WSJ.com - FDA Questions Use of Antibacterial Soaps
The Food and Drug Administration is questioning the use of popular antibacterial cleansers, which critics say may not only provide little benefit for healthy consumers but could carry environmental and public-health risks.In documents made public yesterday, the agency raised concerns about the use of antibacterial soaps, wipes and washes, a class of products that includes everything from some Dial soaps to Pfizer Inc.'s Purell hand sanitizer. This Thursday, the FDA will bring the issue to an outside committee of experts, which will examine whether the agency needs to limit their use by consumers. The FDA could, for example, recommend labels that would limit the circumstances in which some products would be used, which would also restrict how they could be marketed.
The committee is looking at the use of these products by healthy consumers, as opposed to their use by those -- such as health-care providers and food-service employees -- where the benefits may more clearly outweigh the risks. The FDA documents state that it “often is not clear what contribution consumer antiseptics make relative to washing with plain soap and water.”
Any moves by the FDA could affect hundreds of products that are on store shelves: Manufacturers have introduced 253 antibacterial products in the U.S. so far this year. Last year, there were 322 new products, according to Datamonitor's Productscan Online, a new-products database. Antibacterial products generally cost about the same as their conventional counterparts, though prices can sometimes vary widely.
Some doctors have recommended against the widespread use of antibacterial products for years, arguing that they can lead to the emergence of bacteria that resist antibiotics. In 2000, the American Medical Association recommended that the FDA “expedite its regulation” of antibacterial consumer products that have been linked to resistant bacteria.
Marketing dollars should not preempt science: just because a product proves popular (due to advertising alleged 'benefits') does not mean it should remain for sale. Sounds to me like anti-bacterial soaps cause more damage then they cure.
The agency also raised concerns about the environmental impact of some antibacterial cleansers, which may hurt some algae and fish and break down into a harmful contaminant. Another potential fear ...was that using too many antibacterial products may prevent people from being exposed to routine bacteria, weakening the development of their immune systems and leading to asthma and allergies.
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Stuart Levy, a researcher at Tufts University and president of the Alliance for the Prudent Use of Antibiotics, says products with alcohol and bleaches aren't worrisome, but chemicals that don't quickly evaporate or break down -- including triclosan -- are. Triclosan, he says, has been linked to antibiotic-resistant bacteria in lab tests. Use of such products by healthy households should be limited, he says, unless their manufacturers can prove concrete health benefits.
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