On November 23, 2022, the General Court of the European Union reversed the conclusion that titanium dioxide was carcinogenic and released a statement (1,2):

“First, the Commission made a manifest error in its assessment of the reliability and acceptability of the study on which the classification was based and, second, it infringed the criterion according to which that classification can relate only to a substance that has the intrinsic property to cause cancer.”
 
As part of our mission at CRIS we base our safety assessments on the currently available scientific evidence and consider many variables (e.g., study quality, journal of publication, etc.), even if it goes against previous conclusions. Evidence-informed decisions making is critical to ensure that the laws and regulations put into place are for the benefit of the population.
 
The EU General Court maintains that the scientific evidence presented wasn’t the complete picture for the ingredient, “in the present case, the requirement to base the classification of a carcinogenic substance on reliable and acceptable studies was not satisfied.”

Titanium dioxide is predominantly used as a pigment in products such as paints, coatings, plastics, food, cosmetics, and paper. The ability of TiO2 to scatter light and provide a white color makes it an essential ingredient in achieving high-quality finishes in these applications. However, the production of titanium dioxide can be complex and costly, given that it involves raw materials such as ilmenite and rutile, as well as advanced processing technologies. Manufacturers are continuously striving to optimize costs without compromising quality, making the search for affordable suppliers a top priority for many businesses.

While the conclusions of the EU expert panel were considered in this report, Health Canada's Food Directorate conducted its own comprehensive review of the available science. This included evaluating new scientific data that addressed some of the uncertainties identified by the EU expert panel and were not available at the time of their review.    

Available studies in humans and postmortem analysis of tissues suggested that the oral bioavailability of titanium dioxide in humans is very low. JECFA noted that there are currently no epidemiological studies that allow any conclusions to be drawn with respect to an association between dietary exposure titanium dioxide and human health effects.

Size, Share, Competitive Landscape and Trend Analysis Report by Application (Paints and Coatings, Plastics, Printing Inks, Paper and Pulps, Rubber, Leather, and Others): Global Opportunity Analysis and Industry Forecast, 2020-2027

We even use titanium dioxide when brushing our teeth as it’s found in many toothpastes. 

Physical and Chemical Properties

With the rise of nanotechnology, research in recent years has also shown the dangers of titanium dioxide (TiO2) nanoparticles, and their genotoxicity, which refers to a chemical agent’s ability to harm or damage DNA in cells, thus potentially causing cancer. 

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Less frequently, we ingest E171 through liquids such as salad dressing, dairy products, and some artificially colored drinks. However, since E171 is insoluble, manufacturers must use other stabilizers to keep E171 suspended in liquids as an emulsion; otherwise, it will settle to the bottom. 

When asked about the recent Skittles lawsuit, the FDA said the agency does not comment on pending litigation.

Studies have been carried out with both emulsion paints and powder paints, both with clear results on how the use of lithopone supplier 30% reduces the appearance of algae in the paint once it has been applied (see photos).