Fajardo, Puerto Rico (Customed, Inc.)
Customed, Inc. is located at Carretera Igualdad#7, Fajardo, PR. The facility uses ethylene oxide (EtO) to sterilize medical equipment and materials.
EPA scientists and analysts recently completed a risk assessment to understand the impact of EtO emissions from the Customed, Inc. 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 Fajardo community. EPA is committed to working with state and local agencies, facilities, and communities to reduce this risk.
Customed, Inc.
This map shows EPA’s estimates of lifetime cancer risks from EtO near Customed, Inc. in Fajardo, PR. 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 10 cancer cases if 10,000 people were exposed for 70 years (or 1,000 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.
Community and Facilities Details
The Customed facility located at Carretera Igualdad #7 in Fajardo, PR began conducting sterilization activities in 2005 to sterilize surgical equipment for hospitals. Employees who work on sterilization activities use a respirator with an oxygen tank, and also monitor their EtO exposure every three months.
EPA is working with the Puerto Rico Department of Natural and Environmental Resources and local partners to host a community public meeting on January 26, 2023 for the Fajardo community to learn more about EtO and risks from commercial sterilizers.
What EPA is Doing to Address Ethylene Oxide
Now: EPA and the Puerto Rico Department of Natural and Environmental Resources (DNER) are committed to work together to facilitate and expedite any effort to reduce emissions at Customed Inc. The facility has shown willingness and commitment to invest in improvements to reduce their emissions and to provide as much information as possible to keep the community informed about these improvements. 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.
Soon: Later this year, EPA will propose strengthening current regulations for Ethylene Oxide Commercial Sterilizers. EPA will consider risk as part of the proposed regulations.
- Learn more about regulation for EtO Sterilization Facilities.
- For more information about actions you can take.
Community Updates
EPA worked with the Puerto Rico Department of Natural and Environmental Resources and local partners to host a community public meeting on January 26, 2023 for the Fajardo community to learn more about EtO and risks from commercial sterilizers.
- January 26, 2023 Community Presentation
Fajardo English Presentation (pdf)
Spanish Villalba Presentation (pdf)