
To Dye For
How Toxic Fashion Is Making Us Sick
Categories
Nonfiction, Health, Science, History, Audiobook, Sustainability, Adult, Social Justice, Environment, Fashion
Content Type
Book
Binding
Kindle Edition
Year
2023
Publisher
G.P. Putnam's Sons
Language
English
ASIN
B0BGXKYY7D
ISBN
0593422627
ISBN13
9780593422625
File Download
PDF | EPUB
To Dye For Plot Summary
Introduction
In a small suburban home outside Phoenix, a former flight attendant opens her door reluctantly. Her hands tremble slightly as she explains how chemicals in her uniform destroyed her health, career, and marriage. "My liver is damaged, my heart is damaged. I'm dying," she whispers, her voice barely audible. This encounter represents just one thread in a vast tapestry of hidden chemical harm that stretches across continents and generations. For centuries, fashion has harbored a toxic secret. The vibrant colors, wrinkle-free fabrics, and water-resistant finishes we take for granted come at a price paid in human health and environmental damage. This hidden chemical legacy affects everyone from factory workers in India to fashion-conscious consumers in Paris, creating a global web of exposure that few understand. Through historical investigation, scientific analysis, and personal stories, this exploration reveals how the clothes on our backs connect to fertility declines, autoimmune diseases, and environmental contamination. Whether you're a concerned parent, a fashion industry professional, or simply someone who wears clothes, understanding this chemical relationship with fashion is increasingly essential for navigating modern life.
Chapter 1: Early Warning Signs: Flight Attendants as Chemical Canaries (2011-2021)
In 2011, Alaska Airlines unveiled new uniforms for its flight attendants, designed to project a professional, polished image. Within days, something alarming began to happen. Flight attendants reported unusual symptoms: rashes spreading across their bodies, difficulty breathing, hair loss, and debilitating fatigue. One attendant named John developed painful lesions on his arms that required daily bandaging. Another, Mary, experienced such severe respiratory issues she could barely complete her flights. These weren't isolated incidents. Soon, hundreds of Alaska Airlines employees were reporting similar health problems. When the airline's management dismissed their concerns, industrial hygienist Judith Anderson from the Association of Flight Attendants stepped in. She sent uniform samples for testing, which revealed a cocktail of concerning chemicals including formaldehyde, heavy metals, and endocrine disruptors. The flight attendants had essentially become unwitting test subjects for toxic fashion. What made this situation particularly troubling was how it repeated across the industry. In 2016, American Airlines rolled out new uniforms manufactured by the same company, Twin Hill. Within months, thousands of employees reported identical symptoms. Delta Airlines followed in 2018 with their "Passport Plum" uniforms, and Southwest in 2017 – each time, the pattern repeated. These corporate uniform crises revealed a disturbing truth: the chemicals in our clothing can make us sick, and the fashion industry has little incentive to address the problem. The flight attendants' experience serves as a warning for all consumers. Their prolonged exposure to chemical-laden uniforms simply accelerated reactions that many people might experience more gradually from everyday clothing. Their bodies were signaling what scientific testing would later confirm – modern fashion harbors a toxic secret that manufacturers and brands rarely acknowledge. What makes the flight attendants' situation so revealing is that they operate in a controlled environment with few variables. Each airline switched all attendants to new uniforms simultaneously, and they wear these uniforms for up to twelve hours a day in identical workspaces. It's as close as we'll get to a control group for studying chemical exposure through clothing. The key difference between flight attendants and average consumers is variety – while attendants wear the same few uniform pieces daily, we cycle through dozens of different garments weekly, making it nearly impossible to connect mysterious health problems to specific clothing items.
Chapter 2: Hidden Chemistry: The Unregulated Revolution in Textiles (1950s-2000s)
The post-World War II era marked a revolution in textile chemistry, as manufacturers discovered they could enhance fabrics with an array of synthetic treatments. By the 1950s, wrinkle-free shirts, stain-resistant pants, and water-repellent jackets became increasingly common. These "performance" features were achieved through chemical finishes that consumers knew little about – formaldehyde resins for wrinkle resistance, perfluorinated compounds (PFAS) for water repellency, and flame retardants for safety. One pivotal figure in this transformation was Ruth Benerito, a chemist who developed wrinkle-resistant cotton for the U.S. Department of Agriculture in the 1950s. Her innovation, while celebrated for reducing household ironing, relied on formaldehyde-based resins that would later be linked to respiratory issues and cancer. Meanwhile, companies like DuPont and 3M were developing PFAS chemicals (branded as Teflon and Scotchgard) that would eventually contaminate water supplies worldwide and accumulate in human blood. The textile industry's embrace of these chemicals accelerated in the 1970s and 1980s as global competition intensified. American textile giant Milliken & Company, led by Roger Milliken, pivoted toward specialty performance fabrics as a way to compete with cheaper foreign imports. The company's marketing emphasized convenience and functionality while remaining silent about chemical content. This period also saw the rise of synthetic fabrics like polyester, which required disperse dyes – many containing azo compounds that can break down into carcinogenic amines when in contact with skin. What made this chemical revolution particularly concerning was the complete lack of regulatory oversight. Unlike food or drugs, clothing has never required ingredient disclosure in the United States. The Toxic Substances Control Act of 1976 grandfathered in approximately 62,000 chemicals without safety testing, and the burden of proving harm fell to consumers and researchers, not manufacturers. This regulatory vacuum allowed the fashion industry to introduce increasingly complex chemical formulations without public knowledge or safety verification. The consequences of this unregulated chemistry began emerging by the 1990s and 2000s. Studies showed formaldehyde in clothing could trigger dermatitis and respiratory problems. Researchers discovered that PFAS chemicals were persistent, bioaccumulative, and linked to cancer and reproductive issues. Yet without labeling requirements or significant media attention, most consumers remained unaware of what they were wearing against their skin. The fashion industry had effectively turned the human population into unwitting test subjects in a vast chemical experiment.
Chapter 3: Historical Poisoning: From Arsenic Green to Synthetic Dyes (1800s-1950s)
The toxic relationship between fashion and chemistry stretches back centuries before modern synthetic fabrics. In the 1800s, the hat-making industry relied heavily on mercury nitrate to process fur into felt. Hatters would breathe mercury vapors daily, leading to neurological damage, tremors, and psychosis – the origin of the phrase "mad as a hatter." Despite widespread knowledge of these symptoms among workers, the practice continued for decades, with mercury poisoning affecting thousands of workers in manufacturing centers like Danbury, Connecticut. The Victorian era introduced new chemical hazards through fashionable colors. Scheele's Green and Paris Green, both arsenic-based pigments, created vivid emerald hues in dresses, artificial flowers, and wallpapers. Young women working in artificial flower workshops handled arsenic-laden materials daily, suffering from skin lesions, digestive disorders, and sometimes fatal poisoning. One documented case involved a 19-year-old artificial flower maker named Matilda Scheurer, who died in 1861 with her body so saturated with arsenic that even her stomach lining had turned green. The late 19th century witnessed a revolution in textile dyeing with the invention of synthetic dyes. In 1856, eighteen-year-old William Henry Perkin accidentally created the first synthetic dye, mauveine, while attempting to synthesize quinine. This discovery launched the modern chemical industry, with companies like BASF and Bayer initially forming as dye manufacturers. These new aniline dyes, derived from coal tar, offered unprecedented color brilliance and variety, transforming fashion from relatively muted natural dyes to vibrant purples, reds, and blues. However, the human cost of this color revolution was severe. Workers in dye factories suffered from bladder cancer at alarming rates due to exposure to benzidine and beta-naphthylamine in the manufacturing process. By 1895, German surgeon Ludwig Rehn had documented the connection between aniline dye exposure and bladder cancer, yet production continued with minimal protections. Meanwhile, consumers experienced skin irritation and allergic reactions to clothing colored with these new dyes, particularly cheap black stockings that leaked dye directly onto skin. The early 20th century saw growing awareness of these hazards, but meaningful regulation came slowly. The U.S. Food and Drug Administration gained authority to regulate toxic dyes in food and cosmetics in 1938, but clothing remained largely unregulated. By the 1950s, some of the most dangerous dyes had been phased out, but they were simply replaced with new synthetic chemicals with unknown health effects. This historical pattern – the introduction of chemicals followed by delayed recognition of harm, followed by substitution with other untested substances – established a troubling precedent that continues in fashion today.
Chapter 4: Body Burden: Endocrine Disruption and the Fertility Crisis
Since the 1970s, reproductive health has been declining across industrialized nations in ways that cannot be explained by lifestyle factors alone. Sperm counts in Western men have plummeted by over 50% between 1973 and 2011, while miscarriage rates have risen. Women are experiencing earlier puberty, increased rates of endometriosis, and declining egg quality. These trends correlate with the proliferation of endocrine-disrupting chemicals in consumer products, including clothing. Endocrine disruptors mimic or interfere with hormones at extremely low doses, disrupting the body's delicate signaling systems. Fashion contains numerous such chemicals: phthalates in vinyl and plastic prints, bisphenols in polyester, PFAS in water-repellent finishes, and heavy metals in dyes. Unlike traditional toxins where higher doses cause greater harm, endocrine disruptors can be most damaging at tiny concentrations, making "safe limits" nearly impossible to establish. A 2022 Danish study found that combinations of these chemicals at levels deemed "safe" individually could dramatically reduce sperm quality when present together. The chemical burden from fashion may also be contributing to the autoimmune disease epidemic. Autoimmune conditions like Hashimoto's thyroiditis, rheumatoid arthritis, and lupus have increased dramatically since the 1950s, now affecting up to 50 million Americans. These diseases, where the immune system attacks the body's own tissues, disproportionately affect women, who comprise 80% of patients. Dr. DeLisa Fairweather, a researcher at Mayo Clinic, explains that mast cells – immune sentinels that recognize toxins – can become sensitized by chemical exposures, triggering cascading inflammatory responses throughout the body. Flight attendant Tonya Osborne's experience illustrates this connection. After developing skin reactions to her Southwest Airlines uniform in 2018, she was eventually diagnosed with multiple autoimmune conditions including psoriatic arthritis and ankylosing spondylitis. Her rheumatologist noted that based on her medical history, it was "highly likely" the uniform chemicals triggered these conditions. Similarly, many garment workers in textile production hubs develop respiratory issues, skin conditions, and systemic health problems after years of chemical exposure. The medical establishment has been slow to acknowledge these connections, often dismissing patients' symptoms as psychosomatic or stress-related. Women reporting chemical sensitivities typically see five doctors over five years before receiving a diagnosis. This dismissal perpetuates suffering and delays necessary research. As Dr. Fairweather notes, "We don't have any good research or understanding of the role of chemicals in driving autoimmune diseases. Until we start getting research like that, we're not going to have the sort of clout to go to the FDA or whoever and say, 'We need to have these chemicals banned.'"
Chapter 5: Global Production: Chemical Exposure in Textile Manufacturing Hubs
In Tirupur, India, known as "Dollar City" for its massive textile export industry, the true cost of fashion's chemical dependency becomes visible. This manufacturing hub produces cotton knitwear for global brands, employing over 600,000 workers across 22,000 factories. While Western consumers remain disconnected from production processes, workers here experience direct, daily exposure to the chemicals that eventually reach our closets. The environmental impact became impossible to ignore by the late 1990s. The Noyyal River flowing through Tirupur had become a toxic channel of untreated effluent from 800 dyehouses, carrying heavy metals, dyes, and chemical solvents. Groundwater contamination spread to nearly 5,000 agricultural wells, rendering farmland unusable and causing severe skin conditions among local children who swam in the water. In 2011, after years of activism, the Madras High Court ordered dyehouses to implement zero liquid discharge systems, forcing the industry to recycle wastewater rather than dumping it. Inside the factories, a three-tier production system reveals how chemical safety varies dramatically based on who will wear the final product. Top-tier facilities serving premium European brands use automated chemical dispensing systems, maintain safety data sheets, and test products for restricted substances. Mid-tier factories supplying price-conscious American brands often use cheaper chemicals from local traders, which may contain contaminants. The bottom tier, producing for domestic markets, operates with minimal oversight, using whatever chemicals are cheapest regardless of health impacts. Workers throughout this system suffer the consequences. Leelavathi, a 34-year-old garment worker, developed painful cauliflower blisters on her arms and legs after switching from a factory producing for export markets to one making synthetic garments for Indian consumers. Her doctor's advice was simple: "If you want to heal, you must quit your job." Dyehouse workers face even greater risks, with some dying from suffocation after being forced to clean underground dye-waste storage tanks. Since 2011, industry initiatives like Zero Discharge of Hazardous Chemicals (ZDHC) have pushed for improvement, with nearly 40 major brands committing to eliminate certain chemicals from production. However, these voluntary programs reach only a fraction of global manufacturing. According to a 2021 report, out of 230 wet processing facilities surveyed, only 23% had a chemical management policy, and just 13% were working toward zero hazardous waste discharge. The smaller the facility and the further removed from Western scrutiny, the more likely dangerous chemicals continue to be used.
Chapter 6: Regulatory Failure: How Fashion Evades Chemical Oversight
When it comes to regulating toxic chemicals in fashion, the United States lags dramatically behind other developed nations. The Consumer Product Safety Commission (CPSC), tasked with protecting Americans from dangerous products, tests fashion shipments on average only every couple of days – a drop in the ocean considering the U.S. imports the equivalent of 94 billion square meters of apparel annually. These limited tests focus almost exclusively on children's products and look for just three substances: lead, cadmium, and phthalates. This regulatory vacuum stems from the fundamentally flawed Toxic Substances Control Act of 1976, which grandfathered in approximately 64,000 chemicals without safety testing. The Environmental Protection Agency has not successfully banned a chemical since the 1980s, and whistleblowers from the EPA's New Chemicals Division have accused the agency of rushing approvals and cherry-picking assessments to make chemicals appear safer. One anonymous employee wrote, "When I joined the [New Chemicals Division], my expectation was very high because I was standing in the core sector to protect the American public and environment. But now I am failing all my excitement for the EPA." Europe has taken a dramatically different approach. The European Union's REACH regulations, implemented in 2007, require chemical manufacturers to register substances and share health risk information. Companies must disclose "chemicals of concern" in consumer products, and consumers have the right to ask about hazardous chemicals and receive answers within 45 days. The EU regularly tests imported fashion products and issues recalls for items containing restricted substances – everything from children's shoes with excessive chromium to designer sunglasses with nickel. The testing industry that has emerged to fill this regulatory gap presents its own problems. Having a garment tested for a comprehensive range of potential toxins can cost thousands of dollars – far beyond what individual consumers can afford. When a journalist attempted to have five everyday fashion items tested by the respected Hohenstein lab to Oeko-Tex standards, the quote came to nearly $10,000. Even this "gold standard" testing has limitations, as it examines only a fraction of the thousands of chemicals potentially present in fashion products. California's Proposition 65 offers a glimpse of what effective regulation might achieve. The law requires warning labels on products containing carcinogens or reproductive toxins, and allows citizens to sue companies selling unlabeled toxic products. In 2009 and 2010, lawsuits forced nearly 100 retailers, including major brands like Target, Calvin Klein, and Macy's, to remove lead from their products. As attorney Howie Hirsch explains, "One of the things people often forget about Prop 65 is that it largely leads to reformulation." However, the law has significant loopholes, including exemptions for companies with fewer than ten employees in California – allowing ultra-fast-fashion brands to avoid accountability.
Chapter 7: Toxic Legacy: Environmental Persistence and Future Challenges
The chemical footprint of fashion extends far beyond our closets, creating a toxic legacy that will persist for generations. PFAS chemicals – the "forever chemicals" used in water-repellent outdoor gear and stain-resistant clothing – exemplify this problem. These substances don't break down naturally, instead circulating endlessly through the environment. They've been found in Arctic ice, rainwater worldwide, and the blood of virtually every human tested. Even if production stopped today, the PFAS already released will continue contaminating the planet for centuries. Synthetic textiles like polyester and nylon, which now make up approximately 70% of global fiber production, create their own persistent pollution. Scientists estimate these materials take around 400 years to degrade completely. Meanwhile, they shed microfibers during wear and washing, which have been found in placentas, human blood, and lungs. A 2022 study found that people with inflammatory bowel disease tend to have more microplastics in their feces, suggesting a potential connection between synthetic clothing fibers and digestive disorders. The disposal of unwanted clothing has created environmental crises in developing nations. According to research from the Salvation Army, only about 8% of donated garments are sold in their stores – the rest are shipped overseas or landfilled. An estimated 15 million secondhand clothing items flow through Ghana's Kantamanto Market weekly, but the quality has deteriorated so severely that approximately 40% becomes waste. This creates mountains of textile garbage that is burned in open lots, releasing toxic fumes from chemical finishes, synthetic fibers, and dyes. The fashion industry's chemical dependency also perpetuates environmental injustice. When Western brands push for ever-cheaper production, suppliers cut corners on chemical safety and waste treatment. Communities surrounding textile manufacturing hubs suffer contaminated drinking water, toxic air, and elevated rates of cancer and birth defects. In Tirupur, India, despite regulatory improvements, the region remains what one researcher called "an environmental dark spot," with a river still foaming with chemical residues and farmland too contaminated to cultivate. Some progress is emerging. In 2022, scientists discovered that PFAS can be broken down using sodium hydroxide (lye), offering hope for environmental remediation. California passed legislation banning PFAS in textiles, effective in 2025 for most fabrics. The industry group ZDHC announced it was adding all PFAS to its manufacturing restricted substance list. However, these initiatives address only a fraction of fashion's chemical problem, and implementation remains voluntary and inconsistent. The toxic legacy of fashion chemistry represents what philosophers call a "hyperobject" – something too vast, distributed, and complex to fully comprehend or address through individual action. It requires systemic change: comprehensive chemical regulation, mandatory ingredient disclosure, and a fundamental shift away from the assumption that chemicals are safe until proven harmful. Until then, the invisible threads connecting our clothing to our health and the planet's wellbeing will continue to unravel.
Summary
The story of toxic fashion chemistry reveals a disturbing pattern that has persisted for centuries: the introduction of hazardous substances into clothing, followed by delayed recognition of harm, inadequate regulation, and substitution with equally problematic alternatives. From mercury-laden hats in the 1800s to PFAS-coated raincoats today, the fashion industry has consistently prioritized performance, aesthetics, and profit over human and environmental health. This pattern has accelerated dramatically since the mid-20th century, as global manufacturing shifted to regions with minimal environmental and worker protections, while the number of chemicals used in textile production expanded into the tens of thousands. The consequences of this toxic legacy demand urgent action on multiple fronts. First, regulatory frameworks must shift from risk-based to hazard-based approaches, regulating chemicals in classes rather than individually to prevent regrettable substitutions. Second, fashion products should require ingredient disclosure, giving consumers the same right to know what's in their clothing as they have with food and cosmetics. Third, independent research into fashion chemistry must be dramatically expanded, particularly regarding links to autoimmune disease, fertility issues, and chemical sensitivity. Finally, consumers can protect themselves by avoiding synthetic materials, performance finishes, and ultra-fast fashion; washing new clothing before wearing it; and supporting brands with transparent chemical management. The toxic threads woven through fashion's history need not determine its future if we collectively demand change.
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Review Summary
Strengths: The book effectively raises awareness about the lack of regulation in the textile industry and its impact, supported by novel and compelling research. It highlights systemic issues such as racism, classism, and sexism affecting minorities disproportionately.\nWeaknesses: The book lacks sufficient citations of scientific studies, partly due to cost and proprietary constraints. It is also criticized for being somewhat western-centric and not adequately addressing the historical impact of imperialism and colonialism on the garment industry.\nOverall Sentiment: Mixed\nKey Takeaway: The book is an eye-opener about the textile industry's regulatory issues and their broader social implications, though it could benefit from more scientific backing and a broader historical perspective.
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To Dye For
By Alden Wicker