What is MCS

Understanding how MCS is identified, what care looks like, and how to navigate a system that is still catching up. There is no single laboratory test that definitively diagnoses MCS. This page explains the diagnostic process, available care resources, and what to expect.

What Is Multiple Chemical Sensitivity (MCS)? | ASEQ-EHAQ

What Is MCS

The Definition

Multiple Chemical Sensitivity (MCS) is a chronic health condition and a recognized disability nationally and internationally. It develops in response to repeated low-level chemical exposures or a significant single exposure, after which a person experiences symptoms when exposed to chemicals at levels others may tolerate.

It is triggered by exposure to volatile organic compounds (VOCs) and other chemicals commonly found in:

Fragranced personal care products — perfume, cologne, deodorant, hairspray, lotions
Cleaning and laundry products — detergents, disinfectants, bleach, fabric softeners
Air fresheners, scented candles, incense, and essential oils
Building materials and furnishings that off-gas — paint, carpets, composite wood, adhesives
Pesticides, solvents, and petrochemicals
Foods, additives, food flavourings, and some medications or supplements
Workplace chemicals — glues, solvents, VOCs, fumes, isocyanates, paints and thinners
Mould and biological agents in water-damaged buildings

MCS is not a psychological condition. It is a physiological response to chemical exposures.

Six Recognized Diagnostic Criteria — 1999 Consensus Statement

Confirmed by Ontario MOHLTC expert consensus (2018). Unrebutted in the literature for over two decades.

01
Symptoms are reproducible with repeated chemical exposure
02
The condition is chronic
03
Reactions occur at lower exposure levels than previously tolerated, or tolerated by the general population
04
Symptoms improve or resolve when the triggering substance is removed
05
Reactions occur to multiple, chemically unrelated substances
06
Multiple organ systems are affected

Watch

What Is Multiple Chemical Sensitivity (MCS)?

Produced by the ECRoB research project in partnership with ASEQ-EHAQ. Captioned.

Common Triggers

What Triggers MCS Reactions?

For people living with MCS, exposure to triggering substances reliably results in reactions. Triggers differ between individuals, but continued exposure increases sensitization — broadening the range of substances that cause harm over time.

🌸
Perfume & Cologne
🧴
Cleaning Products
🧺
Laundry Products
🕯️
Air Fresheners & Incense
💄
Personal Care Products
🏗️
Building Materials & Off-Gassing
☠️
Pesticides & Solvents
🛍️
New Plastics & Synthetics
🍼
Baby Care Products
🍽️
Foods, Additives & Some Medications
🏭
Workplace Chemicals & Fumes
🍄
Mould & Water-Damaged Buildings

What Is Sensitization?

Sensitization is a process in which repeated or sustained exposure to triggering chemicals lowers the threshold at which reactions occur. Over time, lower levels — and a wider range of substances — can provoke symptoms. In some cases, sensitivities caused by one substance lead to reactions to other, chemically unrelated products, including foods and smoke. This is why reducing exposure early and consistently matters.

Symptoms

How MCS Affects the Body

MCS produces reactions across multiple body systems. Symptoms vary between individuals, may change over time, and often intensify with continued exposure. People with MCS also have a higher incidence of comorbid chronic conditions compared to the general population.

🧠Neurological
🫁Respiratory
❤️Cardiovascular
🫀Gastrointestinal
💪Musculoskeletal
👁️Eyes
🫧Skin
Endocrine
Heightened sense of smell Neurological pain, skin burning Migraines and intense headaches Dizziness and vertigo Confusion, brain fog Tinnitus Poor concentration and memory loss Hyperactivity and anxiety Depression Insomnia and night sweats Fatigue and exhaustion
Difficulty breathing Coughing and wheezing Shortness of breath Chest pain Frequent bronchitis or pneumonia Sinus infections and pain Sore throat and swollen glands Flu-like symptoms Allergic rhinitis
Red, painful, or watery eyes Dark circles under eyes Disturbed vision
Heartburn and reflux Abdominal pain Nausea Bloating Constipation and diarrhea Excessive drooling or bleeding gums
Fatigue and lethargy Fluctuating blood sugar Hormonal disturbances or imbalances
Muscle spasms and pain Joint pain and swelling Backache Burning sensation in muscles Weakness and allodynia
Palpitations Rapid or irregular heartbeat High or low blood pressure Cold extremities
Eczema and rashes Itching and hives Redness, cuts, or lesions Urinary frequency and urgency Bladder spasms Incontinence

Symptoms can differ between individuals but commonly involve multiple body systems. If you recognize these patterns, speak with a healthcare provider.

Who Is Affected

MCS Affects All Canadians

Multiple Chemical Sensitivity (MCS) affects people across all ages, genders, and communities. It touches the full spectrum of disabilities and every vulnerable population.

72%
of people with MCS are women
49%
are over the age of 55
All
ages, genders, and communities are affected

A Growing Population

Over the past 20 years, Canada's general population grew by approximately 24%. During the same period, the population of Canadians living with MCS grew by more than 100%.

General population growth (20 years)
+24%
Canada's population increase over 20 years
MCS population growth (20 years)
+100%
Growth in Canadians diagnosed with MCS over the same period

Source: Statistics Canada, Canadian Community Health Survey (CCHS)

Recognition and History

How MCS Has Been Recognized

Recognition of MCS has grown steadily across clinical, legal, and policy frameworks — directly supporting access to accommodation, care, and rights-based protections.

1952
Dr. Theron Randolph publishes first clinical descriptions of chemical sensitivity.
1993 — 1999
Nethercott et al. publish foundational case definition work. The 1999 International Consensus Statement establishes six diagnostic criteria for MCS — adopted in both clinical practice and research.
2005
Canadian Human Rights Commission recognizes MCS as a disability requiring reasonable accommodation.
2012
Canada ratifies the UN Convention on the Rights of Persons with Disabilities (CRPD). UN Concluding Observations explicitly reference MCS, affirming rights to equal access, accommodation, and protection from discrimination.
2015 — 2016 — 2020
Statistics Canada CCHS tracks growth: 940,500 (2015) → 1,008,400 (2016) → 1,130,800 (2020) Canadians report a diagnosis of MCS. Quebec: 173,500 → 230,500 → 251,000.
2018
Ontario Ministry of Health and Long-Term Care confirms MCS diagnostic criteria through Delphi expert consensus process.

MCS in Canada — The Data

0
Canadians reported a diagnosis of Multiple Chemical Sensitivity (MCS)
CCHS 2020
0
Quebecers reported a diagnosis of Multiple Chemical Sensitivity (MCS)
CCHS 2020
More likely to report poor or fair health compared to the general population
CCHS 2020
0
of people with MCS in Canada are not working, vs. 24% of the general population
CCHS 2020

The Broader Impact

Social and Economic Reality

Like many people living with disabilities in Canada, people with Multiple Chemical Sensitivity (MCS) report systemic social and economic inequality. The condition is frequently not accommodated, and the consequences are severe.

💼
Loss of employment when workplaces fail to provide appropriate accommodation
🏥
Difficulty accessing healthcare and other essential services due to chemical exposures in clinical environments
🏠
High rates of food and housing insecurity, with some individuals living below the poverty line
🤝
Social isolation and stigma from family, friends, employers, and healthcare providers
⚖️
Loss of security of person and quality of life when accommodations are denied
📈
Preventable outcomes — appropriate recognition and accommodation can make an enormous difference

"The outcome for a person with MCS is strongly shaped by the choices and actions of the people, systems, and environments around them. Appropriate recognition, care, and accommodation can make an enormous difference."

Lived Experience

In Their Own Words

Resources

Learn More

📊
Understanding MCS — Infographic
A visual overview covering definition, triggers, and impacts of Multiple Chemical Sensitivity (MCS).
Download PDF
📄
MCS Two-Pager
A concise reference on MCS for sharing with healthcare providers, employers, and others.
Download PDF
🔬
Q&A — Biological Aspects of MCS
In-depth answers on the biological mechanisms of Multiple Chemical Sensitivity (MCS).
Download PDF
📚
Italian Expert Consensus on MCS
Peer-reviewed expert consensus on clinical and therapeutic management of Multiple Chemical Sensitivity (MCS).
View on PubMed
🎬
Top 10 Myths About MCS
Video addressing the most common misconceptions about Multiple Chemical Sensitivity (MCS).
Watch Video
📞
Need Help? Contact ASEQ-EHAQ
If you need a diagnosis, assistance, or support navigating MCS, contact ASEQ-EHAQ directly.
office@aseq-ehaq.ca
514 332 4320

ASEQ-EHAQ — Association pour la santé environnementale du Québec / Environmental Health Association of Québec

Always use "Multiple Chemical Sensitivity (MCS)" — never "environmental sensitivities."

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