---
title: Do disinfectants pose health risks?
description: Do disinfectants pose health risks?
---

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## Do disinfectants pose health risks?

<http://static1.squarespace.com/static/595689fc9de4bbc892200518/t/59568ac75fd63b5f29287567/1498845472899//img.jpg.com/static/595689fc9de4bbc892200518/t/59568ac75fd63b5f29287568/1498843847990/1000w/>

Whether we’re talking politics, religious beliefs,  
 vaccination, science or the use of disinfectants as part of an infection  
 prevention program, there will always be differing opinions and there will  
 always be that polarizing personality that you either love or hate.  As a wise woman (or man) once said “there are  
 two sides to every story and the truth lies somewhere in the middle”.

A great example of this is the use of disinfectants and  
 their role in occupational or worked-related asthma.  According to sources I have read, more than  
 300 workplace substances have been identified as possible causes of [occupational asthma](https://www.ccohs.ca/oshanswers/diseases/asthma.html).  These substances can be broken down into the  
 following categories: animal substances, chemicals, enzymes, metals, plant  
 substances and respiratory irritants.  If  
 you’re luckier than me, I hope you’ve never experienced an asthma attack.  If you’re not familiar with asthma, symptoms  
 start when your lungs become irritated which leads to inflammation.   This inflammation causes a restriction of the  
 airways which makes breathing difficult.  With occupational asthma, lung inflammation  
 may be triggered by either an allergic response to a substance or irritation of  
 the lungs caused by an inhalation of a substance, such as chlorine.

Enter the differing opinions.  A study published in May 2016 in AJIC titled  
 “[Occupational healthrisks associated with the use of germicides in health care](https://www.ncbi.nlm.nih.gov/pubmed/27131141)” concluded that  
 the data reviewed in the study demonstrate that occupational asthma as a result  
 of chemical exposures, including low-level disinfectants, are exceedingly rare.  However, unprotected exposures to high-level  
 disinfectants may cause respiratory symptoms. 

On the other side of the story, a  
 study by [Rosenman et al](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1763647/). reported that a cleaning  
 product was at least 1 of the 3 suspected agents identified in 12% of confirmed  
work related asthma cases  
 that they reviewed.  The fact that bleach was the most frequently  
 identified product should not be all that surprising considering that bleach  
 was recently designated an asthma-causing agent by the Association of  
 Occupational and Environmental Clinics (Sastre 2011).   Furthermore, Quaternary ammonium compounds  
 (Quats or QACs) also tend to be frequently identified as potential asthma  
 causing agents due to their prevalence in numerous cleaning and disinfectant  
 products.  Michigan’s SENSOR program published a detailed report on the  
 link between asthma and Quats in their [2008-2009 newsletter](http://www.oem.msu.edu/userfiles/file/News/v20n1.pdf).  The newsletter includes  
 several case reports and a review of several peer reviewed studies completed on  
 the subject. 

This leads me to try to figure out  
 what the “truth” is.  I think there is  
 enough evidence to support the fact that the use of some chemicals (including  
 some disinfectants) can lead to occupational asthma particularly with our  
 increased reliance on disinfectants as part of our infection prevention  
 program.  However, I also believe that we  
 cannot with broad strokes state that all disinfectants will cause occupational  
 asthma.  I think there are products  
 available on the market that meet the criteria of non-asthma inducing agents  
 that can be used safety and effectively.

As a person with asthma, I know I  
 can state categorically that some disinfectant actives irritate my airways more  
 than others.  I can also state without a  
 doubt that the method of application can also dramatically increase or decrease  
 the level of irritation.  Perhaps the  
 next investigation should be to look at the method of application – spray and  
 wipe versus wiping with a cloth or pre-moistened wipe to see which method  
 reduces the likelihood of inducing respiratory irritation.  Not to say I already know the answer, but I  
 do know which method bugs me the least!   
 Wiping!  I also happen to believe  
 that wiping is the best method of application for disinfectants to ensure even  
 distribution of the disinfectant solution and physical friction to help lift  
 and remove soils and bugs from the surface you are wiping.  But, I’ll let you decide for yourself!

*  
*

*Bugging Off!*

Nicole

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