③ Paper making industry: Paper making and paper products industry is the third largest application industry of titanium dioxide. Paper using titanium dioxide has good whiteness, high strength, luster, thin and smooth, and is not easy to penetrate when printing. Under the same conditions, the opacity is 10 times higher than that of paper using calcium carbonate and talc powder, and the weight can also be reduced by 15% to 30%. The amount of titanium dioxide in decorative paper accounts for 20%~40% of its raw materials, and the amount of titanium dioxide in other papers is about 1%~5%. Due to the continuous adjustment of the industrial structure of the paper products industry from 2016 to 2018, according to the data of China Paper Association, the output of China's paper products in 2019 was 72.19 million tons, a significant year-on-year increase of 29.4%, and the use of titanium dioxide increased significantly.

While Skittles don't include white in their line-up, Dr. Johnson-Arbor theorizes that titanium dioxide is used to help contain all the other beautiful colors.

How we’re exposed to an ingredient matters greatly in terms of our long-term health. 
  
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. 

What exactly is titanium dioxide?

In a small study published in the European Journal of Nutrition in 2020, researchers examined the effects of several food additives, including titanium dioxide, along with artificial sweeteners and cleaning products by testing the fecal samples of 13 people. Titanium dioxide was among the samples that “induced significant shifts in microbiome community structure.”  The growth of the bacterium species belonging to C. leptum, which has been shown to decrease in patients with inflammatory bowel disease, “significantly decreased in the presence of … titanium dioxide” among other additives and sweeteners tested.

Why does the exposure route matter, and what's the risk? 

Above 20%, it is recommended to replace 1 kg TiO2 with 1.3 kg of Lithopone 30%.  

Recently, Yanagisawa et al. reported that the transdermal exposure (mimicking skin-barrier dysfunction or defect) of NC/Nga mice to TiO₂ NPs (15, 50, or 100 nm), in combination with allergen, aggravated atopic dermatitis-like lesions through a T-helper type 2 (Th2) dominant immune response. The study also indicated that TiO₂ NPs can play a role in the initiation and/or progression of skin diseases, since histamine was released, even in the absence of allergen.

When it comes to sourcing titanium dioxide, it is essential to understand the various processes involved in its production. The two primary production methods are the sulfate process and the chloride process. The sulfate process tends to be more cost-effective in certain contexts, but it also generates a substantial amount of waste, putting pressure on manufacturers to invest in waste treatment technologies. On the other hand, the chloride process is known for its superior quality and lower environmental impact, albeit at a higher production cost.