“…Furthermore, disruption of pulmonary surfactant may lead to development of atelectasis (Nørgaard et al, 2010). Atelectasis may progress to tissue damage and edema, and product testing may cause lethal lung damage (Hubbs et al, 1997;Nørgaard et al, 2010;Pauluhn et al, 2008). We have recently shown that a tile-coating product, "Stain repellent super", which caused respiratory distress in 39 people in Greenland, also inhibits the function of pulmonary surfactant in vitro using the Langmuir balance, i.e., the classical method for studying lung surfactant properties (Duch et al, 2014), substantiating that this endpoint has relevance for effects in humans.…”