households using only fragrance-free laundry
products, and after households using fragranced detergent switched to using fragrance-free
detergent, the concentrations of d-limonene in dryer vent emissions were reduced by up to 99.7%. D-
limonene is associated with multiple adverse effects, including breathing difficulties manifested in
wheezing or coughing [NICNAS 2002], and can react with ozone to generate hazardous air pollutants
which include formaldehyde, acetaldehyde, and ultrafine particles, known respiratory irritants and
carcinogens [Nazaroff 2004].
In the U.S. 12.5% of adults reported adverse health effects (asthma attacks, migraine headaches)
from the fragrance of laundry products emitting from a dryer vent, with 28.9% of adults with
diagnosed asthma or an asthma-like condition reporting adverse health effects from these dryer-vent
fragrances [Steinemann 2018; 2018c]. It has been noted that the pathologies triggered by endocrine
disrupting compounds (EDCs) include neuropathies like depression and autism), malignant disease
like breast cancer and prostate cancer, endocrinopathies like gynacomastia, organ damage like
hepatotoxicity, among many others [Patel 2017].
On a positive note, it has been demonstrated that switching from fragranced to fragrance-free
laundry products allows dryer vent emissions of a leading contaminant and environmental pollutant,
limonene, to be reduced up to 99.7% [Goodman 2021].
The Cancer Connection: In addition, there are "secondary hazard" effects: limonene and other
volatile aromatic terpenes (pine, citrus oils, essential oils) react with ozone present in the
surrounding air to generate secondary pollutants that including formaldehyde (probable human
carcinogen), acetaldehyde (probable human carcinogen), acetone (respiratory / pulmonary irritant),
and ultra-fine particles known as PM0.1 (these are classified by the International Agency for
Research on Cancer (IARC) and the US National Toxicology Program (NTP) as Group 1 human
carcinogens, associated with lung cancer and as well as cardiopulmonary disease) [ACS]). Another
class of agents commonly used in dryer sheets is nonylphenol ethoxylates (or NPEs), a mix of
petrochemical cleaning agents also used in many laundry detergents as surfactants (lowering the
surface tension of water to allow for a deeper clean each time they are used). And it is known that
certain agents like dichlorobenzene can not only induce irritation of the skin, throat and eyes, but
have chronic (long-term) effects on the liver, skin, and central nervous system (CNS), which has led
the EPA to warning of it being suspected to cause human cancer, therefore classifying it as a possible
human carcinogen [EPA 1999.]. Despite being completely banned in Canada and the EU, these
agents are still found in laundry products in the U.S.
The Breast Cancer Connection: Most alarmingly, new human clinical evidence from the Multiethnic
Cohort Study of 798 women just presented this June (2020) shows that phthalate exposure – and
4
also parabens [BCPP Parabens] and other EDCs – is associated with increased risk of invasive breast
cancer [Wu 2020], and may be higher risk still in subgroups of women with greater genetic
susceptibility (such as women with BRCA-mutations), as shown in a just published (August, 2020)
systematic review of 56 studies [Zeinomar 2020], cross-validating other critical studies [Terry 2019]
[Ahern 2019]. A widely used class of phthalates, known as high molecular weight phthalates
(HMWPhth) are used primarily as plasticizers found in a broad swatch of products from personal care
to laundry products including dryer sheets, but in the notoriously underregulated U.S. markets,
producers are not required by the FDA to list all ingredients in a product, only so-called “active
ingredients”, and numerous individual chemicals in cosmetics like phthalates in fragrances are not
required to be labeled, and so represent a hidden danger to the consumer [BCPP Phthalates]. This is
in contrast to the EU where full-disclosure is required, and endocrine disruptors like phthalates and
parabens have already been prohibited since 2005.
We also have several epidemiological studies linking endocrine disrupting compound (EDC) exposure
with breast cancer risk, and still more importantly, with poor prognosis, which include the case-
control study finding increased risk of breast cancer in North Mexico states among women exposed to
diethyl phthalate [Lopez-Carrillo 2010], in agreement with the reviews from The Silent Spring
Institute [Rodgers 2018], and the “Coimbra” Review [Encarnação 2019]. This wide spectrum and
penetration of adverse effects of endocrine disrupting compound (EDC) was acknowledged by as
early as The Endocrine Society in 2009 in their Scientific Statement on EDCs addressing the concerns
to public health based on evidence of the effects of EDCs on male [Radke 2018] and female
reproduction, breast development, prostate and breast cancer, neuroendocrinology, thyroid,
metabolism and obesity, and cardiovascular endocrinology [Diamanti-Kandarakis 2009]. In addition,
EDCs can function as pubertal influencers, accelerating the processing of maturation of secondary
sexual characteristics [Lucaccioni 2020], with recent studies accumulating evidence of exposure to
EDCs during puberty predisposing to breast cancer later in life, and affecting a woman’s reproductive
potential and ovarian reserve, and influence outcome in assisted reproductive technology (ART),
while elevating risk of the development of breast cancer at any age [Karwacka 2019] [Yilmaz 2020]
[Giulivo 2017] [Morgan 2017].
Breast Cancer Prevention Partners (BCPP) released a landmark report in 2018 — Right to Know:
Exposing Toxic Fragrance Chemicals in Beauty, Personal Care and Cleaning Products [BCPP Right to
Know]. The report exposes the presence of harmful fragrance chemicals linked to cancer, hormone
disruption, reproductive harm, and respiratory toxicity, not appearing on the label, especially
unregulated toxic fragrance chemicals, all tested by BCPP using state-of-the-art laboratory testing
via two-dimensional gas chromatography (GCxGC) Time-of-Flight (TOF) analysis. Fragrance
chemicals made up three-quarters of the toxic chemicals in the beauty, personal care and cleaning /
household products tested, with one in four of the total 338 fragrance chemicals detected linked to
serious chronic health effects, as documented in their Red List of Chemicals of Concern as part of their
Campaign for Safe Cosmetics [BCPP Red List]. The list included 102 chemicals found in personal care
products that pose serious chronic health concerns including cancer, hormone disruption, and
reproductive and developmental harm, and also now includes chemicals used in cleaning products
and in fragrance (including dryer sheet products like Bounce whose Dryer Sheets have received an
“F” rating from the Environmental Working Group (EWG, and whose improved Bounce Dryer Sheets,
5
Free & Gentle, have fared only marginally better, with a “D” rating), all cross-confirmed by
authoritative scientific bodies.
Finally, there are subtle metabolic and cognitive effects that are of especial concern:
Metabolic Effects: A recent review of the evidence has found an "obesogenic" impact from EDCs
(including bisphenols, phthalates, biphenyls, and parabens, all common in laundry products including
dryer sheets and laundry softeners), in that early life exposure to EDCs may impose an increased risk
of obesity in later life [Yang 2018] [Mallhi 2011] and the effect of such exposure has further been
found to correlate with increased body weight and/or body mass index during all life stages [Legeay
2017] [Liu 2019] [Liu 2017].
Cognitive Effects: Beyond these adverse effects, more evidence has accumulated than was
previously identified, and critically reviewed and distilled this year (2020), for cognitive deficits and
attention-deficit disorder in children following prenatal exposure to bisphenols [Kahn 2020].
6
Appendix: Legislation, Regulation and Voluntary Restrictions
Based on the robust aggregated evidence of multiple harms, including the fact that in California, 1.6
tons of volatile organic compounds or VOCs are emitted daily from fragranced cosmetics and
personal care products alone [BCPP Legislation 2020], vastly more if we add cleaning and laundry
products, California now bans 24 endocrine disrupting compounds including phthalates and parabens
linked to breast cancer, as of the signing into law by Gov. Gavin Newsom of the landmark Toxic-Free
Cosmetics Act (TFCA), Assembly Bill 2762, as of September 30th of this year (2020), joining the
European Union and over 40 other nations (including Australia, Canada, Japan, Mexico and the United
Kingdom among others), in protecting against these widespread but hidden toxic compounds
[California TFCA 2020]. SB312 also closes an abused federal labeling loophole allowing companies
to claim trade secret protection for chemicals used to impart fragrance or flavor. The banned
chemicals are:
Dibutyl phthalate (endocrine disruptor linked to breast cancer)
Diethylhexyl phthalate (endocrine disruptor linked to breast cancer)
Formaldehyde (a known carcinogen)
Isobutylparaben (endocrine disruptor linked to breast cancer)
Isopropylparaben (endocrine disruptor linked to breast cancer)
Long chain PFAS chemicals (endocrine disruptors linked to cancer and immune system
suppression)
Methylene glycol (a type of formaldehyde)
Mercury and related compounds (known neurotoxins)
Paraformaldehyde (a known carcinogen)
2 types of Phenylenediamine (damage DNA and linked to cancers)
Quaternium-15 (which releases formaldehyde)
Besides California that has already legislated its ban through the passage in law of the Toxic-Free
Cosmetics Act (TFCA), the following states to follow similarly:
States Also Considering Banning of Toxic Personal Care and Cleaning Products:
Connecticut
Hawaii
Illinois
Maryland
Massachusetts
New Jersey
New York
Rhode Island
Vermont
West Virginia
with other joining in near future. And a move to national regulations is already underway, with several
proposals currently pending in Congress (one being H.R. 5279 Amendment: Cosmetic Safety
Enhancement Act of 2020). All phthalates are classified as dangerous substances by the European
Union’s REACH (Registration, Evaluation, Authorization and Restriction of Chemicals) regulation.
7
Legislative Action in New York State (NYS): A landmark advance is Governor Cuomo’s signing into
law a bill (NYS Bill No. 4389B/A 6295A) [NYS Senate Bill S4389B] that bans more than trace amounts
of the toxin and carcinogen 1,4-dioxane, a known contaminant and carcinogen (classified it as a
Group B2, probable human carcinogen, by the EPA) that readily penetrates the skin and can be
released to the air and people breathe it, and migrates to New York’s water systems and water
bodies as well as workplaces, and in a broad spectrum of products we use. 1,4-dioxane is
widespread in laundry products, especially detergents, but also in cosmetic products and personal
care products, and in 97% of hair relaxers, 57% of baby soaps and children's bubble bath and body
washes, with the high levels in products that include Victoria Secret’s shower gels, Tide Original
laundry detergent, Dreft Stage 1/Newborn baby laundry detergent, and Ivory Snow 2X Ultra
Detergent, and so ubiquitous that in an assessment by the Environmental Working Group (EWG), it
was found that 22 percent of all products for any use whatsoever may be contaminated with 1,4-
dioxane [EWG Report 2007]. Note that it has three routes: by skin penetration, by consumption of
polluted water, and more rarely, by inhalation (mainly among industrial workers in close contact with
it). Given the extensive use of dioxane across the Tide product line, Tide is reducing amounts after
successful lawsuits against it from consumer environmental groups. The NYS ban officially begins to
take effect January 1, 2023, with increasingly stringent requirements over a two-year period, and
California and many other states to shortly follow suit. Efforts to bring forward the start date by a
year are currently ongoing.
1,4-dioxane a Byproduct, not an Ingredient: It is important to understand that 1,4-dioxane will not be
found on any product label, as it is a contaminant byproduct of the combination of other ingredients
reacting together to form it, under the process known as ethoxylation. Common ingredients that lead
to 1,4-dioxane formation are from sodium laureth sulfate, any chemical in the polyethylene glycol
(PEG) class, and chemicals compounds with “xynol”, “ceteareth”, “oleth” “laureate”, and “myrrh”,
as part of their designations.
Legislative Action at the Multi-state Level: on March 22, 2021 New York Attorney General Letitia
James, leading a coalition of 15attorneys general (NY, HI, IL, MA, ME, MD, MN, NY, OR, PA, RI, VT,
VA, WA, DC, and City of New York) served legal action [NY Attorney General 2021] in support the
Biden Administration’s remedy against the numerous deficiencies of the EPA’s risk evaluation of the
highly-toxic chemical 1,4-dioxane (hereafter “dioxane”), a risk evaluationthat was one of numerous
“midnight” blatantly anti-environmental actions taken by the former administration in its closing
days. The EPA’s risk evaluation has minimized or dismissed dioxane’s well evidenced dangers to
workers, low-income communities residents, communities of color, and the general public, with the
manifest intent to restrict the EPA from implementing regulatory measures to eliminate the
substantial health risks posed dioxane.
The action of this “AG Coalition” as we call it, seeks to support the Biden Administration’s current
and projected efforts to correct the many deficiencies in the EPA’s dioxane risk evaluation. And given
that the procedures used for chemical risk evaluations under the Toxic Substances Control Act
(TSCA) have been identified as potentially contrary to President Biden’s Executive Order on
8
Protecting Public Health and the Environment and Restoring Science to Tackle the Climate Crisis,
Executive Order No. 13990 [Executive Order Whitehouse 2021], they are therefore subject to
revision, rescission, or suspension.
The AG Coalition charges that the EPA under the former administration ignored both science and the
law in an effort to block necessary action to address the numerous serious health and environmental
dangers via a fatally-flawed risk evaluation.
The chemical is also formed as a byproduct from the breakdown of other chemicals in a variety of
consumer products, including laundry and other detergents, household cleaners, and personal care
products, and is released into the air, water, and soil at places where it is produced or used. The New
York Public Interest Research Group (NYPIRG) has reported that at least 12 million New Yorkers
drink water with some level of significant concern of 1,4-dioxane contamination, and in addition their
data analysis has found that 176 water systems that impact 16 million New Yorkers contain one or
more emerging contaminants, with every region in New York State affected, and in Long Island’s
groundwater, which is the sole source of drinking water for almost 3 million state residents.
Because of its potential for substantial harm to public health and the environment, the EPA selected
1,4-dioxane as one of the initial 10 chemical substances subject to its initial risk evaluations,
required under the TSCA amendments of 2016. That law requires the EPA to perform comprehensive
evaluations of the risks associated with the “full range of exposures” people have to the chemical.
The coalition argues that the EPA’s 1,4-dioxane risk evaluation excludes many potential pathways
and exposures.
Despite the fact that 1,4-dioxane has many significant exposure pathways that expose people to the
toxic chemical, including drinking contaminated water, breathing contaminated air, exposure through
contaminated soil, and including exposure from laundry products, the EPA’s risk evaluation under the
former administration found no “unreasonable risk” to the general public from 1,4-dioxane’s
numerous uses. But the EPA risk evaluation is fatally confounded by the fact the exposure to the
general public the EPA examined was limited to solely recreational swimming, with no examination
exposure pathway like drinking contaminated water, and using household and laundry cleaning that
can significantly harm people’s health. The EPA is also charged by the AG Coalition with failing to
assess 1,4-dioxane’s exposure risks to vulnerable populations such as infants, children, pregnant
women, workers, and the elderlywhose risk may be substantially higher than the general public, and
the EPA used the unsupported assumption that workers will use consistently, properly and
effectively use personal protective equipment, which is assumed – with evidence – to protect against
1,4-dioxane exposure, and by doing so the EPA underestimated the chemical’s risks to workers, and
succumbed to the urgings of industry trade groups intent on blocking related state-level policies.
Corporate Level Action: In addition, many environmentally conscious firms have taken the initiative,
including:
Home providers Home Depot, Lowe’s, and IKEA
Computer giants Apple and Hewlett Packard,
9
Ahold Delhaize (grocery chain owning Food Lion, Giant Food, Giant/Martin’s, Hannaford, and
Stop & Shop) which has banned phthalates from their branded products in all grocery, baby
food and infant formula, and in all formulated laundry products, as well as personal care,
cosmetic, and baby products,
Health and Home Products retailers CVS, Rite-Aid, Walmart, Target, Walgreens, Amazon, and
Costco who have reduced the use of phthalates in beauty and personal care products, as well
as household products, with the ultimate goal of complete elimination
among a very rapidly growing list of others (Whole Foods, Sephora, Annie’s, Mohawk, Tarkett, SC
Johnson, Steelcase, Kaiser Permanente, . . . ); for more, consult Who’s Minding the Store? — A Report
Card on Retailer Actions to Eliminate Toxic Chemicals, from by the Mind the Store campaign, a
program of Toxic-Free Future, which issues a Grade Report for the top retailers.
10
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