Report on opportunities and obstacles of combining HBM and health studies, availability of health studies with biological samples, availability of administrative registers, and guidelines for combining HBM and health studies. Deliverable Report D 11.1
Creators: name: Tolonen, Hanna
name: Agegaard Holmboe, Stine
name: Ancona, Carla
name: Andersson, Anna-Maria
name: Alimonti, Alessandro
name: Bergdahl, Ingvar
name: Berglund, Marika
name: Demarest, Stefaan
name: Dias, Carlos
name: Dusek, Ladislav
name: Hoshammer, Hanns
name: Knudsen, Lisbeth E.
name: Kold Jensen, Tina
name: Koppen, Gudrun
name: Korkalainen, Merja
name: Lermen, Dominik
name: Majek, Ondrej
name: Martimianaki, Georgia
name: Meltzner, Helle Margrete
name: Namorado, Sónia
name: Nunes, Baltazar
name: Palosaari, Tarja
name: Rambaud, Loïc
name: Rantakokko, Panu
name: Schoeters, Greet
name: Schernhammer, Eva
name: Tagne-Fotso, Romuald
name: Ruokojärvi, Päivi
name: Trichopoulou, Antonia
name: Valanou, Elisavet
name: Lopes Virgolino, Ana Patricia
name: Wennberg, Maria
name: Åkersson, Agneta
name: Schwedler, Gerda
Publisher: name: Zenodo
Year: 2018
Subjects: human biomonitoring
health survey
environmental
chemicals
administative health data

description: The European Human Biomonitoring Initiative (HBM4EU) is a joint effort of 28 countries (24 European Member States, three associated countries and Switzerland), the European Environment Agency and the European Commission, co-funded under Horizon 2020. The main objective of HBM4EU is to use human biomonitoring (HBM) to assess human exposure to chemicals in Europe in order to better understand the associated health impacts and to improve chemical risk assessment. HBM4EU will generate knowledge on chemical exposure levels in the population and their health effects. In parallel to HBM studies, health examination surveys (HES) are conducted in many European countries. HES are surveys where information collected by questionnaire(s) is complemented with information obtained by physical measurements such as blood pressure and anthropometric measurements, and by analysis of biomarkers from biological samples. The European Health Examination Survey (EHES) was established in 2010 to coordinate the development of national HESs in Europe. Between 2000 and 2017, 15 European countries have conducted a national HES and in many countries smaller, regional or disease specific surveys have been carried out. Since for both HBM studies and HESs, data is collected through fieldwork which is one of the largest expenses for such studies and needed infrastructures are very similar, the potential to combine these two types of studies has been considered. This could result in more cost-effective ways to conduct health and environmental monitoring. In some countries, such as Germany, Israel and France, this combination has already been done at national or regional level. Human biomonitoring and health studies have a lot of similarities in terms of the infrastructure and procedures required for their implementation. However, in practice, the opportunity for adding a HBM module to an ongoing/planned health study (and vice versa) is rarely used. Reasons for this may be multifarious and may differ from country to country, and between different study settings. This report will look at different aspects related to combining HBM and health studies, together with possibilities for mortality and morbidity follow-up through linkage to administrative registers. Also possibilities to use biological samples collected in previous health studies and stored for future use in biobanks for analysis of HBM biomarkers will be reviewed. Therefore, this report has four main parts: Part A. Opportunities and obstacles of combining HBM and health studies Part B. Availability of administrative registers and possibilities for their use in HBM studies • Part C. Guidelines for linking HBM and health studies Part D. Criteria for the use of existing biological samples from health studies for HBM analysis Feasibility studies will be conducted on the integration of HBM and health studies, in order to identify further both synergies and obstacles that can emerge during the preparation and implementation of fieldwork studies in different settings and across different national infrastructures. A workshop to explore the synergies and obstacles related to the combination of HBM and health studies will be organized in June 2018. In coming years, this report will be updated based on knowledge gained from feasibility studies.