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    RIVM Annual Report RIVM Annual Report 2010


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    Confidence in knowledge For a knowledge institute such as RIVM, RIVM is involved in complex public matters reliability is absolutely essential. Society and performs its tasks by serving profes- must be able to trust us; people must be sionals and public alike. We shall continue confident that whatever we say is indeed to seek ways of addressing the exact so. Our independent position is crucial in requirements of our target groups, such as this regard. It confers on us the right and making greater use of the social media. obligation to provide correct, scientific Knowledge is our greatest asset. RIVM answers to the questions posed to us. employs committed scientists who devote It forms the basis of high-quality scientific themselves to the organisation’s primary products which serve a clear societal task: ensuring that knowledge on health purpose. After all, the topics with which and the environment is available to society we are engaged affect everyone. at large. This is a very important task which This report covers 2010, a year which saw we gladly take upon ourselves as an a number of threats to public health and to engaged, independent and expert the environment. A volcanic eruption in organisation. We continue to enjoy our Iceland cast a cloud of ash over much of work, even though the government-wide Contents Europe. There was an outbreak of the reassignment of responsibilities has forced infectious disease Q fever in the us to make certain choices with regard to 3 Foreword: Confidence in knowledge Netherlands. An increase in the prevalence the precise nature of our tasks. I have every of multiresistant bacteria was yet again confidence in our knowledge and in the 4 Profile reported. The ability to quantify, interpret future. and explain such risks demands consider- 5 Independent knowledge and able knowledge and expertise, as well as research institute close cooperation with other important Prof. André van der Zande 6 Projects and research parties. Director-General, RIVM 20 Organisation and financial data 22 Financial statements 2010 24 Staff 25 Highlights from the Annual Environmental Report 26 Scientific Supervisory Committee RIVM Annual Report 2010 | 3


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    Profile Independent knowledge and research institute The National Institute for Public Health and RIVM: The main commissioning bodies of RIVM is an absolute precondition for RIVM, both the Environment (RIVM) is a specialised - develops, integrates and maintains are the Ministry of Health, Welfare and in the performance of its tasks and in its Dutch government agency. RIVM is the knowledge and expertise in association Sport, the Ministry of Economic Affairs, considerations on whether to enter into premier expertise and orchestration centre with partners and learns from institutes Agriculture and Innovation, the Ministry of strategic knowledge alliances. RIVM in its field and its remit is to modernise, and authorities in other countries and Infrastructure and the Environment, and guarantees that there will be no conflicts of gather, generate and integrate knowledge from the business community; the Ministry of Social Affairs and interest. RIVM may provide to third parties and make it usable in the public domain. - conducts research aimed at supporting Employment. The Institute also undertakes the available knowledge and information By performing these tasks RIVM contributes policy-making and overseeing public work for the Ministry of Defence and other independently of clients. sustainably to promoting the health of the health and the environment; ministries, departments and authorities, The Scientific Supervisory Committee population and the environment by - works on contract but remains including inspectorates and international monitors the scientific quality of the providing protection against health risks scientifically independent; organisations like the European Union and Institute. The Committee consists of a and environmental damage. - makes its knowledge available and the United Nations. number of highly respected scientists. usable for clients and other users in the RIVM is committed to being a reliable A summary of the annual report of the We serve the public interest by: Netherlands and other countries; partner for the authorities and professionals. Scientific Supervisory Committee can be - acting with integrity, using specialised - performs statutory duties; However, our commissioning bodies have found on page 26. knowledge of health and the - identifies and reports trends in public no influence over the arrangement and environment; health and the environment; results of our work. The Institute has an - identifying, evaluating and tackling risks - acts with knowledge, resources and independent scientific position regulated together with our partners; manpower during disasters; under the RIVM Act. Scientific independence - sharing knowledge with national and - orchestrates prevention, intervention, international authorities; after-care and knowledge; - contributing to public health and - facilitates and coordinates networks of environmental innovations. professionals and operational organisations; - carries out temporary tasks that can subsequently be taken over by others. 4 | RIVM Annual Report 2010 RIVM Annual Report 2010 | 5


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    Projects and research Improved Major differences in Resistant bacteria communication on healthcare quality among people and HPV vaccination Access to healthcare in the Netherlands animals RIVM has improved its communication remains good. Services are nearby and Various reports circulated in 2010 on HPV vaccination against cervical accessible. Few people decide against about the emergence of resistant cancer. To create better contacts with the visiting a doctor on account of the cost. bacteria in Europe. They included a target group, a weekly chat surgery was However, the differences between care report from the United Kingdom in held as part of the second round of public providers are considerable, both in terms of August about the emergence of the information in 2010. Video clips featuring price and in terms of quality. This conclusion NDM-1 enzyme created, for example, girls, parents and experts on a special was drawn by the authors of Healthcare by the E. coli bacterium in patients who website dedicated to HPV vaccination has Performance Report 2010. were treated in or travelled through brought the information campaign more Just like the 2008 edition, the Healthcare India, Pakistan and Bangladesh. into line with the public. Performance Report 2010 shows that there Bacteria with this enzyme are resistant A strong anti-vaccination lobby in 2009 is room for improvement in harmonisation to most types of antibiotics, thus resulted in a lower response than and coordination between care providers. making it difficult or impossible to expected. Public information on HPV Four out of every ten rheumatism patients, treat serious infections. Two persons in vaccination was too much in one for example, have to repeat the same story the Netherlands were found to have a direction in that year and was often by to ever-changing physicians and nurses. bacterium with NDM-1 enzyme in 2010. traditional means of communication. The Healthcare Performance Report uses Additionally, ESBL-producing bacteria So in 2010 RIVM sought a dialogue with 125 indicators to define the accessibility, have been found in raw chicken meat girls and their parents. The objective was quality and costs of healthcare in the in Dutch shops. ESBLs are enzymes to let girls and their parents jointly take Netherlands. RIVM has been publishing the capable of rendering ineffective an an informed decision based on the document every two years since 2006. important group of antibiotics, correct scientific information as to penicillin and cephalosporin. The whether or not to be vaccinated against practical consequence of resistance cervical cancer. caused by ESBL production is that Although the primary goal of the new these antibiotics can no longer be used campaign was not to increase the degree for empiric treatment. of vaccination, the figure did go up by RIVM emphasised the existing recom- 5%. The degree of vaccination against mendations for adequately heating the HPV is expected to rise gradually. meat and maintaining good kitchen hygiene. With the current knowledge, RIVM saw no reason to advise against eating chicken meat, nor to recommend withdrawing chicken from sale. 6 | RIVM Annual Report 2010 RIVM Annual Report 2010 | 7


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    Projects and research REACH: towards safe Sweet tastes tempt use of chemical young people towards substances earlier and more By year-end 2010 the business community had submitted for about 4,300 chemical alcohol consumption substances a total of some 25,000 The sweet tastes of some alcoholic drinks registrations (i.e. dossiers about safety lower the threshold for young people to risks for people and the environment of drink alcohol sooner and in larger specific usages of a chemical substance). quantities. The taste ingredients of these The REACH bureau of RIVM supported the drinks lead to taste recognition and European Chemicals Agency (ECHA) and appreciation reactions in the brain and the Dutch government in this process. this can suppress the aversion to alcohol. RIVM evaluated draft decisions in which This finding emerged from research ECHA checks the quality of registrations. conducted by RIVM in 2010. In drinks RIVM further prepared the Dutch proposal popular among young people (with for imposing stringent restrictions on the alcohol percentages of up to 15%), the use of a certain hazardous substance and quantity of sugar per litre was found to be imposing market restrictions on another similar to that of normal fruit juices and hazardous substance. soft drinks. As young people generally have to get used to the bitter taste of alcohol, the familiar tastes of soft drinks provide a stimulus to start drinking these Lower number of number of reports in 2010 was still alcoholic drinks more easily. Q fever cases in 2010 considerably higher than what was considered ‘very high’ in 2007. Most There was a spectacular reduction in reports again came from the southern 2010 in the number of newly notified provinces of the Netherlands. human Q fever cases. The culling of dairy RIVM conducted research in 2010 into goats and dairy sheep from December the spread of the Q fever bacterium, that 2009 to July 2010 and the vaccination of can cause such complaints as fever, goats and sheep appear to have been severe headache and pneumonia. Most effective measures. people contract Q fever by breathing air Whereas 2,354 cases of illness were that contains the bacterium. Particularly reported in 2009, the figure in 2010 was during the lambing periods of infected 506. Unlike previous years, there was no goats and sheep, people can inhale peak in the notifications after the contaminated particles. lambing season. Nevertheless, the 8 | RIVM Annual Report 2010


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    Projects and research Cosmetics complaints Different approach to Icelandic ash cloud website receives ‘Measuring the drifts across Western more than one Netherlands’ Europe thousand reports ‘Measuring the Netherlands’ is a national Volcanic eruptions in Iceland caused survey that examines the lifestyle and high-altitude ash clouds to drift across On the www.cosmeticaklachten.nl health of the Dutch population. It looks Western Europe in April. Readings website of RIVM, more than 1,000 at factors such as overweight, increased from the 50 measurement stations of complaints were made in 2010 that might cholesterol, high blood pressure and RIVM’s national air quality measure- have resulted from the use of cosmetics. diabetes. Because response rates used to ment network were used to assess the The most frequent complaints concern be quite low, in 2010 the researchers health risks of the ash cloud for the redness and itching of the skin. Most adopted an intensified recruitment Netherlands. complaints occur on or around the method for the last two participating The network’s measurements of eyelids and in the face. The most towns, Amersfoort and Alkmaar. Major particulate matter and sulphur dioxide frequently mentioned product categories changes were that non-respondents were revealed only occasional slightly are skin care products, hair care products visited at home to invite them to increased values possibly caused by and make-up. A relatively high number of participate, younger people (aged 18-29) the volcano. Subsequently extra complaints about sun care products have were no longer included and the rainwater analyses were performed to also been received. Consumers are able compensation per respondent was identify any increased or changed to report online any skin complaints and increased from 10 to 50 euros. precipitation patterns. Slight increases other hypersensitivity reactions that It is proving increasingly difficult to were found in the precipitation of occur after using cosmetics. The website recruit people for a survey of this kind. sulphate and fluoride. However, the www.cosmeticaklachten.nl is part of a The 2009 response rate was roughly 30%; increases were so slight that it was not three-year study. The study will be with the new intensive recruitment necessary to take extra measures. evaluated in summer 2011. method the response rate was approxi- mately 45%. During 2009-2010 around 14,000 Dutch people in total were invited to take part, distributed across seven municipalities. Earlier surveys were conducted in Tilburg, Oudewater, Groningen, Haarlemmermeer and Vlaardingen. The final participants were examined in December 2010. Data processing is in full swing and the first results will be presented around summer 2011. 10 | RIVM Annual Report 2010 RIVM Annual Report 2010 | 11


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    Projects and research Risks posed by Fifth Public Health nanotechnology Status and Forecast Increase in Lyme Nanotechnology is considered a Report disease pioneering technology. Manufactured It was a milestone year for the Public Lyme disease has been increasing in free and non-degradable nano particles Health Status and Forecast Report in the Netherlands since 1994. This can adversely affect people and the 2010. In this fifth edition, dubbed ‘Towards observation emerged from a national environment, however. Internationally, better health’, RIVM concluded that the survey that RIVM published in 2010. governments are making coordinated Netherlands needs to continue investing In 2009, general practitioners in the investments in gathering knowledge of in the health of its citizens. While public Netherlands observed in approxi- these harmful effects as quickly as health is in good shape, it is not yet good mately 22,000 consulting patients a possible. RIVM is performing a pivotal enough by a long way. There has been a red ring-shaped skin rash, the first function for the Netherlands in this significant increase in the life expectancy sign of Lyme disease. This represented effort. RIVM’s Knowledge and of the Dutch in recent years, for example, an increase of 5,000 people compared Information Centre for Nanotechnology but health gaps between rich and poor with 2005. A tick bite is capable of Risks is supporting central government remain large and persistent. transmitting a bacterium that causes and informing professionals. Moreover, everybody will be badly needed Lyme disease. Together with the In 2010, RIVM submitted proposals for in an ageing economy. Long-term health increase in clinical Lyme diagnosis, establishing an accepted definition of policy requires concerted action and it there was also a rising trend in the nano materials. RIVM also had tests needs to be focused more on reducing number of individuals who consulted performed on food and consumer physical and mental limitations. But their GP for a tick bite. products already on sale in the market. prevention has potential and, based on the For some years now the Week of the In cooperation with the Netherlands vision of this latest Public Health Status and Tick has been held late March at the Organization for Applied Scientific Forecast Report, it is possible to take the start of the tick season. The purpose of Research (TNO), RIVM performed following step – ‘Towards better health’. this themed week is to prevent tick inhalation studies. Temporary reference bites and thereby Lyme disease by values were derived for the most providing targeted public guidance. commonly used nano materials so as to The Week of the Tick in 2010 was limit exposure to them at the workplace. focused mainly on professionals like forest rangers who work in green environments. 12 | RIVM Annual Report 2010


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    Projects and research Advice on noise RIVM and Utrecht nuisance caused by University cooperate JSF and AWACS on alternatives to At the request of the Friesland provincial tests on animals government and the Ministry of Defence, RIVM gave a second opinion on noise The National Knowledge Centre for nuisance caused by the new JSF aircraft. Alternatives to Animal Testing (NKCA) The main conclusion was that based on was established at RIVM at year-end current insights it was possible, within 2010. After more than a year of the present noise zone of the preparations, its official organisational Leeuwarden airbase, to station the JSF embedding was a fact. there. However, there is still some The centre coordinates the sharing of uncertainty about the precise noise load. knowledge of alternatives to animal A good noise measurement programme tests in the Netherlands. Better will provide greater clarity and may cooperation should lead to innovative safeguard flights within the noise zone. methods being used sooner, enabling RIVM has earlier submitted advice on the experimental research involving noise nuisance among local residents at animals increasingly to be replaced, Onderbanken, close to the NATO airbase reduced and refined (the 3Rs). at Geilenkirchen. This occurred in Gains are achievable in various fields response to serious concerns among the by improving the throughput of residents. RIVM launched a follow-up knowledge of the 3Rs. This could study in 2010 into the noise caused by include research into cancer and other AWACS aircraft based on ten scenarios. diseases, into the development and This showed that the biggest noise quality monitoring of medicines – nuisance reduction, i.e. 25%, would be including serums and vaccines – and achieved with a scenario where there are modernisation of the risk evaluation of more aircraft movements in the northerly chemical substances. direction (‘northern route’). NKCA has a statutory status and is a cooperative venture of RIVM and the Faculty of Animal Medicine of the Utrecht University. 14 | RIVM Annual Report 2010 RIVM Annual Report 2010 | 15


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    Projects and research Possible health risks at RIVM was also asked to provide an insight National breast cancer two companies into substances emitted by the Thermphos company at Vlissingen and their effects on screening reaches In the year under review RIVM conducted health. In recent years the Zeeland 20 years investigations at two companies where provincial government has been receiving National breast cancer screening in the local residents might have been exposed to more and more complaints from people Netherlands marked its 20th anniversary health risks. who live or work in the Sloe area of East in 2010. As part of this milestone RIVM It was discovered in 2009 that the Vlissingen. The complaints concern mainly and the five regional screening Sterigenics company at Zoetermeer had odour and irritation of the eyes and organisations arranged an international emitted too much ethylene oxide in the mucous membranes, but there are also symposium. Participants from various previous years. Ethylene oxide is a carcino- concerns about lasting health effects. European countries met to exchange genic substance used by the company to The complaints are attributed to emissions knowledge of breast cancer screening. sterilise medical articles. This resulted in by Thermphos, a manufacturer of considerable anger and concern among phosphorus and phosphorus compounds. Screening for breast cancer in the local residents and members of the Among other things RIVM produced Netherlands is remarkable for the high municipal council. The upshot was that the dispersion calculations for the substances turnout, with 83% of invited women in South-Holland West municipal health emitted by the factory. The results of the the 50-75 age bracket being checked once department asked RIVM to assess the calculations did not correspond with the every two years. The high response is due health risks. observations of the local residents. In in part to the 66 mostly mobile screening The initial investigation revealed that response to this outcome the provincial centres in the participant’s local area or approximately 2000 local residents and government asked RIVM to advise it on all town. Remco Reij, programme coordinator Sterigenics employees at Zoetermeer had possibilities for further investigation of the for national breast cancer screening, says: incurred a slight extra risk of cancer equal to influence of Thermphos on health. ‘Thanks to this screening we have been 1 or 2 per 100,000 in the 2006-2008 period. A follow-up investigation will start shortly. able to save the lives of about fourteen The investigation into the preceding period thousand women. It is estimated that will shortly be completed. deaths due to breast cancer have been reduced by one-quarter to one-third.’ 16 | RIVM Annual Report 2010 RIVM Annual Report 2010 | 17


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    Projects and research Exotic mosquitoes Health close to home pose risk of new RIVM supports municipalities in making their health policy, with the aim of infectious diseases in healthier behaviour among their the Netherlands residents and healthier surroundings. In 2010 RIVM digitally published its Exotic mosquitoes were found at the end Healthy Municipality Guide as guidance of July in the towns of Heijningen, for everybody involved in developing and Oosterhout and Oss in the province of implementing municipal health policy. Brabant. They were the Asian tiger Every Dutch municipality is responsible mosquito, the rock hole mosquito and for producing its own municipal health the yellow fever mosquito. The found policy memorandum. This is a document mosquitoes can be carriers of viruses that that spells out what the municipality is cause serious diseases like yellow fever, doing to promote the health of its dengue, West Nile fever and residents. chikungunya. Additionally, RIVM issued its Healthy RIVM’s Centre of Infectious Diseases School Guide for primary schools. This Control coordinates the prevention and practical document was written for control of infectious diseases and plays a professionals who assist schools in role in controlling these mosquitoes. health-promoting activities. These might Exotic mosquito species were found and be policy measures, but also education or tackled in 2010 at a total of six tyre- alterations to the surroundings. Examples trading companies in the provinces of of the latter are schoolyards conducive to Brabant, Limburg and Utrecht. Once physical exercise and classrooms with settled, these exotic mosquitoes are sufficient fresh air. virtually impossible to eradicate. 18 | RIVM Annual Report 2010 RIVM Annual Report 2010 | 19


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    Organisation and financial data Cooperation arrangements Organisation chart on January 2011 Nationally and internationally, RIVM has Internationally, RIVM is a member of Director-General numerous cooperation partners. Within various networks that support the the Netherlands, RIVM collaborates with European Commission. RIVM also research institutes like the Netherlands cooperates with institutes like the Corporate Affairs deputy Director-General Organization for Applied Scientific European Centre for Disease Prevention Research (TNO), the Netherlands Institute and Control (ECDC) in Stockholm, the Corporate Communications for Health Services Research (NIVEL), the European Food Safety Authority (EFSA) in Institute of Food Safety (RIKILT), the Royal Parma, the Organisation for Economic Netherlands Meteorological Institute Co-operation and Development (OECD) in (KNMI), the Water Department of the Paris, the European Medicines Agency in Centre for Infectious Public Health and Nutrition, Medicines Environment and Directorate-General for Public Works and London (EMA), the European Directorate Disease Control Health Services and Consumer Safety Safety Division Water Management (RWS), Deltares for the Quality of Medicines (EDQM) in Netherlands Division Division Institute for Delta Technology, Agentschap Strasbourg, the European Environment NL (an agency of the Ministry of Economic Agency (EEA) in Copenhagen and the Affairs, Agriculture and Innovation) and European Chemical Agency (ECHA) in several universities. Contacts with planning Helsinki. RIVM further maintains close Regional Coordination Finance Department agencies are equally important. RIVM also contacts with the World Health of Programmes / Vaccine Procurement, maintains close functional ties with Organization (WHO) and the World Bank. Storage and municipalities, provinces and municipal Distribution Department of Human Resources Management health authorities. Corporate Health, Safety, Environment & Security Facilities, Management and Services Interim Organization Information Technology New Accommodation Project Director-General: Prof. André van der Zande Deputy Director-General: Drs Niek Parlevliet Director of the Centre for Infectious Disease Control: Prof. Roel Coutinho Director of the Public Health and Health Services Division: Dr Moniek Pieters Acting Director of the Nutrition, Medicines and Consumer Safety Division: Dr Moniek Pieters Director of the Environment and Safety Division: Dr Reinout Woittiez 20 | RIVM Annual Report 2010 RIVM Annual Report 2010 | 21


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    Financial statements 2010 Balance sheet at 31 December 2010 (all amounts in EUR x 1,000) Itemised statement of income and expenditure over 2010 (all amounts in EUR x 1,000) 31-12-2010 31-12-2009 Itemisation A B C=B-A Amount Actual amount Difference Assets originally Intangible fixed assets 826 1.354 budgeted Property, plant and equipment 8.936 8.171 - land and buildings - - Income - installations 2.433 2.000 Revenues from Ministry of Health, 13.144 20.886 7.742 - other fixed assets 6.503 6.171 Welfare and Sport (owner) Inventory 17.200 20.240 Revenues from Ministry of Health, 104.296 110.428 6.132 Accounts receivable 9.997 7.822 Welfare and Sport (commissioning body) Outstandig items 55.354 54.464 Revenues from Ministry of Infrastructure 48.686 47.248 1.438- Cash and cash equivalents 28.943 59.880 and the Environment Revenues from Ministry of Economic 650 4.699 4.049 Affairs, Agriculture and Innovation Total assets 121.256 151.931 Revenues from other departments 2.500 7.403 4.903 Revenues from third parties 170.205 164.959 5.246- Liabilities Interest received 1.050 394 656- Equity 4.571 8.156 Released from provisions - 965 965 - operating reserve 7.690 8.685 Exceptional revenues - 2.196 2.196 - reserves required by law - - undistributed profits 3.119- 529- Total income 340.531 359.179 18.648 Loans taken out with the Ministry of Finance - Provisions 16.332 15.087 Expenditure Accounts payable 8.863 8.312 Operating expenses 335.355 353.085 17.730 Payable 91.490 112.220 Interest paid 393 381 12- Depreciation 4.783 4.670 113- Total liabilities 121.256 151.931 Added to provisions - 4.162 4.162 Total expenditure 340.531 362.298 21.767 Balance - 3.119- 3.119- 22 | RIVM Annual Report 2010 RIVM Annual Report 2010 | 23


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    Notes to the financial Staff Highlights from the Annual Environmental statements At year-end 2010, RIVM employed 1,570 Report The itemised statement shows that persons, or 1,349 FTEs. The FTEs include RIVM shares its site with the Netherlands Compared with 2009, the environmental income and expenditure were 49% women. RIVM has 285 female Vaccine Institute (NVI) and the Netherlands performance of RIVM, NVI and PBL in 2010 significantly higher than budgeted. employees at or above university level Environmental Assessment Agency (PBL). was as follows: This is largely due to the prescribed (= 36% of the entire group). Among male The environmental licence is issued for the - Water consumption decreased by 6% to system for preparing the budget, which employees, 46% operate at or above entire site, with various environmental 117,700 m3 due to a decrease of water allows inclusion only of hard university level. RIVM employed facilities being shared, e.g. wastewater and consumption in the sterilisation process. undertakings given by primary clients. 23 professors in 2010. waste collection facilities. Consequently, - The quantity of pollution units in waste The figures further include income and The average age of the RIVM workforce is the Annual Environmental Report provides water increased from 690 to 707 as a expenditure for contracts awarded in the 46 and the average length of service is a picture of RIVM, NVI, and PBL. result of more discharges of organic course of the fiscal year. The balance of 12 years. RIVM obtained a combined new permit substances. income and expenditure in 2010 was a (General Permit) under the Environmental - The total quantity of waste decreased loss of €3.1 million. Measured across the full year, the sick Management Act and the Pollution of by 4% to 765 tons. Waste includes waste The main causes are the friction costs for leave rate was 3.6% in 2010. This makes Surface Waters Act in 2008. The permit paper, industrial waste, and laboratory the various outplacements, a negative the absence rate 0.6% lower than the includes a Company Environmental Plan waste. operating result of the former vaccination maximum standard of 4.2% set for RIVM. legally valid for 2007-2010. The Plan records and a provision created for includes various improvements such as soil RIVM, NVI and PBL spent approximately loss-making EU projects. RIVM as a whole received a score of 7.2 in protection measures, a central system for €5 million on environmental, energy and the employee satisfaction survey. registering chemicals, and sustainable water costs in 2010 (including energy procurement. Most improvements consumption, waste processing and levies measures have already been taken, some for waste water). will be continued in the years to come and have been included in the new Company Environmental Plan for 2011-2014, which was approved at the end of 2010. 24 | RIVM Annual Report 2010 RIVM Annual Report 2010 | 25


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    Scientific Supervisory Committee The task of the Scientific Supervisory research conducted elsewhere. This is a There were two scientific audits in 2010, i.e. Committee is to monitor the scientific cause of concern for the Committee from the VGC Scientific Audit for the Evaluation quality of RIVM. It does so by maintaining the point of view of scientific quality, also of Medicines and Medical Products and the supervision over and advising on the level in 2010. Strategic talks are in progress with Scientific Audit for the Centre of Infectious and quality of performed research and the the owner of RIVM and the various Diseases Control. quality system of RIVM. Based on its ministries that are its clients. The The Committee is satisfied with the findings, the Committee issues a statement Committee took note of the intensive thoroughness with which the audits were each year regarding the quality of research programme of change launched by the conducted. and the quality system of RIVM. The acting DG in 2010 for the reorganisation of Committee reports its opinion to the some operational entities. The Committee At the time of the VGC Scientific Audit for Institute’s owner, the Deputy Secretary- will continue to keep a watch on develop- the Evaluation of Medicines and Medical General of the Ministry of Health, Welfare ments and their potential influence on Products, a reorganisation of duties and and Sport. scientific quality, also as regards interna- staffing was under preparation by RIVM tional activities. and the Agency of the Medicines The Committee devoted special attention Evaluation Board (aCBG). RIVM has been in 2010 to the commotion surrounding The year under review was also dominated instructed to design a research programme Q fever. The Committee obtained compre- by the choice of Strategic RIVM Research in consultation with its partners in the hensive information about this subject. (‘SOR’) projects that may start in 2011 in chain. The Committee is concerned about the framework of a new SOR round for this development. The Committee is of the As in previous years, the Committee was 2011-2014. The Committee welcomes its opinion that RIVM’s knowledge and informed extensively about the conse- early involvement. In response to the SOR expertise of pharmaceutical analyses, quences of discharging the responsibilities 2009 annual report, the Committee feels a toxicology and biologicals must also be assigned to RIVM by central government. greater need for better substantive assured for the years ahead by means of The Institute has opted to continue its information (including progress targeted investments. The Committee will work across the full spectrum, but to information) and information about the maintain a careful and critical watch on this perform less in-house research and to choices made. The Committee would also research programme in 2011. undertake more orchestration. As a result, like extra attention to be given to the the research base within the Institute will communicative attractiveness of the SOR become narrower and the Institute will be annual report. more dependent upon the results of 26 | RIVM Annual Report 2010 RIVM Annual Report 2010 | 27


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    This annual report is also available in Dutch. Please e-mail RIVM at info@rivm.nl for additional copies of this report. Colophon Text RIVM Communications Project coordination and final editing RIVM Communications Design RIVM Publishing Photograpy and illustrations ANP, Wim te Brake, Getty Images, Hans Oostrum fotografie, Hollandse Hoogte, iStockphoto, Klutworks Print Deltahage B.V., Den Haag Published by National Institute for Public Health and the Environment P.O. Box 1 | 3720 BA Bilthoven www.rivm.com 002589


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