Quaternary ammonium compounds (QACs), commonly known as quats, are widely used in disinfectants, personal care products, household cleaners, and various consumer goods for their antimicrobial and preservative properties.
During the COVID-19 pandemic, the use of QACs increased significantly as people intensified their cleaning and disinfecting routines to prevent virus transmission.
Studies found that QACs can easily attach to airborne particles and dust, resulting in higher concentrations in indoor environments and raising concerns about their potential health and ecological impacts.
Exposure to QACs is associated with several adverse health effects, including skin and respiratory irritation, developmental and reproductive toxicity, disruption of metabolic functions, and the promotion of antimicrobial resistance.
These compounds can persist in indoor environments by adhering to dust and particles, making it difficult to reduce exposure once contamination occurs. Additionally, QACs from various products can accumulate in the body over time, posing long-term health risks.
To address these concerns, comprehensive monitoring of environmental and human exposure to QACs and further research into their health and environmental behavior is essential.
Policy recommendations include regulating QACs consistently across different products, requiring full disclosure of their use in consumer goods, and establishing stricter safety assessments.
Implementing these measures and promoting safer alternatives can mitigate the risks associated with QACs, thereby protecting public health and the environment.
The increasing evidence of QACs’ harmful effects is driving a critical reevaluation of their widespread use, highlighting the need for safer practices and regulations.
During the pandemic, the CDC and WHO recommended washing hands with soap and water for at least 20 seconds, especially after being in public or after coughing and sneezing.
If soap and water were unavailable, using ethyl or isopropyl alcohol-based hand sanitizers with 60-80% alcohol was advised for effective virus and bacteria killing.
However, excessive use of sanitizers can lead to skin irritation and serious toxicity, particularly with methanol-based products, which are highly toxic and should be avoided.
Alternative sanitization methods include using sand, soil, ash, seawater, sunlight, and 40% alcohol spirits when traditional options are inaccessible.
To ensure safety and effectiveness, it is important to use hand sanitizers in moderation, choose products with recommended alcohol concentrations, and select reputable brands.
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