[1][2] Lauryl sulfates are very high-foam surfactants that disrupt the surface tension of water in part by forming micelles at the surface-air interface.
A 1983 report by the Cosmetic Ingredient Review, shampoos containing up to 31% ALS registered 6 health complaints out of 6.8 million units sold.
[3][4] The CIR report concluded that both sodium and ammonium lauryl sulfate "appear to be safe in formulations designed for discontinuous, brief use followed by thorough rinsing from the surface of the skin.
The Human and Environmental Risk Assessment (HERA) project performed a thorough investigation of all alkyl sulfates, as such the results they found apply directly to ALS.
During this time, the occupation with the highest number of workers exposed was registered nurses, followed closely by funeral directors.