The main routes of exposure to tetrachloroethylene are by inhalation, and potentially by ingestion or exposure to eyes and the skin. Systemic effects of exposure may include depression of brain function, although with substantial acute exposure, there is risk of depressed breathing,
coma or death. In 2020, the United States
Environmental Protection Agency stated that "tetrachloroethylene exposure may harm the nervous system, liver, kidneys, and reproductive system, and may be harmful to unborn children", and reported that numerous
toxicology agencies regard it as a
carcinogen, including the
UK Health Security Agency. Although limited by its low
volatility, tetrachloroethylene has potent anaesthetic effects upon inhalation. The risk depends on whether exposure is over minutes, hours or years. Attempts to reduce exposure and health risks have been adopted in the dry cleaning and laundry industries by introducing closed machinery systems to minimize vapor escape and optimize recycling.
Carcinogenicity Tetrachloroethylene has been classified as "
Group 2A: Probably Carcinogenic" by the
International Agency for Research on Cancer (IARC) due to sufficient evidence in experimental animals and limited evidence in humans for
non-Hodgkin lymphoma, urinary bladder cancers, and cancers of the esophagus and cervix. In the United States, the EPA considers tetrachloroethylene as "likely to be carcinogenic to humans by all routes of exposure" based on suggestive evidence from human epidemiology, and certain evidence from animal toxicology studies, while the US
National Toxicology Program considers tetrachloroethylene as "reasonably anticipated to be a human carcinogen." ==International advisories and compliance==