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Inhaling high concentrations of titanium dioxide dust or fumes, which may occur in occupational settings — such as in the production or processing of products containing the mineral — may cause respiratory problems like coughing, wheezing and shortness of breath, in addition to eye and skin irritation.

Though the regulated use of titanium dioxide in food products is legal in the U.S. and Canada, it's banned in some other countries, notably throughout Europe. In May 2021, the European Food Safety Authority announced that titanium dioxide can no longer be considered safe as a food additive.

The brands of lithopone of the normal class, that of chemical manufacture, are marketed under such names as Ponolith, Beckton White, Jersey Lily White, Oleum White, Zinc Sulphide White, all of these being of domestic manufacture, and their composition is of the 30 per cent. zinc sulphide type. The German manufacturers and exporters of lithopone make use of fancy names for their brands and here are a few examples of these and the composition of the pigment:-

Is titanium dioxide (E171) harmful to our health?

As early as sixty years ago, zinc sulphide was first thought of as a pigment for coloring India rubber and a patent for the process of its manufacture was issued in England. But it was not until twenty years later that zinc sulphide and its manufacture was seriously considered as a pigment for paint, and in 1874 a patent was issued for a process of manufacturing a white pigment, composed of zinc sulphide and barium sulphate, known as Charlton white, also as Orr's white enamel. This was followed in 1876 by a patent issued to a manufacturer named Griffith and the product, which was similar in character to Charlton white, was known as Griffith's patent zinc white. In 1879 another patent for a more novel process was obtained by Griffith & Cawley, the product made under this process proving the best of the series placed upon the market up to that date. After that time many new processes were patented, all, however, tending to the same object, that of producing a white pigment, composed of zinc sulphide and barium carbonate, the results, however, in many cases ending with failure.

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