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② Plastics: At present, it is the second largest user of titanium dioxide pigments, accounting for about 20% of the total demand for titanium dioxide. The amount of titanium dioxide used in plastic products will vary with the use requirements, generally between 0.5% and 5%. According to data from the National Bureau of Statistics, the production of plastic products in China increased from 57.81 million tons in 2012 to 81.84 million tons in 2019, with a compound annual growth rate of 5.1%. The amount of titanium dioxide increases accordingly.

Following the EU’s ban on E171, the FDA told the Guardian that, based on current evidence, titanium dioxide as a food additive is safe.  “The available safety studies do not demonstrate safety concerns connected to the use of titanium dioxide as a color additive.”

Since then, there has been a few animal studies suggesting titanium dioxide is connected to cancer. A 2017 study in Scientific Reports, for instance, found that rats with titanium dioxide in their diet had impaired immune systems, which could contribute to autoimmune diseases and colorectal cancer.

Mexican researchers sought to evaluate the effects of E171 across a span of conditions in mice, including its influence on behavior, along with the effects on the colon and liver. The research, published in 2020 in the journal Food and Chemical Toxicology, showed that E171 promoted anxiety and induced adenomas, or noncancerous tumors, in the colon. They also found that E171 heightened goblet cells hypertrophy and hyperplasia, which is typically seen in asthma patients and triggered by smoking or external pollutants and toxins. They also noted mucins overexpression in the mice, which can be linked to cancer cell formation.