Ethylene Oxide

What is Ethylene Oxide?

Ethylene oxide, also called oxirane, is an organic compound with the formula C₂H₄O.

It is a cyclic ether consisting of an alkane with an oxygen atom bonded to two carbon atoms, forming a ring.

This colourless, flammable gas has a faintly sweet odour at room temperature and is the simplest epoxide—a three-membered ring made up of one oxygen atom and two carbon atoms.

What is Ethylene Oxide used for?

Ethylene oxide is used in the production of:

  • Solvents
  • Antifreeze
  • Textiles
  • Detergents
  • Adhesives
  • Polyurethane foam
  • Pharmaceuticals

Smaller amounts are used in:

  • Fumigants
  • Sterilants for spices and cosmetics
  • Hospital sterilisation of surgical equipment
Ethylene oxide is used in the production of detergents.

In the Environment

  • Ethylene oxide rapidly breaks down when released into the environment.
  • As a gas, most is released to the air, where it reacts with water vapour and sunlight and degrades within a few days.
  • While it can dissolve in water, most evaporates quickly; the remainder is broken down by bacteria or by reacting with water and other chemicals.
  • When released to soil, most evaporates; some degrades through bacterial action or reaction with water.
  • Ethylene oxide does not persist long in the environment and is not expected to bioaccumulate in the food chain.

Sources & Routes of Exposure

Sources of Exposure

  • Industrial sources include uncontrolled emissions or venting with other gases.
  • Other sources:
    • Automobile exhaust
    • Release from commodity-fumigated materials
    • Use as a steriliser for medical equipment
  • The general population may be exposed via:
    • Breathing contaminated air
    • Smoking or second-hand smoke exposure
  • Higher-risk occupational groups:
    • Workers in ethylene oxide manufacturing or processing plants
    • Sterilisation technicians
    • Workers involved in fumigation

Routes of Exposure

Inhalation

  • Main exposure route.
  • Gas is readily absorbed via the lungs.
  • Odour is not a reliable warning of hazardous concentrations.
  • Being heavier than air, it can cause asphyxiation in enclosed or poorly ventilated spaces.
  • Children may receive a higher dose than adults due to:
    • Greater lung surface area:body weight ratio
    • Higher minute volume:weight ratio
    • Shorter stature (higher exposure near the ground)

Skin/Eye Contact

  • Concentrated solutions, liquid ethylene oxide, or high vapour levels can cause chemical burns.
  • Liquefied ethylene oxide may cause frostbite.
  • High vapour levels may cause corneal burns and cataracts.
  • Prolonged contact with dilute solutions (e.g., contaminated clothing) can cause irritation and dermatitis.
  • Children are more vulnerable due to a higher skin surface area:body weight ratio.

Ingestion

  • Unlikely, as ethylene oxide is a gas at room temperature.

Health Effects

Acute Effects

  • High-level acute inhalation exposure in workers has caused:
    • Nausea and vomiting
    • Neurological disorders
    • Bronchitis
    • Pulmonary oedema
    • Emphysema
  • Dermal or ocular contact with ethylene oxide solutions can cause eye and skin irritation in humans.
  • Animal tests indicate high acute toxicity from both oral and inhalation exposures.

Chronic Effects

  • Long-term, low-level exposure in workers has resulted in:
    • Irritation of eyes, skin, and mucous membranes
    • Brain and nerve function issues
  • Evidence suggests long-term high-level exposure (~700 ppm) may cause cataracts in humans.
  • EPA: No Reference Dose (RfD) or Reference Concentration (RfC) established.
  • CalEPA: Chronic reference exposure level of 0.005 mg/m³ based on haematological effects in humans.

Reproductive and Developmental Effects

  • Some evidence links inhalation exposure to increased miscarriage rates in female workers (acute and chronic exposure).
  • Animal studies have shown:
    • Fewer implantation sites
    • Reduced testicular weights and sperm concentration
    • Testicular degeneration

Cancer Risk

  • Occupational studies report elevated cases of:
    • Leukaemia
    • Stomach and pancreatic cancer
    • Hodgkin's disease

Data are considered limited/inconclusive due to small sample sizes and uncertain exposure levels.

  • Animal studies show lung, gland, and uterine tumours after inhalation exposure.
  • EPA: Probable human carcinogen (Group B1).
  • Provisional inhalation unit cancer risk estimate: 1.0 × 10⁻⁴ (µg/m³)⁻¹.

Safety

First Aid Measures

  • General: Consult a physician; show the SDS to attending medical personnel.
  • Inhalation: Move person to fresh air; if not breathing, give artificial respiration; seek medical advice.
  • Skin Contact: Wash with soap and plenty of water; take victim to hospital; seek medical advice.
  • Eye Contact: Rinse with water for at least 15 minutes; consult a physician.
  • Ingestion: Do not induce vomiting; never give anything by mouth to an unconscious person; rinse mouth; consult a physician.

Exposure Controls and Personal Protection

Exposure Controls

  • Implement appropriate engineering controls.
  • Avoid skin, eye, and clothing contact.
  • Wash hands before breaks and after handling the product.

Personal Protective Equipment

  • Eye/Face: Face shield and safety glasses compliant with NIOSH (US) or EN 166 (EU) standards.
  • Skin: Wear gloves; inspect before use; remove without touching the outer surface; dispose of contaminated gloves per regulations; and wash and dry hands after use.

Regulation

United States

  • OSHA: The Occupational Safety and Health Administration has established a PEL (permissible exposure limit) for ethylene oxide of 1 ppm (averaged over an 8-hour workshift)
  • OSHA: The Occupational Safety and Health Administration has established a STEL (short-term exposure limit) for ethylene oxide of 5 ppm (15 minute exposure)
  • NIOSH: The National Institute for Occupational Safety and Health has established a IDLH (immediately dangerous to life or health) concentration of 800 ppm
  • AIHA: American Industrial Hygiene Association has established an ERPG-2 (emergency response planning guideline) (maximum airborne concentration below which it is believed that nearly all individuals could be exposed for up to 1 hour without experiencing or developing irreversible or other serious health effects or symptoms which could impair an individual's ability to take protective action) of 50 ppm

Australia

  • Safe Work Australia: Safe Work Australia has established a time weighted average (TWA) concentration for ethylene oxide of 1ppm and 1.8mg/m3 for an 8 hour workday

Chemwatch
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