Health Council of the Netherlands Reports 2003 - Gezondheidsraad

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Non-heart-beating donation 17 Non-heart-beating donation of kidneys and other organs offers an important additional source of transplantable donor organs, and should be actively promoted. 18 The expansion of NHB-donation to both university centres and peripheral hospitals should be facilitated through reaching a national consensus over relevant guidelines. 19 The procedure for determination of death on cardiopulmonary criteria for use in NHB-donation should be outlined in an updated protocol. 20 When determining the death of a potential NHB-donor, an interval of at least five minutes of circulatory arrest should be observed, during which no handling of the body or interventions should take place. Following this fiveminute no-touch period organ preserving measures can be started. 21 The option of NHB-donation deserves better attention in the information offered to both the patient and the general public. NHBD kidney transplantation 22 The results of kidney transplantation from non-heart-beating donors (in terms of graft survival and kidney function) are comparable in the long run to those of kidneys from heart-beating donors. NHBD-kidneys, in the view of the Health Council, should no longer be considered as marginal or second-best organs. NHBD transplantation of extra renal organs 23 NHB liver donation offers a potentially important source of transplantable donor organs and should now be actively promoted, among others by developing a uniform protocol. 24 NHB-donation of the lungs and the pancreas is for the moment still an experimental procedure. 34 Health Council of the Netherlands; Reports 2003
Public awareness about genetics Health Council of the Netherlands. Public awareness about genetics. The Hague: Health Council of the Netherlands, 2003; publication no. 2003/05. ISBN: 90-5549- 473-9 (in Dutch) Public awareness about genetics deserves our attention on account of the wideranging applications of this branch of science within our society and the speed at which it is developing. Such developments as the discovery of disease genes, the cloning of animals, DNA research by officers of the law and genetically modified (GM) food are increasingly confronting citizens with decisions and choices that require some degree of information. It is expected that the number of applications of genetic technologies will experience a further substantial increase as a result of the unravelling of the human genome. In the past, government White Papers and Health Council advisory reports have advocated public information campaigns aimed at enabling citizens to make informed choices. The main focus of this ‘alerting’ advisory report is on the nature of the information that is required. This leads on to a discussion of what we know about the current level of public awareness and what initiatives are of relevance in this context. The report is based on a discussion of these issues that took place at a symposium organised by the Health Council in November 2001. This advisory report does not discuss which psychological and sociological factors influence public opinion with regard to genetics. Nor does it consider which forms of (mass) information are most effective. These issues warrant closer attention. The question of what level of public awareness about genetics is desirable receives a two-part answer. As far as the content of this knowledge is concerned, we are talking about an understanding of the large number of differences in genes Public awareness about genetics 35
Page 1: Health Council of the Netherlands R
Page 4 and 5: The Health Council of the Netherlan
Page 7 and 8: Contents Health and health care: Ge
Page 9 and 10: Brain damage in boxers and soccer p
Page 11 and 12: injuries is to be improved, further
Page 13 and 14: on the occurrence of brain injury,
Page 15 and 16: play as a matter of urgency. In add
Page 17 and 18: Hematopoietic stem cells Health Cou
Page 19 and 20: Warrants are less well regulated in
Page 21 and 22: Contours of the Basic Health Benfit
Page 23 and 24: safeguard against the phenomenon of
Page 25 and 26: New Options for Organ Donation Heal
Page 27 and 28: donation, in order to give patients
Page 29 and 30: important precondition is that the
Page 31 and 32: these kidneys. The Health Council t
Page 33: 5 Living kidney donation from genet
Page 37 and 38: Conclusions • The rapid advanceme
Page 39 and 40: Therapeutic exercise Health Council
Page 41 and 42: and the cardiovascular system. It s
Page 43 and 44: Pathogen reduction in blood product
Page 45 and 46: transfusion, however, the corrected
Page 47 and 48: Pneumococcal vaccine in elderly adu
Page 49 and 50: Tetanus prophylaxis in injuries Hea
Page 51 and 52: Controlling Legionnaire’s Disease
Page 53 and 54: mortality risk level is equivalent
Page 55 and 56: The Committee notes that the issue
Page 57 and 58: Vaccination of children against hep
Page 59 and 60: Vaccination In the vast majority of
Page 61 and 62: week of life), the second dose shou
Page 63 and 64: Dietary reference intakes: vitamin
Page 65 and 66: According to the Committee, the con
Page 67 and 68: folate in foods is too great. There
Page 69 and 70: ecommended dietary allowances for p
Page 71 and 72: Overweight and obesity Health Counc
Page 73 and 74: of the increased prevalence of over
Page 75 and 76: information provision, regulations
Page 77 and 78: Foods and dietary supplements with
Page 79 and 80: not correct, the claim is irrelevan
Page 81 and 82: Health effects of exposure to radio
Page 83 and 84: ase stations or radio and televisio
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available at short notice, in order
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Benchmark dose method: health-based
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In 1996 the Committee recommended t
Page 91 and 92:
Choice framework for BMD parameters
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The impact of passive smoking on pu
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esearch to be completed. Its reason
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Health and the environment: monitor
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Methodological criteria: • Measur
Page 101 and 102:
Environmental measurement programme
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developed. One way in which this co
Page 105 and 106:
confounders. It would also make it
Page 107 and 108:
Environmental Health: Research for
Page 109 and 110:
of both knowledge and initiatives c
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generated by high-voltage power lin
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of risk communication methods is ur
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Tetrachloroethylene (PER) Health Co
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Kinetics Actually all inhaled PER e
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Hepatotoxicity and nephrotoxicity I
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No clear signs for teratogenicity w
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Formaldehyde Health Council of the
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Toxicokinetics Under normal conditi
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ates have occasionally been found a
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incidence in controls and (III) min
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Sulphur dioxide Health Council of t
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Sulphur dioxide is a highly hydroph
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showed no defects in reproductive p
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Strong inorganic acid mists contain
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Metallic lead Health Council of the
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Tetrachloroethylene (PER) Health Co
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Nickel and its compounds Health Cou
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β-Chloroprene Health Council of th
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Trichloroethylene Health Council of
Page 149 and 150:
Diethyleneglycol (mono)alkylethers
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Health Council of the Netherlands Reports 2003 - Gezondheidsraad

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