Ethylene oxide (EtO) is used to sterilize medical devices and is classified by EPA and IARC as a Group 1 human carcinogen. Industrial sterilization facilities emit EtO, exposing nearby communities. Sterigenics settled $408M for Willowbrook, IL community. Cases continue against Medline Industries (Waukegan, IL), BD (Covington, GA), and other facility operators.
EtO is an alkylating agent that directly damages DNA. IARC Group 1 classification (definite human carcinogen). Breast cancer and non-Hodgkin lymphoma are the primary injury categories supported by occupational cohort and community exposure studies. Residential proximity analysis is the key causation link.
Ethylene oxide sterilization facility cases are pending in N.D. Illinois (Sterigenics/Willowbrook) and other jurisdictions. EtO is a known carcinogen. EPA has taken aggressive action. Cases involve workers and community members exposed near sterilization facilities.