In a review published in 2022 in the journal Archives of Toxicology, researchers found that the ingestion of E171 is a “a definite health risk for consumers and their progeny.” After reviewing dozens of in vivo, ex vivo and in vitro studies on the toxicity of E171, the researchers wrote that two facts must be noted: “First, reprotoxicity studies show that animals of both sexes are impacted by the toxicity of these nanoparticles, underlining the importance of conducting in vivo studies using both male and female animals. Second, human exposure begins in utero via maternal-fetal transfer and continues after birth by breastfeeding. Children are then chronically re-exposed due to their food preferences. To be relevant to the human in vivo situation, experimental studies should therefore consider nanoparticle exposure with respect to the age or life period of the studied population.”

Some dealers quoted prices that were significantly higher than expected, sending the domestic market to an almost three-year high. Meanwhile, a similar scenario was observed in the Indian market, where titanium dioxide prices (rutile grade) for rose by 8% from January to March. The increase was attributed to strong demand from the domestic paints and coatings sector as well as premium cargo from China.

Overall, the Food Directorate's comprehensive review of the available science of TiO₂ as a food additive showed:

Are there any other products where you use titanium dioxide?

Titanium dioxide is used in an enormous range of food products, which can feel jarring when looking at some of its other uses.

In the same year (2019), the Netherlands Food and Consumer Product Safety Authority (NVWA) also delivered an opinion on possible health effects of food additive titanium dioxide, which highlighted the importance of examining immunotoxicological effects in addition to potential reprotoxicological effects.

Titanium dioxide nanoparticles are commonly found in a wide-range of consumer goods, including cosmetics, sunscreens, paints and colorings, ceramics, glass, textiles, construction materials, medicine, food, food packaging, and more. In Europe, cosmetic companies are required to label products that contain nanoparticles. In the U.S., companies are not.

Lithopone B301, Lithopone B311 powder is also called C.I. 77115; Pigment White 5; Barium zinc sulfate sulfide and belongs to Product Categories of Inorganic & organic chemicals; uvcbs-inorganic. Lithopone B301, Lithopone B311 powder is used in water-based paints because of its excellent alkali resistance. It is widely utilized as a whitener and reinforcing agent for rubber and as a filler and whitener for paper. Lithopone B301, Lithopone B311 powder is considered to be poisonous because it is able to liberate hydrogen sulfide upon decomposition by heat, moisture, and acids. When heated to decomposition Lithopone B301, Lithopone B311 powder emits highly toxic fumes of SOx, ZnO, and H2S.