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The encyclopedia · Product & Design · Product decision · 2001–2011

Oxy sold a humidifier disinfectant in Korea for a decade — 1,250 people died

A disinfectant containing PHMG was added to humidifier tanks and breathed in. Sold from 2001, it was traced in 2011 — after more than 1,250 deaths.

Oxy Reckitt Benckiser · Reckitt Benckiser · 2011

What happened

From 2001, Oxy Reckitt Benckiser Korea sold its humidifier disinfectant Oxy Ssak Ssak (옥시싹싹), containing polyhexamethylene guanidine phosphate, or PHMG. The product was added to the water tanks of ultrasonic humidifiers and dispersed into the air as a fine mist that users inhaled. Millions of Korean households used similar disinfectants during dry winters.

In 2011, a cluster of severe and unexplained lung injuries, especially among pregnant women and children, led the Korean government to investigate. Researchers traced the damage to PHMG and related chemicals in humidifier disinfectants. The products were banned, but only after years of exposure.

By 2024, the South Korean government had recognised roughly 5,700 victims, including more than 1,250 deaths. Oxy's product carried 221 confirmed deaths and 300 confirmed injuries — the largest toll of any brand. Courts convicted former Oxy executives of professional negligence. Reckitt Benckiser apologised in 2016 and set aside more than £1 billion for legal costs and compensation. The national Social Disasters Commission estimated that roughly 20,000 people died from PHMG alone between 1994 and 2011. The case became the largest known consumer-product health disaster in Korean history.

Why it happened

  • The chemical was sold as a household product without adequate inhalation-toxicity testing for the way consumers actually used it
  • The product design assumed humidifier water was a surface to disinfect, ignoring that ultrasonic humidifiers aerosolise the contents into lungs
  • Warnings and labels did not communicate the risk of inhaling the disinfectant mist
  • Multiple companies sold similar formulations for years, and regulators treated the category as a general household chemical rather than an inhaled substance
What it cost~1,250 deaths, 221 Oxy; ~5,700 victims; £1B+ provisionscatastrophic

The lesson

A chemical safe for one route of exposure can be lethal for another. Products designed to be aerosolised and inhaled need inhalation-toxicity data, not surface-disinfectant assumptions.

Aftermath

South Korea banned humidifier disinfectants and created a special commission to investigate the disaster. Reckitt Benckiser paid compensation and apologised. The case reshaped consumer-chemical regulation in Korea and is cited globally as a warning about inhalation exposure to household chemicals.

Sources

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