Skip Navigation

HazMap: Occupational Exposure to Hazardous Agents
HazMap Home SIS Home NLM Home

as Search Agents Search Diseases Search Jobs Full Text Search


Haz-Map Home on-tab Custom Search on-tab Help on-tab Web Glossary on-tab Reference on-tab
left corner Browse Haz-Map
right corner
Agent Name Ethylene oxide
CAS Number 75-21-8
Formula C2-H4-O
Major Category Pesticides
Synonyms Dimethylene oxide; 1,2-Epoxy ethane; Oxirane; [NIOSH]
Category Fumigants
Description Colorless gas or liquid (below 51 degrees F) with an ether-like odor; [NIOSH]
Sources/Uses Ethylene oxide sterilizers are used by medical and dental staff to sterilize heat-sensitive instruments. [p. 736, Harber] Occupational asthma from ethylene oxide has been reported in a nurse. [Malo]
Comments Acute inhalation injuries result from exposures between 200 and 400 ppm. At higher concentrations, ethylene oxide (EtO) may cause neurological dysfunction. Chronic effects of exposure include reproductive toxicity and peripheral neuropathy. [LaDou, p. 456-8] The most common skin effects are irritation and second degree burns, but allergic contact dermatitis has been reported. [Sullivan, p. 1135] Healthcare workers performing EtO sterilization may develop cataracts. Highest exposures occurred during unloading (especially when the sterilization cycle was interrupted) and during cylinder changing. [J Occup Environ Med 1999 Jun;41(6):492-9] Listed as one of "major irritant airborne toxicants"; [LaDou, p. 547] There is limited positive data that EtO causes spontaneous abortions in humans and birth defects and testicular damage in experimental animals. [ATSDR Case Studies #29] [Ethylene oxide allergy in dialysis patients. Purello D'Ambrosio F, et al. Nephrol Dial Transplant. 1997 Jul;12(7):1461-3.] [Airborne occupational contact dermatitis from ethylene oxide. Romaguera C, et al. Contact Dermatitis. 1998 Aug;39(2):85.] Liquid causes second degree burns after contact for a few minutes. [CHRIS] Corrosive to skin; [Quick CPC]
Reference Link OSHA Technical Links: Ethylene Oxide
Exposure Assessment
Skin Designation (ACGIH) No
TIH Yes
TLV (ACGIH) 1 ppm
PEL (OSHA) 1 ppm, STEL(OSHA) = 5 ppm
IDLH (NIOSH) 800 ppm
Excerpts from Documentation for IDLHs Reports of effects in humans include: nasal irritation after exposures to 12,500 ppm for 10 sec. Acute studies in animals have shown: death after exposure > 8000 ppm for 10 min.; no apparent injuries after exposure to 4000 ppm for 30 min., 2000 ppm for 60 min., or 500 ppm for 1 hr.
Odor Threshold Low 257 ppm
Odor Threshold High 690 ppm
Lethal Concentration LC50 (rats) = 800 ppm/4H
Explanatory Notes Detection odor threshold from AIHA (mean = 420 ppm);
Half Life No reports found; [TDR, p. 694]
Reference Link ATSDR Medical Management - Ethylene oxide
Flammability (NFPA) 4: burns readily
Adverse Effects
Asthma Yes
Toxic Pneumonitis Yes
Dermatotoxin Skin Burns
Skin Sensitizer Yes
Neurotoxin Sensorimotor Neuropathy
Hepatotoxin Hepatotoxin, Secondary
Reproductive Toxin Yes
IARC Carcinogen Known Carcinogen
Links to Other NLM Databases
Health Studies Human Health Effects from Hazardous Substances Data Bank: ETHYLENE OXIDE  
Toxicity Information Search TOXNET
Chemical Information Search ChemIDplus
Biomedical References Search PubMed
Related Information in Haz-Map
Diseases Occupational diseases associated with exposure to this agent:
Processes Industrial Processes with risk of exposure:





Specialized Information Services   U.S. National Library of Medicine,
8600 Rockville Pike, Bethesda, MD 20894
National Institutes of Health
Privacy/Disclaimer Notice
Customer Service: tehip@teh.nlm.nih.gov
Last updated: January, 2009