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A couple of answers (1 ,2) on flea treatments have suggested the user of Diatomaceous Earth (DE) for flea control. I have heard there are possible health concerns for my pet.

Is there any evidence supporting health concerns in humans or pets with the use of DE for treating fleas? What dosage/application rate is documented as safe or unsafe?

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Diatomaceous Earth is generally safe. The concerns with DE are that it can cause skin and lung irritation if the animal (or human) experiences prolonged exposure (for example, if you dust your house in DE and don't clean it up, or leave it in the pet bed for a month). The lung irritation from DE is generally not persistant, but I would be sure to protect my pet from long term exposure, especially if they had an existing lung condition.

Diatomaceous Earth can be safely eaten (there are a ton of these studies, so here is one).

Toxicology and Applied Pharmacology Volume 6, Issue 3, May 1964, Pages 284–291 "The effect of ingestion of diatomaceous earth in white rats: A subacute toxicity test" Eldridge M. Bertke Science Direct Abstract

The effects of 5% diatomaceous earth in the diet fed to white rats over a 90-day period indicated no mechanical or chemical damage to the tissues.

There was no significant increase in the percentage of residual silica in liver, kidneys, and spleens of the test animals.

Diatomaceous Earth can reside in the lungs and cause irritation, but this is recoverable

In many of these studies, Diatomaceous Earth is referred to as Amorphous Silica and is compared to Crystalline Silica. CS is a known carcinogen, while AS is safe. However, most AS is contaiminated with small amounts of CS. In food grade DE, the amount of CS allowed is controlled to ensure that it doesn't become too much.

Arch Toxicol. 2002 Jan;75(11-12):625-34. Health hazards due to the inhalation of amorphous silica. Merget R1, Bauer T, Küpper HU, Philippou S, Bauer HD, Breitstadt R, Bruening T. NIH Abstract

The major problem in the assessment of health effects of amorphous silica is its contamination with crystalline silica. This applies particularly to well-documented pneumoconiosis among diatomaceous earth workers. Intentionally manufactured synthetic amorphous silicas are without contamination of crystalline silica.

Animal inhalation studies with intentionally manufactured synthetic amorphous silica showed at least partially reversible inflammation, granuloma formation and emphysema, but no progressive fibrosis of the lungs.

In the next study, Synthetic Amorphous Silica was used (so, no Crystalline Silica contaimination, this is not what the effects of DE would look like). Even the CS exposures showed no clinical signs to an acute exposure (and we know that CS is carcinogenic). In addition, even the "safe" SAS (again, no CS contaimination) produced some lung changes that were viewable by necroscopy. I would be cautious using DE around an animal with already compromised lung function after reviewing this study.

Food Chem Toxicol. 2007 Oct;45(10):1856-67. Epub 2007 Apr 14. Five-day inhalation toxicity study of three types of synthetic amorphous silicas in Wistar rats and post-exposure evaluations for up to 3 months. Arts JH1, Muijser H, Duistermaat E, Junker K, Kuper CF. NIH Abstract

Rats were exposed nose-only to concentrations of 1, 5 or 25mg/m(3) of one of the SAS 6h a day for five consecutive days. Positive controls were exposed to 25mg/m(3) crystalline silica (quartz dust), negative controls to clean air. Animals were necropsied the day after the last exposure or 1 or 3 months later. All exposures were tolerated without serious clinical effects, changes in body weight or food intake.

Exposure to all three SAS at 25mg/m(3) induced elevations in biomarkers of cytotoxicity in bronchoalveolar lavage fluid (BALf), increases in lung and tracheobronchial lymph node weight and histopathological lung changes 1-day post-exposure. Exposure to all three SAS at 5mg/m(3) induced histopathological changes and changes in BALf only. With all three SAS these effects were transient and, with the exception of slight histopathological lung changes at the higher exposure levels, were reversible during the 3-month recovery period. No adverse changes were observed in animals exposed to any of the SAS at 1mg/m(3)

National Pesticide Information Center asserts the following, but I have been unable to find the study supporting this assertion in their references (I have not read all of the long ones).

When mice were forced to breathe diatomaceous earth for one hour each day for a year, there was an increase in lung cancers.

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We use DE around our kennel all the time. It does a great job of controlling all sorts of bugs including fleas and ticks. When a flea problem arises we dust the dogs with it (being careful to not let them breathe it in) and keep it on their bedding.

We also put it around the perimeter of the kennel. It will kill just about any bug. The crystals are sharp and it cuts them, they then dehydrate. You must keep it dry, it is not as effective when it is wet.

Feeding it to them will not do anything about fleas, it will however take care of most worms. We generally use about a tablespoon a day for a 50 lb dog until the worms are gone.

We use it to control ants too... works great... sprinkle it on an ant hill.

We are careful about breathing it in and it hasn't proven to be harmful. Make sure you have the food grade stuff. It has been many years and I have seen not ill effect, no skin issues either. There are many places on the internet with info about DE although the Wikipedia article doesn't say much about human/pet applications. These are just my experiences, we use it all the time.

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    This answer would be improved by the addition of sited sources. Telling people who have landed here via google search to search some more does not really add value – James Jenkins Jul 10 '14 at 16:21
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    The value here is my many years of experience using DE. I also know information on this subject is widely debated, you can find sources on either side of the fence, which is what has led to this question in the first place. – William Jul 10 '14 at 19:09

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