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Poison centres

Poison centres

EU countries are required to set up appointed bodies (often known as poison centres) for receiving information on the composition of hazardous mixtures (detergents, paints, adhesives etc.). Importers and downstream users placing the mixtures on the EU market must provide this information. Depending on the EU country, physicians, professional users and consumers can contact these appointed bodies to get recommendations for medical treatment in cases of poisoning.

Poison centres in the EU answer at least 600,000 calls per year from the general public or physicians (about 1,700 calls per day). Roughly half of the cases are related to accidental exposure involving children. It's estimated that the number of fatalities in the EU related to poisoning from hazardous chemicals is at least 400 per year. You can find more information on the ECHA website.

Legislation

On 22 March 2017, the Commission adopted Regulation (EU) No 2017/542. The Regulation amends Regulation (EC) No 1272/2008 (CLP Regulation) by adding an Annex on harmonised information relating to emergency health response. The Regulation will lead to producers and importers of chemical mixtures (such as detergents, paints and household chemicals) providing uniform information on the product composition. At the same time, emergency responders in all EU countries will have the same medical information available. This will allow improved services in some countries. Through a new uniform product identifier (UFI) poison centres will be able to exactly identify the product and its composition. Leading to a better and more adequate medical response. And reducing unnecessary over-treatment which is often given to be on the safe side.

List of European appointed bodies

Please note that the list does not provide the emergency telephone number to be given in Section 1.4 of a Safety Data Sheet (Annex II REACH Regulation). Further information on the emergency telephone numbers can be found on the ECHA website.

Workshop on the implementation of Commission Regulation amending CLP by adding an Annex on harmonised information relating to emergency health response

On 23 January 2017, the Commission and ECHA jointly organised a workshop on the implementation of the Regulation harmonising the information relating to emergency health response. The video recording of the workshop as well as the presentations are available below.

Video recording (available until 23 January 2019)
Minutes of the workshop

Presentations:
01. ECHA_IT aspects – Tools
02. NL_Preparation for implementation
03. PL_Preparation for implementation
04. A.I.S.E._View from industry
05. UEAPME_View from industry
06. Recap morning session
07. Guidance and support
08. Poison Centre Notification Portal feasibility study
09. Workability issues_Concawe
10. Workability issues_CEPE

Studies

(I) Review of the Commission services according to Article 45(4) of CLP Regulation

The legal obligations relating to the submission of information to the appointed bodies are laid down in Article 45(4) of Regulation 1272/2008 ('CLP Regulation'). Currently, requirements differ largely between EU countries, and create an unnecessary burden for companies selling their products in several or all EU countries.

For this reason, the Commission was mandated to assess the possibility of harmonising the information provided to poison centres. This review (302 kB) was carried out in consultation with stakeholders and with the support of the European Association of Poison Centres and Clinical Toxicology (EAPCCT). It concluded that the Commission shall make a proposal to harmonise data formats.

Preparatory documents to discuss the scope and content of the proposal were held in the REACH and CLP expert group ('CARACAL'). Documents from the CARACAL meetings (14, 16 and 18) are publicly available on the CircaBC platform (no registration or login required) under the group 'CARACAL documents'. Click here for direct access and consult the Library. The proposal to harmonise formats for the submission of data to poison centres is expected to be adopted in the first half of 2016.

(II) Study on costs and benefits of the harmonisation of information to be submitted to poison centres

A Commission study estimates the positive and negative impacts of a harmonised notification system of data to be transmitted to poison centres in accordance with Article 45 of the CLP Regulation. The elimination of different requirements between EU countries is expected to create net savings of EUR 550 million for companies, and at the same time improve the speed and quality of emergency responses (inter alia through the creation of a Unique Formula Identifier, allowing faster identification of hazardous mixtures).

(III) Study on interlinked databases (XML format) between poison centres

The study 'Feasibility on interlinked databases, format and basic application to facilitate exchange of information between Poison Centres (Art. 45 CLP Regulation)' defines the technical specifications for a common XML harmonised reporting format with the related XML Schema Definition (XSD) and the basic application to input data in the defined format. The XML Schema Definition (XSD) and the basic application are downloadable from the ECHA website.

It also describes the existing software under current national notification systems, analyses options for a secure data exchange between poison centres in EU countries and proposes tools allowing one-off data submission to a range of EU countries at the same time.

(IV) Study on analysis, development and testing of the Unique Formula Identifier (UFI) for information to be submitted to poison centres

The addition of an alphanumeric code, called a “Unique Formula Identifier” (UFI), on the label of hazardous mixtures will create an unambiguous link between products placed on the market and information related to these products submitted to poison centres. The study on UFIs establishes requirements for the construction of the UFI and derives a suitable algorithm for its generation as a simple 16-character code. Another practical result of the study is the development of an application to generate UFIs. This application has been developed for the benefit of companies and readily enables them to create UFIs. The application is available at ECHA's website.

(V) Study on a Product Categorisation System for information to be submitted to poison centres

One of the outcomes of the review of the Commission services according to Article 45(4) of CLP was the suggestion to develop a harmonised European Product Categorisation System (EC PCS). In the product categorisation system study, existing PCS were analysed and relevant literature was reviewed. Together with an extensive stakeholder consultation this led to the development of an EU PCS, which has a hierarchical structure and uses the existing German TDI-CSA/TKS as a backbone. The system covers mixtures classified as hazardous based on their health effects or physical properties in accordance with Article 45 of the CLP Regulation as well as other categories of products (e.g. cosmetic products) beyond the scope of Article 45 of CLP. Products are categorised based on their intended use only. For EU countries with an existing PCS, translation tables were developed for mapping of the existing categories to the new harmonised system.

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