European Union and SCENIHR Scandals

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Dental Amalgam Scandals A known neurotoxin such as mercury, with a vast history of scientific studies indicating harm at low levels of exposure, could not remain on the market as a medical implant for over 30+ years without a plethora of scandals to accompany it. Many of the articles in this section are based on researchers first hand experience with various health agencies of the federal government and Freedom of Information (FOIA) documents obtained by consumer advocacy groups.
The American Dental Association (ADA) The history of The American Dental Association (ADA) is inextrictably tied to the promotion of dental amalgam and its alleged safety. The ADA has spent up to 2 million dollars a year lobbying on behalf of its interests. Through its affiliates, the ADA dictates dental school cirriculum in the USA. In addition members of the ADA have lead The National Institute of Dental and Craniofacial Research and The FDA's Centers for Devices and Radiological Health.
The Agency for Toxic Substances and Disease Registry (ATSDR) The Agency for Toxic Substances and Disease Registry continually fails in its mission to serve the public through responsive public health actions to protect people from environmental hazards and toxic exposures. ATSDR has yet to educate communities, partners, and policy makers about the health risks associated with dental mercury fillings. ATSDR authored the 1999 "toxicological profile on mercury".
The Environmental Protection Agency (EPA) The mission of the EPA is to protect human health and to safeguard the natural environment — air, water, and land — upon which life depends. The EPA's mercury amalgam waste regulations have been overtly influenced by the American Dental Association. At 24 tons, dentists are some of the largest contributors of mercury into our environment. In addition the EPA fails to address direct to air releases from dental offices and dental mercury emissions from crematories.
The European Union - EU - SCENIHR The European Union's Scientific Committee on Emerging and Newly Identified Health Risks (SCENIHR) provides opinions on emerging or newly-identified health and environmental risks and on broad, complex or multidisciplinary issues requiring a comprehensive assessment of risks to consumer safety or public health and related issues not covered by other community risk assessment bodies. SCENIHR released a blatantly misleading report, promoting the safety of mercury dental fillings.
The Food and Drug Administration (FDA) For over 34 years the FDA avoided properly classifying dental mercury amalgam fillings (a medical implant). In 2009 the FDA lost a lawsuit and were mandated by a court order to classify amalgam fillings. During the past 33 years the FDA has consistently acted in a manner opposite their mission statement in regards to dental amalgam. "FDA is responsible for protecting the public health by assuring the safety, efficacy and security of... "medical devices".
FDI World Dental Federation FDI World Dental Federation is a membership organisation composed of more than 200 member National Dental Associations and specialist groups, altogether representing more than one million dentists worldwide. The organisation is governed by a Council of delegates from member associations that are elected by a General Assembly during the FDI Annual World Dental Congress (AWDC).
The National Institute of Dental and Craniofacial Research (NIDCR) The mission of the National Institute of Dental and Craniofacial Research (NIDCR) is to improve oral, dental and craniofacial health through research, research training, and the dissemination of health information. NIDCR is the Nation’s leading funder of oral, dental, and craniofacial research. 75% of NIDCR’s budget goes to grantees at universities, dental schools, and medical schools across the country
The National Institutes of Health (NIH) The NIH, a part of the U.S. Department of Health and Human Services, is the nation’s medical research agency. NIH is the largest source of funding for medical research in the world. The NIH killed funding to the researcher who was able to show that mercury reproduced three of the biochemical hallmarks of Alzheimer's Disease.
The Office of Management and Budget (OMB) The OMB reviews agency budgets, management, legislative, regulatory, financial, procurement, and other proposals; assures that all such proposals are consistent with relevant statutes and Presidential objectives; provides both short-range and long-range analysis and advice to government officials on a variety of subjects; and develops Government-wide policies.
The Occupational Safety & Health Administration (OSHA) OSHA's role is to assure safe and healthful working conditions for workers by authorizing enforcement of the standards developed under the Act. But, despite knowledge of mercury's widespread use in dentistry and elevated levels of mercury in dental offices during placement, polishing and removal OSHA refuses to enforce current regulations that would protect both staff and patients from uneccessary mercury exposure.
Study Scandals There have been many studies claiming amalgam safety which have downplayed mercury exposure and adverse health effects from that exposrue. Unfortunately, only those studies showing safety get huge coverage in the press without ever mentioning any of those studys inherent flaws or conflicts of interests. In this section we offer a critical look at those studies.
The United Nations - UN The United Nations Environment Programme (UNEP) coordinates United Nations environmental activities at the global and regional level. Its mandate is to coordinate the development of environmental policy consensus by keeping the global environment under review and bringing emerging issues to the attention of governments and the international community for action.
The World Health Organization - WHO WHO is the directing and coordinating authority for health within the United Nations system. It is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends. The dental division within The WHO has continually released unsanctioned papers promoting the safety of mercury fillings.

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Wednesday, 13 June 2012 14:26

Loophole positions potentially biased industry funded studies as basis of exposure limits for chemicals

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When preparing its policy and proposals relating to consumer safety, public health and the environment, the European Commission relies on independent Scientific Committees to provide it with sound scientific advice and draw its attention to new and emerging problems. These committees have now been given new guidance.

A coalition of NGO's has welcomed the major part of this guidance but strongly opposes the use of a method proposed by an employee of the chemical industry, Klimisch et al., (2007) and the OECD.

If implemented this excludes a majority of independent, well performed, peer-reviewed scientific research and favors research performed by the industry itself, say the NGO letter.

This approach used by the EU say that the most highly ranked investigations used in setting exposure limits should be performed using Good Laboratory Practice, GLP.

GLP is a standard used in industry for ensuring good quality data. It stipulates how the investigating organization should be organized, records kept of employees and their qualifications, how a Quality Assurance Programme should be organized, how the facilities used should be designed, rules on apparatus, material, reagents and so on, http://www.oecd.org/officialdocuments/displaydocument/?doclanguage=en&cote=env/mc/chem(98)17

The cost of this effectively excludes most academic investigations no matter how well performed. According to the NGO: s this gives investigations performed by the industry itself an unjustified advantage."

This e-mail address is being protected from spambots. You need JavaScript enabled to view it John DALLI
European Commissioner for Health and Consumer Policy
European Commission
B - 1049 Brussels, Belgium 

This e-mail address is being protected from spambots. You need JavaScript enabled to view it Vladimir Garkov, MD, PhD
Scientific Committees Management Officer
DG SANCO
Unit C7: Risk Assessment Belliard 232/2-9
B-1049 Rue Breydel 4, Brussels, Belgium
by post & by email 16 May 2012

Dear Commissioner Dalli; Dear Dr. Garkov:

We welcome the new guidance of the Commission's Scientific Committee on Emerging New Health Risks (SCENIHR), on how to perform risk assessments (RA).1 We hope it represents the view of all three of the Commission's non- ood safety advisory bodies (SCENIHR, SCHER, SCCP). However, the guidance contains a flaw that is likely to undermine its intent. 

The guidance is a positive step towards making risk assessment as practised realistic, by minimizing false negative error - i.e. missing toxic effects. Specifically, we commend the SCENIHR for guiding its RA Working Groups to:

1) perform a thorough review of the peer-reviewed literature at the start of every RA, then

consider the totality of the data using a 'weight of the evidence' approach;

2) rely "primarily on original refereed [peer-reviewed] publications" for RAs.

Point (2) is critical. The peer-reviewed toxicity studies that are largely publicly funded and use flexible, realistic protocols are, according to scientific reviews, far less likely to produce false negative error than the toxicity studies sponsored by the substance's manufacturer, which follow rigid and limited OECD protocols.2 We commend the SCENIHR for recommending that the independent peer-reviewed literature (as opposed to studies commissioned by industry, which generally are not peer-reviewed or published) should be regularly utilized in RA.

However, we are very concerned to see this more scientifically-rigorous approach undermined, once again, by the "Klimisch loophole". In SCENIHR's discussion of criteria for the acceptability of a study for a RA, the guidance recommends that the Working Groups utilize: "the criteria proposed by Klimisch et al., (2007) and the OECD Manual for the investigation of HPV chemicals."

This is unacceptable. Klimisch and co-authors were employees of the chemical giant BASF and they published in a journal that was the subject of a US Congressional inquiry due to its industry sponsorship and perceived lack of independence on chemicals.3 Klimisch et al allow only one criterion for the most reliable studies: Was it done according to Good Laboratory Practice (GLP)?4 

This criterion effectively excludes most independent (non-industry sponsored) studies from consideration, since only industry studies are done according to GLP. GLP is not a hallmark of good or reliable science: it is a laboratory management system invented for the purpose of preventing fraud in industry studies conducted for regulatory purposes.

Researchers operating  independently of industry consider GLP to be irrelevant to their research – and thus too expensive in terms of labour hours to implement without good reason. Crucially, at no point have regulators informed independent scientists that their study is considered unreliable for not using GLP.

We ask the Commission to immediately delete the "Klimisch loophole" from all RA guidance (EFSA, EChA and possibly other Commission guidances also use the Klimisch loophole to exclude independent peer-reviewed data). Risk assessors must not be allowed to dismiss the valid studies they have just been asked to prioritize.

SCENIHR's reference to the Organisation for Economic Co-operation and Development (OECD) HPV Manual compounds the Klimisch loophole. As with GLP, OECD's toxicity test protocols are for studies done for regulatory purposes (usually by industry). An increasing number of scientists operating independent of industry feel the narrow OECD protocols restrict their freedom to investigate; criticizing them as insensitive and prone to false negative results.5 For example, OECD protocols kill the test animals before most chronic disease can show up, and Ramazzini Institute's chronic toxicity tests prove this greatly understates the carcinogenicity of chemicals. 

Altogether, not one of several hundred experienced risk assessors asked in plenary at the 2009 Global RA Forum could recall a single pre-marketing RA that did not use an OECD/GLP study as its key study to set the "safe" dose for human exposure. In post-market RA, this is not much better. For example, EFSA, in their most recent post-marketing RA of bisphenol A (BPA) appear to have used OECD/GLP compliance as the criterion to dismiss without further justification 216 of 229 (94%) of recently published studies, of which a substantial number seriously challenged or contradicted EFSA's "safe" daily dose of BPA.6

While the OECD protocols and GLP rules have useful elements, and GLP must continue to be used for industry studies as a tool to assist fraud detection; industry studies using these protocols must not be given greater weight than financially disinterested studies using realistic protocols. If you wish to test whether RAs yield as much false negative error as we claim, we propose that you perform comparative literature reviews on the chronic toxicity findings for several longmarketed agents (so that they have a large enough body of peer-reviewed studies), comparing the findings of GLP/OECD regulatory studies with those of the independent literature. RA theory requires that there be a valid reason not to use the lowest chronic L/NOAEL known as the key study. We are asking you to test if RA is currently doing so.

We are confident that you will discover, for any such chemical, falsifications of OECD/GLP findings in mammalian chronic toxicity models; as well as massive data gaps hinted at by independent low-dose in vitro and ecotoxicity findings.

EU laws already allow the Commission to designate alternative data quality criteria as equally valid to the OECD's. So we ask the Commission to designate:

1) peer-reviewed publication,

2) high journal impact factor

3) researcher financial independence, as those criteria.

EFSA's June scientific colloquium on low-dose toxicity in RA would be a good forum for the EU's safety regulators to initiate this discussion on improving RA. Speakers will include Laura Vandenberg, whose review7 found 840 published studies in which low concentrations were demonstrated to be more potent than higher ones. Such findings are routine in endocrinology; and their existence falsifies the fundamental tenet of RA, that "the dose makes the poison" in linear dose-response fashion. 

In conclusion, we ask you to delete the Klimisch loophole from SCENIHR's and other guidances; and to initiate discussions with us and financially un-conflicted scientists on how to make RA more realistic. The director of the USA's National Toxicology Program and National Institute for Environmental Health Sciences has just called for such a discussion;8 and several medical societies have offered their expertise in the effects of contaminants on human disease to assist risk assessors.9 

We look forward to your response,

Yours sincerely,

(Lucie Daniel, for the absent) Hans Muilerman, This e-mail address is being protected from spambots. You need JavaScript enabled to view it Pesticide Action Network
Europe, 1 Rue de la Pépinière 1000, Brussels, Belgium Tel. +316-55807255

On behalf of the following NGOs:

ClientEarth 36 Av. de Tervueren 1040 Brussels, Belgium
Earth Open Source 145-157 St John St. (2nd Flr), EC1V 4PY London, UK
European Environmental Bureau Blv. Waterloo 34, 1000 Brussels, Belgium
Health & Environment Alliance (HEAL) 28 Blv. Charlemagne, 1000 Brussels, Belgium
Réseau Environnement Santé (RES), 148 rue du Faubourg 75010 Paris, France
R.I.S.K. Consultancy, PB 10028 Brussels 1080 Belgium

Copies by email to:

Inter-Committee Coordination Group, This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Janez Potočnik, Commissioner for Environment This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Jack De Bruijn, Risk Management unit, EChA, This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Bjorn Hansen, Head of Unit--Chemicals, DG Env. This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Hubert Deluyker, Dir., Science Strategy, EFSA, This e-mail address is being protected from spambots. You need JavaScript enabled to view it

1 SCENIHR (2012). Memorandum on the use of scientific literature for human health risk assessment purposes -

weighing of evidence and expression of uncertainty

http://ec.europa.eu/health/scientific_committees/emerging/docs/scenihr_s_001.pdf

2 Bekelman JE, Li Y, Gross CP. Scope and impact of financial conflicts of interest in biomedical research. JAMA

2003;289:454e65.

– Fagin D, Lavelle M. Center for Public Integrity. Toxic Deception: How the Chemical Industry Manipulates Science,

Bends the Law and Endangers Your Health. 2nd Edition. Monroe, ME: Common Courage Press, 1999:

– Swaen GM, Meijers JM. Influence of design characteristics on the outcome of retrospective cohort studies. Br J Ind

Med 1988;45:624e9.

– vom Saal FS, Hughes C. An extensive new literature concerning low-dose effects of bisphenol A shows the need for

a new risk assessment. Environ Health Perspect 2005;113:926-

3 RTP was one of several industry-linked organizations that were investigated by a US Congressional Committee in

2008 over their role in the FDA's decision allowing the chemical bisphenol A in infant formula and other foods. See:

Layton, L. 2008. Studies on chemical in plastics questioned. Washington Post. April 27, 2008.

http://www.washingtonpost. com/wp-dyn/content/article/2008/04/26/AR2008042602126. html?sid=ST2008042602242 ;

Dingell, Rep. J. D. (D-Mich.). 2008. Letter to Jack N. Gerard, president and CEO, American Chemistry Council, April 2.

http://www.ewg.org/release/congress-chemical-industry-you-re-under-investigation

4 Klimisch, H. J., M. Andreae, et al. (1997). A systematic approach for evaluating the quality of experimental

toxicological and ecotoxicological data. Regul Toxicol Pharmacol 25(1): 1-5.

5 Makris SL 2011. Current Assessment of the Effects of Environmental Chemicals on the Mammary Gland in Guideline

Rodent Studies by the U.S. Environmental Protection Agency (U.S. EPA), Organisation for Economic Co-operation and

Development (OECD), and National Toxicology Program (NTP). Environ Health Perspect 119:1047-52.

http://dx.doi.org/10.1289/ehp.1002676

– vom Saal FS, Myers JP 2010. Good Laboratory Practices Are Not Synonymous with Good Scientific Practices,

Accurate Reporting, or Valid Data. Environ Health Perspect 118:a60-a60. http://dx.doi.org/10.1289/ehp.0901495

6 http://reseau-environnement-sante.fr/2012/05/03/ressources/veille-scientifique/bisphenol-a-bulletin-de-veillescientifique-

n-12/

7Vandenberg LN, Colborn T, Hayes TB, Heindel JJ, Jacobs DR Jr, Lee DH, Shioda T, Soto AM, Vom Saal FS,

Welshons WV, Zoeller RT, Myers JP. Hormones and Endocrine-Disrupting Chemicals: Low-Dose Effects and

Nonmonotonic Dose Responses. Endocr Rev. 2012 Mar 14 ahead of print.

8http://ehp03.niehs.nih.gov/article/fetchArticle.action?articleURI=info%3Adoi%2F10.1289%2Fehp.1205179

9http://www.sciencemag.org/content/331/6021/1136.1.citation

Administrator

mercury-exposure-avatarFor years I've read news stories about dental mercury amalgam fillings that failed to ask vital follow up questions for one to form a better understanding of the true risks involved with exposure to mercury fillings. Rarely was a toxicologist, neurologist or bio-chemist interviewed. Instead, the stories would always give dentists such prominence when promoting the safety of a substance of which they knew nothing about, all while never acknowleding the much lower levels of mercury at which our government has removed other products from the market. So now I'm doing what I can to help raise awareness of the many dangerous aspects of dental mercury fillings.

Website: www.mercuryexposure.info

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