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FDA: Don't Drink Hand Sanitizers Packaged in Beverage Containers

Food-flavored sanitizers also pose risk of accidental consumption

spinner image Bottles of hand sanitizer that have been produced by a distillery
Jane Barlow - PA Images/Getty Images

The U.S. Food and Drug Administration (FDA) is warning consumers that ingesting hand sanitizer packaged in beer cans, vodka bottles or food pouches can pose a risk of serious injury or death — particularly for children.

Drinking only a small amount of hand sanitizer is potentially lethal to a young child, who may be attracted by a pleasant smell or brightly colored bottle, the FDA said in a press release issued Thursday.

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The federal agency issued the warning after finding that certain hand sanitizer packaging has confused some consumers. In one case, a consumer purchased a bottle of hand sanitizer he thought to be drinking water. In another case, a retailer reported a hand sanitizer being sold in what looked like a snack pouch with printed cartoons aimed at children. The FDA has also found some hand sanitizers that contain food flavors, such as chocolate or raspberry.

"I am increasingly concerned about hand sanitizers being packaged to appear to be consumable products, such as baby food or beverages. These products could confuse consumers into accidentally ingesting a potentially deadly product. It's dangerous to add scents or food flavors to hand sanitizers — which children could think smells like food, then eat and get alcohol poisoning,” said FDA Commissioner Stephen M. Hahn, M.D.

In March, the FDA adopted a policy to encourage the manufacturing of hand sanitizer in order to meet increased consumer demand during the COVID-19 outbreak. This allowed non-drug manufacturers to make alcohol-based hand sanitizers during the public health emergency. Many craft brewers and distillers have done just that — bottling hand sanitizer instead of beer, vodka or gin.

FDA guidance to manufacturers stipulates that the alcohol should be “denatured,” typically by mixing in an additive to make it smell foul, taste bad or induce nausea. “Denaturing is critical because there have been reports of adverse events, including deaths, from ingestion of hand sanitizer. Most reports are for unintentional ingestion in young children,” the guidance said.

Along with the consumer caution, the FDA is warning manufacturers not to sow confusion through packaging or marketing of hand sanitizers.

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"Manufacturers should be vigilant about packaging and marketing their hand sanitizers in food or drink packages, in an effort to mitigate any potential inadvertent use by consumers. The FDA continues to monitor these products, and we'll take appropriate actions as needed to protect the health of Americans,” Hahn said.

Tainted hand sanitizers

The FDA continues to see an increasing number of adverse health events due to hand sanitizer ingestion — including cardiac effects, effects on the central nervous system, hospitalizations and death — which are primarily being reported to poison control centers and state departments of health. Most of those cases involved adults ingesting hand sanitizers that contained toxic methanol.

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The Centers for Disease Control and Prevention (CDC) recently published a report that found that from May 1 to June 30, 15 adults (13 men and two women with a history of swallowing alcohol-based hand sanitizers) were hospitalized after ingesting methanol-tainted products. Four died, and three were discharged from the hospital with vision impairment.

More than 100 hand sanitizer products from 37 manufacturers in Mexico, Georgia, North Carolina, Tennessee and Utah are now on the warning list because they may contain methanol. The list also includes a hand sanitizer from China that is labeled as containing “edible alcohol” and a hand sanitizer manufactured in Ohio that contained a “microbial” contamination.

In response to COVID-19, the FDA reminds people to wash their hands with soap and water for at least 20 seconds (especially after going to the bathroom, before eating and after coughing, sneezing or blowing one's nose) in order to prevent the spread of the coronavirus.

If soap and water are not available, the CDC suggests using a hand sanitizer that contains at least 60 percent ethanol to kill most disease-causing germs. Anything less than that may not work as well “for many types of germs” and could “merely reduce the growth of germs rather than kill them outright,” the CDC said.

Hand sanitizer works best when used correctly. Be sure to apply enough hand sanitizer to cover the entire surface of both hands. Rub the hand sanitizer into your hands (paying special attention to the fingertips) until your skin is completely dry; it should take about 20 seconds.

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