Advance Notice of Proposed Rulemaking on the National Emission Standards for Hazardous Air
Pollutants: Ethylene Oxide Commercial Sterilization and Fumigation Operations: Fact Sheet
Action
•	On December 5, 2019, the U.S. Environmental Protection Agency (EPA) issued an advance
notice of proposed rulemaking (ANPRM) to solicit information from industry and the public
regarding a potential future rulemaking to revise the standards for commercial ethylene
oxide sterilization facilities.
•	EPA is highlighting the agency's priority in addressing ethylene oxide emissions from
sterilizers, which includes the agency's review of the Ethylene Oxide Sterilizers National
Emission Standards for Hazardous Air Pollutants (NESHAP).
•	As part of this effort, EPA will take three actions:
o issuing today's ANPRM;
o issuing a request for information to several commercial sterilization companies; and
o beginning the nomination period for small entity representatives to advise a
potential small business panel.
•	The ANPRM will not impose any requirements on the regulated community; rather, it offers
the public the opportunity to comment on specific topics for the agency to consider in
developing a potential future proposed rule.
•	This ANPRM is expected to include an assessment of the impacts of identified control
strategies.
•	The ANPRM gives industry and the public an opportunity to provide comments and
information for EPA to consider in developing a proposed rule and assessing impacts. The
agency is interested in suggested strategies for reducing emissions.
•	More specifically, the ANPRM seeks information on several key topics:
o approaches to calculate fugitive emissions;
o capture and control of fugitive emissions;
o work practices for reducing fugitive emissions (leak checks for ethylene oxide drums,
lines and connections);
o control of chamber exhaust vent emissions and associated safety measures;
o new types of control devices and process equipment (e.g., balancer/abator systems,
aeration cells);
o improvements to control device efficiency;
o improvements to ethylene oxide monitoring technologies;
o process differences between types of sterilization facilities (single-item, single-
chamber, small business, etc.); and
o accuracy of existing facility data.
•	EPA recognizes the important role of ethylene oxide in sterilizing medical devices.
o According to the Food and Drug Administration (FDA), more than 20 billion devices
sold in the United States every year are sterilized with ethylene oxide, accounting for
approximately 50 percent of devices that require sterilization.
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o As EPA works to evaluate options for reducing air emissions from commercial
sterilizer operation, the agency will continue to consult with FDA and other federal
partners.
•	EPA will accept comment on the ANPRM for 60 days after publication in the Federal
Register.
Background
•	The NESHAP for Ethylene Oxide Commercial Sterilization and Fumigation Operations were
finalized in December 1994. The standards require existing and new major sources to
control emissions to the level achievable by the maximum achievable control technology
and require existing and new area sources to control emissions using generally available
control technology.
•	EPA completed a residual risk and technology review for the NESHAP in 2006 and
concluded, at that time, that no revisions to the standards were necessary.
EPA's Steps to Address Ethylene Oxide Emissions
•	In 2016, EPA released its updated Integrated Risk Information System value for ethylene
oxide, which indicated that cancer risks from ethylene oxide were significantly higher than
previously understood.
•	Since the release of the National Air Toxics Assessment in 2018, there has been
considerable interest from the public in addressing emissions from these facilities as
expeditiously as possible.
•	EPA is committed to working with industry, and state, local and tribal air agencies as it takes
the following approaches to address ethylene oxide emissions:
o Reviewing Clean Air Act regulations for facilities that emit ethylene oxide
EPA has begun reviewing its air toxics emissions standards for miscellaneous
organic chemical manufacturing facilities, some of which emit ethylene oxide.
-	The agency also plans to take a closer look at its rules for other types of facilities,
beginning with its emissions standards for commercial sterilizers.
o Gathering additional information on ethylene oxide emissions
EPA also is gathering additional information on industrial emissions of ethylene
oxide, which may include data from testing at some types of facilities;
-	This information will help EPA as it evaluates opportunities to reduce ethylene
oxide emissions as part of its regulations review.
It also will help the agency determine whether more immediate emission
reduction steps are necessary in any particular locations.
How to Comment
•	Comments on the ANPRM should be identified by Docket ID No. EPA-HQ-OAR-2019-0178
and may be submitted by any one of the following methods:
o Online: go to https://www.regulations.gov/ and type the Docket ID number above in
the search box. Click on the "Comment Now!" button at the top right of the page
and follow the instructions for submitting your comments.
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o Email: Send comments by email to a-and-r-Docket@epa.gov, Attention Docket ID
No. EPA-HQ-OAR-2019-0178. Please include the docket number in the subject line of
your email message.
o Fax: You may fax your comments to: (202) 566-9744, Attention Docket ID No. EPA-
HQ-OAR-2019-0178
o Mail: U.S. Environmental Protection Agency, EPA Docket Center, Mail Code 28221T,
Attention Docket ID No. EPA-HQ-OAR-2019-0178,1200 Pennsylvania Avenue, NW,
Washington, DC 20460.
o Hand/courier delivery: EPA Docket Center, Room 3334, WJC West Building, 1301
Constitution Ave., NW, Washington, DC 20004, Attention Docket ID No. EPA-HQ-
OAR-2019-0178. Please note that hand/courier deliveries are only accepted during
the Docket's normal hours of operation, and special arrangements should be made
for deliveries of boxed information.
•	For tips on submitting comments, see https://www.epa.gov/dockets/commenting~
epadockets.
For Additional Information
•	A copy of the ANPRM is available on EPA's website at https://www.epa.gov/stationary-
sources-air-pollution/ethylene-oxide-emissions-standards-sterilizat ion-facilities.
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