On Monday, a Missouri jury
ruled that Johnson & Johnson, a household name in the consumer goods
industry, must pay $72 million to the family of the late Jacqueline Fox. The
company’s talc-based
baby powder allegedly contributed to her death from ovarian cancer, according to the
Associated Press.
And while Johnson & Johnson will probably appeal the
decision, the rest of us are now left wondering, “Wait—can using baby powder
really cause ovarian cancer?”
Well, here’s the thing: We wish we could give you a resounding,
emphatic “no way.” But the answer to this question is murky.
So what is talc, exactly?
Talc is a naturally occurring mineral found in
baby powders as well as other cosmetic and personal care products,
and it’s good at absorbing moisture, cutting down on friction, and preventing
rashes. For many years, parents used it to diaper babies, until doctors began
discouraging it for health reasons. As for adults, many still use it
around their genitals or rectum to prevent chafing or sweating, says Mary Jane
Minkin, MD, Clinical Professor of Obstetrics, Gynecology, and Reproductive
Services at Yale School of Medicine.
As the American Cancer Society points out on it’s website (the
organization declined an interview request from Health), talc in its
natural form may contain
asbestos, a known carcinogen.
The FDA does not allow talc-based products to contain any
asbestos. But the trouble is, cosmetics don’t have to be reviewed or
approved by the FDA before they land on store shelves, so there’s no guarantee
that they haven’t been contaminated.
In light of this concern, the FDA visited
several retail outlets in
the Washington, D.C., metro area and bought and tested a variety of cosmetic
products containing talc across a wide range of prices for a study
that ran from 2009 to 2010. They found no traces of asbestos in any of the
products.
But of course, that doesn’t prove that all talc-based products
are asbestos-free.
Can “asbestos-free” talc cause ovarian cancer?
As of now, it’s unclear. The FDA says that literature dating
back to the 1960s has suggested a possible association between talc powders and ovarian
cancer.
But “the data is wishy-washy,” says Dr. Minkin. “Some
studies haven’t found a connection, and other ones have only shown a small
increase in the hazard ratio [or risk]. And there are lots of different
variables in these studies for researchers consider.”
For example, one 2013 study analyzed nearly 20,000 people and
found that those who used any type of powder down there were 20% to 30%
more likely to have ovarian cancer than those who didn’t use any powder. The
findings led the researchers to suggest that “avoidance of genital powders may
be a possible strategy to reduce ovarian cancer incidence.”
However, researchers pointed out a few of the study’s limitations:
Participants might have overestimated how often they used these products, and
not all powders contain talc—some contain cornstarch instead (more on that
later).
Then, a 2014 study published in the Journal of the National Cancer
Institute looked at
data from about 60,000 women and found no link between powder use and ovarian cancer risk.
Back in 2010, the International Agency for Research on Cancer
(part of the World Health Organization) concluded that there is “limited
evidence in humans” that using talc-based body power on the genital areas is
“carcinogenic,” and stated that using it down there is “possibly carcinogenic
in humans.”
Robyn Andersen, PhD, an ovarian cancer researcher at Fred
Hutchinson Cancer Research Center, says that when she works with women with
ovarian cancer, she asks them about their use of talcum powder. “We know
it’s a possible risk factor, we just don’t know how [big] of a risk factor it
is,” she says.
Andersen says that because the powder is made up of such
finely-ground particles, it might be able to travel up the mucus membranes in the vaginal canal and
eventually work its way into the ovaries. Once there, the powder might
cause inflammation and eventually cancer.
What you should know
On the company website, Johnson
& Johnson states that its talc-based products are asbestos-free, and cites that FDA
study mentioned above, which found no asbestos in Johnson &
Johnson’s talc-based baby powder. The company also points out that
“[v]arious government agencies and other bodies have also examined talc to
determine the potential for any safety risks, and none have concluded that
there are safety risks. In fact, no regulatory agency has ever required a
change in labeling to reflect any safety risk from talc powder products.”
That said, if all of this is enough to creep you
out (understandably), you’ve got other options aside from
talc-based powder. Some baby powders contain cornstarch instead of talc, and
there is no evidence linking cornstarch to ovarian cancer, according
to the American Cancer Society.
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