Housekeeping, Chemical Exposure & Healthier Practices in The Workplace

Environmental Stewardship Series

Original Publication Date: May 20, 2026

Housekeepers are among the most essential yet overlooked workers in modern society.

They maintain the environments where people live, recover, and gather, from private homes to hotels and care facilities. Despite the importance of their work, a growing body of research and occupational health data suggests that housekeepers often experience shorter lifespans and higher rates of chronic illness compared to many other professions. This is the predictable outcome of the conditions under which they work.

At the center of the issue is daily chemical exposure. Housekeepers routinely handle cleaning agents that contain substances linked to respiratory irritation, endocrine disruption, and long term health risks. Bleach, ammonia, disinfectants, aerosol sprays, and heavily fragranced products are used repeatedly, often in enclosed or poorly ventilated spaces. Over time, this exposure can contribute to asthma, chronic bronchitis, skin disorders, and elevated risks of serious illness. What makes this especially troubling is that much of this exposure is not even necessary.

The harm is certainly not limited to the lungs. Many common cleaning products contain substances that can interfere with the body’s hormone system, which helps regulate reproduction, metabolism, growth, sleep, stress, and long term health. For housekeepers, this is not occasional household use. It is repeated workplace exposure through breathing, skin contact, chemical mixing, and hours spent cleaning in enclosed spaces. Employers and hiring parties should not treat that risk as vague or unknowable. The health concerns that come from choosing not to use safe products are already documented and known to the research community. The exposure is foreseeable, and safer alternatives are abundant and easily accessible. When a worker is repeatedly exposed to products known to carry these risks, the question is no longer whether anyone could have known.

The question is why safer practices were not required in the first place.

Many of the products commonly used in residential and hospitality cleaning are not the most effective option for the job. In many cases, simpler methods and less toxic alternatives can achieve equal or better results without the same health risks. The widespread reliance on harsh chemicals is often driven by habit, marketing, or client expectation rather than evidence based practice. As a result, housekeepers are being exposed to harmful substances day after day for no meaningful gain in cleanliness or sanitation. They are, quite literally, being made sick for no reason.

Research from major public health institutions has consistently shown that cleaning work carries measurable, long term health risks. A large longitudinal study published in the American Journal of Respiratory and Critical Care Medicine, using data from the European Community Respiratory Health Survey, followed more than 6,000 individuals over 20 years and found that women working as cleaners experienced significantly accelerated lung function decline.

The damage was so severe that researchers concluded it was comparable to smoking up to a pack of cigarettes a day over time. 

The Harvard T.H. Chan School of Public Health has similarly reported that frequent exposure to cleaning chemicals is linked to increased risk of asthma, respiratory disease, and chronic irritation, even in otherwise healthy individuals. These findings make clear that the risks are not theoretical or rare. They are measurable, cumulative, and built into the daily work. Government and occupational health research reinforces this pattern. Studies from the Centers for Disease Control and Prevention and the National Institute for Occupational Safety and Health have identified cleaning workers as a high risk group for work related asthma, with exposure to disinfectants, sprays, and chemical mixtures directly associated with new onset asthma and chronic respiratory symptoms. Earlier epidemiological research has estimated that cleaners face roughly one and a half to two times the risk of developing respiratory conditions compared to the general population. Taken together, the evidence is consistent across institutions and decades of study. Repeated exposure to cleaning chemicals is not just irritating, it is actively damaging to the lungs and overall health of the people doing the work.

Compounding the issue is the lack of basic safety protections. Protective equipment such as gloves, masks, and proper ventilation is not a luxury or a workplace “perk.” It is a fundamental safety requirement. Yet many housekeepers are expected to perform their duties without consistent access to these protections or without guidance on how to use them effectively. In any other industry involving chemical handling, this would be considered unacceptable. In domestic work, it is often treated as standard.

Beyond chemical exposure, the physical toll of the job is significant. Housekeeping is not light work.

It is continuous manual labor performed for hours at a time.

Tasks such as lifting mattresses, scrubbing bathrooms, vacuuming, bending, reaching, and carrying heavy loads place constant strain on the body. Repetitive motion injuries, chronic back pain, joint damage, and fatigue are common. For many housekeepers, there is little opportunity for recovery between shifts. The expectation is endurance, not sustainability.

And yet, despite these risks, housekeepers are often paid among the lowest wages in domestic and service work. This contradiction is difficult to ignore. The work is physically demanding, health impacting, and essential, however, the compensation rarely reflects that reality. Benefits such as health insurance or paid leave are frequently limited or nonexistent, particularly for those working in private homes or informal arrangements.

This imbalance leads to predictable outcomes. High turnover, worker burnout, and persistent staffing shortages. Employers and clients often ask why it is so difficult to find reliable housekeeping staff, yet the answer is embedded in the structure of the job itself. When work is undervalued, underpaid, physically taxing, and unnecessarily hazardous, fewer people are willing to stay in those roles long term.

The narrative that “good housekeepers are hard to find” shifts responsibility onto workers, when in reality the issue is not only systemic, but also rooted in a persistent lack of understanding and, at times, a refusal to understand. Too often, the realities of the job are minimized or ignored by those who benefit from the labor. Employers are not passive participants in this dynamic. They are responsible for ensuring safe working conditions for all staff, including housekeepers. That responsibility includes recognizing the risks, providing appropriate protections, and responding to basic human needs for safety and fair treatment. When employers fail to do this, whether through neglect, cost cutting, or willful disregard, workers are the ones who pay the price, with their health, their safety, and in too many cases, their lives.

Housekeepers, like anyone else, have families, loved ones, and lives beyond their work. They have hopes, plans, and the same desire to grow older with dignity, surrounded by the people they care about. They work extremely hard, often under conditions that few others would accept, and they deserve more than just the bare minimum. They deserve fair compensation, meaningful benefits, and working conditions that do not come at the cost of their long term health or their future. The ability to earn a living should never mean sacrificing the chance to live a full and healthy life.

At The Anti-Agency, this principle is enforced. All full time housekeepers placed into jobs through our agency are paid $120,000 or more annually, and their chemical exposure safety is contractually protected, and supported through open education. Housekeepers, or any staff with housekeeping duties, when placed through our agency, cannot be required to use any known harmful cleaning products. Instead, all products must be certified by at least one of the following organizations:

The only exceptions are simple, time tested substances, such as baking soda, white vinegar, lemon juice, rubbing alcohol, or other single ingredient naturally derived substances. 

In practice, these are not limitations, they are proof. These are the only substances truly needed to clean a home effectively, without sacrificing the health of the people doing the work, or the people living in and enjoying the home. This may sound extreme to some. However, I would ask each and every person reading or listening to this to pause and ask yourself a simple question: would you give up your health and basic safety for a job, especially one that does not pay reasonably? The answer, for most people, is no. And yet, this is exactly what is expected of housekeepers every day.

Additionally, anyone who is considering hiring housekeeping staff or contractors, or who currently employs them, should take a moment to ask their attorney what their own liability might look like if they knowingly expose workers in their homes, or other workplaces to harmful substances that lead to negative health outcomes, or even loss of life. 

This is a question of responsibility, liability, and risk management.

If society, homeowners and employers truly value clean, safe living spaces, they must also value the people who create and maintain them. The question is not why housekeepers are disappearing or unavailable. The question is why the job has been allowed to remain so unnecessarily harmful and so poorly compensated for so long.

A Note from Masha of The Anti-Agency

My own private home is cleaned top to bottom, to five star standards of cleanliness, using only baking soda, lavender castile soap, pure white vinegar, rubbing alcohol, lemon juice, and a few rotating Environmental Working Group (A) soaps and detergents. Once you understand healthier cleaning practices, the shift is exceptionally easy to make.

You can learn more about me here, or reach out here for consulting needs or assistance finding a housekeeper. And, for those interested in housekeeping careers, please visit our candidate resources page.

Domestic and Family Office Recruitment, Consulting and Educational Services.

At The Anti-Agency, we take proactive measures to build a better future for domestic workers. We do this in service to domestic workers and hiring parties alike.

Risk to one is risk to another, and to everyone at the table.
We do not believe that cleaning should create unnecessary risk for anyone involved. 

Thank you to the amazing work of the medical and research community for providing source information and support for this publication.

Cleaning at Home and at Work in Relation to Lung Function Decline and Airway Obstruction

Published in American Journal of Respiratory and Critical Care Medicine, May 2018

https://academic.oup.com/ajrccm/article-abstract/197/9/1157/8498721

Long Term Effects of Cleaning on the Lungs

Published in American Journal of Respiratory and Critical Care Medicine in 2018.

https://academic.oup.com/ajrccm/article-abstract/197/9/1099/8498747

Cleaning products and respiratory health outcomes in occupational cleaners:
a systematic review and meta analysis

Published in Occupational and Environmental Medicine, 2021. 

https://pubmed.ncbi.nlm.nih.gov/33234692/

Using cleaning products may raise women’s risk of asthma, respiratory conditions

Published by Harvard T.H. Chan School of Public Health, August 13, 2024.

https://hsph.harvard.edu/news/using-cleaning-products-may-raise-womens-risk-of-asthma-respiratory-conditions/

Changes in Latina Women’s Exposure to Cleaning Chemicals Associated with Switching from Conventional to Green Household Cleaning Products: The LUCIR Intervention Study

Published in Environmental Health Perspectives, 2021

https://pmc.ncbi.nlm.nih.gov/articles/PMC8409434

Work related Asthma Exposures, CDC, NIOSH

https://www.cdc.gov/niosh/asthma/hcp/exposures/index.html

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