title: Recent advances to address European Union Health Security from cross border chemical health threats.
abstract: The European Union (EU) Decision (1082/2013/EU) on serious cross border threats to health was adopted by the European Parliament in November 2013, in recognition of the need to strengthen the capacity of Member States to coordinate the public health response to cross border threats, whether from biological, chemical, environmental events or events which have an unknown origin. Although mechanisms have been in place for years for reporting cross border health threats from communicable diseases, this has not been the case for incidents involving chemicals and/or environmental events. A variety of collaborative EU projects have been funded over the past 10 years through the Health Programme to address gaps in knowledge on health security and to improve resilience and response to major incidents involving chemicals. This paper looks at the EU Health Programme that underpins recent research activities to address gaps in resilience, planning, responding to and recovering from a cross border chemical incident. It also looks at how the outputs from the research programme will contribute to improving public health management of transnational incidents that have the potential to overwhelm national capabilities, putting this into context with the new requirements as the Decision on serious cross border threats to health as well as highlighting areas for future development.
authors.affiliation: Centre for Radiation, Chemical and Environmental Hazards, Public Health England, UK. Electronic address: raquel.duarte-davidson@phe.gov.uk.
authors.forename: R
authors.initials: R
authors.lastname: Duarte-Davidson
authors.affiliation: Centre for Radiation, Chemical and Environmental Hazards, Public Health England, UK.
authors.forename: R
authors.initials: R
authors.lastname: Orford
authors.affiliation: Centre for Radiation, Chemical and Environmental Hazards, Public Health England, UK.
authors.forename: S
authors.initials: S
authors.lastname: Wyke
authors.affiliation: Centre for Radiation, Chemical and Environmental Hazards, Public Health England, UK.
authors.forename: M
authors.initials: M
authors.lastname: Griffiths
authors.affiliation: Microbial Risk Assessment & Behavioural Science, Emergency Response Department, Public Health England, UK.
authors.forename: R
authors.initials: R
authors.lastname: Amlôt
authors.affiliation: Department of Pharmacy, University of Hertfordshire, Hatfield, UK.
authors.forename: R
authors.initials: R
authors.lastname: Chilcott
mesh_terms: D055885:Biohazard Release / Q000331:legislation & jurisprudence / Q000517:prevention & control; D055884:Chemical Hazard Release / Q000331:legislation & jurisprudence / Q000517:prevention & control; D004787:Environmental Pollution / Q000331:legislation & jurisprudence / Q000517:prevention & control; D005062:European Union; D006285:Health Planning; D006801:Humans; D011634:Public Health / Q000331:legislation & jurisprudence* / Q000592:standards; D018788:Radioactive Hazard Release / Q000331:legislation & jurisprudence / Q000517:prevention & control; D018570:Risk Assessment; D017751:Safety Management / Q000331:legislation & jurisprudence / Q000639:trends*
keywords: Alerting and notification; CBRN; Chemical incident; Cross border health threats; Emergency response; Public health risk assessment and management