Final Report on Actions and Recommendations for Integrated

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Monitoring of Heavy Metals under the framework of the

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European Environment and Health Strategy (COM 2003)338 final)

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AEA Technology Environment

2004

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CONTENTS

1 INTRODUCTION. 1

2 BACKGROUND 1

3 PROPOSED OPTIONS FOR ACTION . 4

4 OPTION ANALYSIS.. 4

OPTION 1: STRATEGY AND METHODOLOGY FOR THE GENERATION OF HARMONISED DATA

SETS ON HUMAN EXPOSURES TO HEAVY METALS.. 5

• OPTION 2A A PROGRAMME FOR SYSTEMATIC BIOMONITORING FOCUSSED ON TOXIC

METALS IN CHILDREN 5

• OPTION 2B - A PILOT STUDY OF METHYL MERCURY IN PREGNANT WOMEN IN ORDER TO

ASSESS THE RISK OF NEUROTOXICITY IN CHILDREN. 6

• OPTION 3- CREATE A NETWORK FOR COMMUNICATION OF MONITORING DATA ON HEAVY

METALS THAT POSE A RISK TO CHILDREN HEALTH. . 6

• OPTION 4 ASSESSING THE DISEASE BURDEN BY MONITORING HEAVY-METAL SPECIFIC

HEALTH OUTCOMES IN CHILDREN 7

• OPTION 5 – RESEARCH.. 7

5 ANNEX: REPORTING FORMATS.. 10

• A PILOT STUDY OF METHYL MERCURY IN PREGNANT WOMEN IN ORDER TO ASSESS THE

RISK OF NEUROTOXICITY IN CHILDREN.. 20

• CREATE A NETWORK FOR COMMUNICATION OF MONITORING DATA ON HEAVY METALS

THAT POSE A RISK TO CHILDREN HEALTH 24

• ASSESSING THE DISEASE BURDEN BY MONITORING HEAVY-METAL SPECIFIC HEALTH

OUTCOMES IN CHILDREN .. 29

• RESEARCH TOPICS - EXPOSURE. 37

• RESEARCH - EFFECTS.. 41

• RESEARCH – IDENTIFICATION OF NEW RISKS... 46