The US and Canada, however, approve the use of titanium dioxide as a food additive. Canada's recent review of titanium dioxide reconfirmed its safety and pointed out that many of the toxicity studies the EU reviewed were not relevant to the safety of titanium dioxide as a food ingredient, and that the ban is based on an abundance of caution and uncertainty.

Food containing titanium dioxide that is lawfully placed on the EU market before 7 August 2022 may remain on the market until its date of minimum durability or its ‘use-by’ date has passed. Food produced or placed on the market after 7 August 2022 cannot contain titanium dioxide. The ban on the use of titanium dioxide is effective in each EU Member State, and in Northern Ireland. Some third countries, such as the United Kingdom (excluding Northern Ireland), continue to permit the use of titanium dioxide.

Genotoxicity Assessment 

Of the two methods of extraction, the sulphate process is currently the most popular method of producing TiO₂ in the European Union, accounting for 70 percent of European sources. The remaining 30 percent is the result of the chloride process. On a global level, it is estimated about 40-45 percent of the world’s production is based on the chloride process.

Developments in the paints & coatings industry and increase in plastic products are some of the major drivers of the global Lithopone market. It is used in paints and coating systems such as emulsion paints, as a partial replacement for Titanium Dioxide (TiO2) without loss of quality. The demand for white pigments in the plastic processing industry is projected to grow during the forecast period.

References

While the conclusions of the EU expert panel were considered in this report, Health Canada's Food Directorate conducted its own comprehensive review of the available science. This included evaluating new scientific data that addressed some of the uncertainties identified by the EU expert panel and were not available at the time of their review.    

Anyway, it doesn't matter if it reflects or absorbs, Titanium Dioxide is a pretty awesome sunscreen agent for two main reasons: it gives a nice broad spectrum coverage and it's highly stable. Its protection is very good between 290 - 350 nm (UVB and UVA II range), and less good at 350-400 nm (UVA I) range. Regular sized Titanium Dioxide also has a great safety profile, it's non-irritating and is pretty much free from any health concerns (like estrogenic effect worries with some chemical filters).