It leads to an interesting question.
Why have the manufacturers not had the testing done?
OK, it's expensive- but the alternative would be massively problematic restrictions on the use of TiO2. The cost of testing is small compared to the cost of having the stuff classified as a carcinogen. Plenty of testing houses would be happy to take the money.
One possible reason they haven't done repeated, robust testing is that they are scared of the result. Perhaps TiO2 behaves like asbestos?
Who knows?
OK there are no reported excess deaths in the industry- but that might be simply because exposure to TiO2 is controlled- not for health reasons, but because of good process design. After all, you can't sell the stuff if it is your workers' lungs.