Our European correspondent Ulf Bengtsson reports:
In a previous e-mail I have reported that the FDI has set up a special “Mercury and Dental Amalgam Task Team” in order to communicate with the UNEP to ensure that the interests of FDI members are being considered. For more information on Task Team members see attached file. The FDI say they will collaborate and work closely on this issue with the International Dental Manufacturers, IDM (supporting member of the FDI) and the ISO, an NGO with strong industrial connections, in a recent resolution. IDM Executive Director, Friedrich A. Herbst, is a consultant with the FDI. New information on the FDIs view on UNEP negotiations has now become available in the FDI 2009 Annual Report. It is obvious that the FDI will fight any restrictions on amalgam use but will be positive towards the introduction of amalgam traps in the clinics. Environmental contamination through feces, urine, crematoria and so on is not mentioned. According to the FDI they seem to have convinced the UNEP to make an exception for the use of dental amalgam in future recommendations/rulings: “Science committee” “Another significant issue with which the Science Committee is actively involved is the discussions regarding prospective global mercury policy recommendations from the United Nations Environment Programme (UNEP), Chemicals Mercury Programme. The outcome of these discussions will potentially have a profound effect on the delivery of dental care, particularly in those countries where amalgam is still the most widely used restorative material. The FDI Council took a decision to join the Global Mercury Partnership and has formed a Mercury and Dental Amalgam Task Team to co-ordinate activities and communications with the UNEP” “UNEP global mercury issue The FDI World Dental Federation has been monitoring developments with regards to the global regulation of mercury, in particular the work of the United Nations Environmental Programme (UNEP) in establishing an international legal framework. An FDI representative, Dr Julian Fisher, Associate Director of Education and Scientific Affairs, attended several key UNEP Mercury Programme meetings in 2008 and 2009, strictly in an observer capacity, in order to update the FDI Council. Through this early engagement, FDI was able to enter informal dialogue with various key stakeholders and also provide UNEP with valuable and evidence based information concerning dental amalgam. At the 2008 FDI Annual World Dental Congress in Stockholm, the FDI Council instructed the Executive Director, Dr David Alexander to join the UNEP Global Mercury Partnership, to ensure that the international dental community and the issues regarding dental amalgam were properly and accurately represented in UN discussions governing mercury. This pro-active decision on behalf of the FDI membership was amply justified in February 2009, when the FDI was formally accepted into the partnership. The 25th UNEP Governing Council met in February 2009 and instructed the UNEP Mercury Programme Executive Director to convene an inter-governmental negotiating committee with a mandate to develop an international legally binding instrument to govern mercury, which would include both binding and voluntary approaches. Provisions for dental amalgam would be included in this legally binding instrument. The inter-governmental negotiating committee will commence its work in 2010 with the goal of completing it prior to the 27th regular session of the UNEP Governing Council in February 2013. The FDI has reaffirmed through its Policy Statements that dental amalgam is a safe, widely-used and affordable dental filling material and currently serves the oral health needs of the majority of communities around the world, particularly those most disadvantaged and in need of dental treatment. Through the engagement of the FDI, UNEP has a more complete understanding of the important role that dental amalgam has in the provision of dental care in many countries. UNEP respects the interventions of the FDI and has indicated that it would be possible for the international dental community, working through the relevant global mercury partnership areas, to make special provisions for dental amalgam. UNEP also recognises that dental composites / mercury free alternatives* (*UNEP term), does not currently represent an economically viable, affordable restorative filling material in many circumstances, most particularly in developing countries where the use of composites would present additional clinical, logistical, economic and infrastructure challenges. FDI takes its responsibility with regard to mercury and dental amalgam, both in terms of human health and the global environment, with the utmost seriousness. The FDI proposes pro-active engagement through its member national dental associations, demonstrating its responsibilities and strengthening the international dental community’s position. Positive and pro-active initiatives with respect to collecting and disposal of unused elemental mercury retained in dental offices and dialogue regarding the use of amalgam separators would greatly assist the dental community in demonstrating its responsibilities and strengthening the dental community’s position in negotiating appropriate clauses in the final international legally binding instrument. The FDI believes that the key to achieving the UNEP Global Mercury Partnership’s goal is to focus both on the prevention of oral disease and the initial placement of dental filings. However, it must be appreciated that even with a preventive approach, there is, and will be for many years, an overwhelming need for a safe and affordable dental filling material. The FDI echoes comments from member states saying that restricting global mercury should work in parallel with the development of safe and affordable alternatives. Dr. J Fisher Education and Scientific Affairs Associate Director On behalf of the FDI Science Committee” Seasons Greetings and a hope for a good 2010. Keep up the good work! /Ulf Bengtsson |