Which outcome is most probable after long-term exposure to low levels of benzene

Inhalation: Take precautions to prevent a fire (e.g. remove sources of ignition). Take precautions to ensure your own safety before attempting rescue (e.g. wear appropriate protective equipment). Move victim to fresh air. Call a Poison Centre or doctor if the victim feels unwell.

Skin Contact: Avoid direct contact. Wear chemical protective clothing if necessary. Quickly take off contaminated clothing, shoes and leather goods (e.g. watchbands, belts). Immediately flush with lukewarm, gently flowing water for 15-20 minutes. If irritation or pain persists, see a doctor. Double bag, seal, label and leave contaminated clothing, shoes and leather goods at the scene for safe disposal.

Eye Contact: Avoid direct contact. Wear chemical protective gloves if necessary. Immediately flush the contaminated eye(s) with lukewarm, gently flowing water for 15-20 minutes, while holding the eyelid(s) open. If a contact lens is present, DO NOT delay flushing or attempt to remove the lens. Take care not to rinse contaminated water into the unaffected eye or onto the face. If irritation or pain persists, see a doctor.

Ingestion: Have victim rinse mouth with water. If vomiting occurs naturally, have victim lean forward to reduce risk of aspiration. Have victim rinse mouth with water again. Immediately call a Poison Centre or doctor.

First Aid Comments: If exposed or concerned, see a doctor for medical advice. All first aid procedures should be periodically reviewed by a doctor familiar with the chemical and its conditions of use in the workplace.

Note to Physicians: Some jurisdictions specifically regulate benzene and require a complete medical surveillance program. Specific information should be sought from the appropriate government agency in your jurisdiction.


In the United States, benzene ranks among the top 20 chemicals in production volume, according to the Centers for Disease Control and Prevention. Manufacturers use it to make products such as rubber, dyes, lubricants, detergents, pesticides and drugs.

The most common way people are exposed to benzene is by breathing in air containing the chemical.

About 20% of benzene exposure in the United States comes from auto exhaust and industrial emissions. About half of the exposure to benzene in the U.S. comes from cigarette smoke.

Smoking and Benzene Exposure

Smokers take in 10 times more benzene a day than do nonsmokers.

Several federal agencies list the chemical as a known cause of cancer. Studies show benzene exposure can increase the risk of certain cancers by as much as 40%. Research suggests even low-level benzene exposure can greatly increase the risk of leukemia.

People who work in industries that use benzene are at the most risk of exposure to the highest levels of the chemical. In 1987, the government significantly lowered the benzene exposure limit in the workplace. Medical research suggests the current allowed amount is still too high.

What Is Benzene?

Benzene is a liquid compound. It is colorless, toxic and flammable. It has a sweet, gasoline-like aroma. Breathing it can cause serious complications, including leukemia and nerve damage.

Did You Know?

Benzene is one of the 20 most-used chemicals in the U.S.

Where Benzene Is Found

Oil companies add benzene to gasoline to boost octane. It gives gasoline much of its smell. The chemical is also found in car exhaust.

Which outcome is most probable after long-term exposure to low levels of benzene

Benzene is used to boost octane in gasoline.

Benzene is used to make other chemicals, as well. Manufacturers rely on benzene for products ranging from medicine to industrial solvents.

How Benzene Exposure Happens

Most benzene exposure happens when people breathe in air containing benzene. People can also absorb it as a liquid through their skin. This can happen if they spill gasoline or solvents on themselves.

People may also be exposed to benzene by using contaminated aerosol sunscreens or hair care products. In July 2021, Johnson & Johnson recalled several Aveeno and Neutrogena sunscreen sprays because of benzene contamination.

In December 2021, Procter & Gamble recalled dozens of dry shampoos after lab testing found benzene in the products. Affected brands included Pantene, Old Spice and Herbal Essence.

Where Benzene Exposure Happens

Benzene exposure usually happens in an industrial setting, but an act as simple as filling a gas tank can result in low-level exposure.

Chemical and petroleum industry workers may face long-term exposure. Mechanics and other people who work around engines, fuel or oil face exposure risks. This can also occur on military bases that use benzene as a solvent, and service members as well as civilian workers may be at risk. 

Typical Workplaces Prone to Benzene Exposure:

  • Auto repair shops
  • Bus garages
  • Chemical plants
  • Military bases
  • Oil pipelines
  • Petroleum refineries
  • Railroads
  • Ships and tankers
  • Shoe factories

Benzene exposure can also happen in places where water contamination occurs. Homes, schools and places of business that use contaminated water can expose people to higher-than-normal levels of the toxic chemical. 

For example, people who lived and worked at Marine Corps Base Camp Lejeune from 1953 to 1987 were exposed to benzene from contaminated water. Veterans and others who developed health problems because of benzene exposure can file Camp Lejeune lawsuits against the U.S. government. 

Being Exposed to Benzene at Work

The U.S. Occupational Safety and Health Administration sets strict limits on benzene in the workplace.

OSHA limits benzene exposure in the air to one part per million (ppm). That equals one ounce of benzene for every 350,000 cubic feet of air, about the size of four Olympic swimming pools.

Safety Study

Research shows that the benzene exposure limit in the workplace may be too high.

The level can go up to 5 ppm for no more than 15 minutes. Employers must provide protective equipment such as respirators for people working around higher levels.

In the 1980s, the benzene exposure limit was 50 times greater. Research found that the older, higher levels were more dangerous.

But a 2004 study suggested newer levels may still be too high for safety. That study examined Chinese shoe factory workers. Their exposure was less than the U.S. benzene exposure limit. International researchers found that the workers exhibited signs of increased leukemia risk. The study appeared in a journal called Science.

Lawsuit Information

Benzene lawsuits claim oil and chemical companies knew about the dangers of this chemical.

View Lawsuits

Benzene Health Risks

Studies link benzene exposure to several types of leukemia. Leukemia is a cancer of the blood-forming organs in the body. It can also cause other blood-related complications. Benzene exposure can damage skin, eyes and affect the nervous system.

Benzene Exposure Complications:

  • Acute lymphocytic leukemia (ALL)
  • Acute myeloid leukemia (AML)
  • Aplastic anemia
  • Bone marrow dysplasia
  • Central nerve system damage
  • Chronic lymphocytic leukemia (CLL)
  • Chronic myeloid leukemia (CML)
  • Excessive bleeding
  • Immune system damage
  • Myelodysplastic Syndrome (MDS)
  • Multiple myeloma
  • Non-Hodgkin lymphoma

Chronic Myeloid Leukemia (CML)

Chronic myeloid leukemia (CML) is among the most serious complications of benzene exposure. It starts in bone marrow. When CML grows, it expands into the blood. From there, it can spread through the body. It may attack the spleen.

Symptoms of CML:

  • Bone pain
  • Enlarged spleen
  • Fever
  • Joint pain
  • Night sweats
  • Pain or “fullness” in the abdomen
  • Shortness of breath
  • Swelling under the left side of the ribcage
  • Unexplained weight loss
  • Weakness or fatigue

CML is slow growing. But in some cases it can turn into a much faster growing leukemia. Once that happens, it becomes more difficult to treat.

Can Benzene Cause Cancer?

Benzene can cause cancer, with leukemia being benzene’s most serious, long-term health risk. Studies have found even low benzene exposure can increase leukemia risk.

A 2015 benzene study looked at leukemia risks from low exposure. Researchers examined medical histories of 25,000 Norwegian oil rig workers. All had worked on off-shore rigs for at least 20 days. The researchers found that even with low exposure levels, the leukemia risk was high. They published their work in the British Journal of Cancer.

The researchers said that their findings were in line with previous low-exposure benzene studies. A 2007 study in Cancer Causes & Control found a three-fold increased risk for acute myeloid leukemia (AML). A 2003 study in Epidemiology found a seven-fold increase in acute non-lymphocytic leukemia risk.

The 2015 study also found that the risk was even greater before 1980. It was about that time that governments set new benzene exposure limits. U.S. and international agencies have long known of benzene’s link to cancer.

What Health & Safety Agencies Say About Benzene:

“Known human carcinogen”

– U.S. Environmental Protection Agency (EPA)

“Carcinogenic to humans”

– International Agency for Research on Cancer (IARC)

“A known human carcinogen”

– National Institutes of Health (NIH)

“Known to be a human carcinogen”

– National Toxicology Program (NTP)

A 2012 study found that benzene exposure can increase the risk of chronic myeloid leukemia (CML) by 23%. That study appeared in the American Journal of Industrial Medicine.

In 2010, researchers analyzed 15 benzene exposure studies. They estimated there was a 40% average risk of leukemia from benzene exposure. They also found a link between higher exposure and a higher risk of leukemia. They found that the risk more than doubled for people with the greatest benzene exposure. The study appeared in the journal Environmental Health.

Because of benzene’s link to leukemia and the presence of benzene in contaminated water at Camp Lejeune, the VA recognizes leukemia and other blood-related cancers as eligible for disability benefits.

An Agency for Toxic Substances and Disease Registry study found that military personnel stationed at Camp Lejeune were more likely to die of cancer than those stationed at Camp Pendleton, a base that didn’t have water contamination.  

How to Avoid Benzene Exposure

Those who work around benzene should wear safety gear to limit exposure. Proper clothing can prevent skin contact. Protective eyewear can prevent benzene from getting in the eyes. Anyone working around higher levels of benzene should wear a respirator.

People filling their gas tanks should avoid breathing in gasoline fumes. They should use pumps with vapor capture devices to reduce exposure risks.

Signs and Symptoms of Benzene Exposure

Signs and symptoms of benzene exposure range from simple irritation to serious medical conditions. They can happen within seconds of exposure. Some symptoms can take weeks to show up.

Benzene Exposure Signs and Symptoms:

  • Irritation of the eyes, skin, nose, or respiratory system
  • Dizziness
  • Headache
  • Nausea
  • Staggered gait
  • Anorexia
  • Weakness or exhaustion
  • Dermatitis

How to Treat Benzene Exposure

Immediate treatment for benzene exposure includes moving into fresh air. Those exposed to benzene should wash their skin or flush their eyes after benzene contact. People should quickly remove any clothing that has benzene on it. They should cut off any contaminated clothing rather than pulling it over their heads.

Speak to a doctor if you think you experienced long-term benzene exposure. Doctors use blood, breath or urine tests to detect benzene exposure. While tests can measure benzene exposure, they cannot predict long-term health effects.

Industry Faces Benzene Lawsuits

Workers began filing lawsuits over benzene exposure in the 1990s. This followed OSHA’s decision to lower the benzene exposure limit. It also came as other institutions declared benzene a known cause of cancer.

Court documents show that large oil and chemical companies knew about benzene’s risks since the 1940s. Workers who developed leukemia after benzene exposure claim the companies were negligent. Their lawsuits claim that the companies could have done more to protect them.

In August 2022, President Joe Biden sighed the Camp Lejeune Justice Act into law as a part of the Honoring Our Pact Act of 2022. The law allows veterans and family members exposed to benzene and other chemicals through water contamination at Camp Lejeune to sue the U.S. government for compensation for injuries. 

What are four known health effects of benzene exposure?

Signs of Benzene Exposure.
Vomiting..
Dizziness..
Convulsions..
Pain in the abdomen..
Irritation of the stomach..
Death..

Can low levels of benzene cause cancer?

Benzene can cause cancer, with leukemia being benzene's most serious, long-term health risk. Studies have found even low benzene exposure can increase leukemia risk.

What are the effects of acute exposure to benzene?

Acute (short-term) inhalation exposure of humans to benzene may cause drowsiness, dizziness, headaches, as well as eye, skin, and respiratory tract irritation, and, at high levels, unconsciousness.

What is a form of toxicity that can be caused by chronic benzene exposure?

Long-term (chronic) exposure. Repeated or prolonged exposure to benzene, even at relatively low concentrations, may result in various blood disorders, ranging from anemia to leukemia, an irreversible, fatal disease. Many blood disorders associated with benzene exposure may occur without symptoms.