Heavy metals in face paints: Assessment of the health risks to Chinese opera actors

The actors in Chinese operas are exposed to heavy metals through the face paints that they use but the resulting health risks are unknown. We therefore conducted a survey of face paint use by Chinese opera actors and then assayed 91 paint samples of various paint brands and colors for their contents of eight heavy metals. The potential health risks of heavy metal exposure due to face paint use were determined as well. The average concentrations of As, Cd, Co, Cr, Cu, Ni, Pb, and Zn were 1.8, 0.6, 4.4, 23.1, 610, 7.6, 16.2, and 10,415 mu g/g, respectively, and at least four of the eight elements were detected in all samples. Samples from the most frequently paint brands were the most highly contaminated, especially with Zn, whose mass contribution was extremely high (18.3%). Moreover, contamination of the paint was color-specific, with significantly higher heavy metal levels in brown (As, Cr, and Ni), black (Co and Zn), red (Pb), and green (Cu) paints. The total carcinogenic risk posed by the metals in 25 paint samples ranged between 0.01% and 0.96%, with the highest risk that of Cr. Thus, lifetime exposure to Cr-containing paints would result in a high probability of the actor developing cancer. The findings of our study highlight the need for Chinese regulations addressing the heavy metals in face paints, especially Cr. Capsule: Chinese opera actors have a high probability of developing cancer due to a lifetime exposure to high levels of heavy metals in their face paints.