Minutes of proceedings of the Plenary Meeting of the Irish Expert Body on Fluorides and Health held in the Boardroom, Corrigan House, Fenian Street, Dublin 2 on Wednesday, 10th November 2010  
Present:	Dr Seamus O’Hickey (Chairman), Dr Brian O’Herlihy (Vice-Chair), Dr Wayne Anderson, Mr Rowland Reece, Mr Denis Lyons, Dr Joe Mullen, Mr Ray Parle, Professor Denis O’Mullane and Ms Bernie McDonnell (representing Ms Teresa Cody).

In attendance: Ms Etain Kett, Ms Pheena Kenny.

Apologies:	Professor John Clarkson, Ms Teresa Cody, Mr Colm Keenan, Mr Michael Kilcoyne, Councillor Jack Bourke, Mr Stephen McDermott, Mr Luke Varley.

EB Minute 11/10:  Apologies
Apologies for the meeting were noted.

EB Minute 12/10:  Minutes of the last meeting (24th March 2010)
These minutes were agreed subject to minor amendments and then signed by the Chairman.

EB Minute 13/10:  Matters Arising
It was noted that the Department of Health and Children intends to revisit the draft National Oral Health Policy by way of reconvening the Core Policy Group. It is expected that the policy will be published in early 2011. It was noted that it is hoped that the publication of the policy would not be affected by a change in government. 

It was noted that the Expert Body made a submission to the Derogation on Drinking Water Directive. 

It was noted that with regard to the EU Commission Directive 2007/53/EC, the “Cosmetic Directive” dealing, inter alia, with Toothpaste/Dentifrice, correspondence  had been sent to Mr Chris Fitzgerald (Principal Officer, Department of Health and Children). It was further noted that Ms Bernie McDonnell will follow up on this matter.

EB Minute 14/10:  Correspondence
Correspondence was noted from Dr Seamus O’Hickey Chairman, the Irish Expert Body on Fluorides and Health to Ms Teresa Cody, Principal Officer, Department of Health and Children on 15th April 2010, in relation to the membership of the Irish Expert Body on Fluorides and Health. 

Correspondence was noted from Dr Seamus O’Hickey Chairman, the Irish Expert Body on Fluorides and Health to Dr Jacinta McLoughlin, Senior Lecturer Public Dental Health, on 7th July 2010 regarding representation on a media panel.

Correspondence was noted Dr Seamus O’Hickey Chairman, the Irish Expert Body on Fluorides and Health to Professor Helen Whelton, Director, Oral Health Services Research Centre on 7th July 2010 regarding representation on a media panel.

Email correspondence was noted from Dr Jacinta McLoughlin, Senior Lecturer Public Dental Health to Dr Seamus O’Hickey, Chairman, the Irish Expert Body on Fluorides and Health on 24th August regarding agreement to be a representative on the media panel. 

Correspondence was noted from Ms. Teresa Cody, Principal Officer, Primary Care Division Department of Health and Children to Dr Seamus O’Hickey, Chairman, the Irish Expert Body on Fluorides and Health, 29th July 2010, regarding the future role of the Expert Body. 

Correspondence was noted from Dr Seamus O’Hickey, Chairman of the Irish Expert Body on Fluorides and Health to Ms. Teresa Cody, Principal Officer, Primary Care Division Department of Health and Children, 2nd June 2010, regarding the baseline study to monitor the effects of the change of the level in fluoride in drinking water. 

Correspondence was noted from Ms. Teresa Cody, Principal Officer, Primary Care Division Department of Health and Children to Dr Seamus O’Hickey, Chairman of the Irish Expert Body on Fluorides and Health, 12th August 2010, regarding monitoring of dental health effects consequent to the change in fluoride levels in drinking water.  

Correspondence from Dr Seamus O’Hickey, Chairman of the Irish Expert Body on Fluorides and Health to Commissioner Máire Geoghegan-Quinn, European Commission, 17th August 2010, regarding preliminary opinion from SCHER relating to ‘critical review of any new evidence on the hazard profile, health effects, and human exposure to fluoride and the fluoridating agents of drinking water’. 

Correspondence from Dr Seamus O’Hickey, Chairman of the Irish Expert Body on Fluorides and Health to Dr Dympna Kavanagh, HSE’s National Oral Health Lead, 24th August 2010,  regarding a submission regarding the preliminary opinion from SCHER (Scientific Committee for Health and Environmental Risks of the European Union’s Directorate General for Health and Consumers) relating to ‘critical review of any new evidence on the hazard profile, health effects, and human exposure to fluoride and the fluoridating agents of drinking water. 

Correspondence from Dr Dympna Kavanagh, HSE’s National Oral Health Lead  to Dr Seamus O’Hickey, Chairman of the Irish Expert Body on Fluorides and Health 2nd September 2010, regarding a submission regarding the preliminary opinion from SCHER (Scientific Committee for Health and Environmental Risks of the European Union’s Directorate General for Health and Consumers) relating to ‘critical review of any new evidence on the hazard profile, health effects, and human exposure to fluoride and the fluoridating agents of drinking water.  

Correspondence from Ms Teresa Cody Principal Officer, Primary Care Division Department of Health and Children to Dr Seamus O’Hickey, Chairman of the Irish Expert Body on Fluorides and Health, 24th September 2010, regarding the future role of the Expert Body. 

EB Minute 15/10:  Future Role of the Expert Body
It was noted that the Progress Report was submitted to the Department of Health and Children on 18th June 2010. It was noted that the Progress Report was re-submitted on 19th August 2010 following a request from Department of Health and Children to assign a percentage value to each of the aspects of work in progress to allow the Department of Health and Children a greater understanding of work completed to date. 

It was noted that a document relating to the Future Role of the Expert Body was submitted to the Department of Health and Children. It was further noted by Mr Wayne Anderson that the suggestion regarding the future Governance Structure of having one Expert Committee with 10-12 members was a good idea.

It was noted that Ms Teresa Cody would be in contact with the Expert Body by the end of November 2010 regarding arranging a meeting in relation to the Future Role of the Expert Body. 

EB Minute 16/10: National Audit of Water Treatment Plants
It was noted that the National Audit of Water Treatment Plants would be discussed under the Report of the Quality Assurance Sub-Committee.

EB Minute 17/10: Report of the Sub-Committees
The Quality Assurance Sub-committee reported the following:
•	It was noted that a press release, media angles and FAQ have been drafted and approved by QA and Executive Committees as part of the Communications Plan for the National Audit. 
•	It was agreed that the launch of the final report should be referred to the Executive and QA Sub-Committees for discussion and also in consultation with the HSE and Department of Health and Children. 
•	It was also noted that outstanding matters which fall under the remit of the QA Sub-committee regarding Recommendation 2 were discussed and that it was agreed that these mainly fall under the remit of the National Fluoridation Steering Committee – however as part of the future role of the EB the Code of Practice should be reviewed by it.

The New and Emerging Issues Sub-committee reported the following:
•	Papers/documents as reviewed by the NEI were noted. 
•	It was noted that tender notice for bio monitoring has not yet been advertised by the HSE. 
•	It was noted that the Cochrane Review regarding paediatric toothpaste has been highlighted to the EADP.
•	Fluorides and General Health – it was noted that it was agreed that the Expert Body is fulfilling it’s remit by constantly reviewing the role of fluorides on general health through the NEI Sub-committee which keeps itself informed of international developments and papers relating to fluoride. It was further noted that it was agreed to contact general health groups to inform them of the remit of the Expert Body and to ask if they have received any information regarding fluoride and if they could keep the Body informed of any future developments in this area.
•	It was noted that currently there is no evidence of any ill health effects from water fluoridation but that the EB will continue to monitor international data.
•	It was noted that Dr Howard Johnson, Head, Health Intelligence Unit, HSE, will be invited to speak at an Executive Meeting regarding fluoride and general health.
•	Osteoporosis and the Irish Hip Fracture Database - It was noted that Dr Miriam Casey of St James Hospital was in contact with the Secretariat in relation to the Hip Fracture Database. Dr Casey explained that the database has been purchased for use but its use is ad hoc at the moment and not structured. The collection of the data is very sporadic and is dependent on local input (all of the local areas do however use the same structure). It was noted that is no central area at the moment due to funding issues but that in St James there are 4 orthopaedic nurses and therefore all of their information is input to the database.
•	It was suggested by Dr Wayne Anderson that Professor Denis O’Mullane contact Professor Albert Flynn regarding the Irish Universities Nutrition Alliance Study (IUNA Study) to see if fluoride monitoring could be incorporated into the study for 1-4yr olds (important when considering fluoride and infant formula)
•	SCHER – it was agreed to discuss this under Item 9 (SCHER)

EB Minute 18/10:  Report of Executive Committee
The Report of the Executive Committee was noted. It was noted that Professor Denis O’Mullane is currently part of a group rewriting a document for the World Health Organisation on ‘Fluoride and Oral Health’. Prof O’Mullane has requested the assistance of the Secretariat in sourcing references.

EB Minute 19/10: Scientific Committee on Health and Environmental Risks (SCHER)
•	It was noted that a submission was made by the Irish Expert Body on Fluorides and Health regarding the Preliminary Opinion
•	It was noted that Dr Joe Mullen and Professor Denis O’Mullane attended the Public Hearing with SCHER in Brussels and that their attendance was invaluable as it helped to formulate the wording for the submission. It was further noted that Professor Denis O’Mullane was able to point out that scientific information on the dental side of the SCHER report was flawed. It was further noted that Dr Wayne Anderson had noted that errors had been made in calculations contained in the SCHER Report.
•	It was noted that both Dr Mullen and Prof O’Mullane thanked Department of Health and Children for putting them in contact with the Health Attaché in Brussels, Mr Eugene Lennon and that his advice was very valuable. 
•	It was noted that Ms Bernadette Mc Donnell, Department of Health and Children was in contact with Mr Eugene Lennon to ask him to contact the Commission to see if SCHER will be making amendments to its Report.
•	It was noted that Dr Mullen and Prof O’Mullane will be writing a report for Department of Health and Children regarding the Public Hearing.

EB Minute 20/10: AOB
It was noted that the Scientific Committee on Consumer Safety (SCCS) has requested a scientific opinion on potential health risks posed by food-imitating and child-appealing chemical consumer products. This has been referred to the Executive Committee for consideration (in relation to flavored toothpastes for children). Deadline for submission is March 2011.

The Guidelines on Pit and Fissure Sealants from the Oral Health Services Research Centre (OHSRC) Cork was noted.

It was noted that as a result of the non-renewal of Ms Pheena Kenny’s contract with the Dental Health Foundation (DHF) that the Expert Body is concerned about the workload for the Secretariat. It was further noted that the Expert Body will raise its concerns with the Dental Health Foundation.

EB Minute 21/10:  Date of Next Meeting
It was agreed that no future dates could be agreed until it was known what the future role of the EB is.

It was agreed that an Executive Meeting will take place before Christmas

The Chairman thanked all for their attendance and declared the meeting closed at 12:20pm

Signed:	______________________________

Date: 		______________________________