The Product Stewardship Programme (PSP)

Home , Daz (detergent), Skip (detergent), Surf (detergent)

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A.I.S.E.&PRODUCT&STEWARDSHIP&PROGRAMME&& FOR&LIQUID&LAUNDRY&DETERGENT&CAPSULES& Status&Report&–&November&6,&2013& & The$product$stewardship$programme$(PSP)$was$rolled$out$on$December$15th,$2012.$$All$signatories$are$committed$to$ executing$the$requirements$and$have$progressed$well$with$the$implementation$of$the$PSP$interventions.$Today,$the$ majority$ of$ the$ products$ on$ the$ shelf$ are$compliant$ with$ the$ PSP$ requirements$ of$ packaging$ and$ labelling$ and$ all$ products$produced$by$the$signatories$since$June$2013$are$compliant$with$the$requirements$of$the$PSP.$$Moreover,$safeK use$guidance$is$provided$on$several$brand$and$company$web$sites$and$social$media$sites$(e.g.$facebook)$K$through$web$ banners,$educational$graphics,$and$educational$videos.$It$is$too$early$to$quantify$the$effects$that$the$programme$has$ on$the$number$of$accident$cases.$Nevertheless,$a$favourable$trend$is$already$observed$in$Italy,$where$a$number$of$ similar$ measures$ had$ been$ introduced$ to$ the$ market$ since$ mid$ 2012$ and$ more$ extensively$ since$ December$ 2012,$ leading$to$an$up$to$50%$reduction$in$adverse$events$registered$by$the$PCC.$The$industry$is$now$starting$to$execute$the$ next$phase$of$the$program,$i.e.$the$collection$of$data$from$the$PCCs.$

Summary!

Following&a&number&of&accidental&ingestion&incidents&with&these&products,&especially&by&young&children,&A.I.S.E.&has& established&a&voluntary&product&stewardship&programme&(PSP)&for&liquid&laundry&detergent&capsules.&&This&programme& aims&to&ensure&safe&use&of&this&product&form,&to&be&achieved&through&consumer&education&(onWpack&labelling&as&well&as& communication&campaigns)&and&through&packaging&modifications&(reduced&visibility&of&capsules&and&restricted&access& to&the&capsules&by&small&children).&&In&addition,&collaboration&with&Poison&Control&Centres&(PCCs)&is&put&in&place,&to& enable&better&information&exchange.&&Specifically,&a&harmonised&product&information&sheet&has&been&introduced&and&is& being&implemented,&and&a&project&to&monitor&accident&circumstances&is¤tly&being&initiated.& The&programme&was&rolled&out&on&December&15th,&2012.&&To&date,&five&companies&have&subscribed&(in&alphabetical& order:&Henkel,&McBride,&Procter&&&Gamble,&ReckittWBenckiser,&Unilever).&&These&cover&the&large&majority&of&the&liquid& laundry&detergent&capsules&market.&All&signatories&have&progressed&well&with&the&implementation&of& risk&reduction& measures,&and&today,&the&majority&of&the&products&on&the&shelf&is&compliant&with&the&PSP&requirements.&&Although&it&is& too& early& to& quantify& the& effects& that& the& programme& has& on& the& number& of& accident& cases,& a& favourable& trend& is& already&observed&in&Italy,&where&a&number&of&similar&measures&had&been&introduced&to&the&market&since&mid&2012&and& more&extensively&since&December&2012,&and&a&reduction&of&more&than&50%&of&the&number&of&incidents&vs.&mid&2012& has&been&reported&by&the&PCC.& In&the¤t&status&report&(November&2013),&progress&since&April&2013&is&documented:&(1)&general&implementation&of& PSP&measures&on&the&production&and&in&brand&communication&was&rolled&out;&(2)&harmonised&composition&sharing& with&PCCs&was&put&in&place;&(3)&a&quantitative&incident&frequency&baseline&was&established,&based&on&existing&PCC&data;& and&(4)&a&collaboration&with&PCCs&was&established&to&better&understand&accident&circumstances.&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&1&of&37& Background!

Detailed$ background$ information$ on$ the$ liquid$ laundry$ detergent$ capsules$ category,$ including$ toxicological$ aspects$ and$ accident$ history,$ is$ given$ in$ Annex$ 1.$ $ A$ detailed$ description$ of$ the$ A.I.S.E.$ Product$ Stewardship$ Programme$ is$ provided$in$Annex$2.$

Liquid!laundry!detergent!capsules! Liquid&laundry&detergent&capsules&first&appeared&on&the&European&market&in&2001.&&Initially&a&niche&product&category,& they&have&now&become&the&primary&singleWdose&laundry&form.&&Their&largest&and&most&established&markets&are&the&UK& and& Ireland,& while& France,& Italy& and& Spain& are& also& key& markets.& & The& market& presence& of& liquid& laundry& detergent& capsules&has&a&growing&importance&across&most&countries&in&Western&Europe,&as&well&as&several&countries&in&Central& Europe.&&In&addition,&laundry&additives&are&also&available&in&this&product&form.& The&formulation&of&liquid&laundry&detergent&capsules&is&highly&concentrated:&the&level&of&surfactants&(incl.&soap)&can&be& over&40%.&The&vast&majority&of&liquid&laundry&detergent&capsules&is&pHWneutral.&&The&formula&is&waterWfree&(i.e.&organic& solvents&are&used&instead).&&The&waterWsoluble&pouch,&typically&made&of&poly&vinyl&alcohol&(PVA),&is&strong&and&flexible& when&dry&but&dissolves&in&the&washing&machine&when&water&is&added,&and°rades&in&the&environment.&

Safety!Incidents! Liquid&laundry&detergent&capsules&are&safe&when&used&as&instructed.&Skin&or&eye&exposure&may&occur&only&when&the& capsules&are&pierced,&handled&with&wet&hands,&or&handled&too&forcefully.&&When&children&gain&access&to&the&product& and&put&it&into&their&mouth,&the&pouch&dissolves&due&to&the&presence&of&water&in&the&saliva,&and&the&product&can&be& ingested.&&Ingestion&of&highly&concentrated&detergent&usually&triggers&a&strong&emetic&response:&nausea&and&vomiting.& Sometimes&respiratory&effects&are&reported&as&well.&&Due&to&the&limited&oral&toxicity&and&the&small&amounts&ingested,& no&systemic&toxicological&effects&are&anticipated.&&In&some&cases&(2W4%)&drowsiness&has&been&reported.& At&least&80%&of&accidental&exposures&to&liquid&laundry&detergent&capsules&involve&ingestion,&and&in&the&large&majority& of&ingestion&cases&(over&95%),&small&children&are&involved.&&The&incident&frequency&relative&to&the&market&size&is&found& to&be&higher&than&what&is&observed&for&other&product&forms&(e.g.&Italy:&5x&more).&& Of& all& reported& incidents,& about& oneWthird& was& asymptomatic.& & About& twoWthirds& led& to& nonWsevere& nausea& and/or& vomiting.& & Respiratory& effects& (mainly& coughing)& were& observed& in& up& to& 15%& of& the& cases.& & In& a& minority& of& cases& (0.5%)&the&effects&were&severe&(requiring&hospitalization,&sometimes&with&intubation)&but&reversible.&&This&was&typically& due&to&aspiration&of&detergent&or&gastric&fluids.&&Unfortunately&there&have&also&been&some&isolated&very&severe&cases& that& have& been& associated& with& ingestion& of& a& liquid& laundry& detergent& capsule,& e.g.& a& case& where& reconstructive& tracheal&surgery&was&required,&a&case&of&severe&CNS&suppression,&and&one&lethal&case&with&a&child&(Florida,&August&2013& –&medical&report¬&yet&available).&

Product!Stewardship!Programme! The& A.I.S.E.& Product& Stewardship& Programme& (PSP)& for& Liquid& Laundry& Detergent& Capsules& is& a& voluntary& initiative,& open&to&all&companies&(manufacturers&as&well&as&retailers)&placing&products&on&the&European&market,&both&members& and&nonWmembers.&&The&aim&is&securing&safe&use&and&storage&of&these&products,&and&as&a&result&thereof,&a&significant& reduction& of& the& incidence& of& accidental& exposure,& in& particular& with& small& children.& & The& scope& of& the& programme& covers&all&liquid&laundry&detergent&and&laundry&additive&capsules&& Companies&who&undersign&the&PSP&commit&to&the&following&(formal&details&are&provided&in&Annex&2):&

• Product:& implement& safety& measures& to& reduce& visibility& of& and& restrict access& to& liquid& laundry& detergent& capsules&(reduced&visibility&of&capsules,&restricted&access&to&capsules&by&small&children).& • Product! Information! &! Communication:& reinforce& guidance& on& the& safe& use& and& storage& of& liquid& laundry& detergent& capsules& (onWpack& communication,& consumer& communication& campaign,& communication& activities& reporting).& • Engagement! with! Poison! Control! Centres:& engage& with& Poison& Control& Centres,& including& the& European& Association&of&Poison&Centres&and&Clinical&Toxicologists,&to&enable&better&information&exchange&and&monitoring&of& accidents&(harmonised&product&information&sheet,&‘accidentology’). $

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&2&of&37& A.I.S.E.&PSP&Implementation&Status&

This§ion&describes&the&implementation&status&of&the&Product&Stewardship&Programme&in&October,&2013.&

Company&Participation& List&of&companies&(in&alphabetical&order)&committed&to&the&A.I.S.E.&Liquid&Laundry&Detergent&Capsules&Stewardship&Programme&(as&of&15&December&2012&onwards):&

Henkel& ✔& McBride& ✔& Procter&&&Gamble& ✔& Reckitt&Benckiser& ✔& Unilever& ✔&

Company&Implementation& It& should& be& noted& that& companies& decide& on& an& individual& basis& when& and& how& to& implement& PSP& measures.& & Information& regarding& future& plans& cannot& be& collected& and& disclosed,&as&this&would¬&be&in&line&with&competition&law&requirements.&&Hence,&the&below&table&only&reports&measures&that&have&been&implemented&so&far,&and&that&are& already&present&in&the&market,&or&for&which&the&market&introduction&has&been&publicly&announced.& Some& companies& had& already& implemented& measures& in& line& with& the& PSP& requirements& prior& to& the& actual& rollout& of& the& PSP.& & As& these& existing& measures& had& the& same& objectives& and& remain& relevant& today,& they& are& also& reported& in& the& below& overview.& & Generally,& measures& dated& 2013& were& introduced& as& part& of& the& PSP,& whereas& older& measures&precede&the&PSP.& PACKAGING&/&PRODUCT& Henkel& December&2012& All&countries&in&Europe&where&Henkel&liquid& All&brands:&Persil,&Dixan,&Le& Reinforced&closure&of&the&box&&(opening&strength&increased&from&3.5&to& detergent&capsules&are&sold:&Austria,&Poland,&Estonia,& Chat& 11N)& Latvia,&Lithuania,&Bulgaria,&Slovakia,&Slovenia,& Croatia,&Czech&Republic,&Hungary,&Romania,&Italy& June&2013& All&countries&in&Europe&where&Henkel&liquid& All&brands:&Persil,&Dixan,&Le& Moved&boxes&to&opaque&execution&(doypacks&were&already&opaque,& detergent&capsules&are&sold:Austria,&Poland,& Chat,&Wipp& hence&no&changes&were&needed)& Estonia,&Latvia,&Lithuania,&Bulgaria,&Slovakia,& Slovenia,&Croatia,&Czech&Republic,&Hungary,&Romania,& Italy,&Spain,&Turkey,&France,&Belgium,&Netherlands,& Germany,&Switzerland,&Serbia,&Ukraine,&Portugal,& Cyprus&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&3&of&37& Mid&2013& All&countries&in&Europe&where&Henkel&liquid& All&brands:&Persil,&Dixan,&Le& Reinforced&zipper&closing&strength&(x2)&on&doypacks& detergent&capsules&are&sold:&Austria,&Poland,&Estonia,& Chat,&Wipp& Latvia,&Lithuania,&Bulgaria,&Slovakia,&Slovenia,& Croatia,&Czech&Republic,&Hungary,&Romania,&Italy,& Spain,&Turkey,&France,&Belgium,&Netherlands,& Germany,&Switzerland,&Serbia,&Ukraine,&Portugal,& Cyprus,&Israel& McBride& July&2013& All&countries&in&Europe&where&McBride&liquid& All&Brands& All&McBride&production&of&Laundry&Liquid&Sachets&moved&to&PSP& detergent&capsules&are&sold& compliant&packaging.&& Procter&&&Gamble& Spring&2012&& All&countries:&Belgium,&Bulgaria,&Cyprus,&Czech& All&brands:&Ariel,&Dash,& Improved&closure:&a&lid&with&a&second&latch&has&been&implemented.& Republic,&Denmark,&Estonia,&Finland,&France,&Greece,& Bold,&Daz,&Fairy,&Ace& Hungary,&Iceland,&Ireland,&Italy,&Latvia,&Luxemburg,& Malta,&Poland,&Portugal,&Romania,&Slovak&Republic,& Slovenia,&Spain,&The&Netherlands,&UK& July&2012&& Italy&& All&brands:&Dash&Ariel& Replaced&transparent&boxes&by&opaque&boxes&& End&March&2013& All&countries:&Belgium,&Bulgaria,&Cyprus,&Czech& All&brands:&Ariel,&Dash,& Opaque&tubs:&all&mono`compartment&and&multi`compartment&products& Republic,&Denmark,&Estonia,&Finland,&France,&Greece,& Bold,&Daz,&Fairy,&Ace& are&produced&in&opaque&tubs.& Hungary,&Iceland,&Ireland,&Italy,&Latvia,&Luxemburg,& & Malta,&Poland,&Portugal,&Romania,&Slovak&Republic,& Slovenia,&Spain,&The&Netherlands,&UK& Mid&2013& &Italy& Dash,&Ace& Improved&closure:&a&lid&with&a&third&latch&has&been&implemented.&&This& third&latch&requires&an&even&a&more&coordinated&movement&to&open& versus&the&2&latch&system&which&was&already&implemented&for&this& reason&

Reckitt`Benckiser& March&–&July&2013& Italy& Sole,&Ava,&Vanish,&Woolite& Opaque&box&and&improved&closure&(with&a&second&latch)&have&been& implemented.& & July&2013& Belgium,&UK,&Ireland& Vanish&

March&–&Sep&2013& Czech&Republic,&Slovak&Republic& Lanza,&Woolite&

March&–&Sep&2013& France& Maison&Verte,&Vanish&

July&–&Aug&2013& Hungary& Dosia&&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&4&of&37& Unilever& 2011&& Denmark,&France,&Greece,&Ireland,&Italy,&Netherlands,& All&brands:&OMO,&Persil,& ` Label&enlarged&to&take&up&majority&of&tub&to&limit&capsule&visibility&on& Romania,&Spain,&UK& Skip,&Via,&Biotex,&Cajoline,& shelf& Surf,&Robijn,&Dero&Surf& ` Front&of&pack&of&tubs&has&been&made&to&look&more&technical&versus& child&friendly& ` Denatonium&Benzoate&included&in&formulation&of&capsules&(Extremely& bitter&substance&that&repels&ingestion)&

2011& France,&Greece,&Ireland,&Spain,&UK& OMO,&Persil,&Skip,&Via& Removed&all&child&visuals&from&capsules& 2012& Implemented&hard&to&open&lids&(confirmed&by&consumer&tests&&& feedback)&& 2013&(before& All&countries&in&Europe&where&Unilever&liquid& All&brands:&OMO,&Persil,& ` Packaging:&&& summer)& detergent&capsules&are&sold:&France,&UK,&Ireland,& Skip,&Via,&Biotex,&Cajoline,& o Obscured&tubs& Netherlands,&Spain,&Romania,&Portugal,&Denmark,& Surf,&Robijn,&Dero&Surf& o Specific&closure&system&implemented&&& Greece,&Belgium& o Clear&windows&removed&from&doy&packs.& o Child&imagery&removed&from&laundry&detergents&artwork.& ` Product:&Denatonium&Benzoate&included&in&formulation&of&capsules& (Extremely&bitter&substance&that&repels&ingestion)& & & &

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&5&of&37& & HAZARD&LABELLING& Henkel& Mid`December&2012&& Italy& Dixan& Top&lid&label&fully&yellow&with&precautionary&text&and&icons&(+&re` stickering&of&the&existing&products&in&stock)&& Early&2013& All&countries&in&Europe&where&Henkel&liquid& All&brands:&Persil,&Dixan,&Le& Labelling&and&safeùse&patch&in&line&with&PSP&requirements& detergent&capsules&are&sold:&Austria,&Poland,&Estonia,& Chat,&Wipp,& Latvia,&Lithuania,&Bulgaria,&Slovakia,&Slovenia,& Croatia,&Czech&Republic,&Hungary,&Romania,&Italy,& Spain,&Turkey,&France.& McBride& July&2013& All&countries&in&Europe&where&McBride&liquid& All&Brands& All&McBride&production&of&Laundry&Liquid&Sachets&moved&to&PSP& detergent&capsules&are&sold& compliant&artwork.&& Procter&&&Gamble& July&2012& Italy& All&brands:&Dash&Ariel& Prominent&Keep&Away&from&Children&icon&on&top&of&the&pack&(PSP&safe` use&patch¬&yet&implemented)& Mid&2013& Italy& All&brands:&Dash&Ariel& Labelling&and&safeùse&patch&in&line&with&PSP&requirements& End&October&2013& All&other&countries:&Belgium,&Bulgaria,&Cyprus,&Czech& All&brands:&Ariel,&Dash,& Labelling&and&safeùse&patch&in&line&with&PSP&requirements& Republic,&Denmark,&Estonia,&Finland,&France,&Greece,& Bold,&Daz,&Fairy,&Ace& & Hungary,&Iceland,&Ireland,&Latvia,&Luxemburg,&Malta,& Poland,&Portugal,&Romania,&Slovak&Republic,& Slovenia,&Spain,&The&Netherlands,&UK& & Reckitt&Benckiser& February&15&2013& Italy& All&brands:&Sole,&Ava,& Safeùse&patch&introduced&on&pack& Woolite,&Vanish& mid&2013& All:&Italy,&Belgium,&UK,&Ireland,&Czech&Republic,& All&brands:&Sole,&Ava,& Labelling&and&safeùse&patch&in&line&with&PSP&requirements& Slovak&Republic,&France,&Hungary& Vanish,&Lanza,&Woolite,& Maison&Verte,&Dosia&& Unilever& 2012& Denmark,&France,&Greece,&Ireland,&Italy,&Netherlands,& All&brands:&OMO,&Persil,& “Keep&away&from&children&logo”&placed&in&multiple&positions&on&pack&(x3)& Romania,&Spain,&UK& Skip,&Via,&Biotex,&Cajoline,& including&at&the&point&of&opening/closing,&and&enlarged&on&front&of&pack;& Surf,&Coccolino,&Robijn,& safety&icons&on&top&of&pack&with&yellow&background& & Dero&Surf&

2013&(before& all&countries&in&Europe&where&Unilever&liquid& All&brands:&OMO,&Persil,& AISE&icons&implemented&on&all&artwork&(tubs&and&doypack).&& summer)& detergent&capsules&are&sold:&France,&UK,&Ireland,& Skip,&Via,&Biotex,&Cajoline,& & Netherlands,&Spain,&Romania,&Portugal,&Denmark,& Surf,&Robijn,&Dero&Surf& Greece,&Belgium&

& &

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&6&of&37& & COMMUNICATION& Henkel& Mid`December&2012&& Italy& N/A& Printed&leaflets&of&the&AISE&instructions&provided&to&the&trade& As&of&2013& Germany,&Switzerland,&Belgium,&The&Netherlands,& All&brands:&Persil,&Le&Chat,& Reinforcing&“Keep&out&of&reach&of&children”&message&in&TV&advertising& France,&Italy,&Spain,&Portugal,&Cyprus&& Wipp,&Dixan& McBride& 2013& All&countries&in&Europe&where&McBride&liquid& All&Brands& As&a&‘third&party’&supplier,&McBride&do¬&directly&market&the&majority& detergent&capsules&are&sold& of&product&produced,&therefore&have¬&been&involved&in&any&consumer& media&campaigns.&&All&customers&of&McBride&have&been&informed&of&the& PSP&and&requirements.& Procter&&&Gamble& July&2012& Italy& All&brands:&Dash&Ariel& Print&campaign,&reinforcing&the&safe&use&of&the&products.& November&2012& UK& Not&brand`specific&(covers& Implemented&educational&safety&campaign&“Happy&Home&campaign”&–& all&P&G&fabric&&&home&carte& mainly&on`line& February&2013& Italy,&Spain,&France:& brands)& April&2013& Portugal& May&2013& Denmark& Ongoing& Italy& All&brands:&Dash,&Ariel& Reinforcing&“Keep&out&of&reach&of&children”&message&across& communications&touch&points&(like&TV,&print…)& Reckitt&Benckiser& January&10&2013& Italy& Sole,&Ava,&Vanish& Safe`use&information&and&icons&introduced&on&Sole,&Ava&and&Vanish&web& sites& mid&2013& UK,&France& Vanish& Unilever& 2013& all&countries&in&Europe&where&Unilever&liquid& All&brands:&OMO,&Persil,& Brand&websites&contain&a&“safe&use”§ion.& detergent&capsules&are&sold:&France,&UK,&Ireland,& Skip,&Via,&Biotex,&Cajoline,& fall&2013& A&warning&sentence&was&added&in&the&latest&TV&advertising.& Netherlands,&Spain,&Romania,&Portugal,&Denmark,& Surf,&Robijn,&Dero&Surf& Greece,&Belgium& Industry&Association& 2013& UK& N/A&(UK&CPI)& Safety&campaign&in&media&together&with&RoSPA&(Royal&Society&for&the& Prevention&of&Accidents)& & & &

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&7&of&37& PCC&INFORMATION&SHARING& Henkel& mid&2013& Germany& All&brands& Harmonised&composition&information&shared&with&the&PCCs.&&& N/A& Greece&and&France.& All&brands& Greece&prefers&to&use&the&existing&product®istration&system,&and& France&uses&its&own&existing&detailed&format.&& >&Nov&2013& All&countries&in&Europe&where&Henkel&liquid& All&brands& Harmonised&composition&information&to&be&shared&with&the&PCCs&upon& detergent&capsules&are&sold.& next&re`launch.& McBride& Ongoing& All&countries&in&Europe&where&McBride&liquid& All&Brands& This&is&work&in&progress.& detergent&capsules&are&sold& Procter&&&Gamble& Nov&2013& All&countries&except&Greece&and&France.& All&brands& Harmonised&composition&information&to&be&shared&with&the&PCCs.&& N/A& Greece&and&France.& All&brands& Greece&prefers&to&use&the&existing&product®istration&system,&and& France&uses&its&own&existing&detailed&format.&& Reckitt&Benckiser& Mid&2013& Italy,&Czech&Republic,&Slovakia,&Hungary,&UK,&Ireland& Sole,&Ava,&Woolite,&Vanish,& Harmonised&composition&information&shared&with&the&PCCs.& Lanza,&Dosia& & N/A& France& Maison&Verte,&Vanish& Composition&information&shared&according&to&the&local&format.& Unilever& Mid&2013& All&countries&& All&brands& Harmonised&composition&information&shared&with&the&PCCs.&&Work& ongoing&for&a&number&of&products&in&SP&and&RO.& Spain,&Romania:&partially& & &

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&8&of&37& Situation(On(The(Shelf( To#note:#the#photographs#presented#in#this#section#represent#spot1checks#in#August,#September#and#October#2013,#in# the#UK,#France,#Belgium#and#Italy.##These#on1shelf#situations#represent#a#single#moment#in#time,#during#the#transition# phase.## Overall'shelf'Impression'' By& midKend& September,& the& majority& of& PSP& signatory& products& on& the& shelf& were& either& fully,& or& at& least& partially,& meeting&the&requirements.&&& All¤tly&participating&companies&signed&the&commitment&in&the&first&quarter&of&2013.&&The&agreement&implies&that& the&companies&are&granted&six&months&(i.e.&until&the&third&quarter&of&2013)&to&develop&and&implement&the&necessary& measures&in&their&production&processes&–&and&subsequently,&six&months&to&phase&out&old&stocks.&&In&other&words,&only& PSP&compliant&product&shall&be&shipped&to&retailers&following&the&first&quarter&of&2014&(i.e.&one&year&after&signup&to&the& PSP).&&& Presence&of&older&nonKcompliant&product&on&the&shelf&also&depends&on&product&rotation.&&In&larger&retail&stores&(e.g.& hyperK&and&supermarkets)&this&is&a&fast&process&and&a&total&transition&can&be&expected&soon&after&shipments&of&old& products&have&stopped.&&In&smaller&local&stores,&groceries,&etc.,&product&rotation&is&slower&and&it&cannot&be&excluded& that&preKPSP&product&may&still&be&on&the&shelves&well&into&2014.&& Labelling' Most&liquid&laundry&detergent&capsules&products¤tly&on&the&shelf&carry&the&recommended&safeKuse&icons,&as&well& as&a&prominent&safeKuse&patch.&&For&a&large&majority&of&the&products,&the&safeKuse&patch&includes&both&the&“keep&out&of& reach&of&children”&icon&and&the&guidance&to&close&the&box&or&bag&properly&–&as&required.&&Nevertheless,&sporadically& exceptions&are&still&found.&&Typically,&the&safeKuse&patch&is&placed&over&the&box&or&bag&opening&–&so&the&consumer’s& attention&is&particularly&drawn&to&the&information&on&this&patch&as&the&product&is&used.& Importantly,&many&products&that&are&still&in&a&transition&phase&and&that&did¬&yet&replace&their&transparent&packaging& by&an&obscure&pack&(see&below),&have&anyway&already&implemented&the&safeKuse&patch&as&a&first&measure.&&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&9&of&37& Packaging'through'which'the'product'visibility'is'limited' A&mix&of&transparent&and&obscure&packaging&can&be&found.&&Sometimes&both&packaging&versions&of&the&same&brand&are& present&K&typical&for&a&transition&phase&–&but&the&transparent&versions&appear&to&be&losing&shelf&presence&at&a&quick& pace.&&&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&10&of&37& & & To&allow&production&control&(e.g.&no&leaks),&producers&have&found&solutions&that&meet&the&requirements&of&the&PSP.&& For&example&some&have&included&transparent§ions&(windows)&at&the&bottom&of&the&pack.&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&11&of&37& Closures'difficult'to'open'by'children' Simultaneously,&improved&childKdeterring&closures&are&appearing&on&the&shelves.&&& For& boxes,& where& needed,& this& is& typically& achieved& by& the& introduction& of& additional& latches& (dual& or& even& triple& latches),&or&use&of&latch&systems&that&require&additional&strength&or&coordination&to&allow&opening.&&& For&bags&(doypacks),&an&enhanced&closure&system&was¬&always&judged&to&be&necessary.&&One&producer&tested&their& bags&and&concluded&they&are&already&difficult&to&open,&effectively&requiring&two&hands&and&coordinated&movements.&& Closing&those&bags&is&quite&easy&and&the&successive&opening/closing&does¬&reduce&effectiveness&of&the&barrier&to& opening&during&the&normal&lifetime&of&the&packaging.&&A&different&producer,&on&the&other&hand,&opted&to&increase&(by&a& factor&two)&the&opening&force&for&the&zipper,&achieved&by&sharpening&the&retention&latch.&& In&general,&the&improved&openings&must&find&a&balance&between&being&sufficiently&difficult&to&open,&while¬&being& overly&difficult&to&open,&nor&to&reKclose.&&Packs&that&pose&too&many&problems&to&open&might&be&left&open&after&the&first& use,&rather&than&being&reKclosed&as&intended.&&Consequently,&some&existing&packaging&continues&to&be&used&without& changes,& if& it& already& meets& this& balanced& requirement.& & Tightening&the&closure&for&these&packs&could&be&counterK productive.&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&12&of&37& Consumer(Communication( Please#note#that#most#of#the#graphical#and#video#material#was#developed#immediately#as#the#PSP#was#launched#–#i.e.# early# 2013.# # At# that# point# in# time,# the# packaging# and# labelling# modifications# had# not# yet# been# implemented.## Consequently,# the# packs# featured# in# the# consumer# communication# material# shown# below# are# typically# not# yet# compliant#with#the#PSP#measures#(e.g.#transparent#packaging,#or#no#prominent#safe1use#patch).##The#fact#that#non1PSP1 compliant# products# are# shown# in# this# material,# is# not# driving# child# attention,# and# is# not# adversely# impacting# the# effectiveness#of#the#communication.# Online' SafeKuse& guidance& is& provided& on& several& brand& and& company& web& sites& and& social& media& sites& (e.g.& facebook)& K& through&web&banners,&educational&graphics,&and&educational&videos.&&A&number&of&examples&are&shown&below.&&&

& &

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&13&of&37& &

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&14&of&37& & & webKvideo&made&available&by&A.I.S.E.:&

& & &

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&15&of&37& TV'Advertising' In&a&number&of&brand&advertising&videos,&the&need&for&safety&precautions&–&especially&to&keep&the&product&out&of&reach& of&children,&is&emphasized&–&as&in&the&below&examples.&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&16&of&37& Industry'Association'Campaigns' At& a& national& level,& detergent& industry& associations& provide& safe& use& information& via& their& web& sites,& or& specific& dedicated& web& sites,& or& through& collaboration&with&partners.&&For&example:& UK:' collaboration' with' the' Royal' Society' for' the' Prevention' of' Accidents' (RoSPA)' UKCPI& (the& UK& detergents& association)& has& funded& the& development& and& production&of&80,000&magnetic&postcards&and&240,000&writing&pads&(shopping& lists)&which&both&carry&messages&about&the&safe&use&and&storage&of&household& cleaning& products.& & There& will& be& two& launches& in& November,& in& wellKknown& children’s&hospitals&in&Birmingham&and&in&Liverpool&with&a&panel&of&children’s& surgeons,&RoSPA&CEO&and&UKCPI.&The&audience&will&consist&of&media&(TV,&radio& and&press)&as&well&as&the&delivery&agents&who&will&be&taking&these&items&into&‘at& risk’&homes.& & The'Netherlands' Dedicated&web&site&on&product&safety:&

& Italy' Leaflets,&e.g.&provided&in&promotional&boxes&at&maternity&wards:&

& & &

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&17&of&37& Consumer&information&website,&with&a§ion&focusing&on&safety:&

& TV&advertising&tag:&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&18&of&37& Harmonised(composition(sharing(with(PCCs( A& harmonised& format& has& been& made& available& to& the& Companies& on& April& 15,& 2013,& to& be& implemented& (where& relevant)&for&product¬ifications&as&of&June&2013.&&National&PCCs&have&been&made&aware&via&the&national&detergent& associations&before&the&end&of&May.&&The&reporting&format&has&also&been&shared&with&the&EAPCCT&for&information.& Below,&a&screenKshot&is&provided&of&the&input&screen&to&be&used&by&the&companies&to&enter&formula&compositions.&&The& spreadsheet&then&automatically&determines&the&appropriate&ingredient&disclosure,&in&a&consistent&and&systematic&way.&&

(

Companies&have&started&to&implement&this&approach&since&June&2013.&&In&general,&companies&are&preparing&to&submit& the& new& composition& sheets& when& the& need& for& reKnotification& next& arises& –& typically& due& to& a& formula& change.&& However,&in&several&cases&the&new&format&has&been&used&proactively&as&well.& Feedback&from&the&national&PCCs&and&the&EAPCCT&will&be&sought&in&early&2014,&once&they&have&been&able&to&experience& this&new&composition&sharing&approach&in&practice,&for&a&sufficient&number&of&products.&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&19&of&37& Incident(Monitoring(

Quantitative(incident(tracking(–(establishment(of(a(baseAline( The&aim&of&quantitative&incident&tracking&is&to&assess&trends&in&incident&frequency,&both&in&absolute&(i.e.&total&number& of&cases&reported),&as&well&as&relative&to&the&liquid&laundry&detergent&capsules&market&size&(i.e.&normalised&to&number& of&cases&per&million&units&sold).& The&focus&of&this&exercise&is&mainly&on&those&countries&in&which&liquid&laundry&detergent&capsules&have&the&largest& presence,&and&consequently,&where&the&highest&number&of&accidental&exposures&is&being&reported.&&A.I.S.E.&and&the& national&detergent&associations&are&connecting&with&these&countries’&PCCs&to&quantitatively&monitor&the&evolution&of& the&number&of&incidents&reported.&&This&exercise&is&being&conducted&in&four&established&markets&(the&UK,&Ireland,&Italy& and&France),&as&well&as&in&The&Netherlands,&a&newer&market&for&this&product&category.& The&tracking&process&covers&all&routes&of&exposure&to&liquid&laundry&detergent&capsules.&&Not&only&ingestion&cases,&but& also&splashes&into&the&eyes&and&skin&exposures&are&included&(as&well&as&cases&with&multiple&exposure&routes).& Existing&incident&tracking&processes&(already&put&in&place&by&the&PCCs)&are&used&for&this&purpose.&&This&way,&it&can&be& ensured&that&the&data&collection&approach&applied&after&the&implementation&of&the&PSP&is&the&same&as&the&approach& used& to& collect& the& historical& baseline& data:& covering& the& same& scope& in& terms& of& enquiry& types& and& in& terms& of& geographical&area.& It&should&be¬ed&that&the&time&frame&of&the&retroactive&data&analysis&varies&by&country&–&depending&on&when&the& product&appeared&on&the&market&and&when&incident&tracking&was&initiated.& As&a&baseline,&the&(reported)&incident&frequency&prior&to&the&introduction&of&risk&mitigation&measures&(through&the&PSP& or& otherwise)& is& used.&&&The& exact& definition& of& the& baseline& period& depends& on& the& individual& country& situation,& availability&of&data,&and&when&the&implementation&of&risk&mitigation&measures&was&started.&&Note&that,&because&the& PCC&data&from&different&countries&are¬&directly&comparable&(see&below),&separate&baselines&need&to&be&established.&& For&the&same&time&periods,&overall&market&size&estimates&for&liquid&laundry&detergent&capsules&were&obtained,&through& different& sources.& & Subsequently& the& average& of& the& different& data& was& made,& and& expressed& as& million& units& (i.e.& million&singleKdose&capsules)&sold.&&This&information&was&used&to&normalize&the&incident&frequency&counts&–&expressed& as&number&of&reported&cases&per&million&capsules&sold&over&the&same&time&period.& Data&collected&over&the&second&half&of&2013&(as&PSP&measures&are&phased&in)&will&allow&observing&whether&a&downward& trend&is&established.&&Finally,&data&collected&in&2014&(following&full&implementation&of&the&PSP)&should&serve&to&assess& the&effectiveness&of&the&measures&in&reducing&the&frequency&of&ingestion&cases.&&& United'Kingdom' In& the& UK,& liquid& laundry& detergent& capsule& incidents& have& been& tracked& since& March& 2008& by& the& National& Poison& Information&Service&(Prof.&A.&Vale).&&Data&until&early&2012&have&been&published&(Williams&et&al.,&20121&and&20132),&and& data&for&the&actual&calendar&years&2009,&2010,&2011&and&2012&were&kindly&made&available&by&Prof.&Vale&&(for&2008,& extrapolation&to&the&remaining&2&months&was&used&to&estimate&the&annual&incident&count).& Whereas&the&liquid&laundry&capsules&market&in&the&UK&has&grown&by&about&10%&from&2008&to&2012,&the&number&of& reported&incidents&has&decreased.&&&As&shown&in&the&chart&below,&the&normalised&incident&rate&has&gone&down&from& over&0.7&reported&cases&per&million&units&sold&in&2008,&to&less&than&0.5&in&2012&–&a&reduction&of&more&than&25%.&&This& demonstrates&that&in&a&maturing&market,&fewer&cases&are&reported.&&This&could&be&thanks&to&less&cases&occurring,&but& also&to&more&familiarity&of&medical&professionals&with&the&product&category&–&which&is&especially&relevant&in&the&UK,&as& only&medical&staff&can&access&the&PCCs.&&&

&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& 1&Williams&H,&Bateman&DN,&Thomas&SHL,&Thompson&JP,&Scott&RAH&and&Vale&JA&(2012).&Exposure&to&liquid&detergent& capsules:&A&study&undertaken&by&the&UK&National&Poisons&Information&Service.&Clinical&Toxicology&(2012)&Early&online&1K 5.& 2&Williams&H,&Jones&S,&Kelly&K,&Eddleston&M,&Scott&RAH,&Thomas&SHL,&Thompson&JP&and&Vale&JA&(2013).&1486&exposures& to& liquid& detergent& capsules& reported& to& the& UK& National& Poisons& Information& Service& 2009K2012,& including& their& ophthalmic&and&CNS&toxicity.&In&press&–&kindly&shared&with&UKKCPI&in&August&2013.( &

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&20&of&37& The&2011K2012&normalised&incident&count&of&0.5&cases&per&million&units&can&be&used&as&the&benchmark&against&which&to& assess& the& effectiveness& of& PSP& measures,& that& will& be& based& on& incident& tracking& as& of& the& third& quarter& of& 2013.&& UKCPI&has&committed&its&continued&support&for&the&onKgoing&incident&tracking&study&by&NPIS&over&2013&and&2014.&&

incident#enquiries#G#UK#(NPIS)# 100# 0.8#

90# 0.7# 80# 0.6# 70# 0.5# 60#

50# 0.4#

40# 0.3# 30# enquiries#per#month#(leP#axis)# 0.2# 20# mio#capsules#sold#per#month#(leP#axis)# 0.1# 10# enquiries#per#mio#capsules#sold#in#UK#(right#axis)# 0# 0.0# 2008#2009#2010# 2011# Jan# Feb# Mar# Apr# May# Jun# Jul# Aug# Sep# Oct# Nov# Dec# Jan# Feb# Mar# Apr# May# Jun# Jul# Aug# 2012$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$2013$ & Ireland' The& National& Poisons& Information& Centre& in& Dublin& has& systematically& tracked& enquiries& related& to& liquid& laundry& detergent&capsules&incidents&since&2010,&and&since&2012&the&data&are&available&on&a&monthly&basis.&&These&data&were& kindly&provided&by&Dr.&P.&Casey.& Please¬e&that&in&the&below&chart,&the&data&are&on&a&monthly&basis,&but&for&2010&and&2011,&the&average&across&the& year&is&represented.& The&Irish&market&for&liquid&laundry&capsules&has&grown&between&2010&and&2012,&but&seems&to&have&stabilized&over& 2012&and&2013.&&In&the&second&quarter&of&2012&a&peak&of&reported&incidents&can&be&seen,&that&is¬&correlated&to&any& market&movements&in&that&period.&&This&can&only&be&explained&by&normal&variability&–&that&becomes&visible&especially& when&the&situation&is&analysed&on&a&detailed&level&(monthly&basis).& Overall,&while&substantial&oscillations&and&outliers&(e.g.&a&peak&in&May&2012)&are&present&in&the&normalized&data,&no& consistent&trend&can&be&seen.&&Hence,&as&a&baseline,&it&is&proposed&to&use&the&average&across&2012&and&2013,&i.e.&4.3& incident&reports&per&million&units&sold.&

40" 10" incident"enquiries"F"Ireland"(Dublin)" 9" 35"

8" 30" 7"

25" 6"

20" 5"

4" 15"

3" 10" enquiries"per"month"(leL"axis)" 2" mio"capsules"sold"per"month"(right"axis)" 5" enquiries"per"mio"capsules"sold"(right"axis)" 1"

0" 0" 2010"2011" Jan" Feb" Mar" Apr" May" Jun" Jul" Aug" Sep" Oct" Nov" Dec" Jan" Feb" Mar" Apr" May" Jun" 2012$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$2013$

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&21&of&37& The'Netherlands' The&National&Poisons&Information&Centre&in&Utrecht&has&specifically&tracked&liquid&laundry&detergent&capsules&accident& enquiries&since&early&2012.&&These&data&were&provided&in&a&report&to&the&Dutch&authorities&in&August&20133&and&kindly& shared&with&NVZ.& By&2012,&liquid&detergent&capsules&had&reached&a&meaningful&presence&on&the&Dutch&market,&and&their&market&share& was&growing&steadily&over&2012&and&2013.&&The&number&of&enquiries&about&incidents&with&these&products&has&oscillated& over&these&two&years,&towards&an&apparent&maximum&mid&2013.&&&However,&when&normalizing&the&reported&incident& frequency&against&market&size,&a&different&trend&is&seen,&with&a&maximum&appearing&in&the&second&quarter&of&2012,& and&a&decreasing&trend&since&then.& As&a&baseline&against&which&to&benchmark&incident&frequencies&following&implementation&measures,&it&is&proposed&to& use&a&12Kmonth&period&from&April&’12&until&April&’13&–&i.e.&excluding&the&initial&months&when&the&tracking&procedure& may& not& yet& have& been& optimized,& as& well& as& the& most& recent& months& when& initial& measures& may& already& have& appeared&in&the&market.&&This&average&is&4.2&reported&cases&per&million&units&sold.&

30" 10" incident"enquiries"F"Netherlands"(Utrecht)" 9"

25" 8"

7" 20"

15" 5"

10" 3"

2" 5" enquiries"(leK"axis)" mio"capsules"sold"(right"axis)" 1" enquiries"per"mio"capsules"sold"(right"axis)" 0" 0" Jan" Feb" Mar" Apr" May" Jun" Jul" Aug" Sep" Oct" Nov" Dec" Jan" Feb" Mar" Apr" May" Jun" 2012$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$2013$

& Italy' The&Milan&Poison&Control&Centre&(Niguarda)&has&closely&monitored&incidents&with&liquid&laundry&detergent&capsules& since&their&launch&in&Italy,&in&summer&2010.&&Initial&results&were&presented&at&the&2012&EAPCCT&Conference&in&London& (Celentano& et& al.,& 20124).& Further& data& until& March& 2013& were&presented& by& Celentano& et& al.& (2013)5,& at& the& North& American&Congress&of&Clinical&Toxicology&in&Atlanta.&&The&PCC&has&continued&to&monitor,&track&and&followKup&incidents& reports,&and&will&also&be&doing&this&in&the&future.& The&incident&frequency&had&reached&about&40&cases&per&month&by&the&end&of&2010,&and&continued&to&oscillate&(with& substantial& variability)& around& this& average& across& 2011& and& until& the& second& quarter& 2012.& & In& May& 2012,& the& frequency& of& reported& incidents& peaked& at& 70& cases& per& month.&&Initial& voluntary& risk& mitigation& measures& were& implemented&as&of&mid&2012,&followed&by&the&implementation&of&de&facto&mandatory&measures&in&two&phases&(early& &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& 3 &Van&Riel&A&(2013).&Rapportage&blootstellingen&aan&liquid&caps&met&textielwasmiddel&gemeld&&aan&het&NVIC&van&2010& t/m&juni&2013.&NVIC&–&UMC&Utrecht.&Rapport&voor&NVWA.& 4 &Celentano&A,&Sesana&F,&Settimi&L,&Milanesi&G,&Assisi&F,&Bissoli&M,&Borghini&R,&Della&Puppa&T,&Dimasi&V,&Ferruzzi&M,&Moro& P,& Rebutti& I,& Travaglia& A,& Davanzo& F& (2012).& Accidental& Exposures& to& Liquid& Detergent& Capsules.& Clinical& Toxicology& (2012),&50,&273–366.& 5 &Celentano& A,& Sesana& F,& Milanesi& G,& Davanzo& F,& Deutsch& CM,& Bronstein& AC,& Spyker& DA& (2013).& Unit& Dose& Liquid& Laundry&Detergent&Exposures:&An&Italian&and&a&US&Poison&Center&Comparison.&Abstract&n.71&of&the&North&American& Congress&of&Clinical&Toxicology&Atlanta&2013.&Clinical&Toxicology&(2013),&51,&575–724.&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&22&of&37& 2013&and&mid&2013).&&As&a&result,&over&the&second&half&of&2012,&the&number&of&incidents&has&decreased&substantially,& down&to&20K30&cases&per&month&in&early&2013.& The&liquid&laundry&detergent&capsules&market&in&Italy&has&grown&steadily&since&the&launch&mid&2010&until&the&fall&of& 2011,&when&a&plateau&of&about&30&million&units&sold&per&month&was&reached.&&This&remained&stable&over&2012,&but& since& end& 2012,&the&market&has&somewhat&declined,&to& about& 25& million& units& per& month.&&Using& these& data,& the& incident&frequency&can&be&normalized&relative&to&market&size.&&With&multiple&oscillations,&the&normalized&incident&rate& from&mid&2010&to&mid&2012&was&largely&within&the&range&of&1.5&to&2.5&cases&reported&to&Niguarda&per&million&units&sold& in&Italy.&&Since&the&implementation&of&risk&reduction&measures,&this&has&dropped&to&about&1&case&per&million&units.&

70# 3.5# incident#enquiries#E#Italy#(Niguarda)#

60# 3.0#

50# 2.5#

40# 2.0#

30# 1.5#

20# 1.0#

enquiries#to#Niguarda#per#month#(Celentano#et#al.,#2013)#(leM#axis)# 10# 0.5# mio#capsules#sold#in#Italy#per#month#(leM#axis)#

enquiries#(Niguarda)#per#mio#capsules#sold#in#IT#(right#axis)# 0# 0.0# Jul# Jul# Jan# Jan# Jan# Jun# Jun# Oct# Oct# Oct# Apr# Apr# Sep# Feb# Sep# Feb# Sep# Feb# Dec# Dec# Dec# Aug# Aug# Aug# Nov# Nov# Nov# Mar# Mar# Mar# May# May# 2010$$$$$$$$$$$$$$$$$$$$$$$2011$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$2012$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$2013$ & As&a&baseline,&it&is&proposed&to&use&the&1.5&years&period&from&early&2011&to&mid&2012,&i.e.&excluding&the&initial&launch,& as&well&as&the&time&when&the&first&measures&started&to&be&introduced.&&This&leads&to&an&average&baseline&value&of&1.8& incidents&reported&to&Niguarda&per&million&units&sold&in&Italy.&&It&should&be¬ed&that&the&Milan&PCC&does¬&cover&the& entire& Italian& territory.& As& such,& whereas& the& normalization& to& units& sold& across& Italy& is& appropriate& to& benchmark& progress&within&the&Italian&situation,&it&is¬&suitable&for&comparison&with&other&countries.&&If&one&assumes&that&the& Milan&PCC&covers&about&70%&of&the&Italian&territory,&and&that&this&also&corresponds&to&70%&of&the&laundry&capsules& market&size,&the&normalized&baseline&value&is&2.6&case&reports&per&million&units.& Since&mid&2012,&replacement&of&transparent&packaging&by&opaque&boxes&has&been&initiated,&with&a&total&replacement& on&the&shelf&around&mid&2013.&&Further,&since&December&2012,&additional&safe&use&communication&efforts&have&been& made&(e.g.&label&changes,&leaflets,&TV&advertising).&&& The&data&from&the&PCC&provide&a&strong&indication&that,&as&a&result&of&these&measures,&the&number&of&reported&cases& has&consistently&and&substantially&dropped&versus&the&year&before&–&more&than&50%&below&the&situation&of&mid&2012.&& Further&improvements&are&expected&in&the&second&half&of&2013,&as&all&measures&are&fully&in&effect&since&mid&2013.&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&23&of&37& France' The&Poison&Control&Centre&of&Lille&has&monitored&incidents&with&liquid&laundry&detergent&capsules&for&over&10&years,& with& initial& data& being& collected& already& in& 2001.& & This& is& for& example& reported& in& MathieuKNolf& et& al.& (2007)6.&&& Currently,&the&French&Ministry&of&Health&is&conducting&a&retroactive&data&analysis®arding&incidents&with&this&product& category&over&the&past&years&–&a&project&involving&the&PCCs&of&Nancy&and&Lille.&&The&results&and&underlying&data&are¬& yet&available,&but&are&expected&to&be&disclosed&by&the&end&of&2013.&&These&data&will&then&be&used&to&determine&an& appropriate&baseline&for&the&assessment&of&the&effectiveness&of&the&PSP&measures.& Like& the& UK& and& Ireland,& France& was& a& pioneer& market& for& this& product& category,& although& the& presence& remained& limited&to&less&than&100&million&units&sold&per&year&prior&to&2008.&&Since&then,&the&market&significance&has&steadily& grown,&exceeding&500&million&units&in&2012,&and&an&expected&sale&of&close&to&750&million&units&in&2013.&&Due&to&this& substantial&market&growth,&it&will&be&important&to&apply&normalization&to&the&reported&incident&frequency.& Comparison'between'countries' The&quantitative&tracking&is&based&on&the&number&of&cases&reported&to&PCCs,¬&the&actual&number&of&incidents&(which& is&unknown).&&Provided&the&tracking&processes&do¬&changes,&within&a&single&country&/&PCC,&the&data&can&be&assessed& over& time.& & However,& the& reported& incident& frequencies& between& different& countries& (or& different& PCCs)& are& not& comparable&without&inKdepth&interpretation,&for&several&reasons,&e.g.:&&& K Different&countries&apply&different&PCC&enquiry&approaches.&&For&example,&in&the&UK&and&the&Netherlands,& only&medical&professionals&can&enquire&with&the&PCC.&&In&other&countries,&PCCs&are&also&accessible&by&the& general&public,&which&implies&that&a&larger&percentage&of&cases&will&be&reported&in&these&countries.& K There&are&cultural&differences,&which&imply&that&in&some&countries&PCCs&may&only&be&contacted&for&the& more& severe& cases,& whereas& in& others,& a& more& precautionary& approach& is& applied& and& PCCs& are& more& systematically&involved.& K Normalization&of&incident&frequency&against&market&size&can¬&always&done&in&an&equivalent&way,&as&the& source&and&methodology&of&market&data&may&differ,&and&the&geographical&scope&of&a&PCC&does¬&always& coincide&with&the&market&data&(which&is&typically&by&country).&& K The&actual&tracking&and&monitoring&processes&are¬&identical&between&the&different&PCCs.& Taking&the&above&into&account,&the&following&tentative&observations&can&be&made:& K In&Ireland,&the&marketKnormalized&incident&count&of&4.3&cases&per&million&capsules&sold,&is&nearly&an&order& of&magnitude&higher&than&in&the&UK&(with&0.5&cases&per&million&units).&&Nevertheless,&these&two&markets& are&similar&in&terms&of&maturity&and&products&sold.&&This&is&probably&due&to&the&fact&that&in&Ireland,&the& general&public&can&call&the&PCC&directly,&without&any&“filtering”&via&a&medical&doctor&–&which&is¬&the& case&in&the&UK.&& K The&Dutch&incident&frequency&(marketKnormalized)&of&4.2&cases&per&million&units&is&similar&to&the&one&in& Ireland,& but& substantially& higher& than& in& the& UK.& & Nevertheless,& in& the& Netherlands,& the& PCC& is& only& accessible& to& medical& professionals& (like& in& the& UK).& & Hence& a& lower& reporting& frequency& might& be& expected.&&However,&it&has&to&be&taken&into&account&that&the&product&category&is&very&new&in&this&country,& and&hence,&medical&professionals&are&unfamiliar&with&the&product,&and&may&tend&to&be&more&cautious& compared&to&the&situation&in&the&UK&with&a&very&mature&market.&& K The&marketKnormalized&incident&frequency&in&Italy&(prior&to&the&introduction&of&risk&mitigation&measures),& corrected&for&the&territorial&coverage&of&the&Niguarda&PCC,&was&2.6&reports&per&million&capsules&sold.&&This& is&lower&but&nevertheless&in&a&similar&order&of&magnitude&as&the&value&of&4.3&found&for&Ireland.&

&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& 6 &MathieuKNolf&M,&Deheul&S,&Nisse&P&(2007).&Liquid&Detergent&Capsules:&A&New&Risk.&Clinical&Toxicology&(2007)&45,&333– 390.&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&24&of&37& Accidentology( To&better&understand&the&root&causes&of&liquid&laundry&detergent&capsules&ingestion&incidents,&A.I.S.E.&is&collaborating& with&the&European&Association&of& Poison&Control&Centres&and&Clinical&Toxicologists&(EAPCCT),&together&with&several& national&PCCs,&to&prospectively&monitor&accident&circumstances.&&& Purpose' This& project& aims& to& monitor& and& improve& the& effectiveness& of& accident& prevention& via& risk& reduction& measures,& through&a&better&understanding&of&the&root&cause&and&circumstances&why&liquid&laundry&detergent&capsules&accidents& occur.& & Specifically,& the& circumstances& that& have& led& to& accidental& exposures& will& be& analysed.& & As& such,& the& effectiveness& of& the& risk& mitigation& measures& that& are& currently& being& implemented& through& A.I.S.E.’s& product& stewardship&programme&will&be&assessed.&&Further,&this&information&will&be&used&to&help&refine&these&measures,&or& develop&additional&measures,&such&as&improved&consumer&education&and&information&campaigns,&as&needed.& Approach' At& a& number& of& Poison& Control& Centres& (PCC),& enquiries& regarding& accidental& exposure& to& liquid& laundry& detergent& capsules&will&be&monitored&and&tracked.&&This&way&a&representative&number&of&cases&across&the&European&Union&will&be& assessed.&&For&each&reported&case,&followKup&will&be&conducted®arding&the&exact&product&(brand,&variant)&and&which& product&stewardship&elements&are&adopted&in&its&packaging&(i.e.&labelling,&closure,&transparency).&&Furthermore,&the& route&of&exposure&and&the&circumstances&how&the&patient&got&access&to&the&product&will&be&determined&(i.e.&where&the& product&was&stored,&how&the&pack&was&opened).&&A&standardised&questionnaire,&protocol&and&data&collection&format,&to& be&developed&and&made&available&by&EAPCCT,&will&be&used&for&the&data&collection&and&processing.&&EAPCCT&will&also& ensure&an&appropriate&quality&control&system&is&implemented.& The&data&collection&will&run&for&6&months,&and&incident&enquiries&will&be&tracked&at&a&number&of&different&PCCs.&The& participating& PCCs& have& been& selected& such& that& the& sample& is& representative& of& the& diversity& within& the& EU,& in& countries&that&are&either&established&markets&for&this&product&category,&or&are&important&growth&markets&with&already& a&substantial&presence&of&liquid&laundry&detergent&capsules.&&Currently,&the&following¢res&have&been&approached& and&have&confirmed&they&are&interested&to&participate&to&this&study:&Bucharest&(Romania),&Dublin&(Ireland),&Göttingen& (Germany),&Lille&(France),&Prague&(Czech&Republic),&and&Utrecht&(The&Netherlands).&& After&the&end&of&the&data&collection&phase,&the&data&will&be&aggregated&and&interpreted&by&EAPCCT&(or&delegated&to& one&of&the&interested&PCCs),&and&a&final&report&with&conclusions&will&be&provided&to&A.I.S.E.&&The&aim&is&to&have&an& assessment& of& the& correlation& between& risk& mitigation&measures&and&accident&circumstances&–& it& is& not& the& aim& to& correlate& “accidentology”& with& brand& names.& & EAPCCT& or& participating& PCCs& may& further& present& or& publish& the& findings&in&the&appropriate&scientific&forums.& Scope'of'the'data'collection' Qualitative'assessment' This& project& will& qualitatively& investigate& how& the& circumstances& of& accidents& with& specifically& identified& products& correlate&with&the&risk&mitigation&measures&implemented&on&those&specific&products&(or&implemented&in&consumer& education&campaigns&at&the&time&of&the&accident).&&This&way,&the&effectiveness&of&the&risk&mitigation&measures&will&be& assessed.&&& The& purpose& of& this& specific& exercise& is& not& to& quantitatively& assess& how& accident& frequency& is& impacted& by& the& introduction&of&risk&mitigation&measures.&&Hence,&whereas&it&is&important&to&collect&good&quality&data&on&a&statistically& sufficient&number&of&cases,&there&is&no&need&to&cover&every&single&case&that&occurs.& Accident'circumstances' The&aim&of&this&project&is&to&assess&how&accidents&occur&(and&how&this&might&be&prevented).&&Hence,&the&data&collection& will&focus&on&product&identification&and&accident&circumstances.&&& The& toxicological& aspects& (i.e.& symptoms,& severity& of& the& symptoms,& treatment,& and& recovery)& are& in& principle& not& within&the&scope.&&However,&if&practically&feasible,&it&is&suggested&to&include&optional&questions&covering&some&of&these& aspects& –& to& the& extent& that& such& information& can& be& gathered& during& the& followKup& that& is& needed& for& accident& circumstance&data&gathering.&&This&shall&be&further&discussed&jointly&between&EAPCCT&and&A.I.S.E.&as&the&questionnaire& is&finalized.&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&25&of&37& Work'Packages'and'Timing'' In& Fall& 2013,& EAPCCT& will& develop& a& questionnaire& to& capture& product& identification& and& accident& circumstance& information,& with& input& from& A.I.S.E.&&A& protocol& for& the& data& collection,& including& a& data& collection& template& and& quality& control& aspects,& will& be& developed& and& implemented& at& the& participating& PCCs.&&In& parallel,& EAPCCT& is& coordinating&theðical&committee&reviews&and&approvals&at&the&participating&PCCs,&by&the&end&of&2013.&&& During&the&data&collection&phase&(first&half&of&2014),&participating&PCCs&will&track&all&liquid&laundry&detergent&capsules& accident&enquiries,&and&will&do&the&necessary&followKup&to&understand&the&accident&circumstances&as&much&as&possible.&& Over&summer&2014,&EAPCCT&(together&with&interested&participating&PCCs)&will&process,&aggregate&and&interpret&the& data&that&have&been&collected&over&a&6Kmonth&timeframe.&EAPCCT&will&prepare&a&scientific&report&to&A.I.S.E.,&including& potential&recommendations&for&improved&accident&prevention.&This&report&is&targeted&for&October&1st,&2014.&Together& with&interested&participating&PCCs,&EAPCCT&may&develop&scientific&publications&or&presentations&based&on&this&work.& & &

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&26&of&37& Next(Steps(

Implementation( Implementation&of&PSP&measures&will&be&continued&over&the&last&months&of&2013&and&beginning&of&2014.&&This&will&be& shown&in&the&2014&report.&The&aim&is&that&essentially&all&PSP&signatory&products&on&the&shelf&are&compliant&by&early& 2014.&&

Collaboration(with(retailers( An&additional&very&important&element&in&the&successful&rollout&of&PSP&is&the&joint&collaboration&with&retailers.&&With&the& increased&appearance&of&products&on&the&shelf,&awareness&about&the&PSP&among&retailers&will&be&further&raised,&aiming& to&also&achieve&a&commitment&from&their&side.&&This&will&be&done&at&both&national&level&via&the&National&Associations&of& A.I.S.E.&and&at&European&level&via&the&European&Retail&Association,&Eurocommerce.&&

Incident(Monitoring( Quantitative& information& will& continue& to& be& tracked& at& the& relevant& PCCs& (e.g.& UK,& Ireland,& France,& Italy,& The& Netherlands).& & Incident& frequency& data& for& the& second& half& of& 2013& will& be& normalized& and& compared& to& the& appropriate& baselines,& to& assess& whether& a& favourable& trend& is& emerging.& & Data& collected& during& the& first& several& months&of&2014&will&be&used&to&confirm&such&trends.&&These&findings&will&be&included&in&the&next&PSP&status&report.& The&accidentology&project&will&be&launched&end&of&2013,&with&data&collection&across&the&first&half&of&2014.&&During&this& period,&initial&data&may&already&be&used&to&fineKtune&or&emphasize&certain&PSP&measures.&&Final&conclusions&will&be& drawn&after&summer&2014.& '

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&27&of&37& Annex(1(( Background(on(Liquid(Laundry(Detergent(Capsules(

General(background(( Liquid&laundry&detergent&capsules&(liquid&laundry&detergent&capsules)&are&a&relatively&recent&product&innovation.&&This& detergent& form& has& been& progressively& introduced& on& the& European& market& over& the& last& decade.& & Today,& liquid& laundry& detergent& capsules& are& used& daily& by& millions& of& people& across& Europe.& & Consumers& experience& the& convenience& of& liquid& laundry& detergent& capsules& as& their& primary& benefit.& & First,& thanks& to& the& unit& dose& concept,& dosing&correctly&is&effortless&(one&unit&dose&per&wash&load,&no&wrap&to&remove)&and&free&of&any&mess&due&to&spilling.&& Second,&thanks&to&the&high°ree&of&concentration,&less&weight&has&to&be&carried&when&shopping&(over&50%&less&when& compared&to&concentrated&liquids&or&powders).&&Also&the&smaller&size&implies&that&less&space&is&taken&in&the&laundry& room& for& storage& of& the& product.& An& equally& important& benefit& of& liquid& laundry& detergent& capsules& is& their& environmental&sustainability&profile.&&The&lower&weight&and&smaller&size&of&the&products&allow&use&of&less&packaging& material&per&laundry&job.&&Further,&the&transportation&emissions&per&unit&can&be&substantially&reduced&compared&to& traditional&product&forms.&& Whilst& liquid& laundry& detergent& capsules& are& safe& when& used& as& instructed,& they& can& cause& concern& when& handled& inappropriately.&&Especially,&when&small&children&get&access&to&liquid&laundry&detergent&capsules&and&put&them&into& their&mouth,&the&liquid&laundry&detergent&capsule’s&pouch&dissolves&upon&contact&with&saliva.&&This&is&because&these& pouches& are& designed& to& readily& dissolve& once& in& contact& with& water& in& the& washing& machine.& & Consequently,& the& concentrated&detergent&chemistry&can&be&ingested&–&which&may&lead&to&nausea&and&vomiting,&or&worse,&respiratory& effects.&& The& number& of& accidental& ingestion& exposures& reported& for& liquid& laundry& detergent& capsules& has& been& relatively& higher& than& for& other& laundry& product& form& when& taking& into& account& the& market& size& of& this& product& category.&& Further,&a&limited&number&of&incidents&with&severe&but&reversible&effects&have&occurred.&&To&address&this&situation,&the& Detergent&Industry,&under&the&umbrella&of&A.I.S.E.,&has&established&a&voluntary&Product&Stewardship&Programme&for& liquid&laundry&detergent&capsules.&&This&aims&to&better&educate&consumers&on&how&liquid&laundry&detergent&capsules& should&be&safely&used&and&stored,&and&to&reduce&the&visibility&of&liquid&laundry&detergent&capsules&and&accessibility&of& the&product&to&small&children.&&This&will&be&achieved&by&communication&activities,&and&by&modifications&to&the&product& (labels,&packaging).&

History(of(the(product(category( SingleKdose&concentrated&laundry&detergents&were&first&developed&and&placed&on&the&market&in&the&United&States&in& the&1960s,&however&without&much&success.&&In&Europe,&laundry&tablets&have&been&sold&since&the&mid&eighties&(Spain).& Only&by&the&end&of&the&nineties,&primarily&in&the&UK,&unit&dose&laundry&started&to&get&a&meaningful&presence&in&the& market.&&Back&then,&powder&was&by&far&the&main&laundry&product&form&in&Europe.&&Hence,&the&focus&in&singleKdose& detergents&was&on&dry&powder&laundry&tablets.&&& In& 2001,& soluble& pouches& containing& concentrated& liquid& detergent& first& appeared& on& the& market.& & Initially& this& remained&a&fairly&small&niche&product&category.&&However,&with&the&detergent&market&gradually&shifting&more&towards& liquids,&and&as&the&technology&to&concentrate&liquid&detergents&progressed,&liquid& laundry&detergent&capsules& have& since& become& the& primary& product& form& for& singleKdose& laundry.& & These& products& are& known& as& liquid& laundry& detergent&capsules,&liquitabs,&liquid&sachets,&etc.&&& Today,& the& largest& market& for& laundry& liquid& laundry& detergent& capsules& is& the& UK& and& Ireland.& & Other& important& markets& are& France& and,& more& recently,& Italy.& & In& most& other& Western& European& countries& (excluding& some,& e.g.& Sweden),&as&well&as&several&countries&in&Central&Europe,&liquid&laundry&detergent&capsules&are&also&on&the&market&K&but& represent& a& much& smaller& volume& compared& to& the& traditional& laundry& product& forms.& Over& the& past& years,& the& importance&of&the&liquid&laundry&detergent&capsules&from&has&been&growing,&as&more&consumers&switch&to&unit&dose& laundry.&&In&addition&to&detergents,&some&laundry&additives&are&also&available&in&the&liquid&laundry&detergent&capsules& form.&

Chemical(product(description( Laundry& liquid& laundry& detergent& capsules& are& essentially& waterKfree,& solventKbased& formulations& containing& high& levels&of&surfactants&(anionic&as&well&as&nonionic)&and&soap.&&Typically&the&combined&level&of&surfactants&and&soap&can&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&28&of&37& reach&40%&or&more.&&Solvents&typically&used&in&these&formulations&are&propylene&glycol&(up&to&20%)&andðanol&(up&to& 5%).&&In&addition,&liquid&laundry&detergent&capsules&contain&the&other&ingredients&normally&used&in&liquid&detergents&–& such&as&enzymes,&polymers,&phosphonates,&perfumes,&and&colorants.&&The&majority&of&the&formulations&are&pHKneutral;& exceptionally&some&are&slightly&alkaline&(up&to&pH&9).&&The&detergent&chemistry&is&contained&within&a&pouch&made&of&a& waterKsoluble&polymer&(typically&poly&vinyl&alcohol,&PVA).&&This&film&is&mechanically&strong&and&flexible,&and&remains& intact&during&dry&storage&K&but&that&readily&dissolves&in&the&washing&machine&as&the&washing&cycle&starts,&and°rades& in&the&environment.&

Accidental(ingestion( Evolution'of'number'of'accidents'' While& liquid& laundry& detergent& capsules& are& mechanically& strong& when& dry,& they& can& release& their& contents& prematurely& when& they& come& into& contact& with& moisture& (e.g.& saliva,& wet& hands).& & & Since& this& product& form& has& appeared&on&the&market&in&2001,&occasional&incidents&of&accidental&exposure&(either&ingestion,&or&splashes&into&the& eyes)&have&been&reported&to&Poisons&Control&Centres&(PCCs).&&As&the&market&for&liquid&laundry&detergent&capsules&has& matured&and&grown,&the&number&of&such&incidents&has&increased&and&has&become&higher&than&expected&based&on&the& market&size&of&the&liquid&laundry&detergent&capsules&category.& In&the&United&Kingdom,&since&2008,&the&National&Poisons&Information&Service&(NPIS)&has&received&about&500&accidental& exposure&related&enquiries&per&year®arding&accidental&exposure&to&liquid&laundry&detergent&capsules.&&It&should&be& noted&that&these&are&only&enquiries&by&medical&professionals&(not&consumers).&&& In&France,&the&Lille&PCC&counted&over&400&accidental&exposures&in&its®ional&area&(either&PCC&calls&or&incidents&tracked& via&emergency&departments),&between&2001&and&2006.&&& In&Italy,&since&the&fall&of&2010&(following&the&Italian&launch&of&liquid&laundry&detergent&capsules&earlier&that&year)&the& Milan& PCC& (Niguarda)& has& been& receiving& about& 500& reports& annually& of& accidents& with& liquid& laundry& detergent& capsules&for&its&territory.&&This&represents&about&half&of&the&total&number&of&exposures&related&to&laundry&detergents&–& i.e.& 5K6& times& more& incident& reports& for& liquid& laundry& detergent& capsules& than& would& be& expected& based& on& this& product&form’s&market&presence&(which&is&9%&of&the&laundry&detergent&category&in&Italy).& A&common&element&across&these&three&countries&is&that&in&a&large&majority&of&the&accidents,&children&(mainly&between& 3K&5&years&old)&are&involved&(at&least&80%&of&the&cases,&and&even&up&to&>95%).&&Also,&most&exposures&for&which&PCC&help& was&sought&involve&ingestion&of&the&product&(about&90%&of&the&cases;&either&ingestion&alone&or&in&combination&with& other&routes&of&exposure).& A&clear&increase&of&these&cases&is&seen&as&liquid&laundry&detergent&capsules&are&launched&and&gain&market&share&–&for& example&as&could&be&observed&in&Italy&the&second&half&of&2010.&&Where&the&markets&are&stable&(e.g.&the&UK&over&the& past&several&years;&Italy&since&mid&2011)&the&frequency&of&incidents&seems&to&stabilise&or&go&down.& Typical'accident'circumstances' Ingestion&of&liquid&laundry&detergent&liquid&laundry&detergent&capsules&does¬&happen&in&a&normal&use&situation,&i.e.& in&accordance&to&the&instructions&of&the&manufacturer.&&Normally,&unlike&with&traditional&detergent&forms,&there&is&no& consumer&exposure&at&all&to&the&detergent.&&This&is&because&the&formulation&is&contained&in&a&sealed&pouch&that&only& dissolves&in&the&washing&machine,&once&the&laundry&cycle&has&started.&&When&the&pouches&are&handled&with&wet&hands& they&might&partially&dissolve&or&swell&during&the&handling,&leading&to&skin&exposure.&&Skin&or&eye&exposure&also&might& occur& in& case& the& liquid& laundry& detergent& capsules& are& manipulated& too& forcefully,& or& are& cut& or& pierced,& and& subsequently&the&detergent&is&released&or&is&squeezed&out.&&Still&this&would¬&lead&to&ingestion.& However,&when&young&children&get&access&to&laundry&liquid&laundry&detergent&capsules,&they&may&be&intrigued&by&the& product&and&be&tempted&to&put&it&into&their&mouth.&&This&is&a&natural&behaviour&for&small&children,&until&the&oral&stage& subsides& considerably& around& 3K4& years& old.& & Hence,& the& typical& ingestion& accident& with& liquid& laundry& detergent& capsules&is&when&a&toddler&discovers&the&product,&has&access&to&it,&and&enters&it&into&the&mouth.& As&with&other&detergent&products,&elderly&people&suffering&from&dementia&may&also&be&at&risk&for&accidental&ingestion.&& They&do¬&recognize&the&product&as&a&laundry&detergent,&as&this&product&form&did¬&exist&when&they&were&younger.&&& Compared&to&children,&by&these&people&higher&amounts&of&product&might&be&ingested&–&as&they&can&physically&swallow& a&higher&amount,&and&as&their&reflexes&to&indicate&that&something&is&wrong&may&be&impaired.& Symptoms'and'treatment' If&an&amount&of&product&is&ingested,&this&is&likely&to&trigger&an&emetic&reaction.&&In&about&twoKthirds&of&the&accidental& ingestions&mentioned&above,&the&patients&suffered&from&nausea&or&vomiting.&&&Whereas&this&does&lead&to&substantial&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&29&of&37& discomfort,& it& will& normally& not& cause& anything& beyond& a& mild& irritation& of& the& oral& mucosa& and& potentially& the& esophagus.&&However,&more&concerning&is&when&the&product&and/or&gastric&fluids&are&aspired&into&the&lungs&during&the& emetic&reaction.&&In&case&larger&quantities&were&ingested,&the&likelihood&for&aspiration&increases,&due&to&the&formation& of&foam.&&Such&aspiration&may&cause&chemical&pneumonitis,&requiring&emergency&treatment.& Respiratory&effects&were&observed&following&5K15%&of&the&cases.&&Fortunately,&for&the&vast&majority&these&effects&were& not&severe,&but&limited&to&coughing.&&However,&in&about&0.5%&of&the&ingestion&cases,&the&highest&severity&score&was& reported,&and/or&the&patient&had&to&be&hospitalized&in&an&emergency&department&(e.g.&requiring&intubation&to&address& a&severe&respiratory&condition).& Based&on&the&oral&toxicity&of&the&ingredients,&and&the&limited&amounts&that&can&be&ingested,´&oral&toxic&effects&are& not&anticipated.&&Still,&in&2K4%&of&the&cases&mentioned&above,&drowsiness&was&reported,&and&there&was&one&case&of& temporary&but&severe¢ral&nervous&system&suppression&associated&with&the&incident.& Ingestion&of&the&liquid&laundry&detergent&capsules&did¬&lead&to&symptoms&in&about&oneKthird&of&the&total&number&of& ingestion&cases&mentioned&above.&&Indeed,&when&only&a&small&quantity&of&product&enters&into&the&mouth,&and&most&is& immediately&spitted&out&as&a&reflex&against&the&unpleasant&taste,&this&would¬&lead&to&substantial&discomfort,&and& further&treatment&would¬&be&required.&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&30&of&37& Annex(2( A.I.S.E.(Voluntary(Product(Stewardship(Programme((PSP)((

The(Programme( The&A.I.S.E.&membership&has&been&made&aware&by&Poison&Control&Centres&(PCCs)&that&in&some&countries&incidents&of& accidental&exposure&involving&small&children&have&been&observed,&mainly&of&ingestion&but&also&eye&injury.&The&issue&is& fundamentally&one&of&unintended&use&and,&in&newer&markets,&lack&of&familiarity. Against&this&background,&and&with& the& support& of& the& industry,& A.I.S.E.& has& developed& the& voluntary& Liquid& Laundry& Detergent& Capsules& Product& Stewardship&Programme&outlined&below. & The&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules is&a&new&voluntary&initiative&of&A.I.S.E.,& the&International&Association&for&Soaps,&Detergents&and&Maintenance&Products.&This&Programme&builds&on&a&series&of& voluntary&initiatives&already&undertaken&by&A.I.S.E.&in&the&domain&of&safety&and&sustainability. A.I.S.E.& and& its& member& companies& involved& in& the& liquid& laundry& detergent& capsules& market& in& Europe& regard& the& safety&of&consumers&as&a&top&priority.&Whilst&safe&use&and&storage&of&any&detergent&or&maintenance&product&should&be& promoted,&this&Programme&aims&at&securing&safe&use&and&storage&of&liquid&laundry&detergent&capsules&by&consumers& to& ultimately& significantly& reduce& the& incidence& of& accidental& exposure,& in& particular& of& small& children,& to& these& products. This& A.I.S.E.& Product& Stewardship& Programme& (PSP)& is& open& to& any& company& manufacturing& and/or& placing& liquid& laundry&detergent&capsules&on&the&European&market&(EU&+&Iceland,&Switzerland,&Norway&and&Liechtenstein),®ardless& of&whether&these&companies&are&member&of&A.I.S.E.&and/or&its&National&Association&members.

The(Commitment( Companies&participating&in&the&A.I.S.E.&Liquid&Laundry&Detergent&Capsules&Product&Stewardship&Programme&commit&to& apply&the&following,&specifically&developed,&set&of&rules: Product'' Participating& companies& commit& to& implement& safety& measures& to& reduce& visibility& of& and& restrict access& to& liquid& laundry&detergent&capsules. • Reduced&visibility&of&capsules.&Participating&companies&shall&implement&one&of&the&following&measures&to&reduce& the&visibility&of&the&liquid&laundry&detergent&capsules:&either&opaque&packaging;&OR obscure&packaging;&OR any& equivalent.&&! • Restricted& access& to& capsules& by& small& children.& To& address& accessibility& to& liquid& laundry& detergent& capsules,& companies&shall&implement&a&pack&closure,&which&discourages,&delays&or&otherwise&impedes&the&ability&of&small& children&to&open&the&pack,&the&precise&design&being&for&companies&to&decide.&!For&example,&restricted&access&may& be&achieved&through&pack&closures&that&necessitate&either&strength,&or&coKordinated&movements,&or&the&use&of& two&hands&in&order&to&be&opened.&This&list&of&examples&is&nonKexhaustive&and&indicative&only.&& Product'Information'&'Communication' Participating& companies& commit& to& reinforce& guidance& on& the& safe& use& and& storage& of& liquid& laundry& detergent& capsules. • OnKpack&communication.&&Participating&companies&shall&make&use&of&the&A.I.S.E.&Safe&Use&Icons,&such&as&“Keep& away&from&children”&and&in&particular&of&the&icons&specifically&developed&for&liquid&laundry&detergent&capsules& such&as&“Close&the&lid&properly”,&“Close&the&bag&properly”,&“Use&with&dry&hands”,&“Do¬&pierce,&break&or&cut”.& Use&of&the&Safe&Use&Icons&shall&be&made&in&accordance&with&the&A.I.S.E.&Safe&Use&Icons&Guidelines&for&on&pack&use& available& at& www.aise.eu/end_user_info.& The& A.I.S.E.& Safe& Use& Icons& of& particular& relevance& for& this& product& category&are&provided&in&Annex&1&Part&1&of&this&document.&In&addition,&companies&shall&clearly&display&onKpack&a& Safe&Use&Patch&in&accordance&with&the&specifications&laid&down&in&Annex&1&Part&2.& • Consumer&communication&campaign.&Participating&companies&shall&take&part&in&communication&activities&across& the&EU&to&further&enhance&consumer&awareness&about&safe&use&and&storage&of&liquid&laundry&detergent&capsules.& Template&leaflets,&webKbanners&and&other&similar&materials&are&made&available&by&A.I.S.E.&and&its&network&to&the& participating&companies.&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&31&of&37& • Communication&activities&reporting.&Companies&shall&report&to&A.I.S.E.&on&the&consumer&communication&activities& carried&out&in&the&framework&of&this&PSP.&Reporting&shall&also&indicate&the&selection&of&Safe&Use&Icons&used&onK pack.& Reporting& should& be& completed&12&and&24&months&following&subscription&to&the&PSP,&and&when&placing& liquid&laundry&detergent&capsules&on&new&markets.& Engagement'with'Poison'Control'Centres' Participating&companies&commit&to&engage&with&Poison&Control&Centres,&including&the&European&Association&of&Poison& Centres&and&Clinical&Toxicologists,&to&enable&better&information&exchange&and&monitoring&of&accidents. • Harmonised&product&information&sheet.&Participating&companies&shall&develop&a&harmonised&product&information& sheet&for¬ifying&PCCs&of&new&product&launches&and&their&product&characteristics&in&advance&to&legal&obligations& (legal&obligation&as&of&June&2015). • Accidentology.&Given&the¤t&lack&of&understanding&of&the&circumstances&leading&to&incidents&involving&small& children,&companies,&in&cooperation&with&PCCs,&shall&develop&a&process&to&collect&better&information&on&incidents& (‘accidentology’)&with&a&view&to&understanding&whether&the&most&effective&measures&are&being&taken&to&address& the&issue.

Timing( The&A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&opens&on&15&December&2012.&As& of& this& date& companies& will& be& allowed& to& sign& in.& By& signing& in& companies& commit& to& start& implementation& latest& within&6&months&upon&signature,&and&to&exhaust&stocks&of&products&that&do¬&meet&the&requirements&described&in& this& PSP& at& company& level& latest& within& 12& months& upon& signature.& Participating& companies& shall& launch& consumer& communication&activities&within&3&months&upon&signature.

Legal(Requirements( This&Programme&does¬&replace&the&legal&requirements&that&companies&are&obliged&to&meet&with®ard&to&safety& and&human&health,&and&in&particular&the&provisions&set&in&Directive&1999/45/EC&on&the&classification,&packaging&and& labelling& of& dangerous& preparations;& Regulation& (EC)& No& 1272/2008& on& classification,& labelling& and& packaging& of& substances&and&mixtures;&Directive&2001/95/EC&on&General&Product&Safety;&Regulation&(EC)&648/2004&on&detergents. This& programme& is& a& voluntary& initiative& in& the& field& of& health& and& safety& to& be& carried& out& in& compliance& with& competition&law.

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&32&of&37&

Annex(3(( ANNEX 1

A.I.S.E. Safe Use Icons A.I.S.E.(Safe(Use(of relevanceIcons(of(relevance(for(liquid(laundry(detergent(capsules( for liquid laundry detergent capsules and guidelines for implementation and(guidelines(for(implementation (

PART ONE – Safe Use Icons of relevance for this product category: PART(ONE( –(Safe(Use(Icons(of(relevance(for(this(product(category:(

A.I.S.E. has developed various voluntary safe use icons for use by industry. Those are available from www.aise.eu/end_user_info and a number of those are particularly relevant for this product category, in particular the ones presented below:

The Safe Use Icons Guidelines for on pack use are provided by A.I.S.E. under www.aise.eu/end_user_info.

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&33&of&37& PART(TWO(–(Safe(use(patch(for(liquid(laundry(detergent(capsules:(

PART TWO – Safe use patch for liquid laundry detergent capsules:

For the purpose of securing optimal guidance to the consumers on the safe use and storage of liquid laundry detergent capsules, the Safe Use Icons shall be presented in patches to be displayed on the outer packaging of the Products in accordance with the following requirements:

 Patch – Safe Use Icons/size:

 Priority icons shall be featured in a patch and display on pack as follows:

• ‘Keep away from children’

• ‘Close the lid properly’ or ‘Close the bag properly’ (for doy bags)

• Minimum size for each of these two icons: 20 x 20 mm

• Those two icons should be accompanied with their respective text, adequately translated at a minimum size of 10 points (reference font: Futura Condensed). NB: multilingual versions of this patch are allowed but the minimum size requirements remain valid for all languages.

• Colour of the icons – same as in A.I.S.E. guidelines: black (if necessary, a dark colour may replace it – only dark blue in this context can apply).

 Other relevant A.I.S.E. icons to be used on a voluntary basis on pack according to general A.I.S.E. guidelines. The Conditions of Use of the A.I.S.E. Safe Use Icons can be found on www.aise.eu/end_user_info.

 Patch – other requirements:

 Have the general introduction sentence (or its corresponding translation provided by A.I.S.E.): “Handle and store safely” – Minimum size: 13 points (reference font: Futura Bold), preferably in capital letters.

 Recommended positioning of patch on packaging: on Top or Front of the pack. Excluded: underneath the pack. In any event, the patch should be readily seen by consumers.

 Patch to be placed on pack (as per A.I.S.E. guidelines and models below) BUT with yellow background (reference colour recommended: yellow CMYK: 100%).

& &

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&34&of&37&

 Examples of patch layout:

Patch for boxes: Patch for doy bags:

Other possible layout:

Bilingual example:

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&35&of&37& Annex(4( Harmonised(composition(sharing(with(PCCs(

A.I.S.E.&has&developed&a&template&for&companies&to&share&liquid& laundry& detergent& capsules& composition&data&with& Poisons&Control&Centres&in&a&harmonized&way.&&This&template&is&based&on&the&proposed&EAPCCT&guidance&(2010)&for& product&composition&sharing&under&the&CLP®ulation,&and&takes&into&account&the&most&recent&discussions&between& the&different&stakeholders&in&2011&and&2012.&&Further,&it&is&taken&into&account&that&data&sharing&should&be&initiated&as& soon&as&possible&and&as&such,&the&format&and&content&was&targeted&to&be&fully&relevant&for&liquid&laundry&detergent& capsules&products,&and&implementable&at&short¬ice.&&& To¬e:& K It&is&recognised&that&the¤tly&proposed&dataKsharing&format&for&liquid&laundry&detergent&capsules&will&be& obsoleted&once&final&and&formal&guidelines&are&issued®arding&data&sharing&under&CLP.& K Where&specific&national&requirements&exist&(either&in&terms&of&data&to&be&shared,&or&in&terms&of&formats&or& software&to&be&used),&these&existing&requirements&prevail&and&should&continue&to&be&followed.&&If&all&elements& of& the& PSP’s& harmonised& composition& sharing& are& already& included& in& the& existing& requirements,& or& if& the& existing&approaches&require&more&detailed&disclosure&(e.g.&exact&levels),&then&the&PSP&approach&should¬&be& used& (i.e.& no& duplication& of& the& submission).& & If,& on& the& other& hand,& the& PSP& approach& contains& additional& information&beyond&what&is&already&required,&this&information&should&be&provided&either&within&the&existing& formats&(if&possible),&or&otherwise&as&separate&information.&&& Product'Identification' For&the&company&and&product&identification,&as&well&as&the&product&and&packaging&description,&EAPCCT&2010&guidelines& are&integrally&followed,&except®arding&the&artwork&/&label&K&which&is&excluded&from&the&proposed&approach&due&to& the& practical& feasibility.& & For& the& section& 'toxicology',& the& EAPCCT& guidelines& state& that& relevant& information& on& the& toxicity&of&the&mixture&is&important&for&Poison&Centres&and&should&be&provided&according&to&the&Regulation&1907/2006& on&the&Safety&Data&Sheet.&&Providing&more&detailed&toxicological&assessments&beyond&what&is&in&the&SDS&is¤tly& not&proposed.& Composition' For&the&product&composition,&the&2010&EAPCCT&guidelines,&and&further&modifications&to&these&guidelines&as&discussed& in&the&context&of&CLP&(European&Commission&stakeholder&workshop&on&November&28K29&2012),&are&applied.&&Some& additional&modifications&were&made&based&on&the&need&for&shortKterm&feasibility.& Different&rules&are&applied&to&nonKclassified&substances&versus&classified&substances.&&Within&the&classified&substances,& a&further&differentiation&is&made&between&those&considered&to&be&of&a&high&hazard&and&those¬&considered&to&be&of& high&hazard.&&Substances&considered&to&be&of&high&hazard&are&those&with&either&of&the&following&classifications:´& toxicity& (oral,& dermal,& inhalation),& category& 1,& 2& and& 3;& STOT& K& single& exposure,& category& 1& and& 2;& STOT& K& repeated& exposure,&category&1&and&2;&skin&corrosion,&category&1A,&1B&and&1C.&&Note&that&substances&classified&as&‘serious&eye& damage,&category&1’&are¬&considered&of&high&hazard&for&this&purpose.& Ingredient'disclosure' K Ingredients& must& be& identified& by& their& internationally& accepted& chemical& names:& in& descending& order& of& preference:&the&name&as&given&in&Part&3&of&Annex&VI&of&Regulation&(EC)&No&1272/2008;&the&name&as&given&in&the& classification&and&labelling&inventory&(mentioned&in&Article&18(2)&of&Regulation&(EC)&No.&1272/2008);&the&name&set& out&in&the&nomenclature&provided&by&the&IUPAC;&another&international&chemical&name.& K In&addition,&synonyms&or&common&names&shall&be&provided,&as&well&as&the&CAS&and&EC&number,&if&available.& K The&functional&group&of&each&ingredient&shall&be&provided.& K For&each&ingredient&it&shall&be&indicated&whether&it&is&classified,&and&if&yes,&the&classification&shall&be&included.& K If&an&ingredient&is&present&in&nanoKform&this&shall&be&disclosed.& K For&perfumes&and&dyes,&the&names&“perfume”&and&“colouring&agent”&shall&be&used,&instead&of&a&more&detailed& disclosure.& K Enzymes&shall&be&disclosed&using&the&generic&enzyme&type&(e.g.&"protease",&"lipase",…)&without&further&detail&and& without&further&disclosure&of&the&enzyme&raw&material&constituents.& K In&the&case&of&substances&occurring&in&nature,&a&chemical&name&or&chemical&names&of&the&type&"essential&oil&of&..."& or&"extract&of&..."&may&be&used&instead&of&the&chemical&names&of&the&components&of&that&essential&oil&or&extract.&

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&36&of&37& Reporting'thresholds' K For&nonKclassified&substances,&no¬ification&is&needed&when&present&<1%.& K For&classified&ingredients&that&are¬&intentionally&added,&the&reporting&threshold&is&0.1&%,&unless&the&substance& has&a&“specific&concentration&limit”&(SCL)&smaller&than&0.1&%&and&is&present&above&this&SCL.& K For&classified&ingredients&that&are&intentionally&added,&there&is&a&need&to&report,&irrespective&of&the&level.& Reporting'of'ingredient'ranges' K Ingredients& are& reported& using& ranges.& & The& definition& of& the& ranges& is& flexible& (i.e.& the& width& of& the& range& is& prescribed,&but&the&choice&of&the&lower&and&upper&level&is&flexible).& K By&default,&a&flexible&concentration&range&is&suggested&such&that&the&actual&level&is&in&the&middle&of&the&range&(with& rounding&to&0,&1&or&2&decimal&places&depending&on&the&values).&&However,&it&is&allowed&to&define&a&different&range& as&long&as&the&absolute&width&of&the&range&is¬&modified,&and&the&actual&level&is&within&the&range.& K To¬e:&whereas&the&A.I.S.E.&format&does¬&require&to&include&the&actual&level&in&the&composition&disclosure,& Companies&have&the&liberty&to&provide&this&information&to&the&PCCs&in&addition&to&ranges.& & NonKclassified&substances& Classified&substances& No&high&hazard& High&hazard& >&40&&K&≤&100&&& up&to&20%&points& >&40&&K&≤&100&&& up&to&20&%&points& >&25&&K&≤&100&&& up&to&5&%&points& >&10&&K&≤&40&&& up&to&10%&points& >&10&&K&≤&40&&& up&to&10&%&points& >&10&&K&≤&25&&& up&to&3&%&points& ≥&1&&K&≤&10&&& up&to&3%&points& >&1&&K&≤&10&&& up&to&3&%&points& >&2&&&&K&≤&10&&& up&to&1&%&point& & >&0.1&&K&≤&1&&& up&to&0.5&%&points& >&1&&&&K&≤&2&&& up&to&0.5&%&point& ≤&0.1&*& up&to&0.1&%&points& >&0.1&K&≤&1&&& up&to&0.3&%&point& & ≤&0.1&*&&& up&to&0.05&%&points& *&cf.&reporting&thresholds&for&classified&ingredients& Timing' The& harmonised& format& has& been& made& available& to& the& Companies& on& April& 15,& 2013,& to& be& implemented& (where& relevant)&for&product¬ifications&as&of&June&2013.&&National&PCCs&have&been&made&aware&via&the&national&detergent& associations&before&the&end&of&May.&&The&reporting&format&has&also&been&shared&with&the&EAPCCT&for&information.&& Feedback&from&the&national&PCCs&and&the&EAPCCT&will&be&sought&during&the&second&half&of&2013,&once&they&have&been& able&to&experience&this&new&composition&sharing&approach&in&practice.& &

A.I.S.E.&Product&Stewardship&Programme&for&Liquid&Laundry&Detergent&Capsules&–&Status&Report&November&2013& Page&37&of&37&