EtO Screening Facts
Misunderstanding EPA Screening Threshold
- EPA has never issued a standard or a safety level for EtO in ambient air, but they have said sterilization facilities are operating in a safe manner
- EPA periodically conducts a screening process to determine regions that might need further study for air pollution from chemicals like EtO. The latest was released in 2018
- As part of this process, EPA set a screening threshold level for EtO of 0.02 µg/m3
- This screening threshold was NOT meant to represent what was safe or not safe in ambient air; it was NOT based on local health statistics
- The media and others, not understanding EPA’s screening process, incorrectly interpreted EPA as stating that anything over 0.02 µg/m3 air sampling readings is unsafe and increased the risk of getting cancer. EPA did not say this.
EtO is Everywhere
U.S. EPA’s preliminary study of normal, background levels of EtO in communities around the country that don’t have industrial sources of EtO are 10X to 20X higher than their screening threshold. In addition, many everyday activities, even breathing would produce EtO levels well above the screening threshold.


EPA Takes Action
Recognizing the issue with the screening threshold, the EPA initiated a study to determine whether EtO is more broadly found in ambient air than previously understood (2018-2019). Air monitoring readings were taken by EPA in 18 sites across nine states, with broad ranging populations and climates – rural and urban.
EPA found the average presence of EtO in ambient air ranged from 0.2 to 0.4 micrograms of EtO per cubic meter of air (µg/m3)1.
Average concentrations of EtO in Covington’s ambient air were 0.258 µg/m3, according to the combined results of data collected by the Georgia Environmental Protection Division (EPD) and a third-party engineering company as required by EPD.
Air monitoring confirmed average concentrations of EtO in Covington’s ambient air samples are within the range of what the U.S. Environmental Protection Agency’s nationwide study found to be typical.
1See Nov. 6, 2019 EPA update and data summary
Average Background Levels of EtO Across the United States

Green: The Covington, Ga. average is the average of both EPD monitoring data from areas near BD’s sterilization facility and data from a third-party engineering company performing air monitoring around BD’s GDC in Covington, as required by EPD.
