Health Canada's Food Directorate recently completed a “state of the science” report on titanium dioxide (TiO2) as a food additive. Food-grade TiO2 is a white powder made up of small particles that has been permitted in Canada and internationally for many years as a food additive to whiten or brighten foods. Food-grade TiO2 has long been considered safe in Canada and in other countries when eaten as part of the diet.
The future of TiO2
While the FDA maintains that the regulated use of titanium dioxide is safe, the European Food Safety Authority and some other experts warn of potential, serious health risks.
However, it’s also important to note that such adverse effects depend heavily on the form of the titanium dioxide. It can come down to characteristics like “particle shape, purity, surface charge, solubility, agglomeration rate, photo-activation, etc.”



Lithopone is rather nontoxic, due to the insolubility of its components. It has been used in medicine as a radiocontrast agent. Lithopone is allowed to be in contact with foodstuffs in the US and Europe.[1]
We apply titanium dioxide to our skin through sunscreens, makeup, lip balms, nail polish, and other cosmetic products.
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In short, no, research demonstrates that E171 is safe when consumed in normal situations.
Moreover, how we're exposed to an ingredient matters significantly in terms of our health and potential toxicity.
Research shows that inhaling titanium dioxide particles in significant quantities over time can cause adverse health outcomes. Unless you work in an industrial setting, inhaling substantial amounts of titanium dioxide is highly unlikely.
Research supports that applying titanium dioxide to the skin in the form of sunscreens, makeup, and other topical products does not pose a health risk.
Overwhelmingly, research that's relevant to human exposure shows us that E171 is safe when ingested normally through foods and drugs (1,2).
Again, other research suggests that E171 could cause harm; however, those research processes did not design their studies to model how people are exposed to E171. Research that adds E171 to drinking water, utilizes direct injections, or gives research animals E171 through a feeding apparatus is not replicating typical human exposure, which occurs through food and medicine consumption.
Read more in-depth about the titanium dioxide risk at go.msu.edu/8Dp5.
Lithopone’s historical significance is further accentuated by the advancements and modifications that followed its inception. The 1874 patent by J.B. Orr, for instance, ushered in a new white pigment—Orr’s Zinc White. This innovation was attained by co-precipitating zinc sulfate and barium sulfide, followed by a calcination process. Further refinements marked the subsequent decades, the most notable being the enhancement of lightfastness achieved in the 1920s by introducing small amounts of cobalt salts before calcination.
The gastrointestinal tract is a complex barrier/exchange system, and is the most important route by which macromolecules can enter the body. The main absorption takes place through villi and microvilli of the epithelium of the small and large intestines, which have an overall surface of about 200 m2. Already in 1922, it was recognized by Kumagai, that particles can translocate from the lumen of the intestinal tract via aggregation of intestinal lymphatic tissue (Peyer’s patch, containing M-cells (phagocytic enterocytes)). Uptake can also occur via the normal intestinal enterocytes. Solid particles, once in the sub-mucosal tissue, are able to enter both the lymphatic and blood circulation.
Although barium sulfate is almost completely inert, zinc sulfide degrades upon exposure to UV light, leading to darkening of the pigment. The severity of this UV reaction is dependent on a combination of two factors; how much zinc sulfide makes up the pigments formulation, and its total accumulated UV exposure. Depending on these factors the pigment itself can vary in shade over time, ranging from pure white all the way to grey or even black. To suppress this effect, a dopant may be used, such as a small amount of cobalt salts, which would be added to the formulation. This process creates cobalt-doped zinc sulfide. The cobalt salts help to stabilize zinc sulfide so it will not have as severe a reaction to UV exposure.
Over the last several years, nanoparticles have come under scrutiny for adverse health effects. Nanoparticles are ultrafine particles between 1 to 100 nanometers in diameter. (To put this in perspective, the average human hair is around 80,000 nanometers thick.) Because of their size, which can be engineered and manipulated at the atomic or molecular level, nanoparticles exhibit unique physical, chemical, and biological properties. Titanium dioxide is one of the most commonly produced nanoparticles in the world.
Its chemical formula is TiO2, which means it consists of one titanium atom and two oxygen atoms (hence dioxide). It has a CAS (Chemical Abstracts Service) registration number of 13463-67-7.
Australia and New Zealand review of TiO2



Packaging containing this additive has been shown to decrease ethylene production in fruit, thus delaying the ripening process and prolonging shelf life (4Trusted Source).


Following a request for assessment in 2020 by the EU, the European Food Safety Authority (EFSA) assessed E171, particularly for its genotoxicity. In 2022, the agency deemed the food additive no longer safe for use.