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      Increased Indoor Exposure to Commonly Used Disinfectants during the COVID-19 Pandemic

      rapid-communication

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          Abstract

          Quaternary ammonium compounds (QACs or “quats”) make up a class of chemicals used as disinfectants in cleaning and other consumer products. While disinfection is recommended for maintaining a safe environment during the COVID-19 pandemic, the increased use of QACs is concerning as exposure to these compounds has been associated with adverse effects on reproductive and respiratory systems. We have determined the occurrence of 19 QACs in residential dust collected before and during the COVID-19 pandemic. QACs were detected in >90% of the samples collected during the pandemic at concentrations ranging from 1.95 to 531 μg/g ( n = 40; median of 58.9 μg/g). The total QAC concentrations in these samples were significantly higher than in samples collected before the COVID-19 pandemic ( p < 0.05; n = 21; median of 36.3 μg/g). Higher QAC concentrations were found in households that generally disinfected more frequently ( p < 0.05). Disinfecting products commonly used in these homes were analyzed, and the QAC profiles in dust and in products were similar, suggesting that these products can be a significant source of QACs. Our findings indicate that indoor exposure to QACs is widespread and has increased during the pandemic.

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          Most cited references23

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          Increased Use of Quaternary Ammonium Compounds during the SARS-CoV-2 Pandemic and Beyond: Consideration of Environmental Implications

          Quaternary ammonium compounds (QACs) are active ingredients in over 200 disinfectants currently recommended by the U.S. EPA for use to inactivate the SARS-CoV-2 (COVID-19) virus. The amounts of these compounds used in household, workplace, and industry settings has very likely increased, and usage will continue to be elevated given the scope of the pandemic. QACs have been previously detected in wastewater, surface waters, and sediments, and effects on antibiotic resistance have been explored. Thus, it is important to assess potential environmental and engineering impacts of elevated QAC usage, which may include disruption of wastewater treatment unit operations, proliferation of antibiotic resistance, formation of nitrosamine disinfection byproducts, and impacts on biota in surface waters. The threat caused by COVID-19 is clear, and a reasonable response is elevated use of QACs to mitigate spread of infection. Exploration of potential effects, environmental fate, and technologies to minimize environmental releases of QACs, however, is warranted.
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            Antibacterial quaternary ammonium compounds in dental materials: A systematic review

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              Significance of bacterial surface-active compounds in interaction of bacteria with interfaces.

              T Neu (1996)
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                Author and article information

                Journal
                Environ Sci Technol Lett
                Environ Sci Technol Lett
                ez
                estlcu
                Environmental Science & Technology Letters
                American Chemical Society
                2328-8930
                20 August 2020
                : acs.estlett.0c00587
                Affiliations
                []Paul H. O’Neill School of Public and Environmental Affairs, Indiana University , Bloomington, Indiana 47405, United States
                []Center for Urban Health, Indiana University-Purdue University Indianapolis (IUPUI) , Indianapolis, Indiana 46202, United States
                [§ ]Environmental Resilience Institute, Indiana University , Bloomington, Indiana 47405, United States
                Author notes
                Article
                10.1021/acs.estlett.0c00587
                7482546
                37566290
                79c49470-9ef8-48f4-a10b-32bf7fadef30
                Copyright © 2020 American Chemical Society

                This article is made available via the PMC Open Access Subset for unrestricted RESEARCH re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                : 29 July 2020
                : 20 August 2020
                : 19 August 2020
                Categories
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                ez0c00587
                ez0c00587

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