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  2. Hazardous Air Pollutants: Ethylene Oxide

Groveland, Florida (International Sterilization Laboratory)

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International Sterilization Laboratory is located at 217 Sampey Road, Groveland, FL. The facility uses ethylene oxide (EtO) to sterilize medical equipment and materials.

NOTE: On March 14, 2024, EPA announced final amendments to the National Emission Standards for Hazardous Air Pollutants (NESHAP) for Ethylene Oxide Commercial Sterilizers. This rule is one of the most important measures EPA is taking to reduce emissions of ethylene oxide and will significantly reduce lifetime cancer risks for people living near commercial sterilization facilities. It will reduce EtO emissions from commercial sterilization facilities to the outdoor air by 90 percent and, once implemented, will reduce the lifetime cancer risk for people living near all commercial sterilization facilities to levels below the Clean Air Act threshold for elevated risk. No individual will be exposed to EtO at levels that correspond to a lifetime cancer risk of greater than 100-in-1 million, and the number of people with a potential risk of greater than or equal to 1-in-1 million will be reduced by approximately 92 percent.

Learn more

The risk information on this page, and the corresponding map from July 2022, are no longer current. EPA is archiving these maps and pages.

EPA scientists and analysts recently completed a risk assessment to understand the impact of EtO emissions from the International Sterilization Laboratory facility. As part of this risk assessment, we used the most recent available information about how much EtO the company emits into the air and we modeled estimated cancer risks to people living nearby. The risk assessment identified elevated cancer risk in the Groveland community. EPA is committed to working with state and local agencies, facilities, and communities to reduce this risk.

International Sterilization Laboratory

This map shows EPA’s estimate of lifetime cancer risks from breathing ethylene oxide near International Sterilization Laboratory located at 217 Sampey Road, Groveland, FL.  Estimated cancer risk decreases with distance from the facility.  Nearest the facility, the estimated lifetime cancer risk is 200 in a million. This drops to 100 in a million and extends about 200’ south of Curtis Ave., and 200’ west of Beverly Drive.
Click on the map to view a larger version of the map and legend in a new browser tab.

This map shows EPA’s estimates of lifetime cancer risks from EtO near International Sterilization Laboratory in Groveland, FL. As you can see from the map risk decreases with distance from the facility. 

The area in blue shows estimated lifetime cancer risks of 100 in a million or greater from breathing air containing EtO emitted from the facility (or the same as 1 additional cancer case in 10,000 people). A lifetime cancer risk of 100 in a million means that, if 1 million people were exposed to this level of EtO in the air 24 hours a day for 70 years, 100 people would be expected to develop cancer from that exposure.  

The area in dark blue on the map shows that EtO exposure could contribute to a maximum increased risk level of 2 cancer cases if 10,000 people were exposed for 70 years (or 200 in 1 million). EPA cannot predict whether an individual person will develop cancer.

View a larger version of the map and legend in a new browser tab.

For this risk assessment, we looked at excess cancer risk attributable to a single chemical, EtO. This estimated risk is in addition to the risk of developing cancer from other causes. This is a worst-case scenario that assumes a person stays in the highest risk area 24 hours a day continuously for 70 years. EPA takes this approach because we want to be protective of the most exposed and most vulnerable individuals from risk associated with EtO emissions from this facility.

  • Read additional information on EtO, including information on our current understanding of risks from ethylene oxide.

Community Details

International Sterilization Laboratory is located near central Florida in Lake County. The facility began operations in the 1990s and is a contract sterilizer of medical equipment. The facility is equipped with wet scrubbers to remove EtO from its sterilization chambers and aeration rooms exhaust. The facility is evaluating plans to reduce the amount of EtO needed for certain sterilization cycles. There has been no recent expansion of control equipment, but the facility is evaluating how to improve its operations to control fugitive emissions.

What EPA is Doing to Address Ethylene Oxide

Now: EPA finalized regulations for Ethylene Oxide Commercial Sterilizers that will significantly lower risk in the community. EPA is also working with the state of Florida to reduce emissions at International Sterilization Laboratory. EPA has provided technical support to our air agency partners as part of this work. The Agency is reviewing controls on regulated equipment and processes that emit EtO to determine whether additional air pollution controls are needed. This review includes examining new developments in practices, processes and control technologies, considering cost and feasibility, as well as addressing any previously unregulated emission points.

  • Learn more about the final rule for EtO Sterilization Facilities.  
  • For more information about actions you can take.
  • View the Ethylene Oxide Emissions Information for Residents - International Sterilization Laboratory October 2022 Fact Sheet (pdf) (335.4 KB)

Contact EPA Region 4 at Region4EtO@epa.gov or 1-800-241-1754.

Community Meeting

A virtual community meeting was held December 15, 2022. View the video here. 

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Hazardous Air Pollutants: Ethylene Oxide

  • EPA Actions To Reduce Risk
  • Ethylene Oxide (EtO) Explained
    • Our Current Understanding
    • EtO Risk and Your Health
    • Addressing and Learning About EtO
  • EtO Community Engagement
  • Federal Partnerships on EtO
  • EtO Additional Questions
Contact Us About Ethylene Oxide
Contact Us to ask a question, provide feedback, or report a problem.
Last updated on April 16, 2025
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