Table 1. Strategic interventions aligned with the nine measures set out in Annex A Part II of the Minamata Convention4.
Strategic interventions | Corresponding measures, Annex A Part II |
---|---|
Waste management | |
Implementing a strategic approach to integrated chemicals management, one that combines infection-control measures, best management practices and an environmentally sound lifecycle management of dental amalgam waste and quality mercury-free dental materials waste | Measures ii, ix |
Making the use of dental amalgam in an encapsulated form and amalgam separators mandatory | Measures viii, ix |
Knowledge management | |
Carrying out a situation assessment and inventory of trade, supply, regulation and use of dental amalgam and quality mercury-free materials for dental restoration, to develop clear time-bound targets. The assessment will guide and inform a baseline against which progress in achieving the targets can and will be measured | Measures ii, iii |
Developing and documenting good practice examples and demonstrating the feasibility of voluntary implementation of the phase down of the use of dental amalgam | Measures i, ii |
Raising public awareness and supporting country-level communication strategies and programmes based on the results of the situation assessment and documentation of voluntary implementation | Measures i, ii, iii, viii, ix, |
Health system strengthening as an integral part of an equitable and sustainable reduction of the use of dental amalgam | |
Integrating strategies to phase down dental amalgam as part of the policy of prevention and control of noncommunicable disease and addressing the social determinants of health | Measure i |
Improving the affordability of mercury-free materials for dental restoration in the essential list of medicine, products and medical devices and equipment managed by the national and regional authority in charge of purchasing regional and national pharmaceuticals | Measure iii |
Researching and developing quality, affordable and safe alternatives to dental amalgam whose waste can be controlled in an efficient and effective manner in all health-care settings | Measure iv |
Reorientation of the oral health workforce education agenda towards greater social accountability, and of educational curricula to meet local community needs. Increasing national capacity of oral health professionals towards preventive and non-operative minimally invasive dental care by developing training materials and resources | Measures i, v |
Encourage and support insurance companies to examine policy and programme options that favour a shift to quality mercury-free materials for dental restoration, including materials that re-mineralise tooth substance and inhibit dentine demineralisation | Measures vi, vii |
a The measures are explained in Box 1.