Europe - Policy and Legislation
to protect healthcare workers from occupational exposures to bloodborne pathogens
EU policy summary:
• May 2010: Council adopts rules to prevent injuries to healthcare workers (5/11/10)
• April 19, 2010: Council Directive implementing the Framework Agreement on prevention of sharps injuries in the hospital and healthcare sector concluded by HOSPEEM and EPSU (Brussels: Council of the European Union, Legislative Acts and Other Instruments 7318/10.)
- March 2010: The European Council officially adopted a directive on the prevention of sharp injuries in healthcare settings which will make use of safety devices a legal requirement in EU countries. Press:
- European Commission on Employment, Social Affairs and Equal Opportunities: New legislation to reduce injuries for 3.5 million healthcare workers in Europe (3/8/10)
- European Council: Council acts to prevent injuries to healthcare workers (3/8/10)
- European Union press release (3/8/10)
- Health First Europe: EU legislation to reduce injuries for healthcare workers (3/30/10)
- Joint HOSPEEM-EPSU press release: Hospital Social Partners take action to prevent sharp injuries (3/23/10)
- EU Business: Ministers approve directive to improve safety of EU healthcare workers (3/9/10)
- Brief analysis in IHWSC's Winter 2010 newsletter (bottom of p. 1)
• January 2010: The Employment and Social Affairs Committee of the European Parliament took another step forward on the Framework Agreement on sharps safety, voting to adopt a motion supporting the agreement. It now goes to a plenary vote on February 1. More.
• July 2009: Framework
Agreement on sharps safety, signed by HOSPEEM and EPSU
• July 2009 : Two European Union "social partner"
organizations -- the European Federation of Public Service Unions
(EPSU) and the European Hospital and Healthcare Employers' Association
(HOSPEEM) -- signed an agreement in Brussels on July 17,
2009, aimed at increasing protection for European healthcare
workers from medical sharps injuries. The Social Partners
will ask the EU Commission to present this agreement to the Council of
Ministers, in order to implement it through an EU directive. Read
more here.
• March 2009 : Meeting of European Commission technical committee charged with reviewing the 2000/54/ED directive on sharps safety and making recommendations on next steps.
• 2006: The European Parliament adopted a resolution in 2006 on "Protecting European healthcare workers from blood borne infections due to needle stick injuries." The U.K. Health and Safety Executive website provides further background:
On 24 February 2005, the European Parliament (EP) adopted a resolution on promoting health and safety in the workplace. Amongst other points, this resolution called on the European Commission to ensure that Member States implemented specific preventive measures necessary to protect healthcare workers from injuries caused by needles and other medical sharps in view of the risk of infection from serious blood-borne infections, such as Hepatitis B and C and HIV. [...] In the wake of this resolution, 6 July 2006 the European Parliament adopted a resolution on protecting European healthcare workers from blood-borne infections due to needlestick injuries. The resolution requested the Commission to submit to the EP a legislative proposal for a directive amending Directive 2000/54/EC on biological agents at work.
A period of consultation with relevant bodies from member EU states regarding the desirability of legislation mandating use of safety-engineered sharps followed the adoption of the resolution; the second-stage consultation period ended in February 2008.
If you are aware of pertinent policies or guidelines related to healthcare worker safety or occupational exposure prevention in countries in this region that are not included below, please send information here .
- Policy and legislation, by region/country:
- European Federation of Nurses
- European Union:
-
-
Council Directive implementing the Framework Agreement on prevention of
sharps injuries in the hospital and healthcare sector concluded by
HOSPEEM and EPSU (Brussels: Council of the European Union,
Legislative Acts and Other Instruments 7318/10, April 19, 2010).
- Framework
Agreement on sharps safety, signed by HOSPEEM and EPSU July 17,
2009
-
European Parliament - resolution: Protecting European healthcare
workers from blood borne infections due to needle stick injuries
(ref. #INI/2006/2015)
-
Council Directive implementing the Framework Agreement on prevention of
sharps injuries in the hospital and healthcare sector concluded by
HOSPEEM and EPSU (Brussels: Council of the European Union,
Legislative Acts and Other Instruments 7318/10, April 19, 2010).
- Germany:
TRBA 250 (in German) - Technischer Regel für Biologische
Arbeitsstoffe 250 [Technical Rules for Biological Agents], sub-section
4.2.4; Regulatory body: Arbeitsausschuss für biologische Arbeitsstoffe
(ABAS) [Coordinating Group on Biological Materials], of the
Berufsgenossenschaftliche Zentrale für Sicherheit und Gesundheit (BGZ)
[Central Office for Safety and Health]. Effective date: August 1,
2006
Germany's TRBA 250 is a "technical rule" that specifically mandates use of safety-engineered devices in high-risk clinical situations, as defined within the rule. Although it is a standard promulgated by a federal agency rather than a law passed by the government legislature, the rule does appear to be speeding up adoption of safety devices in Germany.
-
- BAuA website link
- TRBA 250 - PDF file
- BGZ - KOBAS (Coordinating Group on Biological Agents)
-
Effectiveness of measures to prevent needlestick injuries among
employees in health professions (report from BGIA -
Berufsgenossenschaftliches Institut für Arbeitsschutz)
- France
- Spain
-
Guía técnica para la evaluación y prevención de los riesgos
relacionados con la exposición a agentes biológicos (Guide for
technical evaluation and prevention of risks related to biological
agents) - National Institute of Occupational Safety and Health at Work,
Madrid, 2001
- Madrid:
Healthcare worker protection policy (applies to Madrid
only)
-
Guía técnica para la evaluación y prevención de los riesgos
relacionados con la exposición a agentes biológicos (Guide for
technical evaluation and prevention of risks related to biological
agents) - National Institute of Occupational Safety and Health at Work,
Madrid, 2001
- U.K.
-
- Health Protection Agency
- Royal College of Nursing

