Ethylene glycol

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Ethylene glycol
Wireframe model of ethylene glycol
Spacefill model of ethylene glycol
Spacefill model of ethylene glycol
Ball and stick model of ethylene glycol
Ball and stick model of ethylene glycol
Sample of ethylene glycol
Names
IUPAC names
Ethylene glycol[1]
Ethane-1,2-diol[2]
Preferred IUPAC name
Ethane-1,2-diol[3]
Other names
  • Ethylene glycol
  • 1,2-Ethanediol
  • Ethylene alcohol
  • Hypodicarbonous acid
  • Monoethylene glycol
  • 1,2-Dihydroxyethane
  • Glycol solvent
Identifiers
3D model (JSmol)
3DMet
Abbreviations MEG
505945
ChEBI
ChEMBL
ChemSpider
ECHA InfoCard 100.003.159 Edit this at Wikidata
EC Number
  • 203-473-3
943
KEGG
MeSH Ethylene+glycol
RTECS number
  • KW2975000
UNII
UN number 3082
  • InChI=1S/C2H6O2/c3-1-2-4/h3-4H,1-2H2 checkY
    Key: LYCAIKOWRPUZTN-UHFFFAOYSA-N checkY
  • InChI=1/C2H6O2/c3-1-2-4/h3-4H,1-2H2
    Key: LYCAIKOWRPUZTN-UHFFFAOYAD
  • OCCO
Properties
C2H6O2
Molar mass 62.068 g·mol−1
Appearance Clear, colorless liquid
Odor Odorless[4]
Density 1.1132 g/cm3 (0.04022 lb/cu in)
Melting point −12.9 °C (8.8 °F; 260.2 K)
Boiling point 197.3 °C (387.1 °F; 470.4 K)
Miscible
Solubility Soluble in alcohols, ethyl acetate, THF, and dioxane. Miscible with DCM and slightly miscible with diethyl ether. Not miscible with toluene or hexanes.
log P -1.69[5]
Vapor pressure 0.06 mmHg (20 °C)[4]
Viscosity 1.61×10−2 Pa·s[6]
Hazards
Occupational safety and health (OHS/OSH):
Main hazards
Harmful, produces poisonous oxalic acid when ingested, flammable
GHS labelling:
GHS07: Exclamation markGHS08: Health hazard
Warning
H302, H373
P260, P264, P270, P301+P312, P302, P314, P330, P501
NFPA 704 (fire diamond)
NFPA 704 four-colored diamondHealth 2: Intense or continued but not chronic exposure could cause temporary incapacitation or possible residual injury. E.g. chloroformFlammability 1: Must be pre-heated before ignition can occur. Flash point over 93 °C (200 °F). E.g. canola oilInstability 0: Normally stable, even under fire exposure conditions, and is not reactive with water. E.g. liquid nitrogenSpecial hazards (white): no code
2
1
0
Flash point 111 °C (232 °F; 384 K) closed cup
410 °C (770 °F; 683 K)
Explosive limits 3.2–15.2%[4]
NIOSH (US health exposure limits):
PEL (Permissible)
None[4]
REL (Recommended)
None established[4]
IDLH (Immediate danger)
None[4]
Safety data sheet (SDS) External SDS 1

External SDS 2

Related compounds
Related diols
Supplementary data page
Ethylene glycol (data page)
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).
☒N verify (what is checkY☒N ?)

Ethylene glycol (IUPAC name: ethane-1,2-diol) is an organic compound (a vicinal diol[7]) with the formula (CH2OH)2. It is mainly used for two purposes, as a raw material in the manufacture of polyester fibers and for antifreeze formulations. It is an odorless, colorless, flammable, viscous liquid. It has a sweet taste, but is toxic in high concentrations. This molecule has been observed in outer space.[8]

Production[edit]

Industrial routes[edit]

Ethylene glycol is produced from ethylene (ethene), via the intermediate ethylene oxide. Ethylene oxide reacts with water to produce ethylene glycol according to the chemical equation:

C2H4O + H2O → HO−CH2CH2−OH

This reaction can be catalyzed by either acids or bases, or can occur at neutral pH under elevated temperatures. The highest yields of ethylene glycol occur at acidic or neutral pH with a large excess of water. Under these conditions, ethylene glycol yields of 90% can be achieved. The major byproducts are the oligomers diethylene glycol, triethylene glycol, and tetraethylene glycol. The separation of these oligomers and water is energy-intensive. About 6.7 million tonnes are produced annually.[9]

A higher selectivity is achieved by the use of Shell's OMEGA process. In the OMEGA process, the ethylene oxide is first converted with carbon dioxide (CO2) to ethylene carbonate. This ring is then hydrolyzed with a base catalyst in a second step to produce mono-ethylene glycol in 98% selectivity.[10] The carbon dioxide is released in this step again and can be fed back into the process circuit. The carbon dioxide comes in part from ethylene oxide production, where a part of the ethylene is completely oxidized.

Ethylene glycol is produced from carbon monoxide in countries with large coal reserves and less stringent environmental regulations. The oxidative carbonylation of methanol to dimethyl oxalate provides a promising approach to the production of C
1
-based ethylene glycol.[11] Dimethyl oxalate can be converted into ethylene glycol in high yields (94.7%)[12] by hydrogenation with a copper catalyst:[13]

Because the methanol is recycled, only carbon monoxide, hydrogen, and oxygen are consumed. One plant with a production capacity of 200 000 tons of ethylene glycol per year is in Inner Mongolia, and a second plant in the Chinese province of Henan with a capacity of 250 000 tons per year was scheduled for 2012.[14] As of 2015, four plants in China with a capacity of 200 000 t/a each were operating with at least 17 more to follow.[15]

Biological routes[edit]

The caterpillar of the Greater wax moth, Galleria mellonella, has gut bacteria with the ability to degrade polyethylene (PE) into ethylene glycol.[16][17][18]

Historical routes[edit]

According to most sources, French chemist Charles-Adolphe Wurtz (1817–1884) first prepared ethylene glycol in 1856.[19] He first treated "ethylene iodide" (C2H4I2) with silver acetate and then hydrolyzed the resultant "ethylene diacetate" with potassium hydroxide. Wurtz named his new compound "glycol" because it shared qualities with both ethyl alcohol (with one hydroxyl group) and glycerin (with three hydroxyl groups).[20] In 1859, Wurtz prepared ethylene glycol via the hydration of ethylene oxide.[21] There appears to have been no commercial manufacture or application of ethylene glycol prior to World War I, when it was synthesized from ethylene dichloride in Germany and used as a substitute for glycerol in the explosives industry.

In the United States, semicommercial production of ethylene glycol via ethylene chlorohydrin started in 1917. The first large-scale commercial glycol plant was erected in 1925 at South Charleston, West Virginia, by Carbide and Carbon Chemicals Co. (now Union Carbide Corp.). By 1929, ethylene glycol was being used by almost all dynamite manufacturers. In 1937, Carbide started up the first plant based on Lefort's process for vapor-phase oxidation of ethylene to ethylene oxide. Carbide maintained a monopoly on the direct oxidation process until 1953 when the Scientific Design process was commercialized and offered for licensing.

Uses[edit]

Coolant and heat-transfer agent[edit]

The major use of ethylene glycol is as an antifreeze agent in the coolant in for example, automobiles and air-conditioning systems that either place the chiller or air handlers outside or must cool below the freezing temperature of water. In geothermal heating/cooling systems, ethylene glycol is the fluid that transports heat through the use of a geothermal heat pump. The ethylene glycol either gains energy from the source (lake, ocean, water well) or dissipates heat to the sink, depending on whether the system is being used for heating or cooling.

Pure ethylene glycol has a specific heat capacity about one half that of water. So, while providing freeze protection and an increased boiling point, ethylene glycol lowers the specific heat capacity of water mixtures relative to pure water. A 1:1 mix by mass has a specific heat capacity of about 3140 J/(kg·°C) (0.75 BTU/(lb·°F)), three quarters that of pure water, thus requiring increased flow rates in same-system comparisons with water.

The mixture of ethylene glycol with water provides additional benefits to coolant and antifreeze solutions, such as preventing corrosion and acid degradation, as well as inhibiting the growth of most microbes and fungi.[22] Mixtures of ethylene glycol and water are sometimes informally referred to in industry as glycol concentrates, compounds, mixtures, or solutions.

Table of thermal and physical properties of saturated liquid ethylene glycol:[23][24]

Temperature (°C) Density (kg/m^3) Specific heat (kJ/kg K) Kinematic viscosity (m^2/s) Conductivity (W/m K) Thermal diffusivity (m^2/s) Prandtl Number Thermal expansivity (K^-1)
0 1130.75 2.294 7.53E-05 0.242 9.34E-08 615 6.50E-04
20 1116.65 2.382 1.92E-05 0.249 9.39E-08 204 6.50E-04
40 1101.43 2.474 8.69E-06 0.256 9.39E-08 93 6.50E-04
60 1087.66 2.562 4.75E-06 0.26 9.32E-08 51 6.50E-04
80 1077.56 2.65 2.98E-06 0.261 9.21E-08 32.4 6.50E-04
100 1058.5 2.742 2.03E-06 0.263 9.08E-08 22.4 6.50E-04

Anti-freeze[edit]

Pure ethylene glycol freezes at about −12 °C (10.4 °F) but, when mixed with water, the mixture freezes at a lower temperature. For example, a mixture of 60% ethylene glycol and 40% water freezes at −45 °C (−49 °F).[9] Diethylene glycol behaves similarly. The freezing point depression of some mixtures can be explained as a colligative property of solutions but, in highly concentrated mixtures such as the example, deviations from ideal solution behavior are expected due to the influence of intermolecular forces. It's important to note that though pure and distilled water will have a greater specific heat capacity than any mixture of antifreeze and water, commercial antifreezes also typically contain an anti-corrosive additive to prevent pure water from corroding coolant passages in the engine block, cylinder head(s), water pump and radiator.

There is a difference in the mixing ratio, depending on whether it is ethylene glycol or propylene glycol. For ethylene glycol, the mixing ratios are typically 30/70 and 35/65, whereas the propylene glycol mixing ratios are typically 35/65 and 40/60. It is important that the mixture be frost-proof at the lowest operating temperature.[25]

Because of the depressed freezing temperatures, ethylene glycol is used as a de-icing fluid for windshields and aircraft, as an antifreeze in automobile engines, and as a component of vitrification (anticrystallization) mixtures for low-temperature preservation of biological tissues and organs.

The use of ethylene glycol not only depresses the freezing point of aqueous mixtures, but also elevates their boiling point. This results in the operating temperature range for heat-transfer fluids being broadened on both ends of the temperature scale. The increase in boiling temperature is due to pure ethylene glycol having a much higher boiling point and lower vapor pressure than pure water.

Precursor to polymers[edit]

Ethylene glycol is one precursor to polyethyleneterephthalate, which is produced on the multimillion ton scale annually.

In the plastic industry, ethylene glycol is an important precursor to polyester fibers and resins. Polyethylene terephthalate, used to make plastic bottles for soft drinks, is prepared from ethylene glycol.

Other uses[edit]

Dehydrating agent[edit]

Ethylene glycol is used in the natural gas industry to remove water vapor from natural gas before further processing, in much the same manner as triethylene glycol (TEG).

Hydrate inhibition[edit]

Because of its high boiling point and affinity for water, ethylene glycol is a useful desiccant. Ethylene glycol is widely used to inhibit the formation of natural gas clathrates (hydrates) in long multiphase pipelines that convey natural gas from remote gas fields to a gas processing facility. Ethylene glycol can be recovered from the natural gas and reused as an inhibitor after purification treatment that removes water and inorganic salts.

Natural gas is dehydrated by ethylene glycol. In this application, ethylene glycol flows down from the top of a tower and meets a rising mixture of water vapor and hydrocarbon gases. Dry gas exits from the top of the tower. The glycol and water are separated, and the glycol recycled. Instead of removing water, ethylene glycol can also be used to depress the temperature at which hydrates are formed. The purity of glycol used for hydrate suppression (monoethylene glycol) is typically around 80%, whereas the purity of glycol used for dehydration (triethylene glycol) is typically 95 to more than 99%. Moreover, the injection rate for hydrate suppression is much lower than the circulation rate in a glycol dehydration tower.

Applications[edit]

Minor uses of ethylene glycol include the manufacture of capacitors, as a chemical intermediate in the manufacture of 1,4-dioxane, as an additive to prevent corrosion in liquid cooling systems for personal computers, and inside the lens devices of cathode-ray tube type of rear projection televisions. Ethylene glycol is also used in the manufacture of some vaccines, but it is not itself present in these injections. It is used as a minor (1–2%) ingredient in shoe polish and also in some inks and dyes. Ethylene glycol has seen some use as a rot and fungal treatment for wood, both as a preventative and a treatment after the fact. It has been used in a few cases to treat partially rotted wooden objects to be displayed in museums. It is one of only a few treatments that are successful in dealing with rot in wooden boats, and is relatively cheap. Ethylene glycol may also be one of the minor ingredients in screen cleaning solutions, along with the main ingredient isopropyl alcohol. Ethylene glycol is commonly used as a preservative for biological specimens, especially in secondary schools during dissection as a safer alternative to formaldehyde. It is also used as part of the water-based hydraulic fluid used to control subsea oil and gas production equipment.

Ethylene glycol is used as a protecting group in organic synthesis to protect carbonyl compounds such as ketones and aldehydes.[26]

Silicon dioxide reacts in heated reflux under dinitrogen with ethylene glycol and an alkali metal base to produce highly reactive, pentacoordinate silicates which provide access to a wide variety of new silicon compounds.[27] The silicates are essentially insoluble in all polar solvents except methanol.

Chemical reactions[edit]

Ethylene glycol is used as a protecting group for carbonyl groups in organic synthesis. Treating a ketone or aldehyde with ethylene glycol in the presence of an acid catalyst (e.g., p-toluenesulfonic acid; BF3·Et2O) gives the corresponding a 1,3-dioxolane, which is resistant to bases and other nucleophiles. The 1,3-dioxolane protecting group can thereafter be removed by further acid hydrolysis.[28] In this example, isophorone was protected using ethylene glycol with p-toluenesulfonic acid in moderate yield. Water was removed by azeotropic distillation to shift the equilibrium to the right.[29]

Toxicity[edit]

Ethylene glycol has relatively high mammalian toxicity when ingested, roughly on par with methanol, with an oral LDLo = 786 mg/kg for humans.[30] The major danger is due to its sweet taste, which can attract children and animals. Upon ingestion, ethylene glycol is oxidized to glycolic acid, which is, in turn, oxidized to oxalic acid, which is toxic. It and its toxic byproducts first affect the central nervous system, then the heart, and finally the kidneys. Ingestion of sufficient amounts is fatal if untreated.[31] Several deaths are recorded annually in the U.S. alone.[32]

Antifreeze products for automotive use containing propylene glycol in place of ethylene glycol are available. They are generally considered safer to use, as propylene glycol is not as palatable[note 1] and is converted in the body to lactic acid, a normal product of metabolism and exercise.[35]

Australia, the UK, and seventeen US states (as of 2012) require the addition of a bitter flavoring (denatonium benzoate) to antifreeze. In December 2012, US antifreeze manufacturers agreed voluntarily to add a bitter flavoring to all antifreeze that is sold in the consumer market of the US.[36]

In 2022, several hundred children died of acute kidney failure in Indonesia and The Gambia because the paracetamol syrup made by New Delhi-based Maiden Pharmaceuticals contained ethylene glycol and diethylene glycol, ingredients that have been linked to child deaths from acute kidney injury in The Gambia.[37] In December 2022, Uzbekistan's health ministry has said children died as a result of ethylene glycol in cough syrup made by Marion Biotech, which is based at Noida, near New Delhi.[38]

Environmental effects[edit]

Ethylene glycol is a high-production-volume chemical. It breaks down in air in about 10 days and in water or soil in a few weeks. It enters the environment through the dispersal of ethylene glycol-containing products, especially at airports, where it is used in de-icing agents for runways and airplanes.[39] While prolonged low doses of ethylene glycol show no toxicity, at near lethal doses (≥ 1000 mg/kg per day) ethylene glycol acts as a teratogen. "Based on a rather extensive database, it induces skeletal variations and malformations in rats and mice by all routes of exposure."[40]

Notes[edit]

  1. ^ Pure propylene glycol does not taste bitter, and pure propylene glycol is often used as a food additive, for instance in cake icing and shelf-stable whipped cream. Industrial-grade propylene glycol usually has a slightly bitter or acrid taste due to impurities. See the article on propylene glycol for more information. The relative sweetness of ethylene glycol[33] and propylene glycol[34] is discussed in the Merck Index, and neither compound is described as bitter.

References[edit]

  1. ^ "Ethylene glycol (CHEBI:30742)".
  2. ^ "Ethylene glycol (CHEBI:30742)".
  3. ^ International Union of Pure and Applied Chemistry (2014). Nomenclature of Organic Chemistry: IUPAC Recommendations and Preferred Names 2013. The Royal Society of Chemistry. p. 690. doi:10.1039/9781849733069. ISBN 978-0-85404-182-4.
  4. ^ a b c d e f NIOSH Pocket Guide to Chemical Hazards. "#0272". National Institute for Occupational Safety and Health (NIOSH).
  5. ^ "Ethylene glycol". www.chemsrc.com.
  6. ^ Elert, Glenn. "Viscosity". The Physics Hypertextbook. Retrieved 2007-10-02.
  7. ^ "3.8: 3.8 Alcohols - Classification and Nomenclature". Chemistry LibreTexts. 2018-10-13. Retrieved 2022-04-21.
  8. ^ J. M. Hollis; F. J. Lovas; P. R. Jewell; L. H. Coudert (2002-05-20). "Interstellar Antifreeze: Ethylene Glycol". The Astrophysical Journal. 571 (1): L59–L62. Bibcode:2002ApJ...571L..59H. doi:10.1086/341148. S2CID 56198291.
  9. ^ a b Siegfried Rebsdat; Dieter Mayer. "Ethylene Glycol". Ullmann's Encyclopedia of Industrial Chemistry. Weinheim: Wiley-VCH. doi:10.1002/14356007.a10_101. ISBN 978-3527306732.
  10. ^ Scott D. Barnicki "Synthetic Organic Chemicals" in Handbook of Industrial Chemistry and Biotechnology edited by James A. Kent, New York : Springer, 2012. 12th ed. ISBN 978-1-4614-4259-2.
  11. ^ Nexant/Chemsystems, "Coal to MEG, Changing the Rules of the Game" (PDF). Archived from the original on July 14, 2011. Retrieved 2016-08-08.{{cite web}}: CS1 maint: bot: original URL status unknown (link) (PDF; 5,4 MB), 2011 Prospectus.
  12. ^ 983 EP 046 983, S. Tahara et al., "Process for continuously preparing ethylene glycol", assigned to Ube Industries  and H. T. Teunissen and C. J. Elsevier, Ruthenium catalyzed hydrogenation of dimethyl oxalate to ethylene glycol, J. Chem. Soc., Chem. Commun., 1997, 667–668), DOI:10.1039/A700862G.
  13. ^ S. Zhang et al., Highly-Dispersed Copper-Based Catalysts from Cu–Zn–Al Layered Double Hydroxide Precursor for Gas-Phase Hydrogenation of Dimethyl Oxalate to Ethylene Glycol, Catalysis Letters, Sept. 2012, 142 (9), 1121–1127, DOI:10.1007/s10562-012-0871-8.
  14. ^ "China's coal-based chemicals are a trade-off".
  15. ^ Gräbner, Martin (2014-11-24). Industrial Coal Gasification Technologies Covering Baseline and High-Ash Coal. John Wiley & Sons. ISBN 9783527336906.
  16. ^ Yang, Jun; Yang, Yu; Wu, Wei-Min; Zhao, Jiao; Jiang, Lei (2014-12-02). "Evidence of polyethylene biodegradation by bacterial strains from the guts of plastic-eating waxworms". Environmental Science & Technology. 48 (23): 13776–13784. Bibcode:2014EnST...4813776Y. doi:10.1021/es504038a. ISSN 1520-5851. PMID 25384056.
  17. ^ Bombelli, Paolo; Howe, Christopher J.; Bertocchini, Federica (2017-04-24). "Polyethylene bio-degradation by caterpillars of the wax moth Galleria mellonella". Current Biology. 27 (8): R292–R293. doi:10.1016/j.cub.2017.02.060. hdl:10261/164618. ISSN 0960-9822. PMID 28441558.
  18. ^ Khan, Amina (April 24, 2017). "Stubborn plastic may have finally met its match: the hungry wax worm". Los Angeles Times. Retrieved April 25, 2017.
  19. ^ Adolphe Wurtz (1856). "Sur le glycol ou alcool diatomique" [On glycol or dibasic alcohol]. Comptes Rendus. 43: 199–204.
  20. ^ Wurtz (1856), page 200: "… je propose de le nommer glycol, parce qu'il se rapproche à la fois, par ses propriétés, de l'alcool proprement dit et de la glycérin, entre lesquels il se trouve placé." ( … I propose to call it glycol because, by its properties, it is simultaneously close to [ethyl] alcohol properly called and glycerin, between which it is placed.)
  21. ^ Ad. Wurtz (1859) "Synthèse du glycol avec l'oxyde d'éthylène et l'eau" (Synthesis of glycol from ethylene oxide and water), Comptes rendus, 49 : 813–815.
  22. ^ "Hydratech - Specialist Fluid Solutions". www.hydratechglobal.net. Archived from the original on 2021-05-14. Retrieved 2020-02-24.
  23. ^ Holman, Jack P. (2002). Heat Transfer (9th ed.). New York, NY: McGraw-Hill Companies, Inc. pp. 600–606. ISBN 9780072406559.
  24. ^ Incropera 1 Dewitt 2 Bergman 3 Lavigne 4, Frank P. 1 David P. 2 Theodore L. 3 Adrienne S. 4 (2007). Fundamentals of Heat and Mass Transfer (6th ed.). Hoboken, NJ: John Wiley and Sons, Inc. pp. 941–950. ISBN 9780471457282.{{cite book}}: CS1 maint: numeric names: authors list (link)
  25. ^ "Glycol til industri og erhverv" [Glycol for industry and business]. LC Glad (in Danish) – via lcglad.dk.
  26. ^ "Ethylene glycol acetal". The Organic Synthesis Archive. synarchive.com.
  27. ^ Laine, Richard M.; Blohowiak, Kay Youngdahl; Robinson, Timothy R.; Hoppe, Martin L.; Nardi, Paola; Kampf, Jeffrey; Uhm, Jackie (17 October 1991). "Synthesis of pentacoordinate silicon complexes from SiO2" (PDF). Nature. 353 (6345): 642–644. Bibcode:1991Natur.353..642L. doi:10.1038/353642a0. hdl:2027.42/62810. S2CID 4310228.
  28. ^ Theodora W. Greene; Peter G. M. Wuts (1999). Protective Groups in Organic Synthesis (Third ed.). John Wiley & Sons. pp. 312–322. ISBN 978-0-471-16019-9.
  29. ^ J. H. Babler; N. C. Malek; M. J. Coghlan (1978). "Selective hydrolysis of α,β- and β,γ-unsaturated ketals: method for deconjugation of β,β-disubstituted α,β-unsaturated ketones". J. Org. Chem. 43 (9): 1821–1823. doi:10.1021/jo00403a047.
  30. ^ Safety Officer in Physical Chemistry (November 23, 2009). "Safety (MSDS) data for ethylene glycol". Oxford University. Archived from the original on December 14, 2011. Retrieved December 30, 2009.
  31. ^ Ethylene glycol. National Institute for Occupational Safety and Health. Emergency Response Database. August 22, 2008. Retrieved December 31, 2008.
  32. ^ Ethylene Glycol Toxicity at eMedicine
  33. ^ The Merck Index (15th ed.). Royal Society of Chemistry. 2013. pp. M5122.
  34. ^ The Merck Index (15th ed.). Royal Society of Chemistry. 2013. pp. M9238.
  35. ^ Pieter Klapwijk (January 27, 2010). "Ethylene Glycol Poisoning". The Rested Dog Inn. Archived from the original on January 26, 2013. Retrieved October 11, 2012.
  36. ^ "Antifreeze and Engine Coolant Being Bittered Nationwide". Consumer Specialty Products Association. 13 December 2012. Archived from the original on 28 December 2012. Retrieved 30 June 2016.
  37. ^ "Indonesia says child deaths from acute kidney injury rise to 133". Al Jazeera. 22 October 2022.
  38. ^ "Marion Biotech: Uzbekistan links child deaths to India cough syrup". BBC News. 29 December 2022.
  39. ^ "Ethylene Glycol". ToxFAQs. CDC. 12 March 2015.
  40. ^ "Statement of the Science Report for Ethylene Glycol". 3.3.2.2 Non-neoplastic effects. Health Canada www.hc-sc.gc.ca. June 24, 2013. Retrieved 27 August 2014.

External links[edit]