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International Aircraft Cabin Air Conference – Programme 2017

GCAQE

Abstract

On behalf of all our sponsors and partners, welcome to the Aircraft Cabin Air Conference 2017. We are delighted to be the first conference to take place in the new Imperial College facilities you are visiting. I am certain that over the next two days, our diverse range of speakers will provide you with a unique and greater insight into the issue of contaminated air on aircraft. I organised the last major conference held on this topic back in 2005 for the British pilot union BALPA. Twelve years ago, Pall Aerospace were part sponsors, so I am delighted they have again chosen to be part of this conference where they will also present their technical achievements over the last decade of R&D. Twelve years on from the last conference, the theme is much the same but the science and understanding of the issue has vastly improved and today we are much closer to an effective resolution of the problem. I became involved in this issue in 2001 when I was a Captain with British Airways whilst fying the Boeing 757 and Boeing 767. At the time, I was a Health & Safety representative for the UK pilot union BALPA and part of my duties involved dealing with long-term sick pilots. A fellow Captain phoned me and informed me that he had experienced a number of exposures to contaminated air in the aircraft he few and was being ill health retired by the company. He believed that the exposures to oil fumes we were experiencing were a serious health and fight safety issue. He mentioned the word ‘organophosphate’, a word I had never heard of and asked me to investigate the issue. I have been doing so ever since. Over my sixteen year journey, I have de-briefed more than a thousand crews and passengers over 6 continents who have had contaminated air exposures. I have heard their concerns about fight safety being compromised; a reluctance to report events; pilots not using emergency oxygen when the air was suspected of being contaminated; crews becoming impaired and incapacitated; their desire to have a defnitive medical test to confrm exposure to one or more of the contaminated air ingredients and their collective desire that this issue be resolved for the beneft of all in aviation. Some of these crews and passengers have lost their health and their livelihoods and some are no longer with us. I have seen the misinformation put out by those who fear the consequences of contaminated air; I have witnessed the vested interests at work; the denial and the fear of litigation. I have sat on aerospace and Government committees; briefed regulators and safety agencies; met and discussed the issue with lubricant manufacturers, politicians, aircraft and engine manufacturers, press, doctors, scientists, union leaders and countless others. I have also made three documentaries and a feature flm on the issue. I have heard all sides of the debate. I have met many people who lack the expertise and knowledge of the issue, yet are empowered to make key corporate or operational decisions in these matters. I have heard it said that contaminated air events are some form of global mass hysteria; it’s all linked to the contraceptive pill or something a person ate. On the other side, I have heard it called the asbestosis of the skies or aviation’s biggest cover-up. Having experienced the fight safety consequences of exposure, I suffered the health effects frst hand and lost my own career to repeated exposure to contaminated air at the age of 44. I know it is a very real issue and one that has to be addressed. I love aviation, I love what it has achieved and I miss the job I once had but the simple reality is that aviation has a design faw in providing breathing air on aircraft as unfltered bleed air from engines. The original passenger jet aircraft like the Boeing 707, DC-8, Convair 880/990 and VC-10 were designed not to use bleed air directly for pressurisation and air-conditioning and like many things in life – the frst ideas are often the best. The Boeing 787, with its revolutionary bleed free architecture, is without doubt the only sensible solution for future aircraft design. The crews who work on the 787 tell me it is a whole new world compared to other aircraft. I believe all current ‘bleed air’ aircraft should have an effective fltration system and warning systems installed to minimise as much as possible, the health and fight safety consequences of exposure. In my opinion, it’s not morally or ethically right to continue to debate the health and fight effects of exposure to contaminated air, whilst still allowing crews, farepaying passengers (some pregnant) and others to be exposed to contaminated air. In my career, I have seen aviation effectively mitigate the risk of numerous threats to fight safety: TCAS, EGPWS, CRM, the ‘glass cockpit’ and the advent of fy-bywire to name a few. Aviation has the ability to resolve this problem. All it needs is the will to do so. Most passengers I have met would pay for clean air if given a choice. They pay for nearly everything else, their seat, baggage, meals and security. All it takes is to stop the denial, fx the problem and make air travel as safe as is reasonably possible: Minimise the risk – adapt the Precautionary Principle. United Airlines took a world lead many decades ago by being the frst airline in the world to introduce HEPA flters in all their aircraft for the re-circulated air. Today, the world waits for the frst airline to introduce an all ‘bleed free’ feet or the introduction of an effective bleed air fltration system to all their aircraft. It is just a matter of time. Therefore, I am glad the Aircraft Cabin Air Conference 2017 will provide an arena for delegates to better understand the contaminated air issue and conduct productive discussions towards a positive solution to this issue. Captain Tristan Loraine BCAi, Conference Director, GCAQE Spokesperson, September 2017

Full text

INTERNATIONAL AEROSPACE CONFERENCE AIRCRAFT CABIN AIR CONFERENCE Flight Safety and Cabin Air Quality IMPERIAL COLLEGE LONDON SOUTH KENSINGTON 19-20 SEPTEMBER 2017 2 Day Conference www.aircraftcabinair.com See website as well for full list of sponsors and supporters A global coalition of health and safety advocates committed to raising awareness and finding solutions to poor air quality in aircraft. The Global Cabin Air Quality Executive (GCAQE), established in 2006, is the leading organization representing air crew (pilots, cabin crew and engineers), that deals specifically with contaminated air issues and cabin air quality. We represent over 25 organizations, and over one hundred thousand workers around the world. The primary purpose of the GCAQE is to address the ongoing health and flight safety issues related to crewmembers, passengers and ground workers being exposed to aircraft engine oils, hydraulic and other fluids that contaminate the aircraft breathing air supply. We are the credible, unified voice of airline workers and engineers regarding the hazards posed by exposure to contaminated ventilation supply air on aircraft. We offer practical tools to assist our member unions, and we connect our members across the globe to work together to prevent exposure to toxic fumes on aircraft. www.gcaqe.org MEMBERS OF THE GCAQE INCLUDE: • ACA – Austrian Cockpit Association; • ACPA – Air Canada Pilot’s Association; • Aeropers – Swiss Airline Pilots Association (Swiss ALPA); • AFAP – Australian Federation of Air Pilots; • ALAEA – The Australian Licensed Aircraft Engineers’ Association; • APA – Allied Pilots Association; • ALPL – Association Luxembourgeoise des Pilotes Ligne; • APFA – Association of Professional Flight Attendants; • AIPA – Australian & International Pilots Association; • BASSA – British Airlines Stewards and Stewardesses Association; • BECA – Belgian Cockpit Association; • CUPE – Canadian Union of Public Employees; • FPU – Flight Personnel Union, Denmark; • FSC-CCOO – Federation of Citizen Services; • Kapers – Kapers Cabin Crew Union; • NFO – Norsk Flytekniker Organisasjon; • PPU – Professional Pilots Union • Rolls Royce Unite the Union Branch; • SNPL – Syndicat National des Pilotes de Ligne; • SNPNC – Syndicat National du Personnel Naviguant Commercial; • SWEALPA – Svensk Pilotförening | Swedish Airline Pilots Association; • Uiltrasporti – Italy • Vereinigung Cockpit – German Airline Pilots Association; • VIDA – Austrian Federation of Trade Unions; • ZZPK – LOT Polish Airlines Pilots Union; OVERVIEW & MEMBERS CONFERENCE ENDORSED BY: MEDIA PARTNERS PAGE 2 AIRCRAFT CABIN AIR CONFERENCE Dear Delegate On behalf of all our sponsors and partners, welcome to the Aircraft Cabin Air Conference 2017. We are delighted to be the first conference to take place in the new Imperial College facilities you are visiting. I am certain that over the next two days, our diverse range of speakers will provide you with a unique and greater insight into the issue of contaminated air on aircraft. I organised the last major conference held on this topic back in 2005 for the British pilot union BALPA. Twelve years ago, Pall Aerospace were part sponsors, so I am delighted they have again chosen to be part of this conference where they will also present their technical achievements over the last decade of R&D. Twelve years on from the last conference, the theme is much the same but the science and understanding of the issue has vastly improved and today we are much closer to an effective resolution of the problem. I became involved in this issue in 2001 when I was a Captain with British Airways whilst flying the Boeing 757 and Boeing 767. At the time, I was a Health & Safety representative for the UK pilot union BALPA and part of my duties involved dealing with long-term sick pilots. A fellow Captain phoned me and informed me that he had experienced a number of exposures to contaminated air in the aircraft he flew and was being ill health retired by the company. He believed that the exposures to oil fumes we were experiencing were a serious health and flight safety issue. He mentioned the word ‘organophosphate’, a word I had never heard of and asked me to investigate the issue. I have been doing so ever since. Over my sixteen year journey, I have de-briefed more than a thousand crews and passengers over 6 continents who have had contaminated air exposures. I have heard their concerns about flight safety being compromised; a reluctance to report events; pilots not using emergency oxygen when the air was suspected of being contaminated; crews becoming impaired and incapacitated; their desire to have a definitive medical test to confirm exposure to one or more of the contaminated air ingredients and their collective desire that this issue be resolved for the benefit of all in aviation. Some of these crews and passengers have lost their health and their livelihoods and some are no longer with us. I have seen the misinformation put out by those who fear the consequences of contaminated air; I have witnessed the vested interests at work; the denial and the fear of litigation. I have sat on aerospace and Government committees; briefed regulators and safety agencies; met and discussed the issue with lubricant manufacturers, politicians, aircraft and engine manufacturers, press, doctors, scientists, union leaders and countless others. I have also made three documentaries and a feature film on the issue. AIRCRAFT CABIN AIR CONFERENCE PAGE 3 AIRCRAFT CABIN AIR CONFERENCE 2017 PAGE 4 AIRCRAFT CABIN AIR CONFERENCE I have heard all sides of the debate. I have met many people who lack the expertise and knowledge of the issue, yet are empowered to make key corporate or operational decisions in these matters. I have heard it said that contaminated air events are some form of global mass hysteria; it’s all linked to the contraceptive pill or something a person ate. On the other side, I have heard it called the asbestosis of the skies or aviation’s biggest cover-up. Having experienced the flight safety consequences of exposure, I suffered the health effects first hand and lost my own career to repeated exposure to contaminated air at the age of 44. I know it is a very real issue and one that has to be addressed. I love aviation, I love what it has achieved and I miss the job I once had but the simple reality is that aviation has a design flaw in providing breathing air on aircraft as unfiltered bleed air from engines. The original passenger jet aircraft like the Boeing 707, DC-8, Convair 880/990 and VC-10 were designed not to use bleed air directly for pressurisation and air-conditioning and like many things in life – the first ideas are often the best. The Boeing 787, with its revolutionary bleed free architecture, is without doubt the only sensible solution for future aircraft design. The crews who work on the 787 tell me it is a whole new world compared to other aircraft. I believe all current ‘bleed air’ aircraft should have an effective filtration system and warning systems installed to minimise as much as possible, the health and flight safety consequences of exposure. In my opinion, it’s not morally or ethically right to continue to debate the health and flight effects of exposure to contaminated air, whilst still allowing crews, farepaying passengers (some pregnant) and others to be exposed to contaminated air. In my career, I have seen aviation effectively mitigate the risk of numerous threats to flight safety: TCAS, EGPWS, CRM, the ‘glass cockpit’ and the advent of fly-bywire to name a few. Aviation has the ability to resolve this problem. All it needs is the will to do so. Most passengers I have met would pay for clean air if given a choice. They pay for nearly everything else, their seat, baggage, meals and security. All it takes is to stop the denial, fix the problem and make air travel as safe as is reasonably possible: Minimise the risk – adapt the Precautionary Principle. United Airlines took a world lead many decades ago by being the first airline in the world to introduce HEPA filters in all their aircraft for the re-circulated air. Today, the world waits for the first airline to introduce an all ‘bleed free’ fleet or the introduction of an effective bleed air filtration system to all their aircraft. It is just a matter of time. Therefore, I am glad the Aircraft Cabin Air Conference 2017 will provide an arena for delegates to better understand the contaminated air issue and conduct productive discussions towards a positive solution to this issue. Captain Tristan Loraine BCAi Conference Director GCAQE Spokesperson September 2017 DR DAVID STEIN VICE PRESIDENT STRATEGIC MARKETING, PALL AEROSPACE From the world’s first cabin air assembly, to our state-of-the-art Advanced Cabin Air Filters, Pall Aerospace has an unparalleled legacy of innovation in the field of Cabin Air Quality. Our integrated filtration, separation, and purification solutions weave together decades of experience in developing and selecting media, designing strong and lightweight hardware, and constantly testing and refining our products to ensure they remain the best solution to both operational and business needs in the challenging aerospace environment. For Pall Aerospace, accelerating technology development and promoting a culture of innovation is critical to the success of our business. It is through our work with agile and responsive customers that we are able to maintain our position as a global leader in filtration and separation solutions and enable our commercial partners to meet today’s industry wide challenges when it comes to fleet maintenance. We work closely with Original Equipment Manufacturers (OEMs) to provide game-changing products and we address the needs of operators around the globe by designing custom-tailored solutions that seamlessly retrofit existing systems. Our Advanced Cabin Air Filters (A-CAF) and PUREcabin product lines directly address the industry’s need to efficiently and effectively retrofit fleets to ensure the optimum level of Cabin Air Quality. Pall Aerospace is pleased to be able to share details of these products at the 2017 GCAQE Aircraft Cabin Air Conference. We look forward to seeing you there. ABOUT PALL AEROSPACE Headquartered in New Port Richey, Florida, Pall Aerospace is a global filtration, separation and purification solution provider with worldwide offices and plants principally engaged in the research, design, a development, manufacture, integration and sustainment of Cabin Air Filtration products. For additional information, visit our website www.aerospace.pall.com PALL AEROSPACE CABIN AIR FILTRATION TIMELINE AIRCRAFT CABIN AIR CONFERENCE PAGE 5 1980s Pall provides first cabin air assembly for Airbus 300 Pall introduces the first 99.99% HEPA filters Pall introduces the combined HEPA/odour removal filters Pall presents at the BALPA Air Safety and Cabin Air Quality International Aero Industry Conference First trial fit for the world’s first Fresh Air Filtration for Boeing 757 cockpit Pall presents PUREcabin, the complete Cabin Air Filtration solution, during the GCAQE Aircraft Cabin Air Conference Pall provides first single–piece element for Boeing 747 A/C (replacing 2-stage system) Pall introduces the microbially-tested HEPA filters Pall assists with writing the first European pre-standard on Aircraft Cabin Air Quality, prEN4618 Pall assists with writing the first International standard on Aircraft Cabin Air Quality, ASHRAE SPC161 STC approved for service for the world’s first Fresh Air Filtration for Boeing 757 cockpit 1994 1996 1998 1999 2004 2005 2007 2008 2012 2017 PAGE 6 AIRCRAFT CABIN AIR CONFERENCE CONTAMINATED CABIN AIR KEY TIMELINE 1950-2017 1930 Ortho isomers of TCP responsible for toxicity - Ginger Jake 1946 Synthetic lubricants developed 1953 Pyrolised oil contains irritant and toxic substances. Impairment causing pilot error and hazardous situation - Aero Medical Association 1953 Toxic effect of oil contamination unknown - Boeing 1954 Inhalation toxicity of jet oils related to pyrolysis of base stock at high temps - USAF 1955 Cabin air contamination problems in crew - USAF 1955 The separate compressor as a solution – This method of eliminating contamination is considered to be the most positive - North American Aviation 1955 First civil airliner flies using direct bleed air for pressurisation and air conditioning - Sud Aviation Caravelle 1959 Other ortho isomers of TCP: MOCP and DOCP 10 and 5 x more toxic than TOCP - Henschler 1960s TCP in lubricants replaced with other phosphate esters in all markets except aviation / military 1961 Active metabolite causing TOCP toxicity identified - Casida 1962 Oils shall have no adverse effect on human health / carcinogens prohibited - MIL Specs 1965 Other Triaryl phosphate (TAP) isomers very likely to contribute to toxicity - US Navy 1969 Oil consumption mainly linked to oil leakage past seals/loss via breather - Rolls-Royce 1970 Cockpit warning systems required - FAR 1309c - Not met as of 2017 1973 Internal engine oil leakage shall not contaminate the bleed air - MIL-E-5007D 1977 Aircrew incapacitation due inhalation exposure to aerosolized or vaporized synthetic lubricating oil - Montgomery 1981 Oils being stressed to limits due increased engine temps - Royal Dutch Shell 1981 At temps >320°C oil breaks down into toxic and carcinogenic compounds - SAE 1983 Mobil Jet Oil II assumed to be causing dirty socks odour - Cone 1988 TOCP level in TCP is not a reliable indicator of potential TCP neurotoxicity - Mobil 1989 Recommendation to ban Exxon 2380 from US Navy and test all base stocks - US Navy 1990 Not possible to establish safe level of exposure to TOCP. TCP mixed isomers including TOCP considered major hazard to human health - WHO 1995 Air oils seals must be improved now! - Aerospace consortium – NASA / Allied Signal - ongoing (1950s - present) 1997 Reluctance of crews to report events to employer - fear of reprisals - ATSB 1998 Short term symptoms associated with odours on the BAe 146 and other types are substantiated - Ansett 1999 Oil fumes in cabin air represent a possible safety deficiency - ATSB 1999 TCP is toxic and Inhaling engine oil / TCP is hazardous - UK House of Commons 1999 Employee ‘Suffered injury arising out of and in the course of her employment.’ - Compensation Court - NSW 1999 TOCP exposure standards not adequately protective for products containing TCP / TOCP - Mobil 2001 Oil fumes seen as a nuisance / should be seen as flight safety hazard (SB/AD) - BAe Systems 2001 Recommendation that crew use oxygen at 100 %, International database established, Oil effects research – SHK 2002 Charge of reprehensible conduct appropriate if necessary precautions and measures not taken by airlines - Abeyratne (ICAO) 2002 Oil leaks and cabin / flight deck odours must be regarded as a potential threat to flight safety - CAA 2002 No aircraft airworthy as no contaminated air detection systems fitted - FAA 2003 Airline cannot guarantee a safe working environment free of oil fumes - NJS 2003 Leaking oil is hazardous - Rolls Royce 2003 Survey of British Airways Boeing 757 pilots shows 96% of all contaminated air events not reported - Michaelis 2004 Airworthiness Directives - Oil contamination - Unsafe condition / design problem - FAA 2005 International conference in London - acknowledges workplace problem - BALPA 2006 TOCP found in pilot’s blood after a reported contaminated air event / ill health retired 6 months later. 2006 Under-reporting is occurring - FAA 2007 Oil fumes reported in 1% of UK flights - COT 2006 Global Cabin Air Quality Executive (GCAQE) established 2007 Cabin air quality standard - ASHRAE SPC-161 2007 Senator O’Brian reveals in Australian Senate ‘cash for silence’ - BAe Systems, Allied Signal, Garrett 2007 Safety Recommendations - Recommended FAA / EASA consider system to enable flight crew to identify rapidly the source of smoke by providing a flight deck warning of smoke or oil mist in the air - AAIB 2007 ‘Welcome Aboard Toxic Airlines’ documentary film released - Fact Not Fiction Films 2007 Public Enquiry into oil fumes called for in the UK - Conservative Party, Liberal Democrats and Green Party AIRCRAFT CABIN AIR CONFERENCE PAGE 7 INDUSTRY ACTIONS 1999-2000 Australian Senate Inquiry 2000 UK HOL Inquiry 2001-2002 US NRC inquiry 2001-2004 UK CAA cabin air quality report 2003-2009 Cabin Air, HEACE, FACE, ICE, ISPACE = €56 million 2003-2012 FAA ACER / RITE research - > U$18 million / 66 grants 2004-2012 ASD-STAN - air quality standards - withdrawn (2013) 2004 ExxonMobil oil MSDS citation issued by OSHA / cancelled 2005 - OSHA 2005-2007 UK COT inquiry 2007 All oil chemical ingredients must abide by regulations - SAE / FAA 2007-2011 Cranfield monitoring study 2008-2012 Australian CASA EPAAQ 1999-2012 ASHRAE studies 2009-2012 EASA A-NPA 2012/2017 US Senate / Congress CAQ bills 2011 German Parliamentary hearings 2015------> EU CEN and SAE CAQ standards development 2017 EASA CAQ and oil pyrolysis studies 2017------> EU Commission and EASA €2 million CAQ study 2007 By-products of hot synthetic turbine oil unknown - Boeing 2007-2014 Bleed air monitoring required - APH, NRC, US Senate and Congress, CASA EPAAQ, Bundestag, ASHRAE, AAIB, BFU 2007-2014 Bleed air filtration / cleaning required - APH, SAE, US Senate and Congress, CASA EPAAQ, Bundestag, ASHRAE, BFU 2008 FAA funded medical protocol for fume exposures - OHRCA 2009 Is Inhaling oil fumes safe? No - Bundestag 2009 Toxicity of oils raised with EASA and upgraded MSDS risk phrases - NYCO 2009 Investigate possibility of installing smoke warning system in bleed air ducting of B757 – IPFS Iceland 2010 1st successful civil litigation - J Turner, Australia: Oil harmful to lungs 2010 Documentaries ‘Angel Without Wings’ and ‘Broken Wings – The BAe 146 Story’ released - Fact Not Fiction Films 2010 Boeing 757 DHL aircraft - introduce PALL cockpit bleed air filters 2011 Identification of increased TCP / TAP toxicity: Durad 125, TpCP - Furlong 2011 Fumes mostly related to oil / under-reported - EASA 2011 First ever awarded PhD on contaminated air - Dr. Susan Michaelis 2011 Boeing settles legal case (Williams / USA) 2011 Blood test for TOCP exposure developed - Lockridge 2011 Boeing 787 with bleed free architecture enters commercial airline service 2012 Cabin air position statement - ECA 2012 Toxic cabin air 6th biggest engine problem - RR 2012 Air accident report - TOCP in pilots blood after incapacitation - BFU 2012/2013 All future aircraft to be bleed free - CASA EPAAQ, Bundestag, ASHRAE 2013 OSHA and ACGIH have not set exposure limits for decomposition product of synthetic jet engine oils - ExxonMobil 2013 Decomposition reactions of engine oils and toxicity largely unknown - FAA 2015 Cabin fume event guidance published - ICAO 2014 Certification does not cover all contaminated air substances or crew impairment (only Incapacitation) - BFU 2015 Feature film ‘A Dark Reflection’ exploring contaminated air is released - Fact Not Fiction Films 2015 Documentary ‘Unfiltered Breathed in: The Truth About Aerotoxic Syndrome’ released - TVBMedia 2016 Do not breathe mist or vapor from heated material / avoid eye and skin contact - Eastman Turbo Oil 2197 2016 TCP inhalation toxicity for engine oils to be undertaken by 2018 - ECHA 2016 Engineering design and operational problem - explains frequency (unairworthy system) - Michaelis 2016 ICAO monitor international actions to determine impact on health and take safety actions - Spanish CIAIAC 2017 Permanent low-level oil leakage in aircraft / >120 contaminants released from heated oils - EASA 2017 Aerotoxic Syndrome - new occupational disease? - Panorama WHO Journal 2017 GCAQE introduces Global Cabin Air Reporting System - GCARS 2017 Oil contamination will result in a fog of very fine droplets in the bleed air under most operating conditions - Jones B et al / ASHRAE / FAA 1954------> > 100 Published papers to date on contaminated air 09:00-09:03 CONFERENCE INTRODUCTION Captain David Hoy Conference Host 09:04-09:20 OPENING KEYNOTE SPEECH Countess of Mar Co-Patron of the GCAQE and guest Captain Nils Gomer 09:21-09:40 ORIGINS OF CONTAMINATED AIR Captain Tristan Loraine BCAi GCAQE Spokesperson 09:41-09:57 THE JET ENGINE INTERNAL AIR SYSTEM Professor Peter Childs Head of the School of Design Engineering, Imperial College London 09:58-10:25 MECHANISMS OF OIL LEAKAGE INTO THE CABIN AIR SUPPLY AND REGULATORY IMPLICATIONS Dr. Susan Michaelis PhD University of Stirling/Consultant Mr. John Morton Chairman European Seals Association 10:26-10:45 AIRCRAFT CABIN AIR AND ENGINE OIL - AN ENGINEERING VIEW Professor Dr.-Ing. Dieter Scholz MSME Aircraft Design and Systems Group (AERO) - Hamburg University of Applied Sciences 10:46-10:59 Q&A 11:00-11:25 REFRESHMENTS AND NETWORKING 14:00-14:15 HAIR ANALYSIS, AN INNOVATIVE BIO-MONITORING TOOL TO ASSESS TRI-CRESYL-PHOSPHATE (TCP) Dr. Vincent Peynet PhD Directeur, Institut de Recherche et d’Expertise Scientifique - IRES 14:16-14:33 A CAPTAIN AND CABIN CREW PERSPECTIVE Ms. Deanne DeWitt Crew Captain Michael Kramer P-CoC 14:34-14:50 AIR ACCIDENT INVESTIGATION FINDINGS AND RECOMMENDATIONS Captain Tristan Loraine BCAi GCAQE Spokesperson 14:51-15:15 MOVING TOWARDS TOTAL CABIN AIR FILTRATION Dr. David Stein, PhD Vice President, Aerospace Global Strategic Marketing, Pall Aerospace 15:16-15:29 Q&A 15:30-15:55 REFRESHMENTS AND NETWORKING 11:30-11:39 FLIGHT SAFETY: A PERSONAL PERSPECTIVE (FILM) Captain Ray Cockerton 11:40-12:00 ICAO GUIDELINES ON EDUCATION, TRAINING AND REPORTING OF FUME EVENTS Dr. Antti Tuori IFALPA - HUPER Vice chair, A320 CDR, M.D, PhD 12:01-12:21 EASA AND FAA KEY FINDINGS Captain Max Thomson GCAQE Boardmember Mr. Jordan Bray-Stone CUPE & GCAQE Boardmember 12:22-12:42 CABIN AIR QUALITY: THE INTERNATIONAL PERSPECTIVE Mr. Arie Adriaensen Vereinigung Cockpit/GCAQE 12:43-12:46 GCARS GLOBAL CABIN AIR REPORTING SYSTEM (FILM) GCAQE 12:47-12:59 Q&A 13:00-13:50 BUFFET LUNCH AND NETWORKING 16:00-16:02 FINAL SESSION INTRODUCTION Captain David Hoy Conference Host 16:03-16:09 HUMAN INTOXICATION FOLLOWING INHALATION EXPOSURE TO SYNTHETIC JET LUBRICATING OIL Dr. Mark Montgomery, PhD Toxicologist 16:10-16:35 HEALTH DISORDERS AND BIO-MONITORING RESULTS IN AIRCRAFT CREW MEMBERS AFTER “FUME EVENTS” Dr. Astrid Heutelbeck MD Occupational Physician, Germany 16:36-17:04 AEROTOXIC SYNDROME: A NEW OCCUPATIONAL DISEASE? Dr. Jonathan Burdon MD Consultant Respiratory Physician 17:05-17:34 HAVE YOU BEEN EXPOSED TO AIRCRAFT ENGINE OIL? - CANDIDATE BIOMARKERS OF EXPOSURE Professor Clement Furlong Research Professor of Medicine and Genome Sciences - University of Washington 17:35-17:55 Q&A 18:00-19:30 DRINKS RECEPTION SPONSORED BY ROLLS-ROYCE UNITE THE UNION WORKERS SESSION ONE: SESSION TWO: SESSION FOUR: SESSION THREE: AGENDA DAY 1 PAGE 8 AIRCRAFT CABIN AIR CONFERENCE 08:00-08:50 REGISTRATION AND REFRESHMENTS Subject to change 14:00-14:24 MIND THE GAP? FALLING BETWEEN AVIATION AND OCCUPATIONAL HEALTH SAFETY REGULATIONS, HEALTH AND SAFETY MANAGEMENT AND GOOD PRACTICE IN CONTROLLING CABIN AIR QUALITY Professor Andrew Watterson Director of Centre for Public Health and Population Health Research - University of Stirling 14:25-14:47 BA286 DIVERSION OCTOBER 2016 A CONSULTANT’S PERSPECTIVE Dr. Susan Michaelis, PhD University of Stirling/Consultant 14:48:15:12 CONTAMINATED AIR: REAL TIME MONITORING Mr. Chris Savage Vice President Technology, Pall Aerospace 15:13-15:29 Q&A 15:30-15:55 REFRESHMENTS AND NETWORKING 11:30-11:53 LUBRICANT AND LUBRICANT ADDITIVE DEGRADATION: IMPLICATIONS FOR CABIN AIR QUALITY Dr David W. Johnson - Ph.D Chairperson, Dept of Chemistry, University of Dayton 11:54-12:17 REACH SUBSTANCE EVALUATION OF TRICRESYL PHOSPHATE (TCP) Ms Petra van Kesteren National Institute for Public Health and the Environment (RIVM), MSc, The Netherlands 12:18-12:42 TCP MEASUREMENT METHODS USED TO IDENTIFY FLIGHT CREW AND PASSENGER EXPOSURE Professor Chris van Netten Environmental Toxicology (Emeritus) - University of British Columbia 12:43-12:59 Q&A 13:00-13:50 BUFFET LUNCH AND NETWORKING 09:00-09:01 DAY TWO INTRODUCTIONS Mr. Daniel Tandoi GCAQE Chairman 09:02-09:21 A WIN-WIN-WIN PATH FOR FLIGHT SAFETY, HEALTH AND CORPORATE PROFITS Professor Colin Soskolne (Keynote Speaker) Dept of Public Health Sciences - Collegium Ramazzini and University of Alberta 09:22-09:31 THE LAST 18 YEARS (FILM) Senator John Woodley GCAQE Co-Patron 09:32-09:52 INSTALLATION AND DATA ACQUISITION FROM A REAL TIME AIR QUALITY SENSOR (RTAQS) MONITORING PILOT BREATHING AIR Mr Grant M. Slusher, MS Research Scientist, 711th Human Performance Wing (HPW) of the USAF: (WPAFB) 09:53-10:16 CLASSICAL ‘ONE CHEMICAL AT A TIME’ TOXICOLOGY CANNOT ADDRESS THE CABIN AIR QUALITY PROBLEM Professor Vyvyan Howard Professor of Pathology (toxicology) - University of Ulster 10:17-10:41 ORGANOPHOSPHATE-BASED CHEMICALS, AXONAL TRANSPORT AND COGNITIVE DYSFUNCTION Dr Alvin V. Terry Jr., Ph.D Chairman, Dept of Pharmacology & Toxicology - Augusta University 10:42-10:59 Q&A 11:00-11:25 REFRESHMENTS AND NETWORKING 16:00-16:02 FINAL SESSION INTRODUCTION Captain David Hoy Conference Host 16:03-16:07 HARMFUL TO THE LUNGS (FILM) / EXTRACTS FROM THE DOCUMENTARY ‘BROKEN WINGS’ Ms Joanne Turner Former Flight Attendant 16:08-16:28 MAKING THE CASE FOR TOXIC FUME MANAGEMENT Mr. Cliff Edwards Aviation Risk and Hazard Management Consultant (retired), former Senior Advisor at Shell Aircraft Ltd 16:29-16:49 THE USE OF EXPOSURE STANDARDS IN AVIATION Professor Andrew Watterson Director of Centre for Public Health and Population Health Research - University of Stirling 16:50-17:10 THE LAW UP IN THE AIR Mr. Michael Rawlinson QC Barrister - 12KBW / Kings Chambers 17:11-17:31 FROM ASSOCIATION TO CAUSATION: A BRADFORD HILL APPROACH TO AEROTOXIC SYNDROME Mr. David Gee Visiting Fellow, Institute of Environment, Health and Societies, Brunel University 17:32-17:45 Q&A 17:46-17:59 CLOSING SPEECH Mr. Keith Taylor MEP Green MEP for SE England SESSION FIVE: SESSION SIX: SESSION EIGHT: SESSION SEVEN: AGENDA DAY 2 AIRCRAFT CABIN AIR CONFERENCE PAGE 9 08:00-08:50 REGISTRATION AND REFRESHMENTS MR. JOHN MORTON - CONSULTANT / CHAIRMAN EUROPEAN SEALS ASSOCIATION John Morton has 35 years’ experience in the mechanical seal industry, he is a qualified engineer and works for John Crane, the world’s leading mechanical seal supplier to the process industries. Having held various posts throughout the global organisation, John has had major involvement with all the leading mechanical seal developments from John Crane in that time; either through engineering and product development or latterly marketing based functions. During this time he has also spent an extended period working in the Nordic region and has worked extensively on government affairs projects. A recognised SME on mechanical seal technology he has spoken at both commercial and government conferences on sealing technology. He is the current chairman of the European Sealing Association and member of the executive committee. John is based in Slough, UK, and obtained his MBA from University of Reading in 1998. DR. VINCENT PEYNET - DIRECTEUR, INSTITUT DE RECHERCHE ET D’EXPERTISE SCIENTIFIQUE - IRES Vincent Peynet, Ph.D. is a Director at IRES (France), an engineering office and analytical laboratory dedicated to environmental health based in Strasbourg. He holds a Ph.D. in analytical chemistry and has had successful professional experiences in deep nuclear waste disposal research at CEA (France), in chemical weapon detection at DGA (France), in removal of legionella bacteria from water using irradiation and degradation of pharmaceutical active principles in waste water using irradiation with UCL in Belgium and in life science services for pharmaceutical companies at SGS Life Science Services (Belgium). He joined the Institut de Recherche et d’Expertise Scientifique (France) to build an analytical laboratory dedicated to health and environmental analysis. Since 2010, IRES has developed a wide range of user-friendly testing kits to investigate indoor environment quality, drinking water quality and to assess human exposure to environmental pollution using hair analysis. MR. MICHAEL RAWLINSON QC - BARRISTER - 12KBW/KINGS CHAMBERS Michael Rawlinson was called to the Bar in 1991, took Silk in 2009 and now practices from Kings Chambers in Manchester and 12 KBW in London. For the majority of his working life, Michael Rawlinson has been involved in either bringing or defending claims in which it has been alleged that exposure to ‘X’ has led subsequent to the development of ‘Y’. This has covered both immediate and long term effects; cancers and non-cancers, and across every tier of Court. In the ‘Aerotoxicity’ litigation, his Claimants have instructed Rawlinson in what is a serious but fascinating area of developing litigation. The questions to determine are: what level of exposure to the products of pyrolysed aircraft engine oil and what identifiable illnesses will be held both actionable and recoverable? MR. CHRIS SAVAGE - VICE PRESIDENT TECHNOLOGY, PALL AEROSPACE Mr. Savage joined Pall in 2003 after spending 22 years in various Manufacturing, Technical Engineering and Programme Management roles within Vickers Ltd, Rolls-Royce Engines plc and GKN Aerospace plc. He is a time served Apprentice, Chartered Engineer and holds a Bachelor of Engineering (BEng) degree in Engineering and Engineering Systems from Portsmouth University in the United Kingdom. At Pall, he has held roles in the Technical, New Technology, Programme Management and Operations Engineering functions within the Aerospace and Machines & Equipment Business Units focusing on Innovation, Technical Strategy, New Product Introduction and Production/Airworthiness Support. PAGE 16 AIRCRAFT CABIN AIR CONFERENCE PROFESSOR DR.-ING. DIETER SCHOLZ, - MSME AIRCRAFT DESIGN AND SYSTEMS GROUP (AERO) - HAMBURG UNIVERSITY OF APPLIED SCIENCES Prof. Dr.-Ing. Dieter Scholz, MSME is a Professor for Aircraft Design, Flight Mechanics, Aircraft Systems, and Educational Flight Testing. Head of Aircraft Design and Systems Group (AERO), Department of Automotive and Aeronautical Engineering, Hamburg University of Applied Sciences (HAW Hamburg), Germany. He studied Mechanical Engineering at Universität Hannover, Germany (Dipl.-Ing.) and at Purdue University, USA (MSME). Systems engineer at Airbus in Hamburg, Germany. Topics: Flight Control and Hydraulic Systems. Temporary lecturer at Queens University Belfast (QUB), UK for Aircraft Stability and Control. Researcher at Technische Universität Hamburg-Harburg (TUHH), Dr.-Ing. (PhD). He has his own engineering office (research and development projects for Airbus and subcontractors) and is a freelance lecturer at Airbus Technical School, Hamburg, Germany. Since 1999 he has been a Professor at HAW Hamburg. MR. GRANT M. SLUSHER - MS RESEARCH SCIENTIST, 711TH HUMAN PERFORMANCE WING (HPW) OF THE USAF: (WPAFB) Grant Slusher received his B.Sci. in Physiology from Northern Michigan University. He then re-enrolled for his M.Sci. where he completed his thesis focusing on population genetics of wild ungulates. Grant taught at a community college before beginning work as a contractor with the United States Air Force 711th Human Performance Wing. Initially the research was specific to characterizing bio recognition elements specific physiologic indicators of fatigue, but in 2012 his focus was shifted to the collection of volatile contaminants in pilot breathing air. He collected samples to thermal desorption (TD) tubes, quantified compounds using EPA methods, and finally identified unknown compounds contributing to hazardous exposures. This research segued into sensor development specific to mitigating risk to the human element. In collaboration with NASA, and Makel Engineering the 711th developed and employed a sensor suite to identify exposures to pilots. He is currently working with multidisciplinary groups to implement said suite. DR. DAVID STEIN - VICE PRESIDENT, AEROSPACE GLOBAL STRATEGIC MARKETING, PALL AEROSPACE David’s prior experience at Pall was as Vice President of R&D. David joined Pall from Boeing where he managed the Boeing Research and Technology Advanced Research Teams focusing on developing new materials and chemistries using state of the art laboratory and simulation capabilities. Prior to Boeing, he held various management and process engineering positions in the Microelectronics FAB at Sandia National Laboratories. David earned his BS in Chemical Engineering from Rensselaer Polytechnic Institute. He earned his MS and Ph.D. in Chemical Engineering and his MBA with a specialty in Management of Technology from the University of New Mexico. David has held PMP and Lean Six Sigma Green Belt certifications. PROFESSOR COLIN SOSKOLNE - (KEYNOTE SPEAKER) DEPT OF PUBLIC HEALTH SCIENCES - COLLEGIUM RAMAZZINI AND UNIVERSITY OF ALBERTA Colin L. Soskolne, PhD, was born, raised and educated in Johannesburg, South Africa. He obtained his PhD (Epidemiology) from the University of Pennsylvania, USA, in 1982. For his doctoral dissertation he was awarded the 1983 student prize by the Society for Epidemiologic Research. This work led to the designation by IARC of occupational exposure to mixtures of strong inorganic acid mists containing sulphuric acid as a definitive human carcinogen. After 28 years at the University of Alberta, Canada, he retired as Professor emeritus in 2013. He currently holds an Adjunct Professorship in the Health Research Institute at the University of Canberra, Australia. Colin serves as immediate past-Chair of the International Joint Policy Committee of the Societies of Epidemiology (www.ijpc-se.org). In addition to innovative career teaching and research focusing on occupational, environmental and global health, and also HIV/AIDS, he initiated the integration of ethics into professional discourse in the mid-1980s (www.colinsoskolne.com) and the development of ethics guidelines for the profession. AIRCRAFT CABIN AIR CONFERENCE PAGE 17 MS JOANNE TURNER - FORMER CREW Joanne Turner was a flight attendant travelling between Sydney and Brisbane on a British Aerospace BAe 146 aircraft during the course of her employment on 4 March 1992. During the descent into Brisbane a thick cloud of white grey smoke poured through the vents into the cabin for about 20 minutes. Ms Turner immediately suffered from the effects of the smoke including coughing, a burning sensation in her throat, sore eyes and a headache. She has suffered with a persistent cough ever since. Turner Freeman commenced proceedings in the Dust Diseases Tribunal of New South Wales in 2001 against her employer East West Airlines Limited claiming damages caused by East Wests’ negligence in relation to the operation of its aircraft. She succeeded in an action for damages for injuries suffered whilst flying in the BAe 146 aircraft in 2010. DANIEL TANDOI - GCAQE CHAIRMAN Dipl.-Ing. (FH) Daniel Tandoi was appointed Chairman of the Global Cabin Air Quality Executive (GCAQE) in 2016. He is also active in the working groups Aircraft Design & Operation and Flight Health Environment of the German Airline Pilot´s Association Vereinigung Cockpit and was a flight safety officer for a German regional airline for five years. Flying as a First Officer for German airlines for over 11 years, Daniel Tandoi has a total of more than 5000 flight hours on the aircraft types ATR 42, ATR 72, F100, Boeing 757 and Boeing 767. Holding a diploma degree in Aviation Systems Engineering and Management at Bremen University of Applied Sciences, Daniel Tandoi has been working as a design engineer for the aviation industry for two years. MR. KEITH TAYLOR - GREEN MEP FOR SE ENGLAND Keith Taylor is the Green MEP for the South East of England. He was a Green Party councillor in Brighton and Hove for 11 years, having been first elected in 1999. He served as leader of Brighton and Hove council’s Green group from 2001, and on the council’s planning committee for two years. Keith took Caroline Lucas’s place in the European Parliament, following her election to the House of Commons as the UK’s first Green MP in 2010. He was successfully re-elected in May 2014 to serve another five years as Green MEP for South East England. In his role as an MEP, Keith sits on the European Parliament’s Transport and Tourism and Environment, Public Health and Food Safety committees. He is also the European Chair of the Climate Parliament, Vice-President of the UK’s Local Government Association Group and Vice-Chair of the animal welfare intergroup as well as a member of the delegation for relations with the Palestinian Authority and the intergroup on LGBTI Rights. DR. ALVIN V. TERRY JR. - PH.D CHAIRMAN, DEPT OF PHARMACOLOGY & TOXICOLOGY - AUGUSTA Dr. Alvin V. Terry Jr. Ph.D. is Regents Professor and the Chair of the Department of Pharmacology and Toxicology, Medical College of Georgia, Augusta University, Augusta, Georgia, USA. He is also Associate Vice President for Basic Science Research and holds joint appointments as Professor of Neurology and Graduate Studies. Dr. Terry received a B.S. in Pharmacy from the Medical University of South Carolina in 1982 and a Ph.D. in Pharmacology from the University of South Carolina in 1991. To date he has published 158 research articles, 9 book chapters, and holds 1 US patent. His research interests focus on the role of central acetylcholine (i.e., cholinergic) pathways in cognition; specifically how these neuronal pathways are involved in the memory dysfunction associated with neuropsychiatric illnesses and exposures to environmental toxins, especially organophosphates. His laboratories are supported by the National Institutes of Health, the Department of Defense, private foundations, and pharmaceutical companies. CAPTAIN MAX THOMSON - GCAQE BOARD MEMBER Captain Max Thomson is a pilot with extensive practical experience in the international aviation industry that covers more than 40 years. The majority of this time has been spent at the controls of heavy passenger jets. Some of his duties in this role encompassed communicating with many department including operations, maintenance, engineering, safety, security, medical and catering to assure the safety and well being every passenger and crew member in his care as well as trying to avoid hard landings. He also has extensive experience in aviation security by participating in working groups at both national to international levels as a representative of national and international pilot associations. Having colleagues who have suffered and experienced life-changing events as a result of exposure to toxic fumes while on duty as aircrew, led him to become a board member of the GCAQE in 2017. He is driven to find a solution, mitigate the occurrences and deliver medical protocols to minimise the adverse effects of being exposed to oil and hydraulic fumes. PAGE 18 AIRCRAFT CABIN AIR CONFERENCE DR. ANTTI TUORI - IFALPA - HUPER VICE CHAIR, A320 CDR, M.D, PHD Antti Tuori graduated from University of Helsinki Medical Faculty in 1996 and defended his thesis in 1998. He has been working as a General Practitioner from 1996 and Aeromedical Examiner from 2013. He completed CPL and ATPL from Finnair Flight Academy in 2001 and started flying with Finnair in 2002 and has been flying A320, A330 and A340 and now flies as a Captain on the A320. Tuori has been member of IFALPA (International Federation of Airline Pilots’ Association) since 2003 and Vice-chair of the Human Performance Committee since 2009. He has also worked actively within ECA (European Cockpit Association). He has been member of different EASA medical Rulemaking Groups as well as ICAO Medical Provision Study Group. Tuori was the IFALPA representative in the ICAO working group for the ICAO Circular 344 Guidelines on Education, Training and Reporting of Fume Events. PROFESSOR ANDREW WATTERSON - DIRECTOR OF CENTRE FOR PUBLIC HEALTH AND POPULATION HEALTH RESEARCH - UNIVERSITY OF STIRLING Andrew Watterson PhD, Chartered Fellow of the Institute of Occupational Safety and Health, Fellow Collegium Ramazzini is Professor of Health, Head of the Occupational and Environmental Health Research Group & Director of the Centre for Public Health and Population Health Research at the University of Stirling. He has also been a Visiting Professor at University of New South Wales, Sydney, Australia and the University of British Columbia, Canada. His research interests range from risk assessment and management of hazardous substances including organophosphates through to health impact assessments, sciencepolicy-civil society interfaces, and regulating risks. He has published widely in such journals as BMJ, Lancet, occupational and environmental health and toxicology journals. He has in the past published a Financial Times guide to occupational health and safety management. PROFESSOR CHRIS VAN NETTEN - ENVIRONMENTAL TOXICOLOGY (EMERITUS) - UNIVERSITY OF BRITISH COLUMBIA Chris van Netten is a Professor Emeritus of Environmental Toxicology with the Faculty of Medicine at the School of Population and Public Health, UBC, Vancouver B.C. Canada. His educational and research background covers: Mathematics, Chemistry, Engineering, Nuclear Chemistry, Biochemistry, Clinical Chemistry, Electrophysiology, Epidemiology, Cancer research, Indoor air quality, Radon exposure, Exposure Assessment and Monitoring, Environmental and Occupational Health, Environmental Toxicology. He has 130 publications and reports, 20 specific to aircraft air quality. Member of 24 national and international committees, including: • The NRC Committee on Aircraft Air Quality, Washington DC 2001-2002. • US Federal Aviation Administration, Incident Monitoring and Reporting, 2005-2008. • European Commission, 2017. Scientific Committee. Aircraft air quality 2017. SENATOR JOHN WOODLEY - CO-PATRON GCAQE John Woodley (born Brisbane, Queensland, 9 February 1938) is a Christian Minister of religion and was a Senator representing the state of Queensland, Australia, in the Australian Senate. Prior to entering politics, Woodley was a Christian minister with the Methodist Church (ordained in October 1962) and its successor, the Uniting Church in Australia after Church union in June 1977. He chaired inquiries into aspects of the development and management of the Brisbane and Kingsford Smith airports, and chaired the Senate Rural and Regional Affairs and Transport References Committee enquiry into the Air Safety and Cabin Air Quality in the BAe 146 Aircraft from 1999 and 2000. He has been a joint co-patron of the Global Cabin Air Quality Executive (GCAQE) since its creation in 2006. He has two daughters and a son. KIND THANKS TO ALL OF OUR SPEAKERS and thank you all for coming to this year’s conference. AIRCRAFT CABIN AIR CONFERENCE PAGE 19 GLOBAL CABIN AIR QUALITY EXECUTIVE (GCAQE) The Global Cabin Air Quality Executive (GCAQE), established in 2006, is the leading organisation representing air crew that deals specifically with contaminated air issues and cabin air quality. www.gcaqe.org PALL AEROSPACE Technical innovation, custom design engineering, dedicated customer support and years of experience in the development and deployment of robust integrated filtration and separation equipment are the key elements which make Pall Aerospace a reliable partner in the implementation of contamination control solutions for aircraft cabin air environment. www.pall.com UNITE THE UNION Unite is dedicated to serving the best interests of its members, protecting workers’ rights and improving the quality of life by negotiating with employers and government. As a primarily industry-based union, Unite’s structure means they can effectively represent workers’ interests in the workplace, no matter where the worker works or what sector they’re from. www.unitetheunion.org PPU The British professional pilots’ union run by pilots for pilots. The PPU works to fully represent and robustly support members of the PPU and to actively promote and augment professional pilots’ terms & conditions, pay, working environment and professional status. www.theppu.co.uk ACPA The Air Canada Pilots Association represents the largest group of professional airline pilots in Canada. ACPA strives to be a leader in advancing our profession and aviation safety and aims to serve and support their member pilots’ professional interests. www.acpa.ca APFA Founded in 1977, the Association of Professional Flight Attendants (APFA) is the largest independent flight attendant union in the USA. It represents the nearly 25,000 flight attendants at American Airlines. www.apfa.org THE AFAP The Australian Federation of Air Pilots (AFAP) is an industrial organisation and professional association for commercial pilots in Australia. As an industrial organisation the AFAP protect and improve employment conditions for their pilot members. The AFAP’s mission is to represent and promote the interests of Australian professional flight crew and to champion the highest possible standards of aviation safety. www.afap.org.au AUSTRALIAN AIRLINE PILOTS ASSOCIATION The Australian Airline Pilots Association (AusALPA) comprises of the Australian and International Pilots Association (AIPA) and the Australian Federation of Air Pilots (AFAP) and represents over 5,000 professional pilots within Australia on safety and technical matters. www.ausalpa.org.au ITF The International Transport Workers’ Federation (ITF) is an international federation of transport workers’ trade unions. Around 700 unions representing over 16 million transport workers from some 150 countries are members of the ITF. The ITF represents the interests of transport workers’ unions in bodies such as the International Labour Organization (ILO), the International Maritime Organization (IMO) and the International Civil Aviation Organization (ICAO). www.itfglobal.org/en/global UNIVERSITY OF STIRLING FACULTY OF HEALTH SCIENCES AND SPORT The University of Stirling carries out public and population health research with global impact. Based in the heart of Scotland, their researchers work with local, national and international partners to make a difference to communities and to lives. www.stir.ac.uk/health-sciences-sport GRAPHIC DESIGN: www.laylah.me CONFERENCE SPONSORS