Cleaning and disinfecting are important for hygiene, particularly for hazards that spread through direct contact or fomites (objects with surface germs). At the same time, misuse or overuse of some products may cause serious health impacts.Footnote 217 Regular long-term exposure to some cleaning and disinfecting products is associated with asthma and lung function decline, reproductive harm, air pollution, and environmental damage.Footnote 218 Surface cleaning may also provide a false sense of security (if used without other layers of mitigation) for hazards that spread mostly through the air.Footnote 219
Practice informed substitution by switching to non-toxic, less toxic, and fragrance-free products where possible.Footnote 220 Look for third-party approved choices (like Safer Choice or Cradle to Cradle), as well as microfibre products, which require less water and chemicals.Footnote 221 Use appropriate personal protective equipment, and follow safe storage and disposal practices.
Learn more:
- Hygiene theatre or cleaning? | Wigmore, to NIOSH NORA Services Sector Council
- Tools for informed substitution | Stoffman et al.
- Asthma and chemicals | Toxics Use Reduction Institute (TURI)
- Comprehensive report on safer disinfectant products | SF Approved
- WHMIS and safety data sheets | CCOHS
Footnotes (5)
- Kenneth D Rosenman et al., “Cleaning Products and Work-Related Asthma,” Journal of Occupational and Environmental Medicine 45, no. 5 (2003): 556–63, https://doi.org/10.1097/01.jom.0000058347.05741.f9; “Hazard Communication for Disinfectants Used Against Viruses,” National Institute for Occupational Safety and Health, last modified September 3, 2020, https://archive.cdc.gov/www_cdc_gov/niosh/topics/disinfectant/default.html; Arthur Chang et al., “Cleaning and Disinfectant Chemical Exposures and Temporal Associations with COVID-19 — National Poison Data System, United States, January 1, 2020–March 31, 2020,” MMWR Morbidity and Mortality Weekly Report 69 (2020), 496–98, http://dx.doi.org/10.15585/mmwr.mm6916e1. Back to text
- Øistein Svanes et al., “Cleaning at Home and at Work in Relation to Lung Function Decline and Airway Obstruction,” American Journal of Respiratory and Critical Care Medicine 197, no. 9 (2018): 1157–63, https://doi.org/10.1164/rccm.201706-1311OC; Leyla Bobic et al., “Reproductive & Developmental Toxicity of Quaternary Ammonium Compounds,” Biology of Reproduction 111, no. 4 (2024): 742–56, https://doi.org/10.1093/biolre/ioae107; Ling Liu et al., “Per- and Polyfluoroalkyl Substances Exposure from Preconception to Lactation: Implications for Female Fertility, Pregnancy Complications, and Birth Outcomes: A Narrative Review,” F & S Reviews 7, no. 1 (2026): 100102, https://doi.org/10.1016/j.xfnr.2026.100102; Wei Wang et al., “The Effects of Perfluoroalkyl and Polyfluoroalkyl Substances on Female Fertility: A Systematic Review and Meta-Analysis,” Environmental Research 216, no. 3 (2023): 114718, https://doi.org/10.1016/j.envres.2022.114718; Alexis M. Temkin et al., “Volatile Organic Compounds Emitted by Conventional and “Green” Cleaning Products in the U.S. Market,” Chemosphere 341 (2023): 139570, https://doi.org/10.1016/j.chemosphere.2023.139570; Brian C. McDonald et al., “Volatile Chemical Products Emerging as Largest Petrochemical Source of Urban Organic Emissions,” Science 359, no. 6377 (2018): 760–64, https://doi.org/10.1126/science.aaq0524; “Identifying Greener Cleaning Products,” United States Environmental Protection Agency, last modified April 9, 2026, https://www.epa.gov/greenerproducts/identifying-greener-cleaning-products. Back to text
- Toni Luise Meister et al., “Low Risk of Severe Acute Respiratory Syndrome Coronavirus 2 Transmission by Fomites: A Clinical Observational Study in Highly Infectious Coronavirus Disease 2019 Patients,” The Journal of Infectious Diseases 266, no. 9 (2022): 1608–15, https://doi.org/10.1093/infdis/jiac170; Emanuel Goldman, “Exaggerated Risk of Transmission of COVID-19 by Fomites,” The Lancet Infectious Diseases 20, no. 8 (2020): 892–93, https://doi.org/10.1016/S1473-3099(20)30561-2; Derek Thompson, “Hygiene Theater Is a Huge Waste of Time,” The Atlantic, July 27, 2020, https://www.theatlantic.com/ideas/archive/2020/07/scourge-hygiene-theater/614599/. Back to text
- San Francisco Department of the Environment, Green Cleaning Fact Sheets (San Francisco Department of the Environment, 2013), https://www.sfenvironment.org/sites/default/files/fliers/files/green_cleaning_fact_sheets.pdf. Back to text
- United States Environmental Protection Agency, Environmental Best Practices for Health Care Facilities: Using Microfiber Mops in Hospitals (United States Environmental Protection Agency, 2002), https://archive.epa.gov/region9/waste/archive/web/pdf/mops.pdf; Alicia Culver et al., Safer Products and Practices for Disinfecting and Sanitizing Surfaces (San Francisco Department of the Environment, 2014), 31, https://sfapproved.org/sites/default/files/files/general-files/SFE_Safer_Products_and_Practices_for_Disinfecting_Report_%28April_2014%29.pdf. Back to text