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FOR HEALTH
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FOR HEALTH
BUILDING EVIDENCE
Version 1, May 2019
VOLATILE ORGANIC COMPOUNDS AND AIR
FRESHENERS
Contributors: Juan Reynoso, MPH/MUP, Harvard T.H. Chan School of Public Health, Harvard Graduate School of Design
Parichehr Salimifard, PhD, Harvard T.H. Chan School of Public Health
What are volatile organic compounds?
Volatile organic compounds (VOCs) are a diverse set of chemicals, liquids and solids, that can evaporate under ordinary
atmospheric conditions. 1,2 Some commonly known and used VOCs include acetone3, benzene 4, and formaldehyde. 5 VOCs
are highly reactive; therefore, besides themselves being primary pollutants, they can also react with oxidants such as ozone
and hydroxyl and nitrate radicals and produce secondary pollutants such as formaldehyde, acetaldehyde, glycol ethers, free
radicals, and particles. 6
Because of their chemical properties, VOCs are used as essential
ingredients in many products and materials. In fact, they are released
by numerous commonly used consumer products including air
fresheners, cleaning products, cosmetics, pesticides, paints, wax and
polish products, and ooring.1, 6-9 VOCs are also emitted by various
indoor activities, such as smoking tobacco, dry cleaning, oce printing, 3D printing, and using wood-red stoves. 1,7,9-11
Additionally, VOCs are also released by motor vehicle exhaust and, when in the presence of sunlight and nitrogen
oxides, they are highly reactive and contribute to the formation of ozone and smog. 1,2,9 Although VOCs are also present
in outdoor environment, concentrations of VOCs in indoor environments are consistently higher than outdoors, and
elevated concentrations can persist longer indoors.7 Moreover, since U.S. residents spend on average 90% of their
time indoors,12,13 indoor exposure to VOCs are of particular concern. Hence, reducing indoor VOCs is critical for building
occupants’ health.
Among indoor consumer products, the product category that releases the highest levels of VOCs is air freshener.14-17 An
air freshener is a product that releases a fragrance in order to add a pleasant scent to the space or to mask bad odors. Air
fresheners do not clean the air, nor do they reduce air pollutants. 14 In 2003, the California Air Resources Board found air
fresheners to have some of the highest per capita VOC emissions of any household, followed by cleaning products.18 Like
air fresheners, cleaning products are also a major source VOCs emissions indoors. However, while there are objective health
benets in using cleaning products, using air fresheners has only perceived benets. 6 Nonetheless, air fresheners have a
growing global market of over US $10 billion.19
How do VOCs in air fresheners impact health?
VOCs commonly enter the body through two main pathways: 1) inhalation through the lungs and 2) skin contact with
products that release VOCs.9 Some immediate symptoms that people may experience after exposure to VOCs include:
eye and respiratory tract irritation, headaches, dizziness, visual
disorders, and memory impairment. 1,7,9 Other long-term symptoms
associated with exposure to VOCs include: allergic skin reactions,
nausea, fatigue, vomiting, nosebleeds, diculty breathing, and
damage to the liver, kidney, and central nervous system . 1,7,9
Among the VOCs commonly found to be emitted by air fresheners,
benzene and formaldehyde are of particular concern, as they have
been linked to cancer among humans. 4,5,9,20 Toluene, ethylene, and
limonene have also been found in air fresheners and been linked to
Editor in Chief | Joseph G. Allen, Harvard T.H. Chan School of Public Health
Air fresheners do not clean the air, nor do
they reduce air pollutants.
Among the VOCs commonly found to be
emitted by air fresheners, benzene and
formaldehyde are of particular concern, as
they have been linked to cancer among
humans.
toxic health eects. 14,16,21 Furthermore, exposure to 1,4 dichlorobenzene from air fresheners has led to reductions in
lung function8 and has led to decreased function of the liver, kidneys, eyes, and organs of developing embryos and
fetuses.22
Since over 70% of U.S. households use air fresheners at least once a week and their use in the rest of the world
is also growing,15,19 millions of people around the world are at risk of the negative health impacts of VOCs. In
particular, janitors and other cleaning personnel are exposed to higher levels of VOCs because of their frequent
use of air fresheners and other cleaning products.6 It should also be noted that cigarette smokers and vulnerable
populations (i.e. young children, older people, pregnant women, and people with asthma) are more susceptible to
the eects of VOCs.9 Therefore, it is important to minimize exposure to air fresheners as much as possible.
What regulations exist?
At the federal level, there are no minimum regulations for air fresheners and there are no laws that require the
disclosure of all ingredients in fragranced consumer products.23 However, in 2017, California passed the Cleaning
Product Right to Know Act which, starting in 2020, requires manufacturers of air fresheners and other cleaning
products to disclose the information related to chemicals contained in the product, on the product label, and
on the product’s website, if those chemicals are known to the State of California to cause cancer or reproductive
toxicity. 24 Given the public reporting requirements of this new state law, all U.S. residents will benet from learning
about the VOCs and other chemicals emitted by air fresheners.
What can I do?
Foremost, the best way to protect yourself from the negative health impacts of air fresheners is to avoid their use
altogether in your home and advocate for a fragrance-free policy in your workplace. It should be noted that ALL
TYPES of air fresheners, even those referred to as “green”, “organic”, or “natural”, have VOC emission potential. 19
However, if you live or work in a building where complete elimination of air fresheners is not an option, consider
adopting the following strategies:
• Address the root of the problem: When odor becomes an issue in indoor spaces, consider addressing the
source of the unpleasant odor instead of using air fresheners to mask it. Such an approach may even help
address other indoor air quality issues.
• Before installing products with high VOCs, such as new carpet, in buildings, let them stay outside to release
their VOCs.1
• In spaces where occupants have higher breathing rates, such as gyms and sports facilities, using air fresheners
can lead to elevated exposure risks. Therefore, it is recommended to avoid air fresheners particularly in those
spaces; e.g. burning candles and incense in yoga studios.
• Natural ventilation: A simple mitigation measure is to open the windows and increase the air change rate with
natural ventilation.25
• Mechanical ventilation: If you live in an area with poor outdoor air quality or with extreme outdoor air
temperatures where natural ventilation is not feasible, consider increasing the air change rate by increasing the
fresh air intake of the building’s heating, ventilation, and air conditioning (HVAC) system. 7
BUILDING EVIDENCE FOR HEALTH
FOR HEALTH
FORHEALTH.ORG
Foremost, the best way to protect yourself from the negative health impacts of
air fresheners is to avoid their use altogether in your home and advocate for a
fragrance-free policy in your workplace. It should be noted that ALL TYPES of
air fresheners, even those referred to as “green”, “organic”, or “natural”, have VOC
emission potential.
REFERENCES
1. American Lung Association. Volatile Organic Compounds. (2018). Available at: https://www.lung.org/our-initiatives/
healthy-air/indoor/indoor-air-pollutants/volatile-organic-compounds.html. (Accessed: 16th May 2019)
2. U.S. Environmental Protection Agency. Technical Overview of Volatile Organic Compounds. (2017). Available at: https://
www.epa.gov/indoor-air-quality-iaq/technical-overview-volatile-organic-compounds#main-content. (Accessed: 16th
May 2019)
3. Agency for Toxic Substances and Disease Registry. Toxic Substances Portal: Acetone. (2011). Available at: https://www.
atsdr.cdc.gov/substances/toxsubstance.asp?toxid=1. (Accessed: 16th May 2019)
4. Agency for Toxic Substances and Disease Registry. Toxic Substances Portal: Benzene. (2011). Available at: https://www.
atsdr.cdc.gov/substances/toxsubstance.asp?toxid=14. (Accessed: 16th May 2019)
5. Agency for Toxic Substances and Disease Registry. Toxic Substances Portal: Formaldehyde. (2011). Available at: https://
www.atsdr.cdc.gov/substances/toxsubstance.asp?toxid=39. (Accessed: 16th May 2019)
6. Nazaro, W. W. & Weschler, C. J. Cleaning products and air fresheners: exposure to primary and secondary air pollutants.
Atmos. Environ. 38, 2841–2865 (2004).
7. U.S. Environmental Protection Agency. Volatile Organic Compounds’ Impact on Indoor Air Quality. (2017). Available at:
https://www.epa.gov/indoor-air-quality-iaq/volatile-organic-compounds-impact-indoor-air-quality#main-content.
(Accessed: 16th May 2019)
8. National Institute of Environmental Health Sciences. Chemical in Many Air Fresheners May Reduce Lung Function.
(2006). Available at: https://www.niehs.nih.gov/news/newsroom/releases/2006/july27/index.cfm. (Accessed: 16th May
2019)
9. National Library of Medicine. Volatile Organic Compuounds (VOCs): Your Environment, Your Health. (2017). Available at:
https://toxtown.nlm.nih.gov/chemicals-and-contaminants/volatile-organic-compounds-vocs. (Accessed: 16th May 2019)
10. Azimi, P., Zhao, D., Pouzet, C., Crain, N. E. & Stephens, B. Emissions of Ultrane Particles and Volatile Organic Compounds
from Commercially Available Desktop Three-Dimensional Printers with Multiple Filaments. Environ. Sci. Technol. 50,
1260–1268 (2016).
11. Miller, S. L., Brano, S. & Nazaro, W. W. Exposure to toxic air contaminants in environmental tobacco smoke: an
assessment for California based on personal monitoring data. J. Expo. Anal. Environ. Epidemiol. 8, 287–311 (1998).
12. Klepeis, N. E. et al. The National Human Activity Pattern Survey (NHAPS): a resource for assessing exposure to
environmental pollutants. J. Expo. Anal. Environ. Epidemiol. 11, 231–52 (2001).
13. U.S. Environmental Protection. Report to Congress on indoor air quality: Vol II: Assessment and control of indoor air
pollution. EPA/400/1-89/001C. (1989).
14. Kim, S., Hong, S.-H., Bong, C.-K. & Cho, M.-H. Characterization of air freshener emission: the potential health eects. J.
Toxicol. Sci. 40, 535–550 (2015).
15. National Resources Defense Fund. New Study: Common Air Fresheners Contain Chemicals That May Aect Human
Reproductive Development. (2007). Available at: https://www.nrdc.org/media/2007/070919. (Accessed: 16th May 2019
16. Singer, B. C. et al. Indoor secondary pollutants from cleaning product and air freshener use in the presence of ozone.
Atmos. Environ. 40, 6696–6710 (2006).
17. Wallace, L. A., Pellizzari, E., Leaderer, B., Zelon, H. & Sheldon, L. Emissions of volatile organic compounds from building
materials and consumer products. Atmos. Environ. 21, 385–393 (1987).
18. California Air Resources Board (CARB). 1997 Consumer and Commercial Products Survey - Summary of Sales and
Emissions (as of 3/21/00). (2003).
19. Steinemann, A. Ten questions concerning air fresheners and indoor built environments. Build. Environ. 111, 279–284
(2017).
20. California Oce of Environmental Health Hazard Assessment (OEHHA). The Proposition 65 List. (2018). Available at:
https://oehha.ca.gov/proposition-65/proposition-65-list. (Accessed: 16th May 2019)
21. Liu, X., Mason, M., Krebs, K. & Sparks, L. Full-Scale Chamber Investigation and Simulation of Air Freshener Emissions in the
Presence of Ozone. Environ. Sci. Technol. 38, 2802–2812 (2004).
22. Agency for Toxic Substances and Disease Registry. Toxic Substances Portal: Dichlorobenzenes. (2011). Available at:
https://www.atsdr.cdc.gov/substances/toxsubstance.asp?toxid=126. (Accessed: 16th May 2019)
23. Steinemann, A. Fragranced consumer products: exposures and eects from emissions. Air Qual. Atmos. Heal. 9, 861–866
(2016).
24. California Legislature. Senate Bill No. 258 Cleaning Product Right to Know Act of 2017. (2017). Available at: https://
leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB258. (Accessed: 16th May 2019)
25. Howard-Reed, C., Wallace, L. A. & Ott, W. R. The Eect of Opening Windows on Air Change Rates in Two Homes. J. Air
Waste Manage. Assoc. 52, 147–159 (2002).
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