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CLINICAL INSIGHTS JULY/AUGUST 2018 79 An example of a typical exposure might be a dog that licked wet paint off of a canvas (oral exposure) and was standing in spilled paint thinner (dermal exposure) while licking the paint. ACMI CERTIFICATION The ACMI is an international association of more than 200 art, craft, and creative material manufacturers. It was founded in 1940 to certify children's art material as nontoxic. The stated mission is to "promote safety in art and creative products through its certification program." The ACMI has 2 seals: Approved Product (AP) and Cautionary Labeling (CL); examples can be seen at . The AP seal means the product is considered nontoxic for children and adults and does not contain hazardous material in quantities large enough to cause acute or chronic health problems when used per label directions. The AP seal replaces ACMI's previous "AP non-toxic" and "no/HL" (no health labeling required) designations but has the same meaning. 1 Clients frequently still have products with the older designations. No children's materials, and only a small percentage of adult materials, have the CL seal. The CL certification indicates that a product is properly labeled for known health risks and provides proper use and handling information. These products are not considered hazardous when used according to label directions. However, they should not be used by children in grades earlier than sixth grade or by individuals with mental or physical handicaps who cannot read and understand safety labeling. 1 Products must be labeled according to federal and state laws, but participation in the ACMI certification program is voluntary. To obtain an ACMI seal, each product is evaluated by a toxicologist at Duke University ( BOX 2 ). Extensive testing is performed for acute and chronic toxicity. Complete formulas are reviewed, including every color of every product and every formulation change. Any new formulation must be certified to maintain the seal. Products are reviewed every 5 years to meet the requirements of the Labeling of Hazardous Art Materials Act, so it is recommended that each product be examined for the AP seal, even if the same brand was certified in the past. SPECIES DIFFERENCES AND PET-PROOFING Species differences mean that pets may be more sensitive to some substances than are humans. For example, birds have enhanced sensitivity to gaseous BOX 1 Examples of Art Supplies Classification Adhesives (e.g., tape, sprays, rubber cement, cyanoacrylates, paste, white glue, glue sticks, epoxy) Clay (e.g., self-hardening, oven bake, nonhardening, polymer, kiln fired) Glazes (for ceramics/clay) Drawing media (e.g., colored pencils, conté, charcoal, graphite, pens, markers) Inks (e.g., India, acrylic, sumi, block printing, etching, screen printing) Molding products (e.g., polyurethanes, silicone rubber, latex, alginates, gypsum, polyester resin, epoxy resin, wax, papier mâché, plaster) Paints (e.g., tempera, watercolor, gouache, acrylic, oil, dry pigment, encaustic, enamel, spray) Pastels (e.g., chalk, hard, soft, oil, conté, handmade, pencils) BOX 2 Evaluation of Art Media Products submitted for ACMI certification are evaluated for: Ingredients Individual potential to cause harm, acute or chronic, to any part of the human body Individual percentage in the formulation Potential adverse interactions with other ingredients, product size, and product packaging Whole product Potential interactions Potential to cause allergic reactions; products with the ACMI AP seal do not contain barley, eggs or egg protein, millet, oats, peanuts or peanut oil, pork, pumpernickel, quinoa, rye, sesame or sesame oil, sorghum, soy protein, tree nuts, or zucchini 1,2 How it is supposed to be used and how it might be misused Package labeling US national and state labeling regulations

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