Hand sanitizer use in the United States (U.S.) increased after the SARS-CoV-2 outbreak. The U.S. Food and Drug Administration (FDA) released temporary manufacturer guidance, changing impurity level limits for alcohol-based hand sanitizers (ABHSs). Since the guidance took effect, the FDA has recommended against using these hand sanitizers due to concerns over safety, efficacy, and/or risk of incidental ingestion. To address current gaps in exposure characterization, this study describes a survey of ABHSs marketed to children available in the U.S., as defined by several inclusion criteria. A subset of ABHSs (n = 31) were evaluated for ethanol and organic impurities using a modified FDA method. Products with detectable impurity levels were compared to the FDA’s established interim limits. Seven children’s products had impurity levels exceeding the FDA’s recommended interim limits, including benzene (up to 9.14 ppm), acetaldehyde (up to 134.12 ppm), and acetal (up to 75.60 ppm). The total measured alcohol content ranged from 52% to 98% in all hand sanitizers tested, ranging from 39% below, and up to 31% above, the labeled concentration. Future studies should confirm impurity contamination sources. A risk assessment could determine whether dermal application or incidental ingestion of impurity-containing hand sanitizers pose any consumer risk.

The use of recycled polyethylene terephthalate (rPET) containers, a recent shift in the beverage industry, poses new potential human health concerns including contamination from the original container; use of additives, detergents, and catalysts during recycling; and improper recycling practices. The purpose of this analysis was to evaluate available data regarding: (1) chemicals leached from PET and rPET in bottle form; (2) concentration of these chemicals; and (3) trends between rPET percent and concentration of chemicals leached. This analysis identified 211 scientific articles related to recycled plastic and leachables. Three articles met the inclusion criteria: (1) plastic was in bottle form; (2) plastic was made of PET or rPET; and (3) the study analyzed both PET and rPET using the same methods. This evaluation demonstrated that only nine compounds – benzene, styrene, acetaldehyde, 2-methyl-1,3-dioxolane, furan, bisphenol A (BPA), 2-buta-none, acetone, and limonene – have been studied. Notably, the leachable concentration of benzene, styrene, and BPA increased as the percent of recycled content increased from 0 to 100%. However, 2-methyl-1,3-dioxolane and furan implied a reverse trend, where the leachable concentration decreased as the percent of recycled content increased from 0 to 100%. The concentrations of 2-butanone, acetone, and limonene did not follow any suggested trend. Evidently, recycling PET can lead to changes in the leachables profile. This analysis further identified key areas of research, including testing a variety of liquid types, that need to be addressed to adequately conduct a human health risk assessment.