Glenn Roberts
1602 I Street Northwest
Suite 925
Washington, D. C. 2006

January 3, 1999

Dear Mr. Roberts,

The RIFM gave me your name as the person to get in contact with when I had questions on safety testing conducted on fragrance materials. There is growing concern about the safety of fragranced products. This concern is fueled by increasing numbers of people that are adversely affected by others use of fragranced products. The industry has some choices to make. It can continue to ignore and down play the significance of this or it can responsibly address it.

In 1988, I developed asthma after using a general purpose cleaner. I had neither a previous history of asthma nor a family history of asthma. Ten years later, I still have asthma only when exposed to fragranced products. Though my asthmatic response seemed to be to a specific substance and not fragrances in general, it was very difficult to find out what that substance was. Companies refused to give me any information, doctors had no idea what to test for, and the FDA did not have the information either. Searching for information has been a ten-year journey that has been quite a learning experience.

At first my interest was only in pinpointing what I was sensitized to in hopes that allergy shots would be available and my life could return to normal. My respiratory reaction to exposures was instant and severe. Asthma medications either did little good or I did not tolerate the side effects. Avoiding exposures was the only way to prevent getting ill. Avoidance of exposure to fragrances is extremely difficult, as they are ubiquitous in the environment. I had to give up my nursing career and my life had been drastically altered. Even day to day tasks such as grocery shopping was difficult. Attending church and social functions were impossible.

As I searched for information, I began to realize that I was not the only one adversely affected. In 1995, I got online access and found there was a growing network of people that were sensitive to fragrances. Others were also being made ill by "second hand" fragrance and having to alter their lives because of it. Like me, most had no idea what in fragrances was making them ill.

In 1996 with the help of a fragrance chemist I pinpointed the specific chemical that triggered my asthma. It was the chemical amlycinnamaldehyde. I was very disappointed to find that no allergy shots were available for chemicals. However, learning what triggered my asthma did provide a lot of answers that helped me better understand. The chemist explained that amylcinnamaldehyde is common in things with a wet application because it helps hold the scent even after washing and rinsing. This was the reason that cleaners, personal care products, and laundry products often caused me more problems than perfumes. It also explained why there was no connection to a specific odor.

I had to accept that there was little that could be done other than the avoidance that I was already practicing. The thought then occurred to me, if I could be sensitized, others could be also. Perhaps there was a connection between the increased fragrance use over the past few decades and the increasing asthma rates. I started gathering as much information as I could on fragrances, the fragrance industry, regulation, and health affects.

The more I learned the more I have become convinced that at the least fragrances are responsible for exacerbation of asthma and at the worst may be one of the causes of asthma. Fragrances are well known skin sensitizers, but little has been done in the way of research on their potential as respiratory sensitizers. Fragrances also are triggers for migraine headaches and multiple problems for those with chemical sensitivities.

I contacted several fragrance industry organizations with varying results. The Fragrance Foundation sent me information on how fragrances can add to my quality of life. The RIFM suggested that I write to Dr. Richard Ford, which I did. I received a very nice, but somewhat patronizing letter that did not address my concerns. The IFRA responded to my inquiry with a letter that seemed more like a public relations organization than one concerned with establishing safety of fragrance materials. In general my concerns were ignored, brushed off, or not addressed.

I understand the Fragrance Industry at the present time has little to fear from regulation. But there is one aspect that can certainly cause great concern. The industry is based on image. And focusing on the health effects of fragranced products can do much damage to image. The industry's lack of effort to ensure fragranced products are safe leaves those of us that are fragrance sensitive only one choice ... to become very vocal on the issue.

There is a growing grass root vocalization on this issue. Online has provided a great way of contacting and sharing information with others. Those of us that are fragrance sensitive now realize there are many others that also have problems. Our efforts are much more effective collectively than they are individually.

There is also increased attention in the media. The Washington Post published a letter to the editor that I wrote in August on the topic. Various newspapers across the country have addressed the issue. Nicholas Regush, author of ABC's online column SecondOpinion addressed this issue in the November 25th column. As you are aware the Environmental Health Perspectives, a NIH-National Institute of Environmental Health Sciences publication, December issue addresses the topic.

Some things that you may want to check out online. These sites may give you insight on how people are affected by others fragrance use.

http://www.ameliaww.com/fpin/fpin.htm

http://archive.abcnews.com/sections/living/SecondOpinion/secondopinion_17_response.html

http://www.user.globalnet.co.uk/~aair/perfume_corr.htm

You were quoted in the EPH article as saying there had been no increase in complaints about fragrances. This is not accurate. There were more complaints registered with Cosmetic Adverse Reaction Monitoring Database of the Office of Cosmetics and Colors in 1997 than there were in 1995.

The above sites may prove enlightening. When a person has complaints, whom should they contact? For those that are fragrance sensitive it is often difficult. Most do not use fragranced products and are made ill by others use of them. Most of the time the offending product names or manufacture is not known. Is there a program set up to register
complaints of non-users of fragranced products? The FDA program is not adequate as it only addresses consumer complaints about fragrances that are considered cosmetics. Many fragranced products are not considered cosmetics.

This is a general health issue that affects many people. Those with asthma, allergies, rhinitis, sinusitis, COPD, migraines and other health problems are affected by others use of fragranced products. The numbers of people with these problems are increasing. As more of the population is affected there will be more focus on it. Recent studies have shown fragrances impact indoor air quality. Synthetic musk chemicals are showing up in human breast milk and fat tissue. There are environmental issues as well, as fragrance chemicals show up in aquatic wildlife.

This issue needs to be addressed with the cooperation of the fragrance industry. But so far cooperation has not been forthcoming from the industry. I have a few suggestions. In order to determine how significantly fragrances affect health, data must be gathered. Specific substances that trigger problems need to be pinpointed. At the present collecting this data is very difficult. Due to trade secret status, is very difficult to pinpoint what in a fragrance may be causing the problem.

1. Set up a means by which doctors could have access to information to
determine what their patients are having problems from. This could be done without jeopardizing companies' formulas. The doctor could provide the name of several products their patient had problems from. This would narrow the problem substances to the chemicals that the products had in common. A record could be kept documenting which products and specific chemicals seemed to be causing problems. Then industry can replace these specific chemicals with safer ones. And companies whose products were frequently cited as causing problems would know that changes needed to be made.

2. Industry needs to start testing common combinations of materials. This would shed light on the synergistic potential of the materials.

3. Testing needs to be done on the respiratory affects of fragrance chemicals. This includes effects on both upper and lower breathing passages.

4. Testing needs to be done on the neurological affects of fragrance chemicals.

5. Industry needs to acknowledge that for some fragrances can cause health problems (i.e. asthmatics, migraine suffers, those with chemical sensitivities, etc.) and encourage users to be courteous.

6. The industry should recommend and encourage that fragrance formulation in products designed to be used around and for children and infants should be extensively tested for safety via all routes of exposure.

None of these things are unreasonable requests and should be within the scope of a responsible industry. A self-regulated industry must take responsibility for regulating itself.

Sincerely,
Betty Bridges, RN




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