In view of its widespread use, toxicity, and volatility, formaldehyde poses a significant danger to human health. In 2011, the US
National Toxicology Program described formaldehyde as "known to be a human carcinogen".
Chronic inhalation Concerns are associated with chronic (long-term) exposure by inhalation as may happen from
thermal or
chemical decomposition of formaldehyde-based resins and the production of formaldehyde resulting from the
combustion of a variety of organic compounds (for example, exhaust gases). As formaldehyde resins are used in many
construction materials, it is one of the more common
indoor air pollutants. At concentrations above 0.1 ppm in air, formaldehyde can irritate the eyes and
mucous membranes. Formaldehyde inhaled at this concentration may cause headaches, a burning sensation in the throat, and difficulty breathing, and can trigger or aggravate asthma symptoms. The
CDC considers formaldehyde a systemic poison. Formaldehyde poisoning can permanently cause adverse changes in the
nervous system's functioning, "such as increased prevalence of headache, depression, mood changes, insomnia, irritability, attention deficit, and impairment of dexterity, memory, and equilibrium". A 1988 Canadian study of houses with
urea-formaldehyde foam insulation found that formaldehyde levels as low as 0.046 ppm were positively correlated with eye and nasal irritation. A 2009 review of studies has shown a strong association between exposure to formaldehyde and the development of childhood
asthma. A theory was proposed for the carcinogenesis of formaldehyde in 1978. In 1987 the
United States Environmental Protection Agency (EPA) classified it as a
probable human carcinogen, and after more studies the
WHO International Agency for Research on Cancer (IARC) in 1995 also classified it as a
probable human carcinogen. Further information and evaluation of all known data led the IARC to reclassify formaldehyde as a
known human carcinogen associated with nasal sinus cancer and
nasopharyngeal cancer. Studies in 2009 and 2010 have also shown a positive correlation between exposure to formaldehyde and the development of
leukemia, particularly
myeloid leukemia. Nasopharyngeal and sinonasal cancers are relatively rare, with a combined annual incidence in the United States of less than 4,000 cases. About 30,000 cases of myeloid leukemia occur in the United States each year. Some evidence suggests that workplace exposure to formaldehyde contributes to sinonasal cancers. Professionals exposed to formaldehyde in their occupation, such as funeral industry workers and
embalmers, showed an increased risk of leukemia and brain cancer compared with the general population. Other factors are important in determining individual risk for the development of leukemia or nasopharyngeal cancer. In yeast, formaldehyde is found to perturb pathways for DNA repair and cell cycle. In the residential environment, formaldehyde exposure comes from a number of routes: formaldehyde can be emitted by treated
wood products, such as
plywood or
particle board, but it is also produced by paints,
varnishes, floor finishes, and
cigarette smoking. In July 2016, the
US EPA released a prepublication version of its final rule on Formaldehyde Emission Standards for Composite Wood Products. These new rules impact manufacturers, importers, distributors, and retailers of products containing composite wood, including fiberboard, particleboard, and various laminated products, who must comply with more stringent record-keeping and labeling requirements. The U.S. EPA allows no more than 0.016 ppm formaldehyde in the air in new buildings constructed for that agency. A U.S. EPA study found a new home measured 0.076 ppm when brand new and 0.045 ppm after 30 days. The
Federal Emergency Management Agency (FEMA) has also announced limits on the formaldehyde levels in trailers purchased by that agency. The EPA recommends the use of "exterior-grade" pressed-wood products with phenol instead of urea resin to limit formaldehyde exposure, since pressed-wood products containing formaldehyde resins are often a significant source of formaldehyde in homes. s include filtering technology that is supposed to lower indoor formaldehyde concentration. Formaldehyde levels in building environments are affected by a number of factors. These include the potency of formaldehyde-emitting products present, the ratio of the surface area of emitting materials to volume of space, environmental factors, product age, interactions with other materials, and ventilation conditions. Formaldehyde emits from a variety of construction materials, furnishings, and consumer products. The three products that emit the highest concentrations are
medium-density fiberboard, hardwood plywood, and particle board. Environmental factors such as temperature and relative humidity can elevate levels because formaldehyde has a high
vapor pressure. Formaldehyde levels from building materials are the highest when a building first opens because materials would have less time to off-gas. Formaldehyde levels decrease over time as the sources suppress. In
operating rooms, formaldehyde is produced as a byproduct of electrosurgery and is present in
surgical smoke, exposing surgeons and healthcare workers to potentially unsafe concentrations. Formaldehyde levels in air can be sampled and tested in several ways, including impinger, treated sorbent, and passive monitors. The
National Institute for Occupational Safety and Health (NIOSH) has measurement methods numbered 2016, 2541, 3500, and 3800. In June 2011, the twelfth edition of the
National Toxicology Program (NTP) Report on Carcinogens (RoC) changed the listing status of formaldehyde from "reasonably anticipated to be a human carcinogen" to "known to be a human carcinogen."
Acute irritation and allergic reaction For most people, irritation from formaldehyde is temporary and reversible, although formaldehyde can cause allergies and is part of the standard patch test series. In 2005–06, it was the seventh-most-prevalent
allergen in
patch tests (9.0%). People with formaldehyde allergy are advised to avoid
formaldehyde releasers as well (e.g.,
Quaternium-15,
imidazolidinyl urea, and
diazolidinyl urea). People who suffer allergic reactions to formaldehyde tend to display lesions on the skin in the areas that have had direct contact with the substance, such as the neck or thighs (often due to formaldehyde released from permanent-press finished clothing) or
dermatitis on the face (typically from cosmetics). Formaldehyde has been banned in cosmetics in both
Sweden and
Japan.
Other routes In humans, ingestion of as little as of 37% formaldehyde solution can cause death. Other symptoms associated with ingesting such a solution include gastrointestinal damage (vomiting, abdominal pain), and systematic damage (dizziness). The fifteenth edition (2021) of the US National Toxicology Program Report on Carcinogens notes that currently in the US, "The general population can be exposed to formaldehyde primarily from breathing indoor or outdoor air, from tobacco smoke, from use of cosmetic products containing formaldehyde, and, to a more limited extent, from ingestion of food and water." Affected water includes groundwater, surface water, and bottled water. It also notes that occupational exposure can be significant. ==Contaminant in food==