95-1691. Requirements for Child-Resistant Packaging; Mouthwash Packages Containing 3 Grams or More of Ethanol  

  • [Federal Register Volume 60, Number 15 (Tuesday, January 24, 1995)]
    [Rules and Regulations]
    [Pages 4536-4541]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 95-1691]
    
    
    
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    CONSUMER PRODUCT SAFETY COMMISSION
    
    16 CFR Part 1700
    
    
    Requirements for Child-Resistant Packaging; Mouthwash Packages 
    Containing 3 Grams or More of Ethanol
    
    AGENCY: Consumer Product Safety Commission.
    
    ACTION: Final rule.
    
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    SUMMARY: Under the Poison Prevention Packaging Act of 1970, the 
    Commission is issuing a rule to require child-resistant packaging for 
    mouthwashes with 3 grams or more of absolute ethanol per package. The 
    Commission has determined that child-resistant packaging is necessary 
    to protect children under 5 years of age from serious personal injury 
    and serious illness resulting from ingesting mouthwash. The rule 
    exempts mouthwash products with nonremovable pump dispensers that 
    contain at least 7% on a weight-to-weight basis of mint or cinnamon 
    flavoring oils, that dispense no more than 0.03 grams of absolute 
    ethanol per pump actuation, and that contain less than 15 grams of 
    ethanol in a single package available to the consumer.
    
    DATES: The effective date of the rule is July 24, 1995, and the rule 
    shall apply to products packaged on or after that date.
    
    FOR FURTHER INFORMATION CONTACT: Michael Bogumill, Division of 
    Regulatory Management, Consumer Product Safety Commission, Washington, 
    DC 20207; telephone (301) 504-0400 ext. 1368.
    
    SUPPLEMENTARY INFORMATION:
    
    A. Background
    
    1. Relevant Statutes and Regulations
    
        The Poison Prevention Packaging Act of 1970 (the ``PPPA''), 15 
    U.S.C. 1471-1476, authorizes the Commission to establish standards for 
    the ``special packaging'' of any household substance if (1) the degree 
    or nature of the hazard to children in the availability of such 
    substance, by reason of its packaging, is such that special packaging 
    is required to protect children from serious personal injury or serious 
    illness resulting from handling, using, or ingesting such substance and 
    (2) the special packaging is technically feasible, practicable, and 
    appropriate for such substance. Special packaging, also referred to as 
    ``child-resistant packaging,'' is defined as packaging that is (1) 
    designed or constructed to be significantly difficult for children 
    under 5 years of age to open or obtain a toxic or harmful amount of the 
    substance contained therein within a reasonable time and (2) not 
    difficult for normal adults to use properly. (It does not mean, 
    however, packaging which all such children cannot open, or obtain a 
    toxic or harmful amount from, within a reasonable time.)
        Under the PPPA, standards have been established for special 
    packaging (16 CFR 1700.15), as has a test procedure for evaluating its 
    effectiveness (16 CFR 1700.20). Regulations requiring special packaging 
    for a number of household products are published at 16 CFR 1700.14. The 
    statutory findings that the Commission must make in order to issue a 
    standard requiring child-resistant (``CR'') packaging (``CRP'') for a 
    product are discussed below in Section D of this notice.
        The PPPA allows the Commission to require CRP for household 
    substances, which include (among other specified categories) foods, 
    drugs, or cosmetics, as these terms are defined in the Federal Food, 
    Drug, and Cosmetic Act (21 U.S.C. 321). 15 U.S.C. 1471(2)(B). 
    Mouthwashes are either drugs, if they make medical claims, or 
    cosmetics.
        Section 4(a) of the PPPA, 15 U.S.C. 1473(a), allows the 
    manufacturer or packer to package a nonprescription product subject to 
    special packaging standards in one size of non-CRP only if (1) the 
    manufacturer (or packer) also supplies the substance in CRP and (2) the 
    non-CRP bears conspicuous labeling stating: ``This package for 
    households without young children.'' 15 U.S.C. 1473(a). If the package 
    is too small to accommodate this label statement, the package may bear 
    a label stating: ``Package not child-resistant.'' 16 CFR 1700.5(b). The 
    right of the manufacturer or packer to market a single size of the 
    product in noncomplying packaging under these conditions is termed the 
    ``single-size exemption.''
        The Commission may restrict the right to market a single size in 
    noncomplying packaging if the Commission finds that the substance is 
    not also being supplied in popular size packages that comply with the 
    standard. 15 U.S.C. 1473(c). In such cases, the Commission may, after 
    giving the manufacturer or packer an opportunity to comply with the 
    purposes of the PPPA and an opportunity for a hearing, order that the 
    substance be packaged exclusively in CRP. To issue such an order, the 
    Commission must find that the exclusive use of special packaging is 
    necessary to accomplish the purposes of the PPPA.
    
    2. The Mouthwash Petition
    
        On March 2, 1993, the Commission was petitioned to require CRP for 
    mouthwashes containing more than 5% ethanol. The petition was submitted 
    by the American Academy of Pediatrics, the American Association of 
    Poison Control Centers, the Center for Science in the Public Interest, 
    and 28 states, Guam, and the Northern Mariana Islands. For the purposes 
    of this proceeding and the final rule, the term ``mouthwash'' includes 
    liquid products that are variously called mouthwashes, mouthrinses, 
    oral antiseptics, gargles, fluoride rinses, anti-plaque rinses, and 
    breath fresheners. It does not include throat sprays or aerosol breath 
    fresheners.
        The petitioners stated several reasons for their request: (1) Many 
    mouthwashes [[Page 4537]] contain high percentages of ethanol, an 
    extremely toxic substance, in a package large enough to cause children 
    serious injury or death; (2) these mouthwashes are accessible to 
    children because they are generally considered innocuous and do not 
    have CRP; (3) they are attractive to children because of their 
    appealing taste, color, and smell; and (4) data show that children have 
    been seriously injured or died from accidental ingestion of ethanol-
    containing mouthwashes.
        By a letter dated June 3, 1993, the Nonprescription Drug 
    Manufacturers Association (``NDMA'') and the Cosmetic, Toiletry, and 
    Fragrance Association (``CTFA'') advised Commission staff of the 
    associations' plans to implement a voluntary program to place 
    mouthwashes with more than 5% ethanol in CR containers. [1, Tab 
    C.]1 On November 17, 1993, the Commission granted the petition. 
    Subsequently, in April 1994, the NDMA and CTFA notified the Commission 
    that the products subject to their voluntary program had been changed 
    from mouthwashes with more than 5% ethanol to mouthwashes with 3 grams 
    or more in a single container.
    
        \1\ Numbers in brackets refer to the number of a document as 
    listed in App. 1 at the end of this notice.
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    3. The Proposed Regulation
    
        The mouthwash petition requested that the Commission require CRP 
    for mouthwash that contains more than 5% ethanol. However, after 
    analyzing the information before it, the Commission decided to propose 
    that mouthwash products with 3 grams (g) or more of absolute ethanol 
    per package or retail-sale unit should be subject to the regulation. 
    [10] This level is obtained by dividing the lethal dose of ethanol (3 
    g/kg of body weight) for a 10-kg child (30 g) by a safety factor of 10. 
    This safety factor is needed because less than the ``lethal'' dose can 
    produce serious toxic effects, or even death from hypoglycemia or other 
    secondary effects.
        Three grams of absolute ethanol are present in a small amount 
    (approximately 2.6 ounces) of mouthwash with 5% ethanol. The Commission 
    is concerned that regulating only products with more than 5% ethanol, 
    as requested in the petition, might not sufficiently protect children 
    because the quantity of ethanol available to be consumed is more 
    relevant to the safety issue than is the concentration of ethanol in a 
    mouthwash. Accordingly, the Commission proposed a regulatory threshold 
    of 3 g total ethanol in the package rather than the concentration of 5% 
    or more of ethanol in the product.
        The proposed rule was published for public comment on May 11, 1994. 
    59 FR 24386.
    
    B. Toxicity
    
        [2, unless noted otherwise.] The Commission's toxicity review 
    indicates that mouthwashes with ethanol can present a serious ingestion 
    hazard to children. Most of the popular adult mouthwashes contain 
    between 14% and 27% ethanol. By comparison, beer contains between 5% 
    and 7% ethanol and wine can contain 12% to 14% ethanol.
        Ethanol depresses the central nervous system. Symptoms of acute 
    ethanol poisoning in children include irritability, lethargy, and 
    unconsciousness which can lead to coma and death at high doses. Lethal 
    blood levels of ethanol in children are reported to range between 250 
    and 500 mg/dl, and the lethal dose of ethanol is 3 g/kg. Deaths or 
    serious injury may occur at lower doses due to other ethanol-induced 
    effects. Ethanol poisoning in children can produce certain metabolic 
    complications, such as hypoglycemia, metabolic acidosis, and 
    hypokalemia.
        A review of the relevant literature shows that three deaths of 
    children under 5 years of age have been reported. The most recent death 
    reported occurred in 1992 and involved a 3-year-old girl who ingested 
    an unknown amount of mouthwash that contained 18% ethanol. Several 
    other cases of ethanol-induced hypoglycemia or toxicity following 
    mouthwash ingestion are reported in the literature.
        The National Electronic Injury Surveillance System (``NEISS'') 
    reported 40 mouthwash cases involving children under age 5 from January 
    1987 through July 1994. [14] Based on these ingestions, it was 
    estimated that a total of 1,840 mouthwash poisoning cases were treated 
    in hospital emergency rooms in the United States during that time, or 
    an average of about 240 per year. [14]
        In addition to these sources, the American Association of Poison 
    Control Centers' National Data Collection System (``AAPCC'') includes 
    cases reported by participating poison control centers. The AAPCC 
    reported 1,966 ingestions of mouthwash with ethanol by children under 5 
    years old in 1992. [14] Of these ingestions, 182 were referred to a 
    health care facility by the poison control center. Another 64 cases 
    either were already in a health care facility or were on the way to one 
    when the poison control center was contacted.
    
    C. Comments on the Proposal
    
        The Commission received nine comments in response to the proposed 
    rule. [13] The New York State Consumer Protection Board, the American 
    Dental Association, and several students from Florida International 
    University expressed strong support for the rule. The university 
    students also submitted the results of an informal survey of mouthwash 
    use.
        The NDMA/CTFA Joint Oral Care Task Group and several industry 
    members also favor the proposed rule. However, these and other 
    commenters disagreed with the proposed effective date, and questions 
    were raised about the application of the rule. The issues raised by the 
    comments are discussed below.
    
    Exemption for Certain Pump Dispensers
    
        The manufacturer of one product that otherwise would have been 
    subject to the proposed rule requested an exemption. [15] This product 
    is an oral rinse concentrate marketed in a 2-oz (59 ml) glass bottle 
    containing 24% ethanol by weight, for a total of 14.16 g of ethanol per 
    package. This product utilizes a screw-on metered pump to dispense the 
    product, and has a protective overcap. The use instructions call for 
    five actuations of the pump (for a total of 0.6 ml, or less than 0.025 
    oz) into a small cup supplied with the product. This amount is then 
    diluted with up to 1 oz of water for use. The Commission is unaware of 
    any other manufacturer of a product subject to the rule that uses this 
    type of package.
        In 1987, one ingestion of a mouthwash made by this manufacturer was 
    reported in the NEISS database. The child involved in that incident was 
    treated and released. However, it cannot be determined from the report 
    whether this incident involved the concentrated spray product or 
    another, non-concentrated mouthwash that may have been available from 
    that manufacturer at that time.
        Human experience data submitted by the manufacturer show that from 
    January 1990 to September 1994 there were 117 known cases of accidental 
    ingestion of this product by children under 5 years old. [15] All cases 
    resulted in either no effects or only minor ones. All but one of these 
    cases were treated at home. In that one case, the child was taken to a 
    health care facility at the insistence of the parents. These cases all 
    involve product packaged in the current screw-on pump dispenser. 
    [[Page 4538]] 
        The case reports indicate that 102 of the children (87%) gained 
    access to the product by unscrewing the top of the bottle. None of the 
    reports indicated that the child gained access to the product by using 
    the pump, but 12 reports did not specify the way in which the child 
    accessed the product.
        If the product were marketed in a nonremovable pump, which the 
    manufacturer has stated it intends to do in July 1995, the only way a 
    child could access a regulated amount of the mouthwash concentrate 
    would be to spray the product at least 100 times into the mouth and 
    swallow the sprayed product. One study shows that many children 
    physically could activate the pump this many times. However, the study 
    did not note that any of the children sprayed the contents of the 
    package (in this test, water) into their mouths. If they had, it likely 
    would have been documented in the study.
        Since this product is intended to be used in a diluted form, the 
    packaged form contains a very high concentration of flavoring oils. The 
    CPSC staff examined this aspect and concluded that the irritant 
    properties of this concentrated flavoring would create unpleasant or 
    painful sensations. [18] CPSC's Human Factors staff have concluded that 
    it is highly unlikely that children would ingest a significant quantity 
    of the product by means of repeated sprays. [18]
        Based upon all of the above information, the Commission has decided 
    that this rule should not apply to mouthwash products with nonremovable 
    pump dispensers that contain at least 7% on a weight-to-weight basis of 
    mint or cinnamon flavoring oils, that dispense no more than 0.03 grams 
    of absolute ethanol per pump actuation, and that contain less than 15 
    grams of ethanol in a single unit.
    
    Effective Date
    
        The proposed rule specified that the rule should become effective 
    on May 1, 1995, or 6 months after the rule is published in the Federal 
    Register, whichever is earlier. A number of comments were received 
    opposing an effective date any earlier than May 1, 1995. This issue is 
    now moot, since May 1, 1995, is now the earlier of the two dates. The 
    time needed to analyze issues concerning the requested exemption and 
    how the effective date should apply to special situations, described 
    below, prevented earlier publication of the final rule.
        Manufacturers that claim to be responsible for over 95% of the 
    production of ethanol-containing mouthwash are committed to be in 
    compliance by May 1, 1995. This commitment, however, was based on there 
    being no change in the Commission's PPPA test protocol. [8] However, 
    the Commission has proposed to modify the test protocol by which CRP is 
    evaluated in order to make the packaging easier for adults to open 
    (referred to as ``senior-friendly'' packaging). 59 FR 13264 (March 21, 
    1994). Accordingly, the Commission's staff contacted five companies 
    that will be subject to the rule for mouthwash containing ethanol to 
    see how the possibility that the PPPA protocol may be amended to 
    require senior-friendly packaging would affect these companies. [20]
        Three of the companies contacted belong to the groups that are 
    sponsoring the implementation of voluntary CRP for mouthwash containing 
    ethanol by May 1, 1995. These three companies expect to have their 
    products in packaging that meets the present protocol by that date.
        One of the other companies contacted originally had intended to 
    comply with the rule by reducing its ethanol concentration below the 
    greater-than-5-percent level specified in the first version of the 
    voluntary program and in the petition to the Commission. When the 
    Commission proposed to regulate 3 grams or more in a single package, 
    this manufacturer was no longer able to comply by reducing its ethanol 
    content. Thus, this manufacturer had a late start in converting to CRP. 
    This manufacturer now estimates that it may have CRP by July 1995. [21]
        The remaining manufacturer contacted recently by the staff is a 
    small company that estimates it will not be ready with a package that 
    would satisfy either the current protocol or the proposed senior-
    friendly protocol until December 1995. The company states that this 
    length of time is required because it must change its bottle molds, in 
    addition to its capping equipment, in order to accept either current or 
    senior-friendly CRP.
        All five of these companies are aware of the proposed senior-
    friendly protocol. None of these companies anticipates major problems 
    from a subsequent regulation requiring CRP to be senior-friendly. Of 
    these manufacturers, one is already marketing its product in senior-
    friendly packaging, which it is purchasing from a supplier. Three 
    others intend to purchase commercially available CRP. One of these 
    intends to begin production by May 1, 1995. The other two of these 
    manufacturers intend to have senior-friendly packaging in production by 
    July 1995 and December 1995, respectively. The fifth contacted 
    manufacturer is developing packages that it intends to ultimately be 
    senior-friendly. This manufacturer intends to have the new package in 
    production by May 1, 1995. That manufacturer states that, if its design 
    is not senior-friendly initially, it can be modified to be so.
        None of the manufacturers contacted stated that it would have to 
    design an additional package if there are changes to the CRP protocol. 
    The manufacturers contacted, together with another manufacturer known 
    to be marketing its mouthwash in senior-friendly CRP, represent an 
    estimated 70 percent of mouthwash sales. Thus, it appears that the 
    possibility of changes to the test protocol to ensure that CRP is 
    senior-friendly is not a significant factor in the choice of effective 
    date for the CRP standard for mouthwash containing ethanol.
        The Commission has learned of a few small manufacturers of 
    concentrated mouthwash products, marketed in bottles with continuous-
    threaded (CT) caps. One of these manufacturers filed a late comment on 
    the proposed rule. [13, No. CP94-2-9] That commenter's product contains 
    70% ethanol and is marketed in 2-, 4-, 8- and 16-oz sizes. The other 
    manufacturers' products are believed to also have high ethanol 
    concentrations. The commenter expressed concern about the proposed May 
    1, 1995, effective date, but did not expressly ask for a later date or 
    say how long it would take to convert to CRP.
        Some of the bottles used by these manufacturers can use existing CR 
    or senior-friendly CR caps without modification; others will require a 
    long-skirted cap, e.g., a 415 finish, to fit their existing bottles. 
    [17] For the manufacturers needing a long-skirted cap, a major CRP 
    manufacturer has said that senior-friendly caps in 20mm, 24mm, and 28mm 
    sizes with a long-skirt special 415 finish have been commercially 
    available since October 1994. [17] For those manufacturers that have to 
    change caps, the capping equipment will need to be modified to account 
    for the larger diameter of the CR cap. This is not a complicated or 
    expensive modification. [17]
        The only known manufacturer of the oral rinse concentrate that will 
    be exempt from the rule if marketed in a nonremovable pump has 
    indicated that it will switch to a crimped-on nonremovable pump in July 
    1995. [Telephone conversation, September 8, 1994.]
        After considering the currently available information, the 
    Commission concludes that an effective date of [insert date that is 6 
    months after [[Page 4539]] publication], which is 6 months after 
    publication of the final rule, is reasonable. The vast majority of 
    manufacturers are committed to being in compliance before this, by May 
    1, 1995. The one company that states it needs until December 1995 to 
    comply may be able to do so much sooner. Moreover, this company may 
    have sufficient inventory to cover the period of time between the 
    effective date and the date complying packaging can be provided. 
    Furthermore, revenue from mouthwash does not constitute the major 
    portion of its sales.
        For the instances where modifications to the bottles or development 
    of special caps for these bottles are required, the manufacturers may 
    not be able to incorporate them into production by July 24, 1995. In 
    this event, these manufacturers may have to use other bottle/cap 
    combinations from contract packagers until other arrangements can be 
    made.
    
    Applicability of the Effective Date
    
        In the proposal, the effective date would apply to products 
    packaged after the effective date. A commenter requests that the 
    effective date should apply to products shipped on or after that date. 
    The commenter's request that the effective date should apply to the 
    shipping date would tend to reduce any potential motivation for 
    stockpiling noncomplying product packaged before the effective date. 
    This request cannot be granted, however, because PPPA Sec. 8, 15 U.S.C. 
    1471n, mandates ``[n]o [special packaging] standard shall be effective 
    as to household substances subject to this Act packaged prior to the 
    effective date of such final regulation.''
    
    Definition of ``Single Retail Unit''
    
        The proposal specified that the rule applied to products containing 
    3 g or more in a single package. The proposal explained that the 
    ``single package'' to be covered by the rule was a ``single retail 
    unit.'' A commenter stated that the term ``single retail unit'' should 
    be defined as ``a package intended to be made available to consumers 
    for direct retail purchase.''
        The use of the term ``single retail unit'' was intended to clarify 
    that a regulated substance supplied in a retail package which contained 
    smaller packages that, considered individually, would not be subject to 
    the rule because each of the smaller packages contained less than the 
    regulated amount, would be subject to the CRP standard if the total 
    amount of the regulated substance in the retail package exceeded the 
    regulated amount. The proposal did not intend to limit the 
    applicability of the standard to packages sold at retail.
        In view of this comment, the Commission concludes that the term 
    ``single retail unit'' is confusing in this context. Rather, the 
    Commission considers the term ``package'' to mean the container or 
    wrapping in which a household substance is supplied for consumption, 
    use, or storage by individuals in or about the household. This 
    includes, but is not limited to, any package intended to be made 
    available to consumers for retail purchase. This definition is not 
    intended to be the same as the statutory definition of ``packaging'' at 
    PPPA Sec. 2(3), 15 U.S.C. 1471(3).
    
    Definition of ``Household Substance''
    
        A commenter contended that ``amenities'' do not fall within the 
    definition of ``household substance'' in 15 U.S.C. 1471(2). Amenities 
    are small quantities of substances, such as soap, shampoo, or 
    mouthwash, that are placed in hotel rooms or other accommodations for 
    use by the room's occupants. If the commenter's contention were 
    correct, amenities would not be subject to an otherwise applicable PPPA 
    standard.
        The PPPA's definition of household substance includes ``any 
    substance which is customarily produced or distributed for sale for 
    consumption or use * * * by individuals in or about the household and 
    which is * * * a hazardous substance as [defined in the Federal 
    Hazardous Substances Act (``FHSA'')] * * * [or] a food, drug, or 
    cosmetic [as defined in the Federal Food, Drug, & Cosmetic Act].'' PPPA 
    Sec. 2(2), 15 U.S.C. 1471(2). Mouthwash subject to the proposed rule 
    clearly is either a hazardous substance or a drug or cosmetic. How the 
    other elements of this definition apply to mouthwash distributed as 
    amenities in hotel rooms is discussed below.
        1. Mouthwash amenities are ``sold'' for use by individuals. If a 
    hotel purchases prepackaged units of mouthwash to place in hotel rooms, 
    such packages clearly are sold to the hotel for use by individuals. In 
    the unlikely event that hotel employees repackage mouthwash from a 
    larger container to a smaller one to be left in the room, the mouthwash 
    is nevertheless sold to the hotel for use by individuals since only 
    individuals can use mouthwash. In addition, the mouthwash amenity can 
    be viewed as being sold to the hotel occupants, since the amount paid 
    by the hotel guests for lodging also pays for providing the mouthwash.
        2. Items used in hotel rooms are used ``in or about the 
    household.'' One definition of the term household is ``the home and its 
    affairs.'' ``Home'' in turn is defined as ``the house, apartment, etc., 
    where one lives or is living temporarily; living quarters.'' Webster's 
    New World Dictionary. Hotels and other places that provide amenities 
    are places where people live, however temporarily. Therefore, hotels 
    are households.
        Another definition of household is ``those who dwell under the same 
    roof and compose a family: A domestic establishment; specif: A social 
    unit comprised of those living together in the same dwelling.'' 
    Webster's Third New International Dictionary of the English Language 
    Unabridged, 1986 Ed. (``Webster's Unabridged''). Thus, under this 
    definition, a household refers to a group of people rather than to any 
    particular type of building. Accordingly, if a hotel rents rooms where 
    more than one member of a household may stay at a time, amenities used 
    in those rooms are used ``in or about the household.''
        The Commission's regulations under the FHSA state that an ``article 
    is suitable for use in or around the household * * * [if] under any 
    reasonably foreseeable condition of purchase, storage or use the 
    article may be found in or around a dwelling.'' 16 C.F.R. 
    1500.3(c)(10)(i). The term ``dwelling'' means ``a building or 
    construction used for residence: ABODE, HABITATION.'' Webster's 
    Unabridged. This term is not limited to a permanent home or primary 
    residence. Thus, the Commission's rules lend support to the 
    interpretation that items used in hotels are used ``in or about the 
    household.''
        Finally, even if a hotel room were not a household, it is 
    customary, and expected, that amenities will be removed from hotel 
    rooms by guests for use at home. Thus, for this independent reason, 
    amenities are ``customarily produced or distributed for sale for 
    consumption or use * * * in or about the household.''
        For the reasons given above, the Commission concludes that 
    amenities supplied in hotel rooms and the like are household 
    substances, as that term is used in the PPPA.
    
    D. Statutory Considerations
    
    1. Hazard to Children
    
        As noted above, the toxicity data concerning children's ingestion 
    of ethanol-containing mouthwash demonstrate that the amount of ethanol 
    in available mouthwash preparations is sufficient to cause serious 
    illness and injury to children. These mouthwash preparations are 
    readily available to children. Even though the 
    [[Page 4540]] manufacturers of these mouthwashes that are members of 
    the NDMA and CFTA will voluntarily use CRP for their products, the 
    Commission concludes that a regulation is needed to ensure that 
    mouthwash will be placed in CRP by all mouthwash packagers. In 
    addition, the regulation will enable the Commission to enforce the CRP 
    requirement and ensure that effective CRP is used.
        Pursuant to section 3(a) of the PPPA, 15 U.S.C. 1472(a), the 
    Commission finds that the degree and nature of the hazard to children 
    from ingesting ethanol-containing mouthwashes is such that special 
    packaging is required to protect children from serious illness. The 
    Commission bases this finding on the toxic nature of such mouthwashes, 
    described above, the accessibility of such preparations to children in 
    the home, and the existing incident data involving ingestions by young 
    children.
    
    2. Technical Feasibility, Practicability, and Appropriateness
    
        [17] In issuing a standard for special packaging under the PPPA, 
    the Commission is required by section 3(a)(2) of the PPPA, 15 U.S.C. 
    1472(a)(2), to find that the special packaging is ``technically 
    feasible, practicable, and appropriate.'' Technical feasibility exists 
    when technology exists to produce packaging that conforms to the 
    standards. Practicability means that special packaging complying with 
    the standards can utilize modern mass production and assembly line 
    techniques. Appropriateness exists when packaging complying with the 
    standards will adequately protect the integrity of the substance and 
    not interfere with the intended storage or use.
        CRP are mass produced for products that contain ethanol and have 
    similar properties to mouthwashes. Two industry groups have indicated 
    that their members would have CRP for one size of their mouthwashes by 
    August 31, 1994, with their entire lines converted by May 1, 1995. In 
    addition, one major manufacturer of mouthwash has introduced a popular 
    size of its product in packaging that is not only child resistant, but 
    is easier for adult consumers (and especially older adults) to open. 
    Therefore, the Commission concludes that CRP for mouthwashes is 
    technically feasible, practicable, and appropriate.
    
    3. Other Considerations
    
        In establishing a special packaging standard, section 3(b) of the 
    PPPA, 15 U.S.C. 1472(b), requires the Commission to consider the 
    following:
        a. The reasonableness of the standard;
        b. Available scientific, medical, and engineering data concerning 
    special packaging and concerning childhood accidental ingestions, 
    illness, and injury caused by household substances;
        c. The manufacturing practices of industries affected by the PPPA; 
    and
        d. The nature and use of the household substance. 15 U.S.C. 
    1472(b).
        These items have been considered with respect to the various 
    determinations made in this notice, and the Commission finds no basis 
    for concluding that the rule is unreasonable.
    
    E. Effective Date
    
        The PPPA provides that no regulation shall take effect sooner than 
    180 days or later than one year from the date such regulation is 
    issued, except that, for good cause, the Commission may establish an 
    earlier effective date if it determines an earlier date to be in the 
    public interest. 15 U.S.C. 1471n.
        As discussed above in Section C of this notice, the Commission has 
    established the effective date for this rule as July 24, 1995, which is 
    6 months after publication of the final rule.
    
    F. Regulatory Flexibility Act Certification
    
        When an agency undertakes a rulemaking proceeding, the Regulatory 
    Flexibility Act, 5 U.S.C. 601 et seq., generally requires the agency to 
    prepare proposed and final regulatory flexibility analyses describing 
    the impact of the rule on small businesses and other small entities. 
    The purpose of the Regulatory Flexibility Act, as stated in section 
    2(b) (5 U.S.C. 602 note), is to require agencies, consistent with their 
    objectives, to fit the requirements of regulations to the scale of the 
    businesses, organizations, and governmental jurisdictions subject to 
    the regulations. Section 605 of the Act provides that an agency is not 
    required to prepare a regulatory flexibility analysis if the head of an 
    agency certifies that the rule will not have a significant economic 
    impact on a substantial number of small entities.
        The Commission's Directorate for Economics prepared an economic 
    assessment of this rule to require special packaging for mouthwash 
    preparations with 3 g or more of ethanol in a single package. [16] 
    Based on this assessment, the Commission concludes that such a 
    requirement would not have a significant impact on a substantial number 
    of small businesses or other small entities because of the widespread 
    acceptance of the voluntary CRP program. CRP for mouthwash preparations 
    is readily available at a relatively low incremental cost, and the PPPA 
    permits manufacturers to market preparations in one non-CR size. The 
    relatively low costs of CRP should not be a burden to current small 
    business manufacturers or an entry burden for future marketers. 
    Manufacturers are given enough time to use up existing supplies of non-
    CRP and to obtain suitable CRP and incorporate its use into their 
    packaging lines.
        Individual firms and associations representing businesses affected 
    by the proposed rule commented that impacts would not be significant as 
    long as the effective date was no sooner than May 1, 1995, and there 
    was no change in the PPPA test protocol. That date was originally 
    proposed by the industry trade association in a voluntary program to 
    provide CRP for mouthwash; the date was based on the length of time 
    determined by the members to be reasonable and workable. Many 
    commenters advised the Commission that an effective date of May 1, 
    1995, would allow sufficient time to complete package development, 
    modify equipment, conduct protocol and stability testing, and implement 
    marketing programs.
        The Commission has decided to exempt from this regulation mouthwash 
    products using nonremovable pumps that contain at least 7% on a weight-
    to-weight basis of mint or cinnamon flavoring oils, that dispense no 
    more than 0.03 g of absolute ethanol per pump actuation, and that 
    contain less than 15 g of ethanol in a single unit. This will 
    potentially reduce the adverse impacts of the rule. However, the only 
    known manufacturer of a product that would qualify for the exemption, 
    except that its current pump is removable, is not a small entity. 
    [Manufacturing USA, 2nd Ed. (1992), Gale Research, Detroit, p. 677.]
        Based on a comment to the proposal, the Commission has learned that 
    there are about four or five small businesses that market mouthwash 
    products that will need CRP. If these marketers do not reformulate to 
    eliminate ethanol from their products, they may incur incremental costs 
    for CRP, compared to the non-CRP now used. They may also incur costs to 
    modify equipment to accommodate new packaging components. However, 
    these costs are not expected to be high. In any event, the Commission 
    could grant a temporary enforcement exemption to companies--in this 
    case, most likely only a few small companies--who demonstrate that, 
    despite reasonable efforts, they are unable to meet the effective date. 
    [[Page 4541]] 
        Accordingly, for the reasons given above, the Commission concludes 
    that the number of small entities that market products subject to the 
    rule requiring special packaging for mouthwashes containing 3 g or more 
    of ethanol is not substantial. Also, the economic effects on such firms 
    will not be significant.
    
    G. Environmental Considerations
    
        Pursuant to the National Environmental Policy Act, and in 
    accordance with the Council on Environmental Quality regulations and 
    CPSC procedures for environmental review, the Commission has assessed 
    the possible environmental effects associated with the Poison 
    Prevention Packaging Act (PPPA) packaging requirements for ethanol-
    containing products. [4]
        The Commission's regulations at 16 CFR 1021.5(c)(3) state that 
    rules requiring special packaging for consumer products normally have 
    little or no potential for affecting the human environment. Analysis of 
    the impact of this rule indicates that CRP for these mouthwash 
    preparations will have no significant effects on the environment. This 
    is because the rule will not significantly increase the total amount of 
    CRP in use and, in any event, the manufacture, use, and disposal of CRP 
    presents the same environmental effects as do the currently used non-
    CRP.
        Therefore, because the rule will have no adverse effect on the 
    environment, neither an environmental assessment nor an environmental 
    impact statement is required.
    
    List of Subjects in 16 CFR Part 1700
    
        Consumer protection, Drugs, Infants and children, Packaging and 
    containers, Poison prevention, Toxic substances.
    
        For the reasons given above, the Commission amends 16 CFR part 1700 
    as follows:
    
    PART 1700--[AMENDED]
    
        1. The authority citation for part 1700 continues to read as 
    follows:
    
        Authority: Pub. L. 91-601, secs. 1-9, 84 Stat. 1670-74, 15 
    U.S.C. 1471-76. Secs. 1700.1 and 1700.14 also issued under Pub. L. 
    92-573, sec. 30(a), 88 Stat. 1231, 15 U.S.C. 2079(a).
    
        2. Section 1700.14 is amended by adding new paragraph (a)(22), 
    reading as follows (although unchanged, the introductory text of 
    paragraph (a) is included below for context):
    
    
    Sec. 1700.14  Substances requiring special packaging.
    
        (a) Substances. The Commission has determined that the degree or 
    nature of the hazard to children in the availability of the following 
    substances, by reason of their packaging, is such that special 
    packaging is required to protect children from serious personal injury 
    or serious illness resulting from handling, using, or ingesting such 
    substances, and the special packaging herein required is technically 
    feasible, practicable, and appropriate for these substances:
    * * * * *
        (22) Mouthwash. Except as provided in the following sentence, 
    mouthwash preparations for human use and containing 3 g or more of 
    ethanol in a single package shall be packaged in accordance with the 
    provisions of Sec. 1700.15 (a), (b), and (c). Mouthwash products with 
    nonremovable pump dispensers that contain at least 7% on a weight-to-
    weight basis of mint or cinnamon flavoring oils, that dispense no more 
    than 0.03 grams of absolute ethanol per pump actuation, and that 
    contain less than 15 grams of ethanol in a single unit are exempt from 
    this requirement. The term ``mouthwash'' includes liquid products that 
    are variously called mouthwashes, mouthrinses, oral antiseptics, 
    gargles, fluoride rinses, anti-plaque rinses, and breath fresheners. It 
    does not include throat sprays or aerosol breath fresheners.
    * * * * *
        Dated: January 18, 1995.
    Sadye E. Dunn,
    Secretary, Consumer Product Safety Commission.
    
    List of Relevant Documents
    
        (Note. This list of relevant documents will not be printed in 
    the Code of Federal Regulations.)
        1. Briefing Memorandum with attached briefing package, September 
    30, 1993.
        2. Memorandum from Jacqueline Ferrante, Ph.D., HSPS, to James F. 
    Hoebel, Acting Associate Executive Director for Health Sciences, 
    ``Recommendation for the level of regulation of mouthwash with 
    ethanol,'' January 10, 1994.
        3. Memorandum from Terry Kissinger, Ph.D., EPHA, to Jacqueline 
    Ferrante, Ph.D., HSPS, ``Injury Data Related to the Toxicity of 
    Ethanol-containing Mouthwash,'' January 31, 1994.
        4. Memorandum from Marcia P. Robins, ECSS, to Jacqueline 
    Ferrante, Ph.D., HSPS, ``Preliminary Assessment of Economic and 
    Environmental Effects of a Proposal to Require Child-Resistant 
    Packaging for Mouthwash Containing Ethanol,'' February 24, 1994.
        5. Memorandum from Charles Wilbur, HSPS, to Jacqueline Ferrante, 
    Ph.D., HSPS, ``Technical Feasibility, Practicability, and 
    Appropriateness Determination for the Proposal to Require CRP for 
    Mouthwash Preparations Containing Ethanol,'' February 24, 1994.
        6. Memorandum from Marcia P. Robins, ECSS, to Ronald L. Medford, 
    EXHR, ``Economic Effects of an Earlier Effective Date for CR 
    Packaging of Mouthwash Preparations Containing Ethanol,'' April 6, 
    1994.
        7. Briefing memorandum from Jacqueline N. Ferrante, Ph.D., HSPS, 
    to the Commission, ``Proposed Special Packaging Standard for 
    Mouthwash Products with Ethanol,'' with Tabs A-E, April 11, 1994.
        8. NDMA/CTFA Joint Voluntary Program on Child Resistant 
    Packaging for Alcohol Containing Mouthwashes (Revised).
        9. Memorandum from Jacqueline Ferrante, Ph.D., HSPS, to the 
    Commission, ``Revised industry voluntary program for child-resistant 
    packaging of mouthwashes with ethanol,'' April 21, 1994.
        10. Memorandum from Harleigh Ewell, GCRA, to the Commission, 
    transmitting a revised Federal Register notice, April 21, 1994.
        11. Letter from Eric A. Rubel, CPSC General Counsel, to Ms. 
    Doris S. Freedman, Acting Chief Counsel for Advocacy, Small Business 
    Administration, transmitting Regulatory Flexibility Act finding, May 
    4, 1994.
        12. Proposed rule, 59 FR 24386 (May 11, 1994).
        13. Public comments on proposed rule, Nos. CP94-2-1 through 
    CP94-2-9.
        14. Memorandum from Dr. Terry Kissinger, EPHA, to Jacqueline 
    Ferrante, Ph.D., HSPS, ``Update of injury Data Related to the 
    Toxicity of Ethanol-Containing Mouthwash,'' September 1, 1994.
        15. Letter from David J. Aupperlee, Amway Corporation, to 
    Jacqueline Ferrante, Ph.D., requesting an exemption for Amway 
    Glister Anti-Plaque Oral Rinse [contains some claimed confidential 
    information], October 19, 1994.
        16. Memorandum from Marcia P. Robins, ECSS, to Jacqueline 
    Ferrante, Ph.D., HSPS, ``Final Regulatory Flexibility Analysis: 
    Child-Resistant Packaging for Mouthwash Containing Ethanol,'' 
    October 27, 1994.
        17. Memorandum from Charles Wilbur, HSPS, ``Technical 
    Feasibility, Practicability, and Appropriateness Determination for 
    the Final Rule to Require Child-Resistant Packaging for Mouthwash 
    Preparations Containing Ethanol,'' November 1, 1994.
        18. Memorandum from Catherine A. Sedney, EPHF, to Jacqueline 
    Ferrante, Ph.D., HSPS, ``Request for Exemption from Requirements for 
    Special Packaging for Mouthwash,'' November 17, 1994.
        19. Briefing paper from Jacqueline Ferrante, Ph.D., HSPS, to the 
    Commission, with Tabs A-G, November 29, 1994.
        20. Memorandum from Jacqueline Ferrante, Ph.D., to the 
    Commission, ``Supplemental information concerning a PPPA requirement 
    for mouthwash with ethanol,'' December 12, 1994.
        21. Letter from George Andrassy, Dep Corporation, to Sadye Dunn, 
    Secretary of the CPSC, November 14, 1994.
    
    [FR Doc. 95-1691 Filed 1-23-95; 8:45 am]
    BILLING CODE 6355-01-P
    
    

Document Information

Effective Date:
7/24/1995
Published:
01/24/1995
Department:
Consumer Product Safety Commission
Entry Type:
Rule
Action:
Final rule.
Document Number:
95-1691
Dates:
The effective date of the rule is July 24, 1995, and the rule shall apply to products packaged on or after that date.
Pages:
4536-4541 (6 pages)
PDF File:
95-1691.pdf
CFR: (2)
16 CFR 2(2)
16 CFR 1700.14