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The EU Nickel Directive revisited—future steps towards better protection against nickel allergy
Author(s) -
Thyssen Jacob P.,
Uter Wolfgang,
McFadden John,
Menné Torkil,
Spiewak Radoslaw,
Vigan Martine,
GimenezArnau Ana,
Lidén Carola
Publication year - 2011
Publication title -
contact dermatitis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.524
H-Index - 96
eISSN - 1600-0536
pISSN - 0105-1873
DOI - 10.1111/j.1600-0536.2010.01852.x
Subject(s) - nickel allergy , nickel , directive , contact dermatitis , allergy , environmental health , allergic contact dermatitis , medicine , allergen , european union , nickel compounds , hand dermatitis , intervention (counseling) , business , immunology , metallurgy , materials science , international trade , nursing , computer science , programming language
In July 2001, the EU Nickel Directive came into full force to protect European citizens against nickel allergy and dermatitis. Prior to this intervention, Northern European governments had already begun to regulate consumer nickel exposure. According to part 2 of the EU Nickel Directive and the Danish nickel regulation, consumer items intended to be in direct and prolonged contact with the skin were not allowed to release more than 0.5 µg nickel/cm2/week. It was considered unlikely that nickel allergy would disappear altogether as a proportion of individuals reacted below the level defined by the EU Nickel Directive. Despite this, the EU Nickel Directive part 2 was expected to work as an operational limit that would sufficiently protect European consumers against nickel allergy and dermatitis. This review presents the accumulation of epidemiological studies that evaluated the possible effect of this major public health intervention. Also, it evaluates recent exposure assessment studies that have been performed using the dimethyl glyoxime test. It is concluded that the EU Nickel Directive has started to change the epidemiology of nickel allergy in Europe but it should be revisited to better protect consumers and workers since nickel allergy and dermatitis remain very frequent.