172 results on '"Swiss Federal Office of Public Health"'
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2. Assessing the return on investments (cost-benefits) in prevention in Switzerland : a feasibility study
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Chevrou-Séverac, Hélène, Wieser, Simon, Holly, Alberto, Brügger, Urs, Schleiniger, Reto, Swiss Federal Office of Public Health (FOPH), UNIL University of Lausanne, Institute of Health Economics and Management (IEMS), and ZHW Zürcher Hochschule Winterthur, Winterthurer Institut für Gesundheitsökonomie (WIG)
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risk factors prevention ,cost-benefit analysis ,Kosten-Nutzen-Analyse ,362.1041: Gesundheitsökonomie ,Economic evaluation - Abstract
This study was commissioned by the Federal Office of Public Health, contract no. 06.003951.
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- 2007
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3. SCCS OPINION on Acid Yellow 3 – C054 (CAS No. 8004-92-0, EC. No 305-897-5) - Submission II - SCCS/1631/21 – Final Opinion
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Bernauer, Ulrike, Bodin, Laurent, Chaudhry, Qasim, Coenraads, Pieter J., Dusinska, Maria, Ezendam, Janine, Gaffet, Eric, Galli, Corrado Lodovico, Granum, Berit Brunstad, Panteri, Eirini, Rogiers, Vera, Rousselle, Christophe, Stepnik, Maciej, Vanhaecke, Tamara, Wijnhoven, Susan, Koutsodimou, Aglaia, Uter, Wolfgang, von Götz, Natalie, Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Scientific Committee for Consumer Safety (SCCS) (SCCS), Institut Jean Lamour (IJL), Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), Scientific Committee for Consumer Safety (SCCS), Publications Office of the European Union, German Federal Institute for Risk Assessment [Berlin] (BfR), CEA- Saclay (CEA), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), National Institute for Public Health and the Environment [Bilthoven] (RIVM), Università degli Studi di Milano = University of Milan (UNIMI), Norwegian Institute of Public Health [Oslo] (NIPH), National and Kapodistrian University of Athens (NKUA), Vrije Universiteit Brussel (VUB), Direction des affaires européennes et internationales (DAEI), QSAR lab, General Chemical State Laboratory (GCSL), University Hospital Erlangen = Uniklinikum Erlangen, Swiss Federal Office of Public Health, Scientific Committee for Consumer Safety (European Commission), Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), University of Milan, University-Hospital Erlangen, University of Erlangen-Nuremberg - Universität tsstr. 21-23, 91054 Erlangen DE, and Friedrich-Alexander Universität Erlangen-Nürnberg (FAU)
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Acid Yellow 3 ,hair dye ,SCCS ,CAS Number 8004-92-0 ,Regulation 1223/2009 ,EC No 305-897-5 ,[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,scientific opinion - Abstract
International audience; SCCS OPINION on Acid Yellow 3 – C054 (CAS No. 8004-92-0, EC. No 305-897-5) - Submission II - SCCS/1631/21 – Final OpinionU. Bernauer, L. Bodin, Q. Chaudhry, P.J. Coenraads, M. Dusinska, J. Ezendam, E. Gaffet, C. L. Galli, B. Granum, E. Panteri, V. Rogiers, Ch. Rousselle, M. Stepnik, T. Vanhaecke, S. Wijnhoven, A. Koutsodimou, W. Uter, N. von GoetzThe SCCS adopted this document by written procedure on 23 July 2021 (31 Pages)Mise en ligne le 26 Juillet 2021 https://ec.europa.eu/health/sites/default/files/scientific_committees/consumer_safety/docs/sccs_o_253.pdfConclusion of the opinion: (1) In light of the data provided, does the SCCS consider Acid Yellow 3, safe when used in non-oxidative hair colouring products up to a maximum on-head concentration of 0.5 %?Based on the data provided in the dossier, the SCCS considers that Acid Yellow 3 is safe when used in non-oxidative hair colouring products at on-head concentrations of up to 0.5%.(2) Does the SCCS have any further scientific concerns with regard to the use of Acid Yellow 3 in cosmetic products?A detailed analytical report on the test substance in representative batches and results of the stability tests should be provided to exclude the possibility of the presence of any impurities that may be of concern.Keywords:SCCS, scientific opinion, Acid Yellow 3, hair dye, Regulation 1223/2009, CAS Number 8004-92-0, EC No 305-897-5Opinion to be cited as:SCCS (Scientific Committee on Consumer Safety), Opinion on Acid Yellow 3 – C054 (CAS Number 8004-92-0, EC No 305-897-5), submission II, preliminary version of 7 May 2021, final version of 23 July 2021, SCCS/1631/21.
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- 2022
4. The SCCS scientific advice on the safety of nanomaterials in cosmetics
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Christophe Rousselle, Wim H. de Jong, Susan Wijnhoven, Ulrike Bernauer, Eric Gaffet, Laurent Bodin, Pieter Jan Coenraads, Other experts, Eirini Panteri, Qasim Chaudhry, Natalie von Goetz, Tamara Vanhaecke, Maciej Stępnik, Vera Rogiers, Maria Dusinska, Pharmaceutical and Pharmacological Sciences, Vriendenkring VUB, Experimental in vitro toxicology and dermato-cosmetology, Bundesinstitut für Risikobewertung - Federal Institute for Risk Assessment (BfR), Scientific Committee for Consumer Safety (SCCS) (SCCS), CEA- Saclay (CEA), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), Institut Jean Lamour (IJL), Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), National and Kapodistrian University of Athens (NKUA), Vrije Universiteit Brussel (VUB), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), National Institute for Public Health and the Environment [Bilthoven] (RIVM), Swiss Federal Office of Public Health, and Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)
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Surface Properties ,media_common.quotation_subject ,Commission ,010501 environmental sciences ,Toxicology ,Risk Assessment ,030226 pharmacology & pharmacy ,01 natural sciences ,Cosmetics ,Consumer safety ,03 medical and health sciences ,Pharmacology, Toxicology and Pharmaceutics(all) ,0302 clinical medicine ,Safety concerns ,Humans ,European commission ,Particle Size ,ComputingMilieux_MISCELLANEOUS ,0105 earth and related environmental sciences ,media_common ,NANOMATERIALS ,Dose-Response Relationship, Drug ,cosmetics ,Consumer health ,General Medicine ,Nanostructures ,3. Good health ,Europe ,SCCS ,Solubility ,Consumer Product Safety ,Scientific advice ,[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,Engineering ethics ,Business - Abstract
The Cosmetic Regulation (EC) No 1223/2009 specifically covers the risk of nanomaterials used in cosmetic products. If there are concerns regarding the safety of a nanomaterial, the European Commission refers it to the SCCS for a scientific opinion. The Commission mandated the SCCS to identify the scientific basis for safety concerns that could be used as a basis for identifying and prioritising nanomaterials for safety assessment, and to revisit previous inconclusive SCCS opinions on nanomaterials to identify any concerns for potential risks to the consumer health. The SCCS Scientific Advice identified the key general aspects of nanomaterials that should raise a safety concern for a safety assessor/manager, so that the nanomaterial(s) in question could be subjected to safety assessment to establish safety to the consumer. The Advice also developed a list of the nanomaterials notified to the Commission for use in cosmetics in an order of priority for safety assessment, and revisited three previous inconclusive opinions on nanomaterials to highlight concerns over consumer safety that merited further safety assessment.
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- 2021
5. Opinion on Methyl salicylate (methyl 2-hydroxybenzoate) - Submission I - SCCS/1633/21- Preliminary Opinion
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Bernauer, Ulrike, Bodin, Laurent, Chaudhry, Qasim, Coenraad, Pieter J., Dusinska, Maria, Ezendam, Janine, Gaffet, Eric, Galli, Corrado Lodovico, Granum, Berit Brunstad, Panteri, Eirini, Rogiers, Vera, Rousselle, Christophe, Stepnik, Maciej, Vanhaecke, Tamara, Wijnhoven, Susan, Koutsodimou, Aglaia, Uter, Wolfgang, von Goetz, Natalie, German Federal Institute for Risk Assessment [Berlin] (BfR), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Scientific Committee for Consumer Safety (SCCS) (SCCS), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), National Institute for Public Health and the Environment [Bilthoven] (RIVM), Institut Jean Lamour (IJL), Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), University of Milan, Norwegian Institute of Public Health [Oslo] (NIPH), National and Kapodistrian University of Athens (NKUA), Vrije Universiteit Brussel (VUB), Direction des affaires européennes et internationales (DAEI), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), QSAR lab, General Chemical State Laboratory (GCSL), University-Hospital Erlangen, University of Erlangen-Nuremberg - Universität tsstr. 21-23, 91054 Erlangen DE, Friedrich-Alexander Universität Erlangen-Nürnberg (FAU), Swiss Federal Office of Public Health, Scientific Committee for Consumer Safety (European Commission), Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Università degli Studi di Milano = University of Milan (UNIMI), and University Hospital Erlangen = Uniklinikum Erlangen
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Methyl 2-hydroxybenzoate ,SCCS ,Regulation 1223/2009 ,[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,Scientific opinion ,Methyl salicylate - Abstract
International audience; SCCS OPINION on Methyl salicylate (methyl 2-hydroxybenzoate) - Submission I - SCCS/1633/21- Preliminary OpinionU. Bernauer, L. Bodin, Q. Chaudhry, P.J. Coenraad, M. Dusinska, J. Ezendam, E. Gaffet, C. L. Galli, B. Granum, E. Panteri, V. Rogiers, Ch. Rousselle, M. Stepnik, T. Vanhaecke, S. Wijnhoven, A. Koutsodimou, W. Uter, N. von GoetzThe SCCS adopted this document at its plenary meeting on 24-25 June 2021 ( (80 pages)Mise en ligne le 9 Juillet 2021https://ec.europa.eu/health/sites/default/files/scientific_committees/consumer_safety/docs/sccs_o_255.pdfConclusion of the opinion: (1) In light of the data provided and taking under consideration the RAC Opinion on Methyl salicylate and the expected new classification as Toxic for Reproduction Category 2 of Methyl salicylate (to be introduced by an update of Annex VI Reg. 1272/2008), does the SCCS consider Methyl salicylate safe when used up to the maximum concentrations provided in the dossier submitted by the applicant?The SCCS considers Methyl salicylate safe when used in cosmetic products up to the maximum concentrations provided in the dossier submitted by the applicant as detailed in Table 1, except for mouth washes used below 10 years old.(2) Does the SCCS have any further scientific concerns with regard to the use of Methyl salicylate in cosmetic products, also in relation to the RAC recommended classification of Methyl salicylate as ‘Skin sensitizer Category 1B’?Methyl salicylate should be considered as a weak skin sensitiser in humans and eye irritant.Moreover the SCCS would like also to express other concerns related to the use of methyl salicylate:- Methyl salicylate can be used in consumer products other than cosmetic products, such as household cleaning products, air care products, biocides (e.g. disinfectants, pest control products), polishes and waxes which may increase the systemic exposure dose with a possibility to exceed the safe level.- Methyl salicylate will be metabolised in the body to salicylic acid which is also classified as a reprotoxicant and used in cosmetic products (see opinion SCCS/1601/18). Therefore the combined exposure to cosmetic products containing various salicylates may increase the systemic exposure dose with a possibility to exceed the safe level.The SCCS also notices that wintergreen oil that is used in cosmetic products may contain up to 99% methyl salicylate. Therefore when calculating the content of methyl salicylate in a cosmetic product, any fraction coming from wintergreen oil should also be considered.Keywords:SCCS, scientific opinion, methyl salicylate, methyl 2-hydroxybenzoate, Regulation 1223/2009Opinion to be cited as:SCCS (Scientific Committee on Consumer Safety), Opinion on methyl salicylate (methyl 2-hydroxybenzoate), preliminary version of 24-25 June, SCCS/1633/21.
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- 2021
6. Opinion of the Scientific Committee on Consumer safety (SCCS) – Final Opinion on propylparaben (CAS No 94-13-3, EC No 202-307-7)
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Eric Gaffet, Ulrike Bernauer, Corrado Ludovico Galli, Natalie von Goetz, Tamara Vanhaecke, Pieter J. Coenraads, Maciej Stępnik, Wolfgang Uter, Janine Ezendam, Eirini Panteri, Laurent Bodin, A. Koutsodimou, Christophe Rousselle, Susan Wijnhoven, Vera Rogiers, Berit Granum, Qasim Chaudhry, Maria Dusinska, CEA- Saclay (CEA), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Scientific Committee for Consumer Safety (SCCS) (SCCS), Vrije Universiteit Brussel (VUB), German Federal Institute for Risk Assessment [Berlin] (BfR), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), National Institute for Public Health and the Environment [Bilthoven] (RIVM), Institut Jean Lamour (IJL), Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), University of Milan, Norwegian Institute of Public Health [Oslo] (NIPH), National and Kapodistrian University of Athens (NKUA), Direction des affaires européennes et internationales (DAEI), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), QSAR lab, General Chemical State Laboratory (GCSL), University-Hospital Erlangen, University of Erlangen-Nuremberg - Universität tsstr. 21-23, 91054 Erlangen DE, Friedrich-Alexander Universität Erlangen-Nürnberg (FAU), Swiss Federal Office of Public Health, Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Università degli Studi di Milano = University of Milan (UNIMI), University Hospital Erlangen = Uniklinikum Erlangen, Pharmaceutical and Pharmacological Sciences, and Experimental in vitro toxicology and dermato-cosmetology
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Preservative ,Parabens ,010501 environmental sciences ,Toxicology ,01 natural sciences ,Consumer safety ,Propylparaben ,EC No 202-307-7 ,03 medical and health sciences ,chemistry.chemical_compound ,Human health ,SCCS/1623/20 ,Medicine ,Humans ,Scientific opinion ,CAS No 94-13-3 ,ComputingMilieux_MISCELLANEOUS ,030304 developmental biology ,0105 earth and related environmental sciences ,0303 health sciences ,Dose-Response Relationship, Drug ,business.industry ,Regulation 1223/2009 ,Preservatives, Pharmaceutical ,Subject (documents) ,General Medicine ,3. Good health ,SCCS ,chemistry ,13. Climate action ,Consumer Product Safety ,[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,Endocrine effects ,Point of departure ,business - Abstract
In cosmetic products, the ingredient propylparaben (CAS No 94-13-3, EC No 202-307-7) with the chemical names Propyl 4-hydroxybenzoate and 4-Hydroxybenzoic acid propyl ester is currently regulated as a preservative in a concentration up to 0.14% (as acid) (Annex V/12a). In addition, a safe concentration was established for mixtures of parabens, where the sum of the individual concentrations should not exceed 0.8% (as acid). However, in such mixtures the sum of the individual concentrations of butyl- and propylparaben and their salts should not exceed 0.14%. Propylparaben was subject to different safety evaluations in 2005 (SCCP/0874/05), 2006 (SCCP/1017/06), 2008 (SCCP/1183/08), 2010 (SCCS/1348/10), 2011 (SCCS/1446/11), and in 2013 (SCCS/1514/13). On the basis of the safety assessment of propylparaben, and considering the concerns related to potential endocrine disrupting properties, the SCCS has concluded that propylparaben is safe when used as a preservative in cosmetic products up to a maximum concentration of 0.14%. The available data on propylparaben provide some indications for potential endocrine effects. However, the current level of evidence is not sufficient to regard it as an endocrine disrupting substance, or to derive a toxicological point of departure based on endocrine disrupting properties for use in human health risk assessment. The SCCS mandate does not address environmental aspects. Therefore, this assessment did not cover the safety of propylparaben for the environment. Link to the Opinion (SCCS/1623/20): https://ec.europa.eu/health/sites/default/files/scientific_committees/consumer_safety/docs/sccs_o_243.pdf
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- 2021
7. SCCS Opinion on Homosalate - SCCS/1622/20 - Final Opinion
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Bernauer, U., Bodin, L., Chaudhry, Q., Coenraads, P.J., Dusinska, M., Ezendam, J., Gaffet, E., Galli, C. L., Granum, B., Panteri, E., Rogiers, V., Rousselle, Ch., Stepnik, M., Vanhaecke, T., Wijnhoven, S., Koutsodimou, A., Uter, W., Goetz, N. Von, German Federal Institute for Risk Assessment [Berlin] (BfR), CEA- Saclay (CEA), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Scientific Committee for Consumer Safety (SCCS) (SCCS), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), National Institute for Public Health and the Environment [Bilthoven] (RIVM), Institut Jean Lamour (IJL), Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), University of Milan, Norwegian Institute of Public Health [Oslo] (NIPH), National and Kapodistrian University of Athens (NKUA), Vrije Universiteit Brussel (VUB), Direction des affaires européennes et internationales (DAEI), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), QSAR lab, General Chemical State Laboratory (GCSL), University-Hospital Erlangen, University of Erlangen-Nuremberg - Universität tsstr. 21-23, 91054 Erlangen DE, Friedrich-Alexander Universität Erlangen-Nürnberg (FAU), Swiss Federal Office of Public Health, Scientific Committee for Consumer Safety (European Commission), Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Università degli Studi di Milano = University of Milan (UNIMI), University Hospital Erlangen = Uniklinikum Erlangen, Scientific Committee for Consumer Safety (SCCS), and Publications Office of the European Union
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SCCS ,CAS No 118-56-9 ,Regulation 1223/2009 ,[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,UV-filter ,EC No 204-260-8 ,scientific opinion ,homosalate - Abstract
International audience; Conclusion of the opinion:1. In light of the data provided and taking under consideration the concerns related to potential endocrine disrupting properties of homosalate, does the SCCS consider homosalate safe when used as a UV-filter in cosmetic products up to a maximum concentration of 10 %?On the basis of safety assessment of homosalate, and considering the concerns related to potential endocrine disrupting properties, the SCCS has concluded that homosalate is not safe when used as a UV-filter in cosmetic products at concentrations of up to 10%.2. Alternatively, what is according to the SCCS, the maximum concentration considered safe for use of homosalate as a UV-filter in cosmetic products?In the SCCS’s opinion, the use of homosalate as a UV filter in cosmetic products is safe for the consumer up to a maximum concentration of 0.5% homosalate in the final product.3. Does the SCCS have any further scientific concerns with regard to the use of homosalate in cosmetic products?It needs to be noted that the SCCS has regarded the currently available evidence for endocrine disrupting properties of homosalate as inconclusive, and at best equivocal. This applies to all of the available data derived from in silico modelling, in vitro tests and in vivo studies, when considered individually or taken together. The SCCS considers that, whilst there are indications from some studies to suggest that homosalate may have endocrine effects, the evidence is not conclusive enough at present to enable deriving a specific endocrine-related toxicological point of departure for use in safety assessment.Exposure to homosalate from other products than those in this Opinion has not been considered.Combined exposure to salicylic acid either formed by metabolic transformation from homosalate, other salicylates (e.g. methylsalicylate) or directly from salicylic acid itself has not been considered in this opinion.The use of Homosalate at the lower concentrations may have a bearing on efficacy as UV-filter, however this is outside the SCCS remit to assess the efficacy of cosmetic ingredients.Keywords: SCCS, scientific opinion, homosalate, UV-filter, Regulation 1223/2009, CAS No 118-56-9, EC No 204-260-8Opinion to be cited as:SCCS (Scientific Committee on Consumer Safety), Opinion on homosalate (CAS No 118-56-9, EC No 204-260-8), preliminary version of 27-28 October 2020, final version of 24-25 June 2021, SCCS/1622/20.
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- 2021
8. SCCS OPINION ON Gold (nano), Colloidal Gold (nano), Gold Thioethylamino Hyaluronic Acid (nano) and Acetyl heptapeptide-9 Colloidal gold (nano)
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Bernauer, Ulrike, Bodin, Laurent, Chaudhry, Qasim, Coenraads, Pieter J., Dusinska, Maria, Gaffet, Eric, Panteri, Eirini, Rousselle, Christophe, Stepnik, Maciej, Wijnhoven, Susan, de Jong, Wilhelmus H., von Götz, Natalie, German Federal Institute for Risk Assessment [Berlin] (BfR), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Scientific Committee for Consumer Safety (SCCS) (SCCS), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), Institut Jean Lamour (IJL), Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), National and Kapodistrian University of Athens (NKUA), Direction des affaires européennes et internationales (DAEI), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), QSAR lab, National Institute for Public Health and the Environment [Bilthoven] (RIVM), Swiss Federal Office of Public Health, Scientific Committee for Consumer Safety (European Commission), and Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS)
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SCCS ,Regulation 1223/2009 ,EC No. 231-165-9 ,Gold Thioethylamino Hyaluronic Acid ,CAS No. 1360157-34-1 ,[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,nano ,CAS No 7440-57-5 ,gold ,Acetyl heptapeptide-9 Colloidal gold ,scientific opinion ,colloidal gold - Abstract
International audience; The SCCS concludes the following:1. In view of the above, and taking into account the scientific data provided, does the SCCS consider the nanomaterials Gold and Colloidal Gold, Gold Thioethylamino Hyaluronic Acid and Acetyl heptapeptide-9 Colloidal gold are safe when used in leave-on skin cosmetic products according to the maximum concentrations and specifications, taking into account reasonably foreseeable exposure conditions?The SCCS has considered all the information provided by the Notifiers and is of the opinion that it is not possible to carry out safety assessment of the nanomaterials (Gold, Colloidal Gold and Surface Modified Gold) due to limited or missing essential information. Much of the information provided on toxicity relates to gold as such, and it is not possible to determine the relevance of the data for nano-forms of any of the materials under the current evaluation due to the absence of full study reports.Detailed data and information need to be provided on physicochemical characterisation and toxicological evaluation, along with experiment performance to allow safety assessment of the nanomaterials.In regard to surface modified gold, all notifications relating to Acetyl heptapeptide-9 Colloidal gold (nano) were withdrawn by the Notifiers and therefore only Gold Thioethylamino Hyaluronic Acid has been considered in this Opinion.2. Does the SCCS have any further scientific concerns with regard to the use of materials A, B and C in nano form in cosmetic products?The information obtained from scientific literature suggests possible systemic uptake of gold nanoparticles which may lead to accumulation in certain organs - notably the liver and spleen. In addition, the available data from literature indicate potential mutagenic/genotoxic effects of gold nanomaterials. These indications raise an alert that warrants further safety evaluation of gold nanomaterials when used as cosmetic ingredients. In the absence of sufficient data to allow safety assessment, the SCCS has considered these aspects and has concluded that there is a basis for concern that the use of Gold (nano), Colloidal Gold (nano) and Surface Modified Gold (nano) materials in cosmetic products can pose a risk to the consumer. The SCCS concerns for consumer safety in this regard are detailed in Annex II. The SCCS will be ready to assess any evidence provided to support safe use of the materials in cosmetic products.
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- 2021
9. SCCS OPINION ON Platinum (nano), Colloidal Platinum (nano) and Acetyl tetrapeptide-17 Colloidal Platinum (nano) - SCCS/1630/21 - Final Opinion
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Bernauer, Ulrike, Bodin, Laurent, Chaudhry, Qasim, Coenraads, Pieter J., Dusinska, Maria, Gaffet, Eric, Panteri, Eirini, Rousselle, Christophe, Stepnik, Maciej, Wijnhoven, Susan, Jong, Wilhelmus H., von Götz, Natalie, German Federal Institute for Risk Assessment [Berlin] (BfR), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Scientific Committee for Consumer Safety (SCCS) (SCCS), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), Institut Jean Lamour (IJL), Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), National and Kapodistrian University of Athens (NKUA), Direction des affaires européennes et internationales (DAEI), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), QSAR lab, National Institute for Public Health and the Environment [Bilthoven] (RIVM), Swiss Federal Office of Public Health, Scientific Committee for Consumer Safety (European Commission), Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Scientific Committee for Consumer Safety (SCCS), and Publications Office of the European Union
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SCCS ,Acetyl tetrapeptide-17 Colloidal Platinum ,Regulation 1223/2009 ,EC No. 231-116-1 ,[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,nano ,Colloidal Platinum ,scientific opinion ,CAS No 7440-06-4 ,Platinum - Abstract
International audience; . ABSTRACTThe SCCS concludes the following:(1) In view of the above, and taking into account the scientific data provided, does the SCCS consider the nanomaterials A (Platinum and Colloidal Platinum ) and B (Acetyl tetrapeptide-17 (and) Colloidal Platinum) are safe when used in leave-on cosmetic products according to the maximum concentrations and specifications reported in the attached list, taking into account reasonably foreseeable exposure conditions?Having considered all the information provided by the Notifiers, and that obtained from other sources, the SCCS is of the opinion that it is not possible to carry out a safety assessment of any of the notified platinum nanomaterials due to limited or missing essential information. The limited amount of data provided by the Notifiers also does not correspond to the requirements and data standards as indicated in the SCCS Guidance (SCCS 1611/19), and the SCCS Memorandum (SCCS/1524/13). To enable safety assessment by the SCCS, the Notifiers need to provide the necessary information, a summary of which is provided in Annex I.(2) Does the SCCS have any further scientific concerns with regard to the use of materials A and B in nano form in cosmetic products?In the absence of sufficient data to allow safety assessment, the SCCS has considered the different aspects of platinum nanomaterials that could raise a concern over consumer safety. As detailed in Annex II, the SCCS has concluded that there is a basis for concern that the use of platinum, colloidal platinum, and acetyl tetrapeptide-17 colloidal platinum (nano) in cosmetic products can pose a risk to the consumer. The SCCS will be ready to assess any evidence provided to support safe use of the materials in cosmetic products.Keywords: SCCS, scientific opinion, Platinum, Colloidal Platinum, Acetyl tetrapeptide-17 Colloidal Platinum, nano, CAS No 7440-06-4, EC No. 231-116-1, Regulation 1223/2009Opinion to be cited as: SCCS (Scientific Committee on Consumer Safety), Opinion on Platinum (nano), Colloidal Platinum (nano) and Acetyl tetrapeptide-17 Colloidal Platinum (nano), final version of 24-25 June 2021, SCCS/1630/21
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- 2021
10. SCCS OPINION on Acid Yellow 3 – C054 (CAS No. 8004-92-0, EC. No 305-897-5) - Submission II - SCCS/1631/21 – Preliminary Version
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Bernauer, Ulrike, Bodin, Laurent, Chaudhry, Qasim, Coenraads, Pieter J., Dusinska, Maria, Ezendam, Janine, Gaffet, Eric, Galli, Corrado Lodovico, Granum, Berit Brunstad, Panteri, Eirini, Rogiers, Vera, Rousselle, Christophe, Stepnik, Maciej, Vanhaecke, Tamara, Wijnhoven, Susan, Koutsodimou, Aglaia, Uter, Wolfgang, von Götz, Natalie, German Federal Institute for Risk Assessment [Berlin] (BfR), Scientific Committee for Consumer Safety (SCCS) (SCCS), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), National Institute for Public Health and the Environment [Bilthoven] (RIVM), Institut Jean Lamour (IJL), Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Università degli Studi di Milano = University of Milan (UNIMI), Norwegian Institute of Public Health [Oslo] (NIPH), National and Kapodistrian University of Athens (NKUA), Vrije Universiteit Brussel (VUB), Direction des affaires européennes et internationales (DAEI), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), QSAR lab, General Chemical State Laboratory (GCSL), University Hospital Erlangen = Uniklinikum Erlangen, Swiss Federal Office of Public Health, Scientific Committee for Consumer Safety (European Commission), Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), University of Milan, University-Hospital Erlangen, University of Erlangen-Nuremberg - Universität tsstr. 21-23, 91054 Erlangen DE, and Friedrich-Alexander Universität Erlangen-Nürnberg (FAU)
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Acid Yellow 3 ,hair dye ,SCCS ,CAS Number 8004-92-0 ,Regulation 1223/2009 ,EC No 305-897-5 ,[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,scientific opinion - Abstract
International audience; SCCS OPINION on Acid Yellow 3 – C054 (CAS No. 8004-92-0, EC. No 305-897-5) - Submission II - SCCS/1631/21 – Preliminary VersionU. Bernauer, L. Bodin, Q. Chaudhry, P.J. Coenraads, M. Dusinska, J. Ezendam, E. Gaffet, C. L. Galli, B. Granum, E. Panteri, V. Rogiers, Ch. Rousselle, M. Stepnik, T. Vanhaecke, S. Wijnhoven, A. Koutsodimou, W. Uter, N. von GötzThe SCCS adopted this document by written procedure on 7 May 2021 (32 Pages)Mise en ligne 10 Mai 2021 https://ec.europa.eu/health/sites/default/files/scientific_committees/consumer_safety/docs/sccs_o_253.pdfOn request from: European CommissionSCCS Number: SCCS/1631/21Adopted on: 7 May 2021Conclusion of the opinion: (1) In light of the data provided, does the SCCS consider Acid Yellow 3, safe when used in non-oxidative hair colouring products up to a maximum on-head concentration of 0.5 %?Based on the data provided in the dossier, the SCCS considers that Acid Yellow 3 is safe when used in non-oxidative hair colouring products at on-head concentrations of up to 0.5%. (2) Does the SCCS have any further scientific concerns with regard to the use of Acid Yellow 3 in cosmetic products?A detailed analytical report on the test substance in representative batches and results of the stability tests should be provided to exclude the possibility of the presence of any impurities that may be of concern.Keywords:SCCS, scientific opinion, Acid Yellow 3, hair dye, Regulation 1223/2009, CAS Number 8004-92-0, EC No 305-897-5Opinion to be cited as:SCCS (Scientific Committee on Consumer Safety), Opinion on Acid Yellow 3 – C054 (CAS Number 8004-92-0, EC No 305-897-5), submission II, preliminary version of 7 May 2021, SCCS/1631/21.
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- 2021
11. SCCS OPINION on Benzophenone-3 (CAS No 131-57-7, EC No 205-031-5) - SCCS/1625/20 - Final Opinion
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Bernauer, U., Bodin, L., Chaudhry, Q., Coenraads, P.J., Dusinska, M., Ezendam, J., Gaffet, E., Galli, C. L., Granum, B., Panteri, E., Rogiers, V., Rousselle, Ch., Stepnik, M., Vanhaecke, T., Wijnhoven, S., Koutsodimou, A., Uter, W., Goetz, N. Von, German Federal Institute for Risk Assessment [Berlin] (BfR), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Scientific Committee for Consumer Safety (SCCS) (SCCS), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), National Institute for Public Health and the Environment [Bilthoven] (RIVM), Institut Jean Lamour (IJL), Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Università degli Studi di Milano = University of Milan (UNIMI), Norwegian Institute of Public Health [Oslo] (NIPH), National and Kapodistrian University of Athens (NKUA), Vrije Universiteit Brussel (VUB), Direction des affaires européennes et internationales (DAEI), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), QSAR lab, General Chemical State Laboratory (GCSL), University Hospital Erlangen = Uniklinikum Erlangen, Swiss Federal Office of Public Health, Scientific Committee for Consumer Safety (European Commission), Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), University of Milan, University-Hospital Erlangen, University of Erlangen-Nuremberg - Universität tsstr. 21-23, 91054 Erlangen DE, Friedrich-Alexander Universität Erlangen-Nürnberg (FAU), and Publications Office of the European Union
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SCCS ,Benzophenone-3 ,Regulation 1223/2009 ,EC No 205-031-5 ,[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,CAS Number 131-57-7 ,scientific opinion ,UV filter - Abstract
International audience; Conclusion of the opinion:(1) In light of the data provided and taking under consideration the concerns related to potential endocrine disrupting properties of Benzophenone-3, does the SCCS consider Benzophenone-3 safe when used as a UV-filter in cosmetic products up to a maximum concentration of 6% and up to 0.5% in cosmetic products to protect product formulation?On the basis of safety assessment, and considering the concerns related to potential endocrine disrupting properties of benzophenone-3 (BP-3), the SCCS has concluded that:a. The use of BP-3 as a UV-filter up to a maximum concentration of 6% in sunscreen products, either in the form of body cream, sunscreen propellant spray or pump spray, is not safe for the consumer.b. The use of BP-3 as a UV-filter up to a maximum concentration of 6% in face cream, hand cream, and lipsticks is safe for the consumer.c. The use of BP-3 up to 0.5% in cosmetic products to protect the cosmetic formulation is safe for the consumer.(2) Alternatively, what is according to the SCCS the maximum concentration considered safe for use of Benzophenone-3 as a UV-filter in cosmetic products?In the SCCS’s opinion, the use of BP-3 as a UV filter in the following sunscreen products is safe for the consumer up to a maximum concentration of:a. 2.2% in body creams, in propellant sprays and in pump sprays, provided that there is no additional use of BP-3 at 0.5% in the same formulation for protecting the cosmetic formulation.b. Where BP-3 is also used at 0.5% in the same formulation, the levels of BP-3 used as UV filter should not exceed 1.7% in body creams, in propellant sprays and in pump sprays.(3) Does the SCCS have any further scientific concerns with regard to the use of Benzophenone-3 in cosmetic products?It needs to be noted that the SCCS has regarded the currently available evidence for endocrine disrupting properties of BP-3 as inconclusive, and at best equivocal. This applies to all of the available data derived from in silico modelling, in vitro tests and in vivo studies, either considered individually or taken together. The SCCS considers that, whilst there are indications from some studies to suggest that BP-3 may have endocrine effects, the overall evidence is not conclusive enough at present for the SCCS to ascertain whether or not BP-3 is an ED substance, and this warrants further investigations.The SCCS mandates do not address environmental aspects. Therefore, this assessment did not cover the safety of BP-3 for the environment.Opinion to be cited as:SCCS (Scientific Committee on Consumer Safety), Opinion on Benzophenone-3 (CAS No 131-57-7, EC No 205-031-5), preliminary version of 15 December 2020, final version of 30-31 March 2021, SCCS/1625/20.
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- 2021
12. SCCS OPINION on Resorcinol- SCCS/1619/20 - Final Opinion
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Bernauer, Ulrike, Bodin, Laurent, Chaudhry, Qasim, Coenraads, Pieter J., Dusinska, Maria, Ezendam, Janine, Gaffet, Eric, Galli, Corrado Lodovico, Granum, Berit Brunstad, Panteri, Eirini, Rogiers, Vera, Rousselle, Christophe, Stepnik, Maciej, Vanhaecke, Tamara, Wijnhoven, Susan, Koutsodimou, Aglaia, Uter, Wolfgang, von Götz, Natalie, German Federal Institute for Risk Assessment [Berlin] (BfR), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Scientific Committee for Consumer Safety (SCCS) (SCCS), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), National Institute for Public Health and the Environment [Bilthoven] (RIVM), Institut Jean Lamour (IJL), Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), University of Milan, Norwegian Institute of Public Health [Oslo] (NIPH), National and Kapodistrian University of Athens (NKUA), Vrije Universiteit Brussel (VUB), Direction des affaires européennes et internationales (DAEI), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), QSAR lab, General Chemical State Laboratory (GCSL), University-Hospital Erlangen, University of Erlangen-Nuremberg - Universität tsstr. 21-23, 91054 Erlangen DE, Friedrich-Alexander Universität Erlangen-Nürnberg (FAU), Swiss Federal Office of Public Health, Scientific Committee for Consumer Safety (European Commission), Gaffet, Eric, Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Scientific Committee for Consumer Safety (SCCS), Publications Office of the European Union, Università degli Studi di Milano = University of Milan (UNIMI), and University Hospital Erlangen = Uniklinikum Erlangen
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hair dye ,stomatognathic diseases ,SCCS ,Resorcinol ,EC No 203-585-2 ,integumentary system ,Regulation 1223/2009 ,[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,CAS Number 108-46-3 ,[PHYS.COND.CM-MS] Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,scientific opinion - Abstract
International audience; Conclusion of the opinion:1/ In light of the data provided and taking under consideration the concerns related to potential endocrine disrupting properties of Resorcinol, does the SCCS consider Resorcinol safe when used as an oxidative hair dye in products intended for hair and eyelashes up to 1.25 % and up to 0.5 % in hair lotions and shampoos?Keeping in view the evidence on endocrine disrupting properties of resorcinol, the SCCS assessment shows that resorcinol is safe when used as an oxidative hair dye in products intended for hair and eyelashes up to 1.25 % and up to 0.5 % in hair lotions and shampoos.2/ Alternatively, what is according to the SCCS, the maximum concentration considered safe for use of Resorcinol as an oxidative hair dye in products intended for hair and eyelashes and for hair lotions and shampoos?/3/ Does the SCCS have any further scientific concerns with regard to the use of Resorcinol in cosmetic products?Resorcinol is a moderate skin sensitiser based on data from animal studies. Clinical studies show that the frequency of contact sensitisation in humans is low.The SCCS mandates do not address environmental aspects. Therefore, this assessment did not cover the safety of resorcinol for the environment.Opinion to be cited as:SCCS (Scientific Committee on Consumer Safety), Opinion on Resorcinol (CAS No 108-46-3, EC No 203-585-2), preliminary version of 16 October 2020, final version of 30-31 March 2021, SCCS/1619/20
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- 2021
13. SCCS OPINION ON Propylparaben - SCCS/1623/20 - Final Opinion
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Bernauer, U., Bodin, L., Chaudhry, Q., Coenraads, P.J., Dusinska, M., Ezendam, J., Gaffet, E., Galli, C. L., Granum, B., Panteri, E., Rogiers, V., Rousselle, Ch., Stepnik, M., Vanhaecke, T., Wijnhoven, S., Koutsodimou, A., Simonnard, A., Uter, W., Goetz, N. Von, German Federal Institute for Risk Assessment [Berlin] (BfR), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Scientific Committee for Consumer Safety (SCCS) (SCCS), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), National Institute for Public Health and the Environment [Bilthoven] (RIVM), Institut Jean Lamour (IJL), Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), University of Milan, Norwegian Institute of Public Health [Oslo] (NIPH), National and Kapodistrian University of Athens (NKUA), Vrije Universiteit Brussel (VUB), Direction des affaires européennes et internationales (DAEI), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), QSAR lab, General Chemical State Laboratory (GCSL), Institut national de recherche et de sécurité (Paris) (INRS (Paris)), University-Hospital Erlangen, University of Erlangen-Nuremberg - Universität tsstr. 21-23, 91054 Erlangen DE, Friedrich-Alexander Universität Erlangen-Nürnberg (FAU), Swiss Federal Office of Public Health, Scientific Committee for Consumer Safety (European Commission), Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Università degli Studi di Milano = University of Milan (UNIMI), University Hospital Erlangen = Uniklinikum Erlangen, Scientific Committee for Consumer Safety (SCCS), and Publications Office of the European Union
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EC No 202-307-7 ,SCCS ,Regulation 1223/2009 ,preservative ,[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,CAS No 94-13-3 ,scientific opinion ,Propylparaben - Abstract
International audience; Conclusion of the opinion:1. In light of the data provided and taking under consideration the concerns related to potential endocrine disrupting properties of Propylparaben, does the SCCS consider Propylparaben safe when used as a preservative in cosmetic products up to a maximum concentration of 0.14 %?On the basis of the safety assessment of Propylparaben, and considering the concerns related to potential endocrine disrupting properties, the SCCS has concluded that propylparaben is safe when used as a preservative in cosmetic products up to a maximum concentration of 0.14 %.2. Alternatively, what is according to the SCCS, the maximum concentration considered safe for use of Propylparaben as a preservative in cosmetic products?/3. Does the SCCS have any further scientific concerns with regard to the use of Propylparaben in cosmetic products?The available data on Propylparaben provide some indications for potential endocrine effects. However, the current level of evidence is not sufficient to regard it as an endocrine disrupting substance, or to derive a toxicological point of departure based on endocrine disrupting properties for use in human health risk assessment.The SCCS mandates do not address environmental aspects. Therefore, this assessment did not cover the safety of propylparaben for the environment.Opinion to be cited as:SCCS (Scientific Committee on Consumer Safety), Opinion on Propylparaben (CAS No 94-13-3, EC No 202-307-7), preliminary version of 27-28 October 2020, final version of 30-31 March 2021, SCCS/1623/20.
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- 2021
14. Final Opinion on the safety of presence of BPA in clothing articles : Results of the public consultation
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Bernauer, Ulrike, Bodin, Laurent, Chaudhry, Qasim, Coenraads, Pieter J., Dusinska, Maria, Ezendam, Janine, Gaffet, Eric, Galli, Corrado Lodovico, Granum, Berit Brunstad, Panteri, Eirini, Rogiers, Vera, Rousselle, Christophe, Stepnik, Maciej, Vanhaecke, Tamara, Wijnhoven, Susan, Koutsodimou, Aglaia, Uter, Wolfgang, von Götz, Natalie, German Federal Institute for Risk Assessment [Berlin] (BfR), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Scientific Committee for Consumer Safety (SCCS) (SCCS), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), National Institute for Public Health and the Environment [Bilthoven] (RIVM), Institut Jean Lamour (IJL), Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Università degli Studi di Milano = University of Milan (UNIMI), Norwegian Institute of Public Health [Oslo] (NIPH), National and Kapodistrian University of Athens (NKUA), Vrije Universiteit Brussel (VUB), Direction des affaires européennes et internationales (DAEI), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), QSAR lab, General Chemical State Laboratory (GCSL), University Hospital Erlangen = Uniklinikum Erlangen, Swiss Federal Office of Public Health, Scientific Committee for Consumer Safety (European Commission), Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), University of Milan, University-Hospital Erlangen, University of Erlangen-Nuremberg - Universität tsstr. 21-23, 91054 Erlangen DE, and Friedrich-Alexander Universität Erlangen-Nürnberg (FAU)
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[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] - Abstract
International audience; The European Commission and its Scientific Committee on Consumer Safety (SCCS) published the final Opinion on the safety of presence of BPA in clothing articles.A public consultation on the preliminary Opinion on the safety of presence of BPA in clothing articles was open on the website of the Scientific Committees from 16 October to 7 December 2020. Information about the public consultation was broadly communicated to national authorities, international organisations and other stakeholders. The SCCS received 25 comments from six different interested parties.Each comment and reference submitted during this time was carefully considered by the SCCS. Where appropriate, the text of the relevant sections of the Opinion was edited or explanations were added to pertinent comments. The literature list has been updated with relevant publications
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- 2021
15. SCIENTIFIC ADVICE on the safety of nanomaterials in cosmetics (SCCS) - SCCS/1618/2020 – Final Advice - Corrigendum of 8 March 2021
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Bernauer, Ulrike, Bodin, Laurent, Chaudhry, Qasim, Coenraads, Pieter J., Dusinska, Maria, Gaffet, Eric, Panteri, Eirini, Rousselle, Christophe, Stepnik, Maciej, Wijnhoven, Susan, de Jong, Wolfgang, von Götz, Natalie, Bundesinstitut für Risikobewertung - Federal Institute for Risk Assessment (BfR), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Scientific Committee for Consumer Safety (SCCS) (SCCS), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), Institut Jean Lamour (IJL), Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), National and Kapodistrian University of Athens (NKUA), Direction des affaires européennes et internationales (DAEI), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), QSAR lab, National Institute for Public Health and the Environment [Bilthoven] (RIVM), University-Hospital Erlangen, University of Erlangen-Nuremberg - Universität tsstr. 21-23, 91054 Erlangen DE, Friedrich-Alexander Universität Erlangen-Nürnberg (FAU), Swiss Federal Office of Public Health, Scientific Committee for Consumer Safety (SCCS, European Commission), Scientific Committee for Consumer Safety (European Commission), Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), and University Hospital Erlangen = Uniklinikum Erlangen
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Safety Assessment ,Scientific advice ,[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,Cosmetics ,Nanomaterials ,Regulation - Abstract
International audience; The SCCS adopted this Advice by written procedure on 8 January 2021 - Corrigendum of 8 March 2021 The SCCS concludes the following:1. The SCCS is requested to determine the nanomaterials, as published in the recent catalogue of nanomaterials of 2019, for which specific concerns can be identified and justified in order to establish a priority list of nanomaterials for risk assessment (Article 16(4) Reg.1223/2009). More specifically, the SCCS is requested to provide a description of the specific concerns that have been identified for the nanomaterials mentioned above. This process should be based on the currently available scientific literature and SCCS’ expert judgement.*Through a review of the available information and expert judgment, the SCCS has identified certain aspects of nanomaterials that constitute a basis for concern over safety to consumers’ health when used in cosmetic products. These include:• Physicochemical aspects relating to: very small dimensions of the constituent particles; solubility/persistence; chemical nature and toxicity of the nanomaterial; physical/morphological features of the constituent particles; surface chemistry and surface characteristics (surface modifications/coatings);• Exposure aspects relating to: the frequency and the amounts used, whether the number/type of consumer product(s) used is relatively high; and whether there is a potential for systemic exposure of the consumer to nanoparticles and potential accumulation in the body;• Other aspects relating to: novel properties, activity or function, and specific concern arising from the type of application.A detailed account of these aspects has been presented in this Advice. Also, the nanomaterials listed in the EC catalogue of nanomaterials of 2019 have been tabulated in an order of priority according to risk potential in Annex 1 of this Advice.2. For the nanomaterials with inconclusive SCCS opinions, such as [Colloidal Silver (nano) (SCCS/1596/18), Styrene/Acrylates copolymer (nano) + Sodium styrene/Acrylates copolymer (nano) (SCCS/1595/18) and Silica, Hydrated Silica, and Silica Surface Modified with Alkyl Silylates (nano form) (SCCS/1545/15)], the SCCS is requested to assess if a potential risk can be identified according to Article 16(6) Reg. 1223/2009. Such assessment, regardless of the data previously submitted by the respective applicants, should be based on the available scientific literature and SCCS’ expert judgement (i.e. systemic or local availability; harmful effects specifically related to nano-form; surface catalysed reactions in nano-form, absorption (or potential absorption) from dermal and inhalation routes, potential of nano-form to deliver ionic forms, etc.).*The SCCS has reviewed previous inconclusive opinions on three nanomaterials (SCCS/1596/18; SCCS/1595/18 and SCCS/1545/15), in conjunction with any further relevant information available in published literature to identify whether there is a scientific basis for concern over their safety to consumers’ health when used in cosmetic products. The SCCS has identified certain aspects relating to each of the nanomaterials that raise a safety concern. These have been detailed in three separate annexes (2, 3 and 4) to this Advice.
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- 2021
16. SCCS OPINION ON Copper (nano) and Colloidal Copper (nano) - SCCS/1621/20 - Final Opinion
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Bernauer, Ulrike, Bodin, Laurent, Chaudhry, Qasim, Coenraads, Pieter J., Dusinska, Maria, Gaffet, Eric, Panteri, Eirini, Rousselle, Christophe, Stepnik, Maciej, Wijnhoven, Susan, de Jong, Wilhelmus H., von Götz, Natalie, German Federal Institute for Risk Assessment [Berlin] (BfR), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Scientific Committee for Consumer Safety (SCCS) (SCCS), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), Institut Jean Lamour (IJL), Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), National and Kapodistrian University of Athens (NKUA), Direction des affaires européennes et internationales (DAEI), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), QSAR lab, National Institute for Public Health and the Environment [Bilthoven] (RIVM), Swiss Federal Office of Public Health, Scientific Committee for Consumer Safety (European Commission), Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), Scientific Committee for Consumer Safety (SCCS), Publications Office of the European Union, and Gaffet, Eric
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[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,[PHYS.COND.CM-MS] Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] - Abstract
International audience; Copper (nano) and Colloidal Copper (nano)https://ec.europa.eu/health/sites/health/files/scientific_committees/consumer_safety/docs/sccs_o_245.pdfConclusion of the opinion:1. In view of the above, and taking into account the scientific data provided, does the SCCS consider the nanomaterials Copper and Colloidal Copper safe when used in leave-on and rinse-off dermal and oral cosmetic products including: skin, nail and cuticle, hair and scalp and oral hygiene products, at a maximum concentration of 1 % (for both Copper and Colloidal Copper) and with specifications as reported in the attached list, taking into account reasonably foreseeable exposure conditions?The SCCS has considered all the information provided by the Notifiers and is of the opinion that it is not possible to carry out safety assessment of the nanomaterials Copper and Colloidal Copper due to the limited or missing essential information.Much of the information provided on toxicity relates to copper as such, and in the absence of full study reports, it is not possible to determine the relevance of the data for nano-forms of copper under the current evaluation.Adequate information on various aspects both for the nanomaterial characterisation and the toxicological evaluation including experiment performance and experimental data obtained need to be provided (as summarised in Annex I).2. Does the SCCS have any further scientific concerns with regard to the use of Copper and Colloidal Copper in nano form in cosmetic products?The information provided by the Notifiers, and obtained from scientific literature, suggests possible systemic uptake of Cu nanoparticle (and/or ionic Cu), which may lead to accumulation in certain organs - notably the liver and spleen. In addition, the available literature data indicate potential mutagenic/genotoxic and immunotoxic/nephrotoxic effects of copper nanomaterials. These indications raise an alert that warrants further safety evaluation of copper nanomaterials used as cosmetic ingredients. The SCCS concerns for consumer safety in this regard are detailed in Annex II.Annex I provides an overview of the information provided by the Notifiers compared to the data requirements as given in the SCCS checklists for Applicants submitting dossiers on Cosmetic Ingredients to be evaluated by the SCCS (SCCS/1588/17).Keywords:SCCS, scientific opinion, Copper (nano), Colloidal Copper (nano), CAS No 7440-50-8, EC No. 231-159-6, Regulation 1223/2009Opinion to be cited as:SCCS (Scientific Committee on Consumer Safety), Opinion on Copper (nano) and Colloidal Copper (nano), preliminary version of 27-28 October 2020, final version of 5 March 2021, SCCS/1621/2020.
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- 2021
17. SCCS OPINION ON Octocrylene - SCCS/1627/21- Preliminary Opinion
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Bernauer, Ulrike, Bodin, Laurent, Chaudhry, Qasim, Coenraads, Pieter J., Dusinska, Maria, Ezendam, Janine, Gaffet, Eric, Galli, Corrado Lodovico, Granum, Berit Brunstad, Panteri, Eirini, Rogiers, Vera, Rousselle, Christophe, Stepnik, Maciej, Vanhaecke, Tamara, Wijnhoven, Susan, Koutsodimou, Aglaia, Uter, Wolfgang, von Götz, Natalie, German Federal Institute for Risk Assessment [Berlin] (BfR), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Scientific Committee for Consumer Safety (SCCS) (SCCS), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), National Institute for Public Health and the Environment [Bilthoven] (RIVM), Institut Jean Lamour (IJL), Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Università degli Studi di Milano = University of Milan (UNIMI), Norwegian Institute of Public Health [Oslo] (NIPH), National and Kapodistrian University of Athens (NKUA), Vrije Universiteit Brussel (VUB), Direction des affaires européennes et internationales (DAEI), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), QSAR lab, General Chemical State Laboratory (GCSL), University Hospital Erlangen = Uniklinikum Erlangen, Swiss Federal Office of Public Health, Scientific Committee for Consumer Safety (European Commission), Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), University of Milan, University-Hospital Erlangen, University of Erlangen-Nuremberg - Universität tsstr. 21-23, 91054 Erlangen DE, and Friedrich-Alexander Universität Erlangen-Nürnberg (FAU)
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Octocrylene ,SCCS ,Regulation 1223/2009 ,[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,UV-filter ,EC No 228-250-8 ,scientific opinion ,CAS No 6197-30-4 - Abstract
International audience; "SCCS OPINION ON Octocrylene"SCCS/1627/21- Preliminary OpinionU. Bernauer, L. Bodin, Q. Chaudhry, P.J. Coenraads, M. Dusinska, J. Ezendam, E. Gaffet, C. L. Galli, B. Granum, E. Panteri, V. Rogiers, Ch. Rousselle, M. Stepnik, T. Vanhaecke, S. Wijnhoven, A. Koutsodimou, W. Uter, N. von GoetzThe SCCS adopted this document by written procedure on 15 January 2021 (47 Pages)Mise en ligne 18 January 2021https://ec.europa.eu/health/sites/health/files/scientific_committees/consumer_safety/docs/sccs_o_249.pdfSCCS members: U. Bernauer, L. Bodin, Q. Chaudhry (Rapporteur), P.J. Coenraads (Chairperson), M. Dusinska, J. Ezendam, E. Gaffet, C. L. Galli, B. Granum (Rapporteur), E. Panteri, V. Rogiers, Ch. Rousselle, M. Stepnik, T. Vanhaecke, S. WijnhovenSCCS external expert: A. Koutsodimou, W. Uter, N. von Goetz (Rapporteur)Contact: SANTE-C2-SCCS@ec.europa.euOn request from: European CommissionSCCS Number: SCCS/1627/21Adopted on: 15 January 2021Conclusion of the opinion:1. In light of the data provided and taking under consideration the concerns related to potential endocrine disrupting properties of Octocrylene, does the SCCS consider Octocrylene safe when used as a UV-filter in cosmetic products up to a maximum concentration of 10% (as acid)?On the basis of safety assessment, and considering the concerns related to potential endocrine disrupting properties of Octocrylene (CAS No 6197-30-4), the SCCS considers that it is safe at concentrations of up to 10% when used individually or together as a UV-filter in cosmetic products, i.e. in sunscreen cream/lotion, sunscreen pump spray, face cream, hand cream and lipstick.Also, the use of sunscreen propellant spray is considered safe at concentrations of up to 10% when used individually but not safe when used together with face cream, hand cream, and lipstick.2. Alternatively, what is according to the SCCS the maximum concentration considered safe for use of Octocrylene as a UV-filter in cosmetic products?The use of Octocrylene in sunscreen propellant spray is considered safe when its concentration does not exceed 9% when used together with face cream, hand cream and lipstick containing 10% Octocrylene.3. Does the SCCS have any further scientific concerns with regard to the use of Octocrylene in cosmetic products?The SCCS considers that, whilst there are indications from some in vivo studies to suggest that Octocrylene may have endocrine effects, the evidence is not conclusive enough at present to enable deriving a specific endocrine-related toxicological point of departure for use in safety assessment.Contact sensitisation to Octocrylene has been reported, however, taking into consideration the widespread use of Octocrylene in cosmetic products, the number of reported cases of allergic contact dermatitis appears to be negligible.It should be noted that occurrence of photoallergy to Octocrylene is strongly related to a previous photoallergy to topical ketoprofen. Exposure to Octocrylene from other products than those in this Opinion has not been considered.Keywords:SCCS, scientific opinion, Octocrylene, UV-filter, Regulation 1223/2009, CAS No 6197-30-4, EC No 228-250-8Opinion to be cited as:SCCS (Scientific Committee on Consumer Safety), Opinion on Octocrylene (CAS No 6197-30-4, EC No 228-250-8), preliminary version of 15 January 2021, SCCS/1627/21.
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- 2021
18. SCIENTIFIC ADVICE on the safety of nanomaterials in cosmetics - SCCS/1618/2020 Scientific Advice
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Bernauer, Ulrike, Bodin, Laurent, Chaudhry, Qasim, Coenraads, Pieter J., Dusinska, Maria, Gaffet, E., Panteri, Eirini, Rousselle, Christophe, Stepnik, Maciej, Wijnhoven, Susan, de Jong, Wilhelmus H., von Götz, Natalie, German Federal Institute for Risk Assessment [Berlin] (BfR), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), Institut Jean Lamour (IJL), Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), Scientific Committee for Consumer Safety (SCCS) (SCCS), National and Kapodistrian University of Athens (NKUA), Direction des affaires européennes et internationales (DAEI), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), QSAR lab, National Institute for Public Health and the Environment [Bilthoven] (RIVM), Swiss Federal Office of Public Health, Scientific Committee for Consumer Safety (European Commission), and Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS)
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[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] - Abstract
International audience; SCIENTIFIC ADVICE on the safety of nanomaterials in cosmeticsSCCS/1618/2020 Scientific AdviceU. Bernauer, L. Bodin, Q. Chaudhry, P.J. Coenraads, M. Dusinska, E. Gaffet, E. Panteri, C. Rousselle, M. Stepnik, S. Wijnhoven, W.H. de Jong, N. von GötzThe SCCS adopted this document by written procedure on 8 January 2021on line 11 January 2021 (49 pages)https://ec.europa.eu/health/sites/health/files/scientific_committees/consumer_safety/docs/sccs_o_239.pdfWG on Nanomaterials in Cosmetic ProductsSCCS members: U. Bernauer (Chairperson), L. Bodin, Q. Chaudhry (Rapporteur), P.J. Coenraads, M. Dusinska, E. Gaffet, E. Panteri, Ch. Rousselle, M. Stepnik, S. WijnhovenSCHEER member: W.H. de JongSCCS external expert: N. von GoetzContact: SANTE-C2-SCCS@ec.europa.euOn request from: European CommissionSCCS Number: SCCS/1618/20Adopted on: 8 January 2021Conclusion of the opinion:1. The SCCS is requested to determine the nanomaterials, as published in the recent catalogue of nanomaterials of 2019, for which specific concerns can be identified and justified in order to establish a priority list of nanomaterials for risk assessment (Article 16(4) Reg.1223/2009). More specifically, the SCCS is requested to provide a description of the specific concerns that have been identified for the nanomaterials mentioned above. This process should be based on the currently available scientific literature and SCCS’ expert judgement.*Through a review of the available information and expert judgment, the SCCS has identified certain aspects of nanomaterials that constitute a basis for concern over safety to consumers’ health when used in cosmetic products. These include:- Physicochemical aspects relating to: very small dimensions of the constituent particles; solubility/persistence; chemical nature and toxicity of the nanomaterial; physical/morphological features of the constituent particles; surface chemistry and surface characteristics (surface modifications/coatings);- Exposure aspects relating to: the frequency and the amounts used, whether the number/type of consumer product(s) used is relatively high; and whether there is a potential for systemic exposure of the consumer to nanoparticles and potential accumulation in the body;- Other aspects relating to: novel properties, activity or function, and specific concern arising from the type of application.A detailed account of these aspects has been presented in this Advice. Also, the nanomaterials listed in the EC catalogue of nanomaterials of 2019 have been tabulated in an order of priority according to risk potential in Annex 1 of this Advice.2. For the nanomaterials with inconclusive SCCS opinions, such as [Colloidal Silver (nano) (SCCS/1596/18), Styrene/Acrylates copolymer (nano) + Sodium styrene/Acrylates copolymer (nano) (SCCS/1595/18) and Silica, Hydrated Silica, and Silica Surface Modified with Alkyl Silylates (nano form) (SCCS/1545/15)], the SCCS is requested to assess if a potential risk can be identified according to Article 16(6) Reg. 1223/2009. Such assessment, regardless of the data previously submitted by the respective applicants, should be based on the available scientific literature and SCCS’ expert judgement (i.e. systemic or local availability; harmful effects specifically related to nano-form; surface catalysed reactions in nano-form, absorption (or potential absorption) from dermal and inhalation routes, potential of nano-form to deliver ionic forms, etc.).*The SCCS has reviewed previous inconclusive opinions on three nanomaterials (SCCS/1596/18; SCCS/1595/18 and SCCS/1545/15), in conjunction with any further relevant information available in published literature to identify whether there is a scientific basis for concern over their safety to consumers’ health when used in cosmetic products. The SCCS has identified certain aspects relating to each of the nanomaterials that raise a safety concern. These have been detailed in three separate annexes (2, 3 and 4) to this Advice.* In the assessment of the above question and in order to avoid conflicting opinions with other bodies, SCCS is invited to consult SCHEER.________________________________________Keywords:SCCS, scientific advice, safety, nanomaterials, Regulation 1223/2009________________________________________Opinion to be cited as:SCCS (Scientific Committee on Consumer Safety), Scientific advice on the safety of nanomaterials in cosmetics, preliminary version of 6 October 2020, final version of 8 January 2021, SCCS/1618/2020.
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- 2021
19. ADDENDUM to the scientific opinion SCCS/1613/19 on the safety of aluminium in cosmetic products (lipstick) - Submission II - SCCS/1626/20 - Addendum (lipstick) – Final version
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Coenraads, Pieter J., Rogiers, Vera, Chaudhry, Qasim, Bodin, Laurent, Bernauer, Ulrike, Dusinska, Maria, Ezendam, Janine, Gaffet, Eric, Galli , Lodovico Corrado, Granum , Berit Brunstad, Panteri, Eirini, Rousselle, Christophe, Stępnik, Maciej, Vanhaecke, Tamara, Wijnhoven, Susan, Koutsodimou, Aglaia, Uter, Wolfgang, Götz, Natalie von, Gaffet, Eric, Scientific Committee for Consumer Safety (European Commission), University Medical Center Groningen [Groningen] (UMCG), Vrije Universiteit Brussel (VUB), University of Chester, Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Scientific Committee for Consumer Safety (SCCS) (SCCS), German Federal Institute for Risk Assessment [Berlin] (BfR), Norwegian Institute for Air Research (NILU), National Institute for Public Health and the Environment [Bilthoven] (RIVM), Institut Jean Lamour (IJL), Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Università degli Studi di Milano = University of Milan (UNIMI), Norwegian Institute of Public Health [Oslo] (NIPH), National and Kapodistrian University of Athens (NKUA), Direction des affaires européennes et internationales (DAEI), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), QSAR lab, General Chemical State Laboratory (GCSL), University Hospital Erlangen = Uniklinikum Erlangen, Swiss Federal Office of Public Health, Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), University of Milan, University-Hospital Erlangen, University of Erlangen-Nuremberg - Universität tsstr. 21-23, 91054 Erlangen DE, and Friedrich-Alexander Universität Erlangen-Nürnberg (FAU)
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Lipstick ,[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,Aluminium ,Scientific opinion ,[PHYS.COND.CM-MS] Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] - Abstract
International audience; Conclusion of the opinion:1. In light of the new data provided, does the SCCS consider Aluminium safe when used in lipsticks up to a maximum concentration of 14%? In the event that the estimated exposure to Aluminium from lipsticks of cosmetic products is found to be of concern, SCCS is asked to recommend safe concentration limits.In the light of the new data provided, the SCCS considers that the use of aluminium compounds is safe at the following equivalent aluminium concentrations up to:· 6.25% in non-spray deodorants or non-spray antiperspirants·10.60% in spray deodorants or spray antiperspirants·2.65% in toothpaste and·14% in lipstick2. Does the SCCS have any further scientific concerns regarding the use of Aluminium substances in cosmetic products taking into account the newly submitted information on aggregate exposure from cosmetics?The SCCS considers that the systemic exposure to aluminium via daily applications of cosmetic products does not add significantly to the systemic body burden of aluminium from other sources. Exposure to aluminium may also occur from sources other than cosmetic products, and a major source of aluminium in the population is the diet. This assessment has not taken into account the daily dietary intake of aluminium.Keywords:SCCS, scientific opinion, aluminium, addendum, lipstick, Regulation 1223/2009Opinion to be cited as:SCCS (Scientific Committee on Consumer Safety), Addendum to the scientific opinion SCCS/1613/19 on the safety of aluminium in cosmetic products - Submission II, preliminary version of 15 December 2020, final version of 30-31 March 2021, SCCS/1626/20.
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- 2021
20. SCCS SCIENTIFIC ADVICE ON on the threshold for the warning ‘contains formaldehyde’ in Annex V, preamble point 2 for formaldehyde-releasing substances - SCCS/1632/21– Scientific advice
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Bernauer, Ulrike, Bodin, Laurent, Chaudhry, Qasim, Coenraads, Pieter J., Dusinska, Maria, Ezendam, Janine, Gaffet, Eric, Galli, Corrado Lodovico, Granum, Berit Brunstad, Panteri, Eirini, Rogiers, Vera, Rousselle, Christophe, Stepnik, Maciej, Vanhaecke, Tamara, von Götz, Natalie, Wijnhoven, Susan, Koutsodimou, Aglaia, Uter, Wolfgang, Gaffet, Eric, Scientific Committee for Consumer Safety (European Commission), German Federal Institute for Risk Assessment [Berlin] (BfR), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Scientific Committee for Consumer Safety (SCCS) (SCCS), University of Chester, University Medical Center Groningen [Groningen] (UMCG), Norwegian Institute for Air Research (NILU), National Institute for Public Health and the Environment [Bilthoven] (RIVM), Institut Jean Lamour (IJL), Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Università degli Studi di Milano = University of Milan (UNIMI), Norwegian Institute of Public Health [Oslo] (NIPH), National and Kapodistrian University of Athens (NKUA), Vrije Universiteit Brussel (VUB), Direction des affaires européennes et internationales (DAEI), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), QSAR lab, Swiss Federal Office of Public Health, General Chemical State Laboratory (GCSL), University Hospital Erlangen = Uniklinikum Erlangen, Scientific Committee for Consumer Safety (SCCS), Publications Office of the European Union, Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), University of Milan, University-Hospital Erlangen, University of Erlangen-Nuremberg - Universität tsstr. 21-23, 91054 Erlangen DE, and Friedrich-Alexander Universität Erlangen-Nürnberg (FAU)
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SCCS ,Regulation 1223/2009 ,Formaldehyde ,CAS No. 50-00-0 ,SCCS/1632/21 ,[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,EC No. 200-001-8 ,scientific advice ,[PHYS.COND.CM-MS] Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] - Abstract
International audience; SCCS SCIENTIFIC ADVICE ON on the threshold for the warning ‘contains formaldehyde’ in Annex V, preamble point 2 for formaldehyde-releasing substances - SCCS/1632/21– Scientific adviceU. Bernauer, L. Bodin, Q. Chaudhry, P.J. Coenraads, M. Dusinska, J. Ezendam, E. Gaffet, C. L. Galli, B. Granum, E. Panteri, V. Rogiers, Ch. Rousselle, M. Stepnik, T. Vanhaecke, N. von Götz, S. Wijnhoven, A. Koutsodimou, W. UterThe SCCS adopted this document by written procedure on 7 May 2021 (12 Pages)Mise en ligne 10 Mai 2021 https://ec.europa.eu/health/sites/default/files/scientific_committees/consumer_safety/docs/sccs_o_254.pdfOn request from: European CommissionSCCS Number: SCCS/1632/21Adopted on: 7 May 2021Conclusion of the opinion:1. In light of the data provided and taking under consideration the available scientific literature, does the SCCS consider the 0.05% threshold for labelling formaldehyde releasing substances adequate to protect consumers?The SCCS considers that the present threshold does not sufficiently protect consumers sensitised to formaldehyde from exposure to free formaldehyde from formaldehyde releasers.2. Does the SCCS consider necessary to change the 0.05% threshold and at which level?Reducing the present threshold by a factor of 50, that is, to 0.001% (10 ppm), will protect the vast majority of consumers sensitised to formaldehyde. This threshold applies to the total free formaldehyde irrespective of whether a product contains one or more formaldehyde releaser(s).Keywords:SCCS, scientific advice, formaldehyde, Regulation 1223/2009, CAS No. 50-00-0, EC No. 200-001-8, SCCS/1632/21Opinion to be cited as:SCCS (Scientific Committee on Consumer Safety), Scientific advice on the threshold for the warning ‘contains formaldehyde’ in Annex V, preamble point 2 for formaldehyde-releasing substances, final version of 7 May 2021, SCCS/1632/21.
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- 2021
21. The way forward for assessing the human health safety of cosmetics in the EU workshop proceedings
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Petra S. Kern, Kirstin Kosemund-Meynen, Maciej Stępnik, Christophe Rousselle, Natalie von Goetz, Janine Ezendam, Gladys Ouedraogo, Ulrike Bernauer, Emilio Benfenati, Mark T. D. Cronin, Carsten Goebel, Qasim Chaudhry, Paul L. Carmichael, Eric Gaffet, Pieter Jan Coenraads, Heli M. Hollnagel, Laurent Bodin, Berit Granum, Corrado L. Galli, Andrew Worth, Vera Rogiers, Matthew P. Dent, Maria Dusinska, Tamara Vanhaecke, Eirini Panteri, Corie A. Ellison, Pharmaceutical and Pharmacological Sciences, Connexin Signalling Research Group, Experimental in vitro toxicology and dermato-cosmetology, Vriendenkring VUB, Institut Jean Lamour (IJL), Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), Scientific Committee for Consumer Safety (European Commission) (SCCS), Scientific Committee for Consumer Safety (SCCS) (SCCS), Vrije Universiteit Brussel (VUB), Mario Negri Institute- IRCCS, Bundesinstitut für Risikobewertung - Federal Institute for Risk Assessment (BfR), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Unilever-Safety & Environmental Assurance Centre, Unilever, University of Chester, University Medical Center Groningen [Groningen] (UMCG), Liverpool John Moores University (LJMU), Norsk Institutt for Luftforskning (NILU), Procter & Gamble (P&G), National Institute for Public Health and the Environment [Bilthoven] (RIVM), Université de Lorraine (UL)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS), University of Milan, Norwegian Institute of Public Health [Oslo] (NIPH), Dow Europe GmbH, L'Oréal Recherche France (L'Oréal Recherche), L'OREAL, National and Kapodistrian University of Athens (NKUA), Direction de l'Evaluation des Risques (DER), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), Nofer Institute of Occupational Medicine (NIOM), Swiss Federal Office of Public Health, European Commission - Joint Research Centre [Ispra] (JRC), Centre National de la Recherche Scientifique (CNRS)-Université de Lorraine (UL), Institut de Chimie du CNRS (INC)-Université de Lorraine (UL)-Centre National de la Recherche Scientifique (CNRS), and Università degli Studi di Milano = University of Milan (UNIMI)
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0301 basic medicine ,READ-ACROSS ,Next generation risk assessment ,media_common.quotation_subject ,MESH: Consumer Product Safety ,Context (language use) ,UNCERTAINTY ,SUBSTANCES ,Cosmetics ,Hazard analysis ,Toxicology ,RS ,THRESHOLD ,03 medical and health sciences ,Human health ,0302 clinical medicine ,TOXICOLOGICAL CONCERN VALUES ,Product (category theory) ,EXPOSURE ,Animal testing alternatives ,ComputingMilieux_MISCELLANEOUS ,media_common ,Alternative methods ,RISK ,CONCERN TTC ,IDENTIFICATION ,Animal-Free method ,Replacement method ,MESH: Cosmetics ,DEVELOPMENTAL TOXICITY ,030104 developmental biology ,Risk analysis (engineering) ,New approach methodology ,Safety assessment ,Animal Testing Alternative ,Alternative method ,Cosmetic Products ,[PHYS.COND.CM-MS]Physics [physics]/Condensed Matter [cond-mat]/Materials Science [cond-mat.mtrl-sci] ,Risk assessement ,Business ,Risk assessment ,030217 neurology & neurosurgery - Abstract
International audience; Although the need for non-animal alternatives has been well recognised for the human health hazard assessment of chemicals in general, it has become especially pressing for cosmetic ingredients due to the full implementation of testing and marketing bans on animal testing under the European Cosmetics Regulation. This means that for the safety assessment of cosmetics, the necessary safety data for both the ingredients and the finished product can be drawn from validated (or scientifically-valid), so-called "Replacement methods". In view of the challenges for safety assessment without recourse to animal test data, the Methodology Working Group of the Scientific Committee on Consumer Safety organised a workshop in February 2019 to discuss the key issues in regard to the use of animal-free alternative methods for the safety evaluation of cosmetic ingredients. This perspective article summarises the outcomes of this workshop and reflects on the state-of-the-art and possible way forward for the safety assessment of cosmetic ingredients for which no experimental animal data exist. The use and optimisation of "New Approach Methodology" that could be useful tools in the context of the "Next Generation Risk Assessment" and the strategic framework for safety assessment of cosmetics were discussed in depth.
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- 2020
22. Personal profile of medical students selected through a knowledge-based exam only: are we missing suitable students?
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Anne Baroffio, Milena Abbiati, Margaret W. Gerbase, Dr. K.D. Hänsgen, Dr. B. Cerutti, Dr. M.P. Gustin-Paultre, and Swiss Federal Office of Public Health
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Male ,Coping (psychology) ,Students, Medical ,020205 medical informatics ,assessment ,02 engineering and technology ,0302 clinical medicine ,Adaptation, Psychological ,0202 electrical engineering, electronic engineering, information engineering ,School Admission Criteria ,030212 general & internal medicine ,Big Five personality traits ,media_common ,profile ,lcsh:LC8-6691 ,lcsh:R5-920 ,General Medicine ,Selection, Profile, Medical students, Undergraduate, Personal characteristics, Assessment ,Female ,Profile ,Psychology ,lcsh:Medicine (General) ,Research Article ,Education, Medical, Undergraduate ,Personality ,Personal characteristics ,Adult ,Adolescent ,media_common.quotation_subject ,education ,selection ,Empathy ,medical students ,Assessment ,Education ,Neglect ,Young Adult ,03 medical and health sciences ,personal characteristics ,ddc:610/370 ,Humans ,Learning ,Selection ,Undergraduate ,Motivation ,Medical education ,undergraduate ,lcsh:Special aspects of education ,Conscientiousness ,Medical students ,College Admission Test ,Socioeconomic Factors ,Citation ,Cognitive load - Abstract
Introduction : A consistent body of literature highlights the importance of a broader approach to select medical school candidates both assessing cognitive capacity and individual characteristics. However, selection in a great number of medical schools worldwide is still based on knowledge exams, a procedure that might neglect students with needed personal characteristics for future medical practice. We investigated whether the personal profile of students selected through a knowledge-based exam differed from those not selected. Methods : Students applying for medical school ( N =311) completed questionnaires assessing motivations for becoming a doctor, learning approaches, personality traits, empathy, and coping styles. Selection was based on the results of MCQ tests. Principal component analysis was used to draw a profile of the students. Differences between selected and non-selected students were examined by Multivariate ANOVAs, and their impact on selection by logistic regression analysis. Results : Students demonstrating a profile of diligence with higher conscientiousness, deep learning approach, and task-focused coping were more frequently selected ( p =0.01). Other personal characteristics such as motivation, sociability, and empathy did not significantly differ, comparing selected and non-selected students. Conclusion : Selection through a knowledge-based exam privileged diligent students. It did neither advantage nor preclude candidates with a more humane profile. Keywords: selection; profile; medical students; undergraduate; personal characteristics; assessment (Published: 12 April 2016) Citation: Med Educ Online 2016, 21: 29705 - http://dx.doi.org/10.3402/meo.v21.29705
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- 2016
23. NERIS: European platform on preparedness for nuclear and radiological emergency response and recovery - Activities and perspectives
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G. Heriard-Dubreuil, S. Lafage, Deborah Oughton, F. Hardeman, Wolfgang Raskob, J. Bardelay, T. Schneider, C. Murith, T. Duranova, Eduardo Gallego, F. Gering, Centre d’étude sur l’Evaluation de la Protection dans le domaine Nucléaire (CEPN), Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Federal Office for Radiation Protection (BfS), Centre d'Etude de l'Energie Nucléaire (SCK-CEN), MUTADIS, Swiss Federal Office of Public Health, Norwegian University of Life Sciences (NMBU), and Karlsruher Institut für Technologie (KIT)
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Strategic research agendas ,Process management ,Health, Toxicology and Mutagenesis ,[SDV]Life Sciences [q-bio] ,030218 nuclear medicine & medical imaging ,Technical expertise ,03 medical and health sciences ,0302 clinical medicine ,Recovery ,Strategic research ,Research needs ,Safety, Risk, Reliability and Quality ,Waste Management and Disposal ,Further development ,Technology transfer ,Emergency and recovery preparedness ,Renewable Energy, Sustainability and the Environment ,Public Health, Environmental and Occupational Health ,Radiological emergency ,Emergency response ,Nuclear Energy and Engineering ,030220 oncology & carcinogenesis ,Radiological weapon ,Preparedness ,NERIS platform ,Business ,European Platform ,Decision making - Abstract
Created in 2010, the aim of the NERIS platform is to establish a forum for dialogue and methodological development among all organisations and associations taking part in decision-making of protective actions in nuclear and radiological emergencies and recovery in Europe. The objectives of the platform are to contribute to improving the effectiveness of current approaches for preparedness, promoting more coherent approaches, identifying gaps and need for further developments, addressing new and emerging challenges, and maintaining and improving know-how and technical expertise in this field. This paper describes the missions, the organisation and the activities of the platform as well as the key components of its strategic research agenda. © EDP Sciences 2016.
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- 2016
24. Overview of the PREPARE WP3: management of contaminated goods in post-accidental situation – Synthesis of European stakeholders' panels
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Charron, S., Lafage, S., Van Asselt, E., Baptista, M., Van Bourgondiën, M., Brandhoff, P., Cabianca, T., Camps, J., Cessac, B., Crouail, P., Durand, V., Gallego, E., Gil, O., Holmes, S., Hourdakis, C., Jones, K., Kamenopoulou, V., Lecomte, J.F., Liland, A., Lopes, I., Madruga, M.J., Martins, J.O., McMahon, C., Montero, M., Murith, C., Olyslaegers, G., Organo, C., Paiva, I., Peltonen, T., Portugal, L., Potiriadis, C., Prades, A., Reis, M., Rossignol, N., Schneider, T., Sala, R., Smith, V., Tafili, V., Teles, P., Tomkiv, Y., Trueba, C., Turcanu, C., Turtiainen, T., Twenhöfel, C., Vaz, P., Duranova, Tatiana, Raskob, Wolfgang, Schneider, Thierry, Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Centre d’étude sur l’Evaluation de la Protection dans le domaine Nucléaire (CEPN), RIKILT, Wageningen University and Research [Wageningen] (WUR), Public Health England [London], Centre d'Etude de l'Energie Nucléaire (SCK-CEN), Universidad Politécnica de Madrid (UPM), Greek Atomic Energy Commission, Norwegian Radiation Protection Authority, AGENCIA PORTUGUESA DO AMBIENTE PRT, Partenaires IRSTEA, Institut national de recherche en sciences et technologies pour l'environnement et l'agriculture (IRSTEA)-Institut national de recherche en sciences et technologies pour l'environnement et l'agriculture (IRSTEA), ENVIRONMENTAL PROTECTION AGENCY DUBLIN IRL, Centro de Investigaciones Energéticas Medioambientales y Tecnológicas [Madrid] (CIEMAT), Swiss Federal Office of Public Health, Radiation and Nuclear Safety Authority [Helsinki] (STUK), Norwegian University of Life Sciences (NMBU), and National Institute for Public Health and the Environment [Bilthoven] (RIVM)
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Operations research ,Contaminated product ,Novel Foods & Agrochains ,European research project ,BU Toxicologie ,Health, Toxicology and Mutagenesis ,[SDV]Life Sciences [q-bio] ,BU Contaminanten & Toxines ,Commission ,Novel Foods & Agroketens ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,BU Contaminants & Toxins ,0302 clinical medicine ,Contamination ,Potable water ,Activity concentration ,media_common.cataloged_instance ,BU Toxicology, Novel Foods & Agrochains ,European union ,Marketing ,Safety, Risk, Reliability and Quality ,Waste Management and Disposal ,Fukushima accidents ,media_common ,Economic and social effects ,Renewable Energy, Sustainability and the Environment ,European research ,BU Toxicology ,Public Health, Environmental and Occupational Health ,Stakeholder ,Nuclear post-accidental situations preparedness modalities ,Contaminated goods management ,Severe nuclear accident ,Nuclear Energy and Engineering ,Work (electrical) ,BU Toxicologie, Novel Foods & Agroketens ,030220 oncology & carcinogenesis ,Accidental ,Accidents ,European Countries ,Business ,Nuclear reactor accidents ,Stakeholders expectations - Abstract
Recommendations and requirements for the management of foodstuffs including drinking water and feedstuffs (but not other commodities) contaminated after a nuclear accident or a radiological event have been developed by international bodies such as Codex Alimentarius Commission or European Union as well as by individual countries. However, the experience from severe nuclear accidents (Chernobyl, Fukushima) and less serious radiological events, shows that the implementation of such systems (based on criteria expressed in activity concentration) seems to be not fully suitable to prevent several difficulties such as, for instance, stigmatization and even rejection attitudes from consumers or retailers (anticipating the fears of consumers). To further investigate the possible strategies and stakeholder expectations to deal with this sensitive issue, a study has been launched within the European research project PREPARE-WP3. The overall objective of this work, coordinated is to contribute to the development of strategies, guidance and tools for the management of the contaminated products, taking into account the views of producers, processing and retail industries and consumers. For this purpose, 10 stakeholder panels from different European countries have been set up. In addition, feedback experience from the management of contaminated goods following the Fukushima accident has been provided by Japanese stakeholders. This paper highlights the key topics tackled by the different European stakeholders' panels. © EDP Sciences 2016.
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- 2016
25. Variation in airborne $^{137}$Cs peak levels with altitude from high-altitude locations across Europe after the arrival of Fukushima-labeled air masses
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Masson, Olivier, Bieringer, Jacqueline, Dalheimer, Axel, Estier, Sybille, Evrard, O., Penev, Ilia, Ringer, Wolfgang, Schlosser, Clemens, Steinkopff, Thomas, Tositti, Laura, Vismes-Ott, Anne, Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Bundesamt für Strahlenschutz (BfS), Deutscher Wetterdienst [Offenbach] (DWD), Swiss Federal Office of Public Health, Laboratoire des Sciences du Climat et de l'Environnement [Gif-sur-Yvette] (LSCE), Institut national des sciences de l'Univers (INSU - CNRS)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Géochimie Des Impacts (GEDI), Institut national des sciences de l'Univers (INSU - CNRS)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Institut national des sciences de l'Univers (INSU - CNRS)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Institute For Nuclear Research and Nuclear Energy (INRNE), Bulgarian Academy of Sciences (BAS), Austrian Agency for Health and Food Safety (AGES), Alma Mater Studiorum Università di Bologna [Bologna] (UNIBO), Bundesamt für Strahlenschutz - Federal Office for Radiation Protection (BfS), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Institut national des sciences de l'Univers (INSU - CNRS)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS), and Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Institut national des sciences de l'Univers (INSU - CNRS)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Institut national des sciences de l'Univers (INSU - CNRS)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS)
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[SDU.OCEAN]Sciences of the Universe [physics]/Ocean, Atmosphere ,[SDE]Environmental Sciences - Abstract
International audience; During the Fukushima Daiichi nuclear power plant (FDNPP) accident, a dozen of high-altitude aerosol sampling stations, located between 850 and 3,454 m above sea level (a.s.l.), provided airborne activity levels across Europe (Fig. 1). This represents at most 5% of the total number of aerosol sampling locations that delivered airborne activity levels (at least one result) in Europe, in connection with this nuclear accident. High altitude stations are typically equipped with a high volume sampler that collects aerosols on filters. The Fukushima-labeled air mass arrival and the peak of airborne cesium-137 (137Cs) activity levels were registered in Europe at different dates depending on the location, with differences up to a factor of six on a regional scale. Besides this statement related to lowland areas, we have compared the maximum airborne levels registered at high-altitude European locations (850 m < altitudes < 3450 m) with what was observed at the closest lowland location. The vertical distribution of 137Cs peak level was not uniform even after a long travel time/distance from Japan. This being true at least in the atmospheric boundary layer and in the lower free troposphere. Moreover the relation '137Csmax vs. altitude' shows a decreasing trend (Fig. 2).
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- 2015
26. Field evaluation of a dog owner, participation-based, bait delivery system for the oral immunization of dogs against rabies in Tunisia
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Hans C. Matter, S. Ben Youssef, L. Mrabet, Michel Aubert, F. X. Meslin, Jemaa Jemli, C.L. Schumacher, Salah Hammami, Habib Kharmachi, M. Gharbi, K. El Hicheri, Institut de Recherche Vétérinaire de Tunisie (IRVT), Swiss Federal Office of Public Health, Laboratoires VIRBAC [Carros], Institut Pasteur de Tunis, Réseau International des Instituts Pasteur (RIIP), École Nationale de Médecine Vétérinaire de Sidi Thabet, Ministère de l’Agriculture, des Ressources Hydrauliques et de la Pêche Maritime [Tunisie], Laboratoire d'études et de recherches sur la rage et la pathologie des animaux sauvages, Agence Française de Sécurité Sanitaire des Aliments (AFSSA), Organisation Mondiale de la Santé / World Health Organization Office (OMS / WHO), This work was partially supported by the Arab Gulf Program for the United Nations Development Organizations (AGFUND), through WHO, and We thank the local authorities of Chorfech, Sidi Thabet, and Borj Annour, especially M. El Hedi Ben Farhat (Delegue of Sidi Thabet), K. Arfaoui (Omda of Chorfech), and Dr. M. Gharbi (Chief Veterinarian at the Circonscription of Sidi Thabet) for supporting this study. We also thank the Director and the staff of the Veterinary Medical School in Sidi Thabet, the staff of the Circonscription of Sidi Thabet, as well as the inhabitants of Chorfech I, Hey Fatouma Bourguiba, Chorfech 24, Saletes, and Borj Annour for hospitality, help, and assistance during the field trials. We gratefully acknowledge the technical assistance of WHO. Thanks are also due Dr. A. Aubert (VIRBAC, France) for supplying the baits, and to the staff of the Institute of Veterinary Research in Tunisia for help and assistance during the field trials
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Male ,Veterinary medicine ,Administration, Oral ,MESH: World Health Organization ,MESH: Dogs ,0403 veterinary science ,Household survey ,0302 clinical medicine ,Medicine ,MESH: Animals ,Dog Diseases ,2. Zero hunger ,education.field_of_study ,Sulfadimethoxine ,Vaccination ,MESH: Rabies Vaccines ,food and beverages ,04 agricultural and veterinary sciences ,3. Good health ,Mass immunization ,Oral immunization ,Infectious Diseases ,Evaluation Studies as Topic ,MESH: Administration, Oral ,[SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology ,MESH: Evaluation Studies as Topic ,Costs and Cost Analysis ,Female ,Delivery system ,MESH: Tunisia ,Dog owners ,geographic locations ,Tunisia ,Rabies ,040301 veterinary sciences ,MESH: Dog Diseases ,030231 tropical medicine ,Population ,MESH: Ownership ,macromolecular substances ,World Health Organization ,MESH: Costs and Cost Analysis ,MESH: Sulfadimethoxine ,03 medical and health sciences ,MESH: Rabies ,Dogs ,Virology ,parasitic diseases ,Animals ,Humans ,education ,MESH: Humans ,business.industry ,Ownership ,MESH: Vaccination ,medicine.disease ,MESH: Male ,Rabies Vaccines ,MESH: Biomarkers ,Proper treatment ,Parasitology ,business ,MESH: Female ,human activities ,Biomarkers - Abstract
International audience; We evaluated a dog owner, participation-based, bait delivery system for the oral immunization of dogs against rabies. In a field study in a semirural area of northern Tunisia, dog owners were asked to come to temporary bait delivery sites. A total of 314 baits were given to 178 dog owners in four sites. The experimental baits used consisted of a freeze-dried core unit containing sulfadimethoxine (SDM) as a biological marker and an aromatized paraffin envelope. No vaccine was used. Preliminary tests had shown that by using a rapid commercial card test, positive SDM serum levels were detected in more than 95% of dogs up to two days after bait ingestion. During the two days following bait delivery, we visited more than 95% of all households in the study area and took blood samples from as many owned dogs as possible. Unconsumed baits were recovered and human contacts with the bait matrix were recorded. The campaign required 7.6 person-min per bait and 13.5 person-min per dog owner for providing baits, gloves, and instructions. The estimated average cost effectiveness ratio per dog accepting a bait was 1.7 US dollars. From the indications given by the dog owners and the results of the SDM test, it was concluded that 85-90% of the owned dogs in the study area had consumed a bait at least partially. Of 314 baits delivered, 78.7% were fully consumed by dogs and 4.1% were recovered during the household survey. The remaining baits (17.2%) that were not recovered were either not consumed or only partially consumed by the target dogs (3.7 baits per 100 inhabitants). These baits probably remained within the highly populated areas and were potentially accessible to other domestic animals and other nontarget species, including humans. Twenty-five unprotected human contacts with baits were recorded (1.7% of all inhabitants). Our study has demonstrated the potential of dog owner based bait delivery. This technique is simple and efficient, particularly if the human population is accustomed to mass immunization in defined centers. Before applying this method on a large scale with live vaccine loaded baits, further studies should focus on minimizing the number of human contacts with the vaccine bait, systematizing contact identification and establishing structures in ensuring proper treatment if exposure to vaccine should occur.
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- 1998
27. Tracking of airborne radionuclides from the damaged Fukushima Dai-ichi nuclear reactors by European networks
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M. Manolopoulou, J. Bieringer, M. Kettunen, Ó. Halldórsson, Stylianos Stoulos, S. E. Pálsson, Ilia Penev, P.J.M. Kwakman, Philipp Steinmann, Olivier Masson, Fernando P. Carvalho, A. Ugron, Flavia Groppi, Luigi Gini, Simone Manenti, G. Depuydt, B. V. Silobritiene, Jerzy W. Mietelski, K. Isajenko, H. Wershofen, K. Gudnason, E. Vagena, A. Dalheimer, C. Söderström, Clemens Schlosser, Zs. Homoki, M. Reis, N. Tooloutalaie, C. Mc Mahon, Kamil Brudecki, G. Lujaniene, M. Lecomte, Antonio Baeza, K. Holeý, A.-P. Leppänen, Dragana Todorović, B. Lind, Pavel P. Povinec, M. Sonck, Henrik Ramebäck, Sven Poul Nielsen, B. Møller, Thomas Steinkopff, Dieter Hainz, P. Mc Ginnity, P. R. J. Saey, L.-E. De Geer, O. Connan, W. Ringer, Christian Katzlberger, Marija M. Janković, Georg Steinhauser, Damien Didier, Luc Solier, C. Papastefanou, L. León Vintró, Rodolfo Gurriaran, I. Sýkora, D. Hammond, R. Kontro, A. de Vismes, G. Sgorbati, Petr Rulík, Renata Kierepko, M.K. Pham, S. Bucci, Alexander Mauring, Alexandra Ioannidou, Jelena Krneta Nikolić, J. Tschiersch, R. Sogni, V. Samsonov, O. Zhukova, A. Mattila, Alicia Rodríguez, Ronaldus Martinus Wilhelmus Overwater, O. Hanley, Arturo Vargas, Laura Tositti, Helena Malá, M. Cappai, C. Cosma, Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Bundesamt für Strahlenschutz (BfS), Henryk Niewodniczanski Institute of Nuclear Physics PAN, Instituto Tecnológico e Nuclear, Instituto Superior Técnico, Universidade Técnica de Lisboa (IST), Laboratoire de Radioécologie de Cherbourg-Octeville (LRC), Babes-Bolyai University [Cluj-Napoca] (UBB), Deutscher Wetterdienst [Offenbach] (DWD), Swedish Defence Research Agency [Stockholm] (FOI), Centre for Radiation, Chemical and Environmental Hazards, Public Health England [London], Department of Nuclear Physics and Biophysics, Comenius University in Bratislava, Aristotle University of Thessaloniki, University College Dublin [Dublin] (UCD), National Radiation Protection Institute (NRPI/SURO), Radiation and Nuclear Safety Authority [Helsinki] (STUK), Institute for Nuclear Research and Nuclear Energy (INRNE), Académie des sciences de Bulgarie, Swiss Federal Office of Public Health, University of Bologna, Universitat Politècnica de Catalunya [Barcelona] (UPC), O. Masson, A. Baeza, J. Bieringer, K. Brudecki, S. Bucci, M. Cappai, F.P. Carvalho, O. Connan, C. Cosma, A. Dalheimer, D. Didier, G. Depuydt, L.E. De Geer, A. De Visme, L. Gini, F. Groppi, K. Gudnason, R. Gurriaran, D. Hainz, Ó. Halldórsson, D. Hammond○, O. Hanley, K. Holeý, Zs. Homoki, A. Ioannidou, K. Isajenko, M. Jankovic, C. Katzlberger, M. Kettunen, R. Kierepko, R. Kontro, P.J.M. Kwakman, M. Lecomte, L. Leon Vintro, A.-P. Leppänen, B. Lind, G. Lujaniene, P. Mc Ginnity, C. Mc Mahon, H. Malá, S. Manenti, M. Manolopoulou, A. Mattila, A. Mauring, J.W. Mietelski, B. Møller, S.P. Nielsen, J. Nikoliκ, R.M.W. Overwater, S. E. Pálsson, Papastefanou, I. Penev, M.K. Pham, P.P. Povinec, H. Ramebäck, M.C. Rei, W. Ringer, A. Rodriguez, P. Rulík, P.R.J. Saey, V. Samsonov, C. Shlosser, G. Sgorbati, B. V. Silobritiene, C. Söderström, R. Sogni, L. Solier, M. Sonk, G. Steinhauser, T. Steinkopff, P. Steinmann, S. Stoulo, I. Sýkora, D. Todorovic, N. Tooloutalaie, L. Tositti, J. Tshiersh, A. Ugron, E. Vagena, A. Varga, H. Wershofen, and and O. Zhukova
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010504 meteorology & atmospheric sciences ,Meteorology ,FUKUSHIMA ,Induced radioactivity ,010501 environmental sciences ,Atmospheric sciences ,7. Clean energy ,01 natural sciences ,law.invention ,Atmosphere ,Iodine Radioisotopes ,Washout (aeronautics) ,RADIOCONTAMINATION ,Japan ,law ,Radiation Monitoring ,Nuclear power plant ,Environmental Chemistry ,0105 earth and related environmental sciences ,Radionuclide ,General Chemistry ,Particulates ,Europe ,PLUME ,13. Climate action ,Air Pollutants, Radioactive ,Cesium Radioisotopes ,Nuclear Power Plants ,[SDE]Environmental Sciences ,ARTIFICIAL RADIOACTIVITY ,Environmental science ,Radiation monitoring ,Contaminated air ,Radioactive Hazard Release - Abstract
Radioactive emissions into the atmosphere from the damaged reactors of the Fukushima Dai-ichi nuclear power plant (NPP) started on March 12th, 2011. Among the various radionuclides released, iodine-131 ( 131I) and cesium isotopes ( 137Cs and 134Cs) were transported across the Pacific toward the North American continent and reached Europe despite dispersion and washout along the route of the contaminated air masses. In Europe, the first signs of the releases were detected 7 days later while the first peak of activity level was observed between March 28th and March 30th. Time variations over a 20-day period and spatial variations across more than 150 sampling locations in Europe made it possible to characterize the contaminated air masses. After the Chernobyl accident, only a few measurements of the gaseous 131I fraction were conducted compared to the number of measurements for the particulate fraction. Several studies had already pointed out the importance of the gaseous 131I and the large underestimation of the total 131I airborne activity level, and subsequent calculations of inhalation dose, if neglected. The measurements made across Europe following the releases from the Fukushima NPP reactors have provided a significant amount of new data on the ratio of the gaseous 131I fraction to total 131I, both on a spatial scale and its temporal variation. It can be pointed out that during the Fukushima event, the 134Cs to 137Cs ratio proved to be different from that observed after the Chernobyl accident. The data set provided in this paper is the most comprehensive survey of the main relevant airborne radionuclides from the Fukushima reactors, measured across Europe. A rough estimate of the total 131I inventory that has passed over Europe during this period was \textless1% of the released amount. According to the measurements, airborne activity levels remain of no concern for public health in Europe. © 2011 American Chemical Society.
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- 2011
28. Guidance document from the European Network of GMO Laboratories (ENGL): Overview on the detection, interpretation and reporting on the presence of unauthorised genetically modified materials
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Holst-Jensen, Arne, Bertheau, Yves, Alnutt, Theo, Broll, Hermann, De Loose, Marc, Grohmann, Lutz, Henry, Christine, Hougs, Lotte, Moens, William, Morisset, Dany, Ovesna, Jaroslava, Pecoraro, Sven, Pla, Maria, Prins, Theo, Suter, Daniel, Zhang, David, Van den Bulcke, Marc, Plan, Damien, Van den Eede, Guy, National Veterinary Institute, Département Santé des Plantes et Environnement (DPT SPE), Institut National de la Recherche Agronomique (INRA), Central Science Laboratory, Bundesinstitut für Risikobewertung - Federal Institute for Risk Assessment (BfR), Research Institute for Agricultural, Fisheries and Food (ILVO), Federal Office of Consumer Protection and Food Safety, Danish Plant Directorate, Partenaires INRAE, European Commission, National Institute of Biology [Ljubljana] (NIB), Crop research institute, Bavarian Health and Food Safety Authority [Oberschleißheim, Germany], Consejo Superior de Investigaciones Científicas [Madrid] (CSIC), Wageningen University and Research Centre (WUR), Swiss Federal Office of Public Health, Unité expérimentale du GEVES du Magneraud, Institute for Health and Consumer Protection of the JRC (JRC / IHCP), Financement : European Commission, Commanditaire : European Commission (Belgium), Type de commande : Commande avec contrat/convention/lettre de saisine, and Partenaires : Institute for Health and Consumer Protection of the JRC (JRC / IHCP)
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[SDV.SA]Life Sciences [q-bio]/Agricultural sciences - Abstract
Unauthorised GMOs (UGM) and derived materials are not uncommon in products found on the European market. At present there is zero tolerance for UGM in the EU. In most documented cases, the UGM concentration relative to the product in which the UGM material is found, was low. Low level presence will always represent a challenge to analytically based detection, in particular if the UGM is obscured by other GM material. Analytical ad hoc implementation of the zero tolerance for particular UGMs in feed is described in Regulation (EU) No 619/2011. In Europe, GM detection is predominantly achieved with polymerase chain reaction (PCR) derived methods targeting the transgenic construct and insertion site DNA sequences. The increase in number and divergence of GMOs developed and commercialised has gradually forced the GM detection laboratories to rationalise their analytical work, and most laboratories now apply initial PCR based screenings followed by (when appropriate) more specific PCR based identification and quantification. The detection of any GM is dependent on availability of suitable detection method(s) and control materials to verify the performance of the method(s). Other information, e.g. describing the novel trait, introduced genetic elements, etc. may also facilitate detection, verification and identification of the GM. For UGM, this is a major challenge, and the GMOs are therefore classified into four knowledge groups in the present document. This classification may facilitate stakeholder communication and decision making in analytical laboratories. A decision tree is presented, summarising the recommended principles of GM and UGM detection. Notably, the state-of-the-art of GMO analysis is not static, and it is expected that the guidelines and recommendations presented in this document will have to be modified on a regular basis. Finally, the document highlights a number of R&D priorities and points out the need for reinforced information sharing at the global level.
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- 2011
29. The 15-Country Collaborative Study of Cancer Risk among Radiation Workers in the Nuclear Industry: Estimates of Radiation-Related Cancer Risks
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G. Engholm, M. Moser, P. Deboodt, M. Marshall, Colin R. Muirhead, Agnès Rogel, Martine Vrijheid, G. Cowper, Rima R. Habib, A. Biau, M. Eklof, John M. Kaldor, Y. O. Ahn, E. Amoros, I. Turai, D. Utterback, Mary K. Schubauer-Berigan, Anssi Auvinen, Fix Jj, C. Hacker, K. Holan, F. Bermann, H. Engels, A. Diez Sacristan, B. Heinmiller, Matti Hakama, H. Hyvonen, H. Malker, J. M. Bae, J. Bernar, David B. Richardson, Isabelle Thierry-Chef, E. Combalot, M. Telle-Lamberton, M. Martuzzi, A. Mastauskas, Fernando Rodríguez-Artalejo, P. Ashmore, Ethel S. Gilbert, K. Veress, A. Kerekes, M. Usel, Juozas Kurtinaitis, H. Tardy, G. Gulis, T. Yoshimura, Catherine Hill, Maria Blettner, Geoffrey R. Howe, Elisabeth Cardis, A. Monnet, Mark S. Pearce, Centre International de Recherche contre le Cancer - International Agency for Research on Cancer (CIRC - IARC), Organisation Mondiale de la Santé / World Health Organization Office (OMS / WHO), National Cancer Institute [Bethesda] (NCI-NIH), National Institutes of Health [Bethesda] (NIH), Finnish Cancer Registry, University of Tampere [Finland], Épidémiologie des radiations, épidémiologie clinique des cancers et survie (U1018 (Équipe 3) ), Institut Gustave Roussy (IGR)-Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, Institut Gustave Roussy (IGR), Columbia Mailman School of Public Health, Columbia University [New York], National Centre in HIV Epidemiology and Clinical Research, Health Protection Agency, National Institute for Occupational Safety and Health [Cincinnati] (NIOSH), Centers for Disease Control and Prevention (CDC), University of Occupational and Environmental Health [Kitakyushu] (UEOH), Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Australian Nuclear Science and Technology Organisation [Australie] (ANSTO), Atomic Energy of Canada Limited (AECL), Seoul National University [Seoul] (SNU), Radiation Protection Bureau, Health Canada, McLaughlin Centre for Population Health Risk Assessment, University of Ottawa [Ottawa], Radiation and Nuclear Safety Authority [Helsinki] (STUK), Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Centre d'Etude de l'Energie Nucléaire (SCK-CEN), International Atomic Energy Agency [Vienna] (IAEA), The National Board of Health and Welfare, American University of Beirut [Beyrouth] (AUB), Serono International SA (SERONO INTERNATIONAL SA), Serono International SA, Swiss Federal Office of Public Health, School of Clinical Medical Sciences, University of Newcastle upon Tyne, Universidad Autónoma de Madrid (UAM), EDF (EDF), Semmelweis University of Medicine [Budapest], Department of Preventive Medicine, College of Medicine, Seoul National University, and Universidad Autonoma de Madrid (UAM)
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Male ,Neoplasms, Radiation-Induced ,International Cooperation ,[SDV]Life Sciences [q-bio] ,Radiation induced ,radiation exposure ,nuclear industry ,cancer risk ,Whole-Body Counting ,030218 nuclear medicine & medical imaging ,Cohort Studies ,cause of death ,0302 clinical medicine ,Nuclear industry ,Nuclear Reactors ,Risk Factors ,Neoplasms ,cancer mortality ,Medicine ,Radiation injury ,Radiation ,industry ,adult ,article ,leukemia ,risk assessment ,methodology ,cohort analysis ,3. Good health ,multiple myeloma ,Occupational Diseases ,Survival Rate ,female ,priority journal ,risk factor ,statistics ,030220 oncology & carcinogenesis ,employment ,Female ,ionizing radiation ,radiation dose ,Cohort study ,radiation injury ,Adult ,Employment ,Biophysics ,Radiation Dosage ,Risk Assessment ,survival ,03 medical and health sciences ,socioeconomics ,Occupational Exposure ,Industry ,follow up ,Humans ,Radiology, Nuclear Medicine and imaging ,human ,Risk factor ,industrial worker ,Whole body counting ,business.industry ,Nicotiana tabacum ,Cancer ,medicine.disease ,mortality ,Survival Analysis ,lung cancer ,whole body counting ,confidence interval ,Radiation-Induced ,occupational disease ,nuclear reactor ,business ,Nuclear medicine ,Cancer risk ,Demography - Abstract
International audience; A 15-Country collaborative cohort study was conducted to provide direct estimates of cancer risk following protracted low doses of ionizing radiation. Analyses included 407,391 nuclear industry workers monitored individually for external radiation and 5.2 million person-years of follow-up. A significant association was seen between radiation dose and all-cause mortality [excess relative risk (ERR) 0.42 per Sv, 90% CI 0.07, 0.79; 18,993 deaths]. This was mainly attributable to a dose-related increase in all cancer mortality (ERR/Sv 0.97, 90% CI 0.28, 1.77; 5233 deaths). Among 31 specific types of malignancies studied, a significant association was found for lung cancer (ERR/Sv 1.86, 90% CI 0.49, 3.63; 1457 deaths) and a borderline significant (P = 0.06) association for multiple myeloma (ERR/Sv 6.15, 90% CI
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- 2007
30. The 15-Country Collaborative Study of Cancer Risk Among Radiation Workers in the Nuclear Industry: design, epidemiological methods and descriptive results
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Martine Vrijheid, J. M. Bae, M. Moser, Fernando Rodríguez-Artalejo, P. Ashmore, Ethel S. Gilbert, M. Telle-Lamberton, Juozas Kurtinaitis, Rima R. Habib, Geoffrey R. Howe, T. Yoshimura, Elisabeth Cardis, Hosoda Y, Catherine Hill, Agnès Rogel, H. Tardy, I. Turai, Y. O. Ahn, Mary K. Schubauer-Berigan, Matti Hakama, John M. Kaldor, M. Usel, Anssi Auvinen, H. Engels, Maria Blettner, Colin R. Muirhead, H. Malker, K. Veress, G. Gulis, American University of Beirut [Beyrouth] (AUB), Swiss Federal Office of Public Health, Universidad Autonoma de Madrid (UAM), EDF (EDF), Centre International de Recherche contre le Cancer - International Agency for Research on Cancer (CIRC - IARC), Organisation Mondiale de la Santé / World Health Organization Office (OMS / WHO), Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Semmelweis University of Medicine [Budapest], National Cancer Institute [Bethesda] (NCI-NIH), National Institutes of Health [Bethesda] (NIH), University of Tampere [Finland], Finnish Cancer Registry, Institut Gustave Roussy (IGR), Épidémiologie des radiations, épidémiologie clinique des cancers et survie (U1018 (Équipe 3) ), Institut Gustave Roussy (IGR)-Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, Columbia Mailman School of Public Health, National Centre in HIV Epidemiology and Clinical Research, Health Protection Agency, National Institute for Occupational Safety and Health [Cincinnati] (NIOSH), Centers for Disease Control and Prevention (CDC), University of Occupational and Environmental Health [Kitakyushu] (UEOH), College of Medicine, Seoul National University, Radiation Protection Bureau, Health Canada, McLaughlin Centre for Population Health Risk Assessment, University of Ottawa [Ottawa], Radiation and Nuclear Safety Authority [Helsinki] (STUK), and Centre d'Etude de l'Energie Nucléaire (SCK-CEN)
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Gerontology ,Male ,Neoplasms, Radiation-Induced ,[SDV]Life Sciences [q-bio] ,International Cooperation ,radiation exposure ,nuclear industry ,cancer risk ,Whole-Body Counting ,030218 nuclear medicine & medical imaging ,Cohort Studies ,0302 clinical medicine ,Nuclear Reactors ,Risk Factors ,Neoplasms ,cancer mortality ,Epidemiology of cancer ,Medicine ,education.field_of_study ,Radiation ,article ,methodology ,cohort analysis ,3. Good health ,Occupational Diseases ,Survival Rate ,priority journal ,risk factor ,statistics ,Research Design ,030220 oncology & carcinogenesis ,epidemiology ,Female ,light ,radiation dose ,Risk assessment ,cancer epidemiology ,radiation injury ,Cohort study ,Adult ,Employment ,Population ,Biophysics ,Occupational disease ,Epidemiological method ,Radiation Dosage ,survival ,Risk Assessment ,03 medical and health sciences ,Environmental health ,Occupational Exposure ,follow up ,Humans ,Industry ,Radiology, Nuclear Medicine and imaging ,human ,education ,industrial worker ,business.industry ,Retrospective cohort study ,medicine.disease ,Collective dose ,mortality ,Survival Analysis ,whole body counting ,Radiation-Induced ,occupational disease ,nuclear reactor ,business ,Epidemiologic Methods - Abstract
International audience; Radiation protection standards are based mainly on risk estimates from studies of atomic bomb survivors in Japan. The validity of extrapolations from the relatively high-dose acute exposures in this population to the low-dose, protracted or fractionated environmental and occupational exposures of primary public health concern has long been the subject of controversy. A collaborative retrospective cohort study was conducted to provide direct estimates of cancer risk after low-dose protracted exposures. The study included nearly 600,000 workers employed in 154 facilities in 15 countries. This paper describes the design, methods and results of descriptive analyses of the study. The main analyses included 407,391 nuclear industry workers employed for at least 1 year in a participating facility who were monitored individually for external radiation exposure and whose doses resulted predominantly from exposure to higher-energy photon radiation. The total duration of follow-up was 5,192,710 person-years. There were 24,158 deaths from all causes, including 6,734 deaths from cancer. The total collective dose was 7,892 Sv. The overall average cumulative recorded dose was 19.4 mSv. A strong healthy worker effect was observed in most countries. This study provides the largest body of direct evidence to date on the effects of low-dose protracted exposures to external photon radiation. © 2007 by Radiation Research Society.
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- 2006
31. Global action on problematic usage of the internet: announcing a Lancet Psychiatry Commission.
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Fineberg NA, Demetrovics Z, Potenza MN, Mestre-Bach G, Ekhtiari H, Roman-Urrestarazu A, Achab S, Kattau T, Bowden-Jones H, Thomas SA, Babor TF, Kidron B, and Stein DJ
- Abstract
Competing Interests: NAF has received support for research or networking from the UK National Institute for Health and Care Research, UK Research and Innovation, COST Action, Orchard, and Compass Pathways; accepted travel or hospitality expenses from the British Association for Psychopharmacology, European College of Neuropsychopharmacology, Royal College of Psychiatrists, International College of Neuropsychopharmacology, International Forum of Mood and Anxiety Disorders, and World Psychiatric Association; has received payment from Elsevier for editorial duties and the Mental Health Academy for lecturing; has accepted paid speaking engagements in various industry-supported symposia; and recruited patients for various industry-sponsored studies in the field of OCD treatment. NAF also leads an NHS treatment service for OCD; holds board membership for various registered charities linked to OCD; gives expert advice on psychopharmacology to the UK Medicines and Healthcare products Regulatory Agency; and has participated in a WHO working group focusing on diagnosis and classification of obsessive compulsive or related disorders for the ICD-11. ZD reports that the University of Gibraltar received funding from the Gibraltar Gambling Care Foundation (an independent, not-for-profit charity) and donations from gambling operators through the Licence Conditions and Codes of Practice RET process supervised by the UK Gambling Commission. MNP has consulted for Opiant Therapeutics, Game Day Data, Baria-Tek, and Boehringer Ingelheim Pharmaceuticals; has been involved in a patent application with Yale University and Novartis; has received research support from Mohegan Sun Casino, Children and Screens, and the Connecticut Council on Problem Gambling; has participated in surveys, mailings, or telephone consultations related to drug addiction, impulse-control disorders or other health topics; has consulted for or advised gambling, non-profit, and legal entities on issues related to impulse control, internet use, and addictive disorders; has performed grant reviews for research-funding agencies; has edited journals and journal sections; has given academic lectures in grand rounds, Continuing Medical Education events, and other clinical or scientific venues; and has generated books or book chapters for publishers of mental health texts. HE has received funding from the Medical Discovery Team on Addiction, University of Minnesota, William K Warren Foundation, Laureate Institute for Brain Research, and Brain and Behavior Foundation. HB-J is director of the National Centre for Behavioural Addictions in the UK, vice-president of the Royal Society of Medicine, and national advisor to Gambling Harms for England. BK is chair of the 5Rights Foundation and chair of Digital Futures for Children. DJS has received consultancy honoraria from Discovery Vitality, Johnson & Johnson, Kanna, L'Oreal, Lundbeck, Orion, Sanofi, Servier, Takeda, and Vistagen. All other authors declare no competing interests.
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- 2024
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32. What evaluation criteria are used in policy evaluation research: A cross-field literature review.
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Mavrot C, Potluka O, Balzer L, Eicher V, Haunberger S, Heuer C, and Viallon FX
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This literature review offers a comprehensive overview of the use of evaluation criteria across five policy fields: social services, land-use planning, teaching in higher education, vocational education, and the environment. Though it is a key part of the evaluation process, the question of how criteria are defined, chosen, and applied generates surprisingly little debate among the evaluation community. In evaluation practice, criteria are often taken for granted - and occasionally even used in ways that are neither explicit nor transparent. This cross-field literature review shows a strong presence of routinized evaluation criteria (relating to the specifics of each policy field), while some new sets of higher-degree criteria also emerge in the face of social challenges relating to sustainability, public acceptance, or social justice. Criteria development draws on both inductive bottom-up processes (which can include policy stakeholders) and top-down deductive processes (which derive criteria from the literature, as well as from national and international standards). A more profound reflection on evaluation criteria (that is, the dimensions used by societies to assess the success of policy interventions) might be required in the future of evaluation research and planning; a deeper cross-field dialogue could support this endeavor., Competing Interests: Declaration of Competing Interest none., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
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- 2024
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33. Swiss COVID-19 hospital surveillance: an in-depth analysis of the factors associated with hospital readmission dynamics in community-acquired COVID-19 cases.
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Vancauwenberghe L, Roelens M, Urbini L, Iten A, Zanella MC, Nwosu K, Flury D, Buettcher M, Vuichard-Gysin D, Balmelli C, Tschudin-Sutter S, Schreiber PW, Troillet N, Sommerstein R, Jent P, Buchter V, Sobel J, Keiser O, and Estill J
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- Humans, Switzerland epidemiology, Male, Female, Aged, Risk Factors, Middle Aged, Adult, Patient Discharge statistics & numerical data, Logistic Models, Aged, 80 and over, Patient Readmission statistics & numerical data, COVID-19 epidemiology, Community-Acquired Infections epidemiology, SARS-CoV-2
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Background: The COVID-19 pandemic has placed unprecedented pressure on hospitals worldwide. In such a context of tension in healthcare systems, efficiently allocating hospital resources is a crucial aspect of crisis management. The aim of this study was to describe the clinical characteristics of readmitted patients and to determine risk factors for hospital readmission using data from the Swiss COVID-19 Hospital-Based Surveillance system (CH-SUR)., Methods: We investigated hospital readmissions within 60 days after discharge of patients from the CH-SUR surveillance system with a first hospitalisation between 1 December 2020 and 1 December 2021. Only community-acquired cases were considered. We compared the baseline characteristics of readmitted and non-readmitted patients. We performed univariable and multivariable logistic regression analyses to investigate the risk factors for hospital readmission., Findings: Of the 8039 eligible patients, 239 (3.0%, 95% confidence interval [CI] 2.6-3.3%) were readmitted to hospital within 60 days of discharge, with no significant variations observed over the study period; 80% of all readmissions occurred within 10 days of discharge of the index hospital stay. Based on our multivariable logistic regression models, factors increasing the odds of hospital readmission were age ≥65 years (odds ratio [OR] 1.63, 95% CI 1.24-2.15), male sex (OR 1.47, 95% CI 1.12-1.93), being discharged to home after first hospitalisation (OR 1.77, 95% CI 1.19-2.62), having oncological pathology (OR 1.82, 95% CI 1.27-2.61) and being immunosuppressed (OR 2.34, 95% CI 1.67-3.29)., Interpretations: Age, sex, cardiovascular diseases, oncological pathologies and immunosuppression were the main risk factors identified for hospital readmission.
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- 2024
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34. Continued circulation of mpox: an epidemiological and phylogenetic assessment, European Region, 2023 to 2024.
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Vaughan AM, Afzal M, Nannapaneni P, Leroy M, Andrianou X, Pires J, Funke S, Roman C, Reyes-Uruena J, Aberle S, Aristodimou A, Aspelund G, Bennet KF, Bormane A, Caraglia A, Charles H, Chazelle E, Christova I, Cohen O, Constantinou C, Couvreur S, Diaz A, Fabiánová K, Ferraro F, Grenersen MP, Grilc E, Hannila-Handelberg T, Hvass AK, Igoe D, Jansen K, Janță D, Kaoustou S, Koch A, Kosanovic Licina ML, Krumova S, Labutin A, Lachmann R, Lecompte A, Lefrançois R, Leitena V, Liitsola K, Mlinarić I, Mor Z, Neary M, Novacek A, Øgle MW, Orlíková H, Papadima K, Rehn M, Sadkowska-Todys M, Sîrbu A, Sondén K, Suárez B, Thordardottir M, Vasconcelos P, Vieira Martins J, Zakrzewska K, Widdowson MA, and Gossner CM
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- Humans, Europe epidemiology, Male, Female, Adult, Middle Aged, Adolescent, Young Adult, Child, Aged, Population Surveillance, Child, Preschool, Incidence, Phylogeny, Disease Outbreaks
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During the summer of 2023, the European Region experienced a limited resurgence of mpox cases following the substantial outbreak in 2022. This increase was characterised by asynchronous and bimodal increases, with countries experiencing peaks at different times. The demographic profile of cases during the resurgence was largely consistent with those reported previously. All available sequences from the European Region belonged to clade IIb. Sustained efforts are crucial to control and eventually eliminate mpox in the European Region.
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- 2024
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35. Association of institutional masking policies with healthcare-associated SARS-CoV-2 infections in Swiss acute care hospitals during the BA.4/5 wave (CH-SUR study): a retrospective observational study.
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Dörr T, Güsewell S, Flury D, Süveges M, Gaza Valera CB, Botero-Mesa S, Zanella MC, Iten A, Balmelli C, Troillet N, Tschudin-Sutter S, W Schreiber P, Jent P, Damonti L, Sommerstein R, Portmann L, Vuichard-Gysin D, Cusini A, Nussbaumer-Ochsner Y, Heininger U, Berger C, Zimmermann P, Gardiol C, Keiser O, Schlegel M, Kohler P, and P Kuster S
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- Humans, Switzerland epidemiology, Retrospective Studies, Female, Male, Middle Aged, Adult, Hospitals, Aged, Health Personnel, Infection Control methods, Organizational Policy, Aged, 80 and over, COVID-19 epidemiology, COVID-19 prevention & control, Masks, Cross Infection prevention & control, Cross Infection epidemiology, SARS-CoV-2
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Background: In the initial phase of the SARS-CoV-2 pandemic, masking has been widely accepted in healthcare institutions to mitigate the risk of healthcare-associated infection. Evidence, however, is still scant and the role of masks in preventing healthcare-associated SARS-CoV-2 acquisition remains unclear.We investigated the association of variation in institutional mask policies with healthcare-associated SARS-CoV-2 infections in acute care hospitals in Switzerland during the BA.4/5 2022 wave., Methods: SARS-CoV-2 infections in hospitalized patients between June 1 and September 5, 2022, were obtained from the "Hospital-based surveillance of COVID-19 in Switzerland"-database and classified as healthcare- or community-associated based on time of disease onset. Institutions provided information regarding institutional masking policies for healthcare workers and other prevention policies. The percentage of healthcare-associated SARS-CoV-2 infections was calculated per institution and per type of mask policy. The association of healthcare-associated SARS-CoV-2 infections with mask policies was tested using a negative binominal mixed-effect model., Results: We included 2'980 SARS-CoV-2 infections from 13 institutions, 444 (15%) were classified as healthcare-associated. Between June 20 and June 30, 2022, six (46%) institutions switched to a more stringent mask policy. The percentage of healthcare-associated infections subsequently declined in institutions with policy switch but not in the others. In particular, the switch from situative masking (standard precautions) to general masking of HCW in contact with patients was followed by a strong reduction of healthcare-associated infections (rate ratio 0.39, 95% CI 0.30-0.49). In contrast, when compared across hospitals, the percentage of health-care associated infections was not related to mask policies., Conclusions: Our findings suggest switching to a more stringent mask policy may be beneficial during increases of healthcare-associated SARS-CoV-2 infections at an institutional level., (© 2024. The Author(s).)
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- 2024
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36. Synthesis of the European ALARA network 20th workshop 'ALARA for interventional radiology and nuclear medicine'.
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Andresz S, Allisy-Roberts P, Economides S, Morgan J, Kabrt F, Packer S, Mulas AP, Rogers A, Schieber C, Stritt N, and Vermeersch F
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- Humans, Europe, Occupational Exposure prevention & control, Nuclear Medicine, Radiation Protection, Radiology, Interventional
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The European as low as reasonably achievable(ALARA) network regularly organises workshops on topical issues in radiation protection (RP). The topic of the 20th workshop was: 'ALARA for interventional radiology (IR) and nuclear medicine (NM)'. The objective was to examine the challenges faced when applying the optimisation principle (ALARA) in IR and NM and to consider how ALARA could be better implemented for patient and staff exposures. This memorandum provides a synthesis of the workshop sessions, and recommendations coming from the working groups discussion. Parallels are drawn with the recommendations arising from the 13th EAN workshop on 'ALARA and the medical sector (2011)' to consider how the optimisation challenges in IR and NM have evolved over the past decade. Current levels of exposure are presented along with operational practice and the challenges and opportunities for improvement, both in monitoring and practice. Whilst RP challenges remain, the application of ALARA appears more established in IR compared with experiences reported in 2011. The application of ALARA to emerging technologies in the NM setting is in need of further development to ensure that RP is considered at all stages in the development process of new radiopharmaceuticals. Besides the obvious technical and operational aspects, the importance of education and training, human factors and broadly the RP 'culture' were deemed fundamental to the success of the application of ALARA and where further emphasis is needed. All concerned parties, medical physics experts (MPEs), radiation protection experts, clinical staff, manufacturers and regulators have a role to play in the application of ALARA and this is discussed in the memorandum. Many of the recommendations from the 13th EAN workshop remain applicable today and overlap with the recommendations arising from the 20th workshop. This should prompt attention given that the use of IR and the development of novel radiopharmaceuticals for NM is only anticipated to increase with time., (© 2024 Society for Radiological Protection. Published on behalf of SRP by IOP Publishing Limited. All rights reserved.)
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- 2024
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37. A combined cross-sectional analysis and case-control study evaluating tick-borne encephalitis vaccination coverage, disease and vaccine effectiveness in children and adolescents, Switzerland, 2005 to 2022.
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Zens KD, Altpeter E, Wymann MN, Mack A, Baer NB, Haile SR, Steffen R, Fehr JS, and Lang P
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- Humans, Adolescent, Case-Control Studies, Switzerland epidemiology, Child, Cross-Sectional Studies, Male, Female, Child, Preschool, Infant, Incidence, Vaccine Efficacy statistics & numerical data, Encephalitis Viruses, Tick-Borne immunology, Infant, Newborn, Population Surveillance, Encephalitis, Tick-Borne prevention & control, Encephalitis, Tick-Borne epidemiology, Vaccination statistics & numerical data, Vaccination Coverage statistics & numerical data, Viral Vaccines administration & dosage
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BackgroundTick-borne encephalitis (TBE) is a severe, vaccine-preventable viral infection of the central nervous system. Symptoms are generally milder in children and adolescents than in adults, though severe disease does occur. A better understanding of the disease burden and duration of vaccine-mediated protection is important for vaccination recommendations.AimTo estimate TBE vaccination coverage, disease severity and vaccine effectiveness (VE) among individuals aged 0-17 years in Switzerland.MethodsVaccination coverage between 2005 and 2022 was estimated using the Swiss National Vaccination Coverage Survey (SNVCS), a nationwide, repeated cross-sectional study assessing vaccine uptake. Incidence and severity of TBE between 2005 and 2022 were determined using data from the Swiss disease surveillance system and VE was calculated using a case-control analysis, matching TBE cases with SNVCS controls.ResultsOver the study period, vaccination coverage increased substantially, from 4.8% (95% confidence interval (CI): 4.1-5.5%) to 50.1% (95% CI: 48.3-52.0%). Reported clinical symptoms in TBE cases were similar irrespective of age. Neurological involvement was less likely in incompletely (1-2 doses) and completely (≥ 3 doses) vaccinated cases compared with unvaccinated ones. For incomplete vaccination, VE was 66.2% (95% CI: 42.3-80.2), whereas VE for complete vaccination was 90.8% (95% CI: 87.7-96.4). Vaccine effectiveness remained high, 83.9% (95% CI: 69.0-91.7) up to 10 years since last vaccination.ConclusionsEven children younger than 5 years can experience severe TBE. Incomplete and complete vaccination protect against neurological manifestations of the disease. Complete vaccination offers durable protection up to 10 years against TBE.
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- 2024
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38. ICRP workshop on the review and revision of the system of radiological protection: a focus on research priorities-feedback from the international community.
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Rühm W, Yu H, Clement C, Ainsbury EA, Andresz S, Bryant P, Chapple CL, Croüail P, Damilakis J, Ermacora MG, Eurajoki T, Gering F, Molyneux-Hodgson S, Hupe O, Impens N, Lassmann M, Martins JO, Mazzoni LN, Mogg C, Morgan J, Perko T, Pinak M, Santos J, Stritt N, Tanner R, Turcanu C, and Vermeersch F
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In September 2022, the International Commission on Radiological Protection (ICRP) organised a workshop in Estoril, Portugal, on the 'Review and Revision of the System of Radiological Protection: A Focus on Research Priorities'. The workshop, which was a side event of the European Radiation Protection Week, offered an opportunity to comment on a recent paper published by ICRP on areas of research to support the System of Radiological Protection. Altogether, about 150 individuals participated in the workshop. After the workshop, 16 of the 30 organisations in formal relations with ICRP provided written feedback. All participants and organisations followed ICRP's view that further research in various areas will offer additional support in improving the System in the short, medium, and long term. In general, it was emphasised that any research should be outcome-focused in that it should improve protection of people or the environment. Many research topics mentioned by the participants were in line with those already identified by ICRP in the paper noted above. In addition, further ideas were expressed such as, for example, that lessons learned during the COVID-19 pandemic with regards to the non-radiological social, economic and environment impacts, should be analysed for their usefulness to enhance radiological protection, and that current protection strategies and application of current radiological protection principles may need to be adapted to military scenarios like those observed recently during the military conflict in the Ukraine or the detonation of a nuclear weapon. On a broader perspective, it was discussed how radiation research and radiological protection can contribute towards the Sustainable Development Goals announced by the United Nations in 2015. This paper summarises the views expressed during the workshop and the major take home messages identified by ICRP., (Creative Commons Attribution license.)
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- 2023
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39. Tuberculosis incidence in foreign-born people residing in European countries in 2020.
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Vasiliu A, Köhler N, Altpeter E, Ægisdóttir TR, Amerali M, de Oñate WA, Bakos Á, D'Amato S, Cirillo DM, van Crevel R, Davidaviciene E, Demuth I, Domínguez J, Duarte R, Günther G, Guthmann JP, Hatzianastasiou S, Holm LH, Herrador Z, Hribar U, Huberty C, Ibraim E, Jackson S, Jensenius M, Josefsdottir KS, Koch A, Korzeniewska-Kosela M, Kuksa L, Kunst H, Lienhardt C, Mahler B, Makek MJ, Muylle I, Normark J, Pace-Asciak A, Petrović G, Pieridou D, Russo G, Rzhepishevska O, Salzer HJF, Marques MS, Schmid D, Solovic I, Sukholytka M, Svetina P, Tyufekchieva M, Vasankari T, Viiklepp P, Villand K, Wallenfels J, Wesolowski S, Mandalakas AM, Martinez L, Zenner D, and Lange C
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- Humans, Incidence, Cross-Sectional Studies, Somalia, Europe epidemiology, Tuberculosis diagnosis, Tuberculosis epidemiology
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BackgroundEuropean-specific policies for tuberculosis (TB) elimination require identification of key populations that benefit from TB screening.AimWe aimed to identify groups of foreign-born individuals residing in European countries that benefit most from targeted TB prevention screening.MethodsThe Tuberculosis Network European Trials group collected, by cross-sectional survey, numbers of foreign-born TB patients residing in European Union (EU) countries, Iceland, Norway, Switzerland and the United Kingdom (UK) in 2020 from the 10 highest ranked countries of origin in terms of TB cases in each country of residence. Tuberculosis incidence rates (IRs) in countries of residence were compared with countries of origin.ResultsData on 9,116 foreign-born TB patients in 30 countries of residence were collected. Main countries of origin were Eritrea, India, Pakistan, Morocco, Romania and Somalia. Tuberculosis IRs were highest in patients of Eritrean and Somali origin in Greece and Malta (both > 1,000/100,000) and lowest among Ukrainian patients in Poland (3.6/100,000). They were mainly lower in countries of residence than countries of origin. However, IRs among Eritreans and Somalis in Greece and Malta were five times higher than in Eritrea and Somalia. Similarly, IRs among Eritreans in Germany, the Netherlands and the UK were four times higher than in Eritrea.ConclusionsCountry of origin TB IR is an insufficient indicator when targeting foreign-born populations for active case finding or TB prevention policies in the countries covered here. Elimination strategies should be informed by regularly collected country-specific data to address rapidly changing epidemiology and associated risks.
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- 2023
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40. A large travel-associated outbreak of iatrogenic botulism in four European countries following intragastric botulinum neurotoxin injections for weight reduction, Türkiye, February to March 2023.
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Dorner MB, Wilking H, Skiba M, Wilk L, Steinberg M, Worbs S, Çeken S, Kaygusuz S, Simon S, Becher F, Mikolajewska A, Kornschober C, Bütler T, Jourdan-Da-Silva N, An der Heiden M, Schaade L, Stark K, Dorner BG, and Frank C
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- Animals, Humans, Neurotoxins, Travel, Disease Outbreaks, Weight Loss, Iatrogenic Disease epidemiology, Botulinum Toxins adverse effects, Botulism diagnosis, Botulism epidemiology, Botulism etiology, Clostridium botulinum
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In March 2023, 34 associated cases of iatrogenic botulism were detected in Germany (30 cases), Switzerland (two cases), Austria (one case), and France (one case). An alert was rapidly disseminated via European Union networks and communication platforms (Food- and Waterborne Diseases and Zoonoses Network, EpiPulse, Early Warning and Response System) and the International Health Regulation mechanism; the outbreak was investigated in a European collaboration. We traced sources of the botulism outbreak to treatment of weight loss in Türkiye, involving intragastric injections of botulinum neurotoxin. Cases were traced using a list of patients who had received this treatment. Laboratory investigations of the first 12 German cases confirmed nine cases. The application of innovative and highly sensitive endopeptidase assays was necessary to detect minute traces of botulinum neurotoxin in patient sera. The botulism notification requirement for physicians was essential to detect this outbreak in Germany. The surveillance case definition of botulism should be revisited and inclusion of cases of iatrogenic botulism should be considered as these cases might lack standard laboratory confirmation yet warrant public health action. Any potential risks associated with the use of botulinum neurotoxins in medical procedures need to be carefully balanced with the expected benefits of the procedure.
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- 2023
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41. Phylogeography of Francisella tularensis subspecies holarctica and epidemiology of tularemia in Switzerland.
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Schütz SD, Liechti N, Altpeter E, Labutin A, Wütrich T, Schmidt KM, Buettcher M, Moser M, Bruggmann R, and Wittwer M
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Tularemia, an endemic disease that mainly affects wild animals and humans, is caused by Francisella tularensis subsp. holarctica ( Fth ) in Switzerland. The Swiss Fth population consist of multiple different subclades which are distributed throughout the country. The aim of this study is to characterize the genetic diversity of Fth in Switzerland and to describe the phylogeographic relationship of isolates by single nucleotide polymorphism (SNP) analysis. This analysis is combined with human surveillance data from reported cases over the last 10 years and in vitro and in silico antibiotic resistance tests to provide insight into the epidemiology of tularemia in Switzerland. We sequenced the whole genomes of 52 Fth strains of human or tick origin collected in Switzerland between 2009 and 2022 and analyzed together with all publicly available sequencing data of Swiss and European Fth . Next, we performed a preliminary classification with the established canonical single nucleotide polymorphism nomenclature. Furthermore, we tested 20 isolates from all main Swiss clades for antimicrobial susceptibility against a panel of antimicrobial agents. All 52 sequenced isolates from Switzerland belong to major clade B.6, specifically subclades B.45 and B.46, previously described in Western Europe. We were able to accurately reconstruct the population structure according to the global phylogenetic framework. No resistance to clinically recommended antibiotics could be identified in vitro or in silico in the western B.6 strains., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Schütz, Liechti, Altpeter, Labutin, Wütrich, Schmidt, Buettcher, Moser, Bruggmann and Wittwer.)
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- 2023
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42. Vaccine-Preventable Infections Among Solid Organ Transplant Recipients in Switzerland.
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Walti LN, Mugglin C, Mombelli M, Manuel O, Hirsch HH, Khanna N, Mueller NJ, Berger C, Boggian K, Garzoni C, Neofytos D, van Delden C, Mäusezahl M, and Hirzel C
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- Aged, Female, Humans, Male, Middle Aged, Cohort Studies, Switzerland epidemiology, Adult, Communicable Diseases epidemiology, Influenza, Human, Organ Transplantation, Vaccines, Varicella Zoster Virus Infection etiology
- Abstract
Importance: Vaccine responses are decreased in solid organ transplant (SOT) recipients, and given the complexity of implementation, vaccination programs may be suboptimal. The actual burden of vaccine-preventable infections (VPIs) among SOT recipients remains unclear., Objectives: To assess the incidence rate of VPIs among SOT recipients and to evaluate whether SOT recipients are at increased risk for specific VPIs compared with the general population., Design, Setting, and Participants: This nationwide cohort study used data from the Swiss Transplant Cohort Study on VPIs in individuals who underwent SOT from May 2008 to June 2019 (follow-up until December 2019) and data from the Swiss Federal Office of Public Health on notifiable VPIs in the general population in the same period. Data were analyzed from January 2021 to June 2022., Exposures: Solid organ transplant., Main Outcomes and Measures: The main outcomes were the incidence rate of the following VPIs in SOT recipients: hepatitis A and B, diphtheria, Haemophilus influenzae infection, influenza, measles, mumps, pertussis, pneumococcal disease, poliomyelitis, meningococcal disease, rubella, tetanus, tick-borne encephalitis, and varicella zoster virus infection. Age-adjusted standardized incidence ratios were used to assess whether VPIs occurred more frequently in SOT recipients compared with the general population. For SOT recipients, factors associated with occurrence of VPIs were explored and the associated morbidity and mortality assessed., Results: Of 4967 SOT recipients enrolled (median age, 54 years [IQR, 42-62 years]; 3191 [64.2%] male), 593 (11.9%) experienced at least 1 VPI. The overall VPI incidence rate was higher in the population that underwent SOT (30.57 per 1000 person-years [PY]; 95% CI, 28.24-33.10 per 1000 PY) compared with the general population (0.71 per 1000 PY). The standardized age-adjusted incidence ratio for notifiable VPIs in SOT recipients was higher compared with the general population (27.84; 95% CI, 25.00-31.00). In SOT recipients, influenza and varicella zoster virus infection accounted for most VPI episodes (16.55 per 1000 PY [95% CI, 14.85-18.46 per 1000 PY] and 12.83 per 1000 PY [95% CI, 11.40-14.44 per 1000 PY], respectively). A total of 198 of 575 VPI episodes in the population that underwent SOT (34.4%) led to hospital admission, and the occurrence of a VPI was associated with an increased risk for death and/or graft loss (hazard ratio, 2.44; 95% CI, 1.50-3.99; P = .002). In multivariable analysis, age 65 years or older at the time of transplant (incidence rate ratio [IRR], 1.29; 95% CI, 1.02-1.62) and receipt of a lung (IRR, 1.77; 95% CI, 1.38-2.26) or a heart (IRR, 1.40; 95% CI, 1.05-1.88) transplant were associated with an increased risk of VPI occurrence., Conclusions and Relevance: In this study, 11.9% of SOT recipients experienced VPIs, and the incidence rate was higher than in the general population. There was significant morbidity and mortality associated with these infections in the population that underwent SOT, which highlights the need for optimizing immunization strategies.
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- 2023
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43. Advancing exposure knowledge and its uptake into policy: The European exposure science strategy 2020-2030 (Special Issue).
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Fantke P, von Goetz N, and Jantunen M
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- Biological Transport, Health Policy, Knowledge
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- 2023
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44. The European exposure science strategy 2020-2030.
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Fantke P, Bruinen de Bruin Y, Schlüter U, Connolly A, Bessems J, Kephalopoulos S, Zare Jeddi M, van Nieuwenhuyse A, Dudzina T, Scheepers PTJ, and von Goetz N
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- Humans, Europe, European Union, Ecosystem
- Abstract
Exposure science is an emerging and rapidly growing field dedicated to all aspects concerning the contact between chemical, biological, physical or psycho-social stressors and human and ecological receptors. With that, exposure science plays a central role in protecting human and ecosystem health, and contributes to the global transition towards a green and sustainable society. In Europe, however, exposure science is currently not sufficiently recognised as a scientific field, resulting in inefficient uptake into policies. In response, the wider European exposure science community developed elements and actions under the auspices of the Europe Regional Chapter of the International Society of Exposure Science (ISES Europe), for identified priority areas, namely education, exposure models, exposure data, human biomonitoring, and policy uptake. In the present document, we synthesize these strategic elements into an overarching 'European Exposure Science Strategy 2020-2030', following three strategic objectives that focus on acknowledging exposure science as an independent and interconnected field, harmonizing approaches and tools across regulations, and exploring collaboration, education and funding mechanisms. To operationalise this strategy, we present concrete key actions and propose initiatives and funding options for advancing the underlying science, cultivating broader education and cross-sector exposure knowledge transfer, and fostering effective uptake of exposure information into policy. We aim at anchoring European efforts in the global exposure science context, with a special focus on the interface between scientific advancements, application in decision support, and dissemination and training. This will help to develop exposure science as a strong scientific field with the ultimate goal to successfully assess and manage various stressors across sectors and geographic scales., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
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- 2022
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45. Application of the ALARA principle for radon at work: feedback from the European ALARA network.
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Andresz S, Morgan J, Nuccetelli C, Palacios M, Schieber C, Sneve M, Stritt N, Synnott H, and Vermeersch F
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- Feedback, Workplace, European Union, Radon analysis, Radiation Protection
- Abstract
The Council Directive 2013/59/Euratom has introduced binding requirements for the management of radon in the workplace in Member States of the European Union. How does it work in practice? In 2021, the European ALARA Network created a working group on ALARA for Radon at Work with the objective of collecting and sharing experiences from the field. A survey was developed to detail each step of the national regulations for the control of radon and to describe case studies showing implementation. This article presents a qualitative analysis of the answers received from seven countries. There are no two similar national regulations and, at each step, different provisions, protocols, techniques etc are applicable or recommended. This diversity contributes to the richness of the results and can inform about interesting and good practices, where 'good' is defined by what is appropriate in the nationally and locally prevailing circumstances. All national regulations follow a graded approach, which is a key component for the implementation of the optimisation (ALARA) principle, yet several potential weak points that may be challenging to ALARA have been identified and are discussed, namely the radon risk assessment, the focus on numerical values, uncertainties in the measurement, how to obtain economically efficient remediation, and the interface with other regulations. Strengthening collaboration between risk prevention and radiation protection actors could help to provide and build expertise on radon management in the workplace, especially when exposure is managed as a planned exposure situation., (© 2022 Society for Radiological Protection. Published on behalf of SRP by IOP Publishing Limited. All rights reserved.)
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- 2022
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46. Management of injuries in Swiss primary care practices: a cross-sectional study within the Sentinella surveillance system.
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Bäumlin R, Kaiser C, Combescure C, Rohrer-Christ J, Herzig L, and Haller DM
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- Cross-Sectional Studies, Humans, Male, Referral and Consultation, Switzerland epidemiology, General Practitioners, Primary Health Care
- Abstract
Introduction: Injuries are amongst the most frequent causes of morbidity and mortality worldwide. Our aim was to describe the frequency, type of injury and care provided in primary care in Switzerland., Methods: We used anonymous data from 14,307 injury-related consultations of all ages, with a representative sample of 160 primary care physicians from the Sentinella network throughout the year 2017. Descriptive information about patients presenting with one or multiple injuries and the type of care provided were collected in a weekly questionnaire. Data about the primary care physicians including their experience, postgraduate training, equipment and skills were obtained using a single anonymous questionnaire. Negative binomial regression models with mixed effects were used to examine the association between primary care physicians' characteristics, the proportion represented by injured patients in their total activity and independent management in primary care (without referral). With these models, the associations are expressed as a ratio of prevalence (PR)., Results: The median proportion (prevalence) of injury-related consultations was 2.0% (range 0.0-19.8%), with a significant difference between paediatricians and general practitioners (median 1.2% vs 2.1%). Nearly 60% of consultations for injuries involved men, 21.0% were for patients <18 years and 15.3% for those above 65. Sprains and dislocations (31.2%) were the most frequent diagnoses followed by cutaneous injuries (23.0%), contusions (20.1%) and fractures (18.8%). Of the injuries presenting directly to primary care, 87.0% were managed by the primary care physician without referral to external services. Fractures were the main diagnosis motivating referral, yet 67.9% of them were entirely managed within primary care. Multivariable analyses showed that training as a paediatrician and a longer experience in primary care were associated with having a lower prevalence of injury-related consultations (adjusted PR [adjPR] 0.49, 95% confidence interval [CI] 0.31-0.78 and adjPR 0.41, 95% CI 0.23-0.75, respectively), whereas the ability to offer wound care including sutures and both splints and casts were associated with a much higher prevalence of injury-related consultations (adjPR 9.36, 95% CI 3.42-25.61 and adjPR 2.38, 95% CI 1.43-3.97, respectively)., Conclusion: The proportion represented by injured patients in a primary care physician's total activity is heterogeneous. Most patients with mild to moderate injuries could be managed in primary care without referral to secondary care. Further studies could explore factors associated with patients' decision to consult their primary care physician or emergency services for injuries. Exploring outcomes of primary care and patients' satisfaction is another future research priority.
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- 2022
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47. Exposure modelling in Europe: how to pave the road for the future as part of the European Exposure Science Strategy 2020-2030.
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Schlüter U, Meyer J, Ahrens A, Borghi F, Clerc F, Delmaar C, Di Guardo A, Dudzina T, Fantke P, Fransman W, Hahn S, Heussen H, Jung C, Koivisto J, Koppisch D, Paini A, Savic N, Spinazzè A, Zare Jeddi M, and von Goetz N
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- Europe, Humans, Environmental Exposure
- Abstract
Exposure models are essential in almost all relevant contexts for exposure science. To address the numerous challenges and gaps that exist, exposure modelling is one of the priority areas of the European Exposure Science Strategy developed by the European Chapter of the International Society of Exposure Science (ISES Europe). A strategy was developed for the priority area of exposure modelling in Europe with four strategic objectives. These objectives are (1) improvement of models and tools, (2) development of new methodologies and support for understudied fields, (3) improvement of model use and (4) regulatory needs for modelling. In a bottom-up approach, exposure modellers from different European countries and institutions who are active in the fields of occupational, population and environmental exposure science pooled their expertise under the umbrella of the ISES Europe Working Group on exposure models. This working group assessed the state-of-the-art of exposure modelling in Europe by developing an inventory of exposure models used in Europe and reviewing the existing literature on pitfalls for exposure modelling, in order to identify crucial modelling-related strategy elements. Decisive actions were defined for ISES Europe stakeholders, including collecting available models and accompanying information in a living document curated and published by ISES Europe, as well as a long-term goal of developing a best-practices handbook. Alongside these actions, recommendations were developed and addressed to stakeholders outside of ISES Europe. Four strategic objectives were identified with an associated action plan and roadmap for the implementation of the European Exposure Science Strategy for exposure modelling. This strategic plan will foster a common understanding of modelling-related methodology, terminology and future research in Europe, and have a broader impact on strategic considerations globally., (© 2022. The Author(s).)
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- 2022
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48. Parental and provider vaccine hesitancy and non-timely childhood vaccination in Switzerland.
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Jafflin K, Deml MJ, Schwendener CL, Kiener L, Delfino A, Gafner R, Schudel S, Mäusezahl M, Berger C, Huber BM, Merten S, and Tarr PE
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- Child, Health Knowledge, Attitudes, Practice, Humans, Parents, Switzerland, Tetanus Toxoid, Vaccination, Patient Acceptance of Health Care, Vaccination Hesitancy
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Objective: Although medical providers are a trusted vaccination information source for parents, they do not universally support vaccination. Complementary medicine (CM) providers are particularly likely to hold vaccine hesitant (VH) views, and VH parents often consult with them. Little research compares VH of parents and providers, and if and how each is associated with uptake of recommended childhood vaccines., Methods: We defined non-timely receipt as recommended vaccines given > 1 month later than officially recommended, based on vaccination records. We administered versions of the Parent Attitudes about Childhood Vaccines (PACV) 5-item survey instrument to 1256 parents and their children's pediatricians (N = 112, 40 CM-oriented, 72 biomedical [not CM-oriented]) to identify moderately (PACV-score 5-6) and highly (PACV-score 7+) hesitant providers/parents. We obtained multivariable adjusted odds ratios to test relationships between parental VH and provider type/VH, and between non-timely receipt of selected childhood vaccines and parental VH and provider type/VH., Results: No biomedical providers were VH, 9 CM providers were moderately VH, and 17 were highly VH. Parents seeing moderately and highly hesitant providers had adjusted odds ratio (AOR) for being VH = 6.6 (95% confidence interval (CI), 3.1-14.0) and AOR = 31.3 (95% CI 16.8-58.3), respectively. Across all vaccine uptake endpoints, children of moderately and highly hesitant parents had 1.9-3.8 and 7.1-12.3 higher odds of non-timely vaccination, and children seeing highly hesitant CM providers had 4.9-9.4 higher odds. Children seeing moderately hesitant CM providers had 3.3 higher odds of non-timely vaccination for the 1st dose of measles and 3.5 higher odds for 1st dose of polio/pertussis/tetanus., Conclusion: VH by both parents and providers each is associated with non-timely childhood vaccination. As VH parents are more likely to consult with VH providers, interventions aimed at increasing timely vaccination need to primarily target VH providers and their clients., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Ltd. All rights reserved.)
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- 2022
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49. National and regional variations in timely adherence to recommended measles vaccination scheme in 2-years old in Switzerland, 2005-2019.
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Baroutsou V, Wymann M, Zens K, Sinniger P, Fehr J, and Lang P
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- Adolescent, Adult, Child, Child, Preschool, Humans, Immunization Programs, Immunization Schedule, Infant, Middle Aged, Surveys and Questionnaires, Switzerland, Vaccination, Young Adult, Measles prevention & control, Measles Vaccine
- Abstract
Background: Although monitoring of vaccination program performance is usually evaluated by measurement of vaccine coverage, timely uptake is rarely part of this assessment. This study aims to examine the timeliness of the administration of a measles-containing-vaccine (MCV) for 2-year-old children between 2005 and 2019., Methods: We used data from the Swiss National Vaccination Coverage Survey 2005-2019 for the study. We defined timely vaccinated as a vaccination administered within the recommended age specified in the Swiss National Vaccination Schedule, with an added tolerance period of 30.4 days for both MCV 1 and 2 doses. The median delay time was estimated by Kaplan-Meier survival curve and examined using log-rank test. A Cox hazard ratio was used to identify factors associated with delay., Results: 81% (95% CI:79-82%) of toddlers were timely vaccinated for MCV1 and 82% (95% CI:81-83%) for MCV2 in survey period 2017-2019. Between 2005 and 2019, the median age of vaccinated children ranged between 12.2 and 12.5 and 18.3-22.0 months for MCV1 and MCV2 with median delay of 44 and 38 days, respectively, at the national level. Children in the French-, Italian- and German-speaking regions were vaccinated earlier between 2005 and 2019 for MCV1 (vaccination coverage range before 10 months of age: 1.7-45.9%, 1.2-35.3% and 1.4-15.0%, respectively). Nationality, linguistic regions, and survey periods were the strongest predictive factors related to prolonged delay time., Conclusion: Overall adherence to recommendations has improved over time, as MCV coverage has significantly increased over the years with differences across linguistic regions. Vaccinations were administered earlier and with shorter delay time., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
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- 2022
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50. Retrospective, matched case-control analysis of tickborne encephalitis vaccine effectiveness by booster interval, Switzerland 2006-2020.
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Zens KD, Haile SR, Schmidt AJ, Altpeter ES, Fehr JS, and Lang P
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- Adolescent, Adult, Aged, Case-Control Studies, Cross-Sectional Studies, Humans, Middle Aged, Retrospective Studies, Switzerland epidemiology, Vaccination, Vaccine Efficacy, Young Adult, Encephalitis, Tick-Borne epidemiology, Encephalitis, Tick-Borne prevention & control, Viral Vaccines
- Abstract
Objective: To estimate effectiveness of tickborne encephalitis (TBE) vaccination by time interval (<5, 5-10 and 10+years) postvaccination., Design: A retrospective, matched case-control study PARTICIPANTS: Cases-all adult (age 18-79) TBE cases in Switzerland reported via the national mandatory disease reporting surveillance system from 2006 to 2020 (final n=1868). Controls-community controls from a database of randomly selected adults (age 18-79) participating in a 2018 cross-sectional study of TBE vaccination in Switzerland (final n=4625)., Primary Outcome Measures: For cases and controls, the number of TBE vaccine doses received and the time since last vaccination were determined. Individuals were classified as being 'unvaccinated' (0 doses), 'incomplete' (1-2 doses) or 'complete' (3+ doses). Individuals with 'complete' vaccination were further classified by time since the last dose was received (<5 years, 5-10 years or 10+ years). A conditional logistic regression model was used to calculate vaccine effectiveness (VE: 100 × [1-OR]) for each vaccination status category., Results: VE for incomplete vaccination was 76.8% (95% CI 69.0% to 82.6%). For complete vaccination, overall VE was 95.0% (95% CI 93.5% to 96.1%). When the most recent dose was received <5 years prior VE was 91.6% (95% CI 88.4% to 94.0%), 95.2% (95% CI 92.4% to 97.0%) when the most recent dose was received 5-10 years prior, and 98.5% (95% CI 96.8% to 99.2%) when the most recent dose was received 10+ years prior., Conclusions: That VE does not decrease among completely vaccinated individuals over 10+ years since last vaccination supports the longevity of the protective response following complete TBE vaccination. Our findings support the effectiveness of 10-year TBE booster intervals currently used in Switzerland., Competing Interests: Competing interests: The authors declare no competing interests., (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2022
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