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Veröffentlichung A pilot study on the feasibility of European harmonized Human Biomonitoring: Strategies towards a common approach, challenges and opportunities(2015) Casteleyn, Ludwine; Dumez, Birgit; Becker, Kerstin; Den Hond, Elly; Schoeters, Greet; Castaño, Argelia; Koch, Holger Martin; Angerer, Jürgen; Esteban, Marta; Exley, Karen; Sepai, Ovnair; Bloemen, Louis; Fiddicke, Ulrike; Horvath, Milena; Knudsen, Lisbeth E.; Joas, Anke; Joas, Reinhard; Biot, Pierre; Koppen, C.; Dewolf, M.-C.; Katsonouri, Andromachi; Hadjipanayis, Adamos; Cerna, Milena; Krskova, A.; Kolossa-Gehring, Marike; Nielsen, Jeanette K.S.; Jensen, J.F.; Rudnai, Peter; Közepesy, S.; Mulcahy, M.F.R.; Mannion, R.; Gutleb, Arno C.; Fischer, M.E.; Ligocka, Danuta; Jakubowski, M.; Reis, M.Fátima; Namorado, S.; Lupsa, Ioana-Rodica; Schwedler, Gerda; Gurzau, Anca ElenaIn 2004theEuropeanCommissionandMemberStatesinitiatedactivitiestowardsaharmonizedap-
proach forHumanBiomonitoringsurveysthroughoutEurope.Themainobjectivewastosustainen-
vironmental healthpolicybybuildingacoherentandsustainableframeworkandbyincreasingthe
comparability ofdataacrosscountries.Apilotstudy totestcommonguidelinesforsettingupsurveys
wasconsideredakeystepinthisprocess.Throughabottom-upapproachthatincludedallstakeholders,
a jointstudyprotocolwaselaborated.
FromSeptember2011tillFebruary2012,17Europeancountriescollecteddatafrom1844mother-
child pairsintheframeofDEMOnstrationofastudytoCoordinateandPerformHumanBiomonitoring
on aEuropeanScale(DEMOCOPHES). Mercury inhairandurinarycadmiumandcotininewereselected
as biomarkersofexposurecoveredbysufficient analyticalexperience.PhthalatemetabolitesandBi-
sphenol Ainurinewereaddedtotakeintoaccountincreasingpublicandpoliticalawarenessfor
emerging typesofcontaminantsandtotestlessadvancedmarkers/markerscoveredbylessanalytical
experience.Extensiveeffortstowardschemo-analyticalcomparabilitywereincluded.
The pilotstudyshowed thatcommonapproachescanbefoundinacontextofconsiderablediffer-
ences withrespecttoexperienceandexpertize,socio-culturalbackground,economicsituationandna-
tional priorities.ItalsoevidencedthatcomparableHumanBiomonitoringresultscanbeobtainedinsuch
context.AEuropeannetworkwasbuilt,exchanging information,expertise andexperiences,andpro-
viding trainingonallaspectsofasurvey.Akeychallengewas finding therightbalancebetweenarigid
structure allowingmaximalcomparabilityanda flexibleapproachincreasingfeasibilityandcapacity
building. NextstepsinEuropeanharmonizationinHumanBiomonitoringsurveysincludetheestab-
lishment ofajointprocessforprioritizationofsubstancestocoverandbiomarkerstodevelop,linking
biomonitoring surveyswithhealthexaminationsurveysandwithresearch,andcopingwiththediverse
implementations ofEUregulationsandinternationalguidelineswithrespecttoethicsandprivacy.
©2014ElsevierInc.Allrightsreserved.Veröffentlichung Human biomonitoring harmonisation - lessons learned from COPHES and DEMOCOPHES(2014) Kolossa-Gehring, Marike; Fiddicke, Ulrike; Schwedler, Gerda; Seiwert, Margarete; Joas, Anke; Angerer, Jürgen; Koch, Holger; Biot, Pierre; Aerts, Dominique; Casteleyn, Ludwine; Castaño, Argelia; Schoeters, Greet; Sepai, Ovnair; Knudsen, Lisbeth E.; Horvath, Milena; Bloemen, Louis; Joas, ReinhardIntroduction: A major objective of the European Environment and Health Action Plan 2004-2010 was
the EU wide comparison of the population's exposure to chemicals by human biomonitoring (HBM). This
required study harmonization. COPHES (COnsortium to Perform Human biomonitoring on a European Scale)systematically developed a harmonized approach to conduct HBM on a European scale, an essentialprerequisite to get comparable data. Results: For all main aspects of study design and conduct alternativeswere compared and discussed in a transparent decision making process that can also be applied to otherstudies. To reach acceptance of all involved partners, country specific aspects were always considered. Duringworkshops and by discussing written materials all partners brought up their comments and became familiar withall instruments for fieldwork and methods for quality assurance (e.g., fieldwork manual, questionnaires, andcheck lists). However, study preconditions such as ethics requirements or acceptance of questionnairecomponents differred between countries, giving a taste of the limits of harmonization. Finally,17 of the 27COPHES countries conducted the DEMOCOPHES survey (DEMOnstration of a study to COordinate andPerform Human biomonitoring on a European Scale) using the harmonized approach. Conclusions: Theharmonized fieldwork instruments (basic questionnaire, urine and hair sampling) turned out to be of high valuefor future HBM studies. Harmonization requires detailed preparation but not necessarily in the same depth ineach part of the project. The challenge is to determine which procedures indispensably need perfectharmonization and for which general guidelines are acceptable. Acknowledgements: We are grateful to theEuropean Commission that funded COPHES (7th Framework Program No. 244237) and co-fundedDEMOCOPHES (LIFE09 ENV/BE/000410) in addition to the Federal Environment Ministry (BMUB). We alsothank all project partners (www.eu-hbm.info).
Quelle: 24th Annual Meeting ofThe International Society of Exposure Science: Exposure Science Integration to Protect Ecological Systems,Human Well-Being, and Occupational Health; Abstract Book ISES 2014 / International Society of Exposure Science, Cincinnati: 2014, S.235Veröffentlichung Implementation of the "DEMOCOPHES" Project in Romania(2014) Lupsa,Ioana-Rodica; Kolossa-Gehring, Marike; Gurzau, Anca Elena; Gurzau, Eugen S.; Casteleyn, Ludwine; Castaño, Argelia; Schoeters, Greet; Knudsen, Lisbeth E.; Biot, Pierre; Aerts, DominiqueVeröffentlichung Interpreting biomarker data from the COPHES-DEMOCOPHES twin projects: Using lifestyle and environmental data to understand biomarker differences among countries(2013) Den Hond, Elly; Govarts, Eva; Koppen, Gudrun; Willems, Hanny; Joas, Reinhard; Casteleyn, Ludwine; Joas, Anke; Biot, Pierre; Aerts, Dominique; Angerer, Jürgen; Berglund, Marika; Bloemen, Louis; Castaño, Argelia; Fiddicke, Ulrike; Crettaz, Pierre; Esteban, Marta; Exley, Karen; Fabianova, Eleonora; Fischer, Marc; Gutleb, Arno Christian; Hadjipanayis, Adamos; Halzlova, Katarina; Horvat, Milena; Jakubowski, Marek; Katsonouri, Andromachi; Kolossa-Gehring, Marike; Koch, Holger; Krskova, Andrea; Lehmann, Andreas; Ligocka, Danuta; Lupsa, Ioana-Rodica; Mazej, Darja; Mulcahy, Maurice; Namorado, Sónia; Nielsen, Jeanette; Schwedler, GerdaIn 2011 and 2012, the COPHES/DEMOCOPHES twin projects performed a first ever harmonized human biomonitoring survey in 17 European countries. In more than 1800 mother-child pairs, cadmium, cotinine and certain phthalate metabolites were measured in urine, and total mercury in hair samples. The presentation provides an overview of the analyses that studied whether it was feasible to interpret the observed differences in biomarker values among different countries, using external databases on environmental quality and lifestyle.
Despite the fact that harmonised biomonitoring data was available from 17 different European countries, the assessment was hampered by a lack of consistent data on lifestyle and environmental quality. This implied that most analyses could only be performed for about half to two thirds of the participating countries. Nonetheless, it was feasible to relate aggregated fish consumption data to mercury in hair, to relate the strength of anti-smoking legislation to urinary cotinine levels, and to find a borderline significant relationship between cadmium levels in air or food and urinary cadmium levels across DEMOCOPHES countries. However, the challenge to integrate environmental exposure and lifestyle data with biomarker data is to have data available on a similar geographical resolution and therefore remains a pitfall for human biomonitoring to achieve its true potential for evidence-based policy making.
With many thanks to the COPHES consortium funded by DG RTD under FP7 and DEMOCOPHES co-funded under Life+, as well as the Ministries of the DEMOCOPHES countries, for the support. www.eu-hbm.infoRoel Smolders, et al.: Interpreting biomarker data from the COPHES-DEMOCOPHES twin projects: Using lifestyle and environmental data to understand biomarker differences among countries. In: Abstracts / The 9thInternational Symposium on Biological Monitoring in Occupational and Environmental Health. 2013, Manchester, S. 33
Veröffentlichung Measuring environmental contaminants in humans(2013) Kolossa-Gehring, Marike; Seiwert, Margarete; Schwedler, Gerda; Fiddicke, Ulrike; Conrad, André; Schröter-Kermani, Christa; Schulz, Christine; Biot, Pierre; Aerts, Dominique; Casteleyn, Ludwine; Joas, Anke; Joas, Reinhard