International Sterilization Laboratory

Groveland, FL

Ethylene Oxide Emissions Information for Residents

October 2022 Fact Sheet

Introduction

The U.S. Environmental Protection Agency is
reaching out to residents surrounding commercial
sterilizers that release high levels of a chemical
called ethylene oxide (EtO) into the air causing
elevated cancer risk, including International
Sterilization Laboratory (ISL) located at 217
Sampey Road in Groveland.

EtO is a colorless, odorless gas that is often used
for sterilization purposes. Inhaling EtO at elevated
levels over a lifetime can increase a person's risk
of getting cancer. However, short-term exposures
to the concentrations found in residential communities should not cause acute (non-cancer)
health issues, like nausea, dizziness, or breathing problems.

EPA has determined that portions of Groveland neighborhoods in the vicinity of ISL have an
estimated lifetime cancer risk at or above 100 in a million. A lifetime cancer risk of 100 in a
million means that, if 1 million people were exposed to this level of EtO in the air 24 hours a day
for 70 years, 100 people may develop cancer from continuous exposure. The risk gradually
increases as you get closer to the facility, reaching an estimated maximum of 200 in a million in
areas closest to ISL.

EPA will soon propose a new rule to limit EtO emissions from commercial sterilizers and will seek
public input on the rule. In the meantime, the agency is working with ISL and other sterilizers
across the country on ways they can voluntarily control emissions to reduce risk.

EPA is sharing this information because communities have a right to know about emissions that
could affect their health and well-being. EPA will host a virtual community meeting on November
10, 2022, to provide residents an opportunity to learn more and get their questions answered.
Please follow the instructions in the blue box above to register.

I

SEPA

Virtual Public Meeting



November 10, 2022

Community Meeting: 6:00 pm - 8:00 pm
Call-in No: (669) 254-5252
Webinar ID: 1616421648

Register for the virtual meeting here:
www.eDa.gov/eto/groveland


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What is EtO?

EtO is a colorless, odorless gas, that is used at commercial sterilizers like ISL to
sterilize devices that cannot be sterilized using steam or radiation, such as some
medical and dental equipment. According to the Food and Drug Administration,
approximately 50 percent of sterile medical devices are treated with EtO - about
20 billion devices each year. EtO is also used to sterilize some food products such
as spices, certain dried herbs, dried vegetables, sesame seeds and walnuts.

A

V

EPA's Overall Action Plan

•	Review Clean Air Act regulations to further reduce EtO emissions from industrial facilities,
particularly rules to control air toxic emissions from commercial sterilizers and facilities that
manufacture chemicals.

•	Work with state and local air pollution control agencies to reduce EtO emissions.

•	Expand environmental reporting requirements for sterilization facilities.

•	Reevaluate how EtO is used within sterilization facilities with the goal of reducing risks to
workers who handle EtO and those who are exposed in other ways.

•	Provide financial resources and technical support for local monitoring activities.

Background

EPA has regulated EtO emissions for 30 years, however in 2016, new scientific information
revealed that EtO is more toxic than previously understood. This prompted EPA to conduct
nationwide analyses and intensive data collection, which has revealed that certain communities
near commercial sterilizers could have elevated cancer risks due to lifetime exposures to EtO.
Please visit www.epa.gov/eto for additional information, including a link to view EPA's National
Public Webinar (August 10, 2022), location-specific maps, information about individual
commercial sterilizers, and health risks for residents and workers.

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Contact Information:

If you or someone you know would like to be added to EPA's distribution list to receive future
updates, please contact Region4EtO(5)epa.gov or 1-800-241-1754.


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