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HEALTH

PFAS pollution: What do people living in Denmark need to know?

The issue of pollution with chemicals known as PFAS has returned to the fore in Denmark after an expert said they did not agree with parts of government advice. What should people living across the country know about the problem?

PFAS pollution: What do people living in Denmark need to know?
Thousands of locations in Denmark are being tested for high levels of the PFAS group of chemicals. If water supplies are affected, local authorities must inform residents. Photo by Bluewater Sweden on Unsplash

What are PFAS? 

PFAS (per- and polyfluoroalkyl substances) are a large group of synthetic chemicals used in various products since the early 1950s. Their past uses include foam in fire extinguishers, food packaging and in textiles, carpets and paints. Also known as ‘forever chemicals’, they persist in water and soil and can cause harm to human health. 

Due to their chemical properties, they take a long time to break down and can be found in very low concentrations in blood samples from populations all over the world.

They are, however, unwanted in the environment because they have been found to have concerning links to health complications. Their use in materials which come into contact with foods, like paper and card, has been banned in Denmark since 2020.

PFAS have been linked to a series of health complications and, if ingested in high enough amounts, are suspected of causing liver damage, kidney damage, elevated cholesterol levels, reduced fertility, hormonal disturbances, weaker immune systems, negatively affecting foetal development and being carcinogenic.

Last year, high concentrations of PFOS, a subgroup of PFAS, were detected in waste water from a treatment plant at Korsør on Zealand, and later at a field where cattle had grazed.

That led to high levels of the substance being detected in 118 people who lived in the area.

The issue led to several locations across Denmark, mostly in the vicinity of fire service training locations, undergoing investigations for presence of the chemical.

In May, a report by the Danish Regions, the country’s regional health authorities, found that up to 14,607 places in Denmark are suspected of being contaminated by PFAS.

Who is dealing with the problem? 

On its website, the Danish Health Authority states that the responsibility for managing PFAS pollution is shared between several authorities including Regions, Municipalities, the Environmental Agency, the Veterinary and Food Administration, the Patient Safety Authority and the Danish Health Authority.

The tasks of these authorities include localising places with suspected PFAS pollution, finding the source of the contamination and bringing in relevant advice from other authorities; monitoring the levels of PFAS in water and food; giving appropriate health advice to local governments in areas where PFAS is found in local environments; and investigating possible health effects of PFAS exposure and offering the appropriate advice, investigations and treatment to members of the public.

You say there’s suspected PFAS pollution at 14,607 locations. What does this mean?

The Danish Regions in May said they had identified almost 15,000 locations across Denmark where there “could be” PFAS pollution.

The figure comes from “localities in the regions’ databases which have had an activity which can result in pollution with PFAS”. These include fire service exercises and locations used by industries such as waste disposal, iron and metal or wood and furniture.

The localities are “in an area where it can affect housing or important groundwater” the Regions said in a statement published on their website.

Each of the locations would have to be analysed and potentially cleansed, should PFAS contamination be confirmed, the Regions said, calling for a 100 million kroner state investment to pay for this.

Around 8 percent of the 15,000 locations had already been analysed as of May, with PFAS confirmed at around 900 places.

How does this affect drinking water?

“All waterworks in Denmark must be tested for PFAS, both in boreholes and in in the water that is sent out to people’s taps – this has been the case since 2015,” Susan Münster, director of Danske Vandværker, the industry organisation for Denmark’s water suppliers, told The Local in a written comment.

“From January 2022, the threshold values for four PFAS substances were changed [reduced, ed.] to two nanograms per litre,” she said.

Testing programmes are set out by local municipalities in accordance with national directives, and independent analysis companies carry out the tests, she explained.

“Both the water supplier and the municipality will be informed if thresholds are exceeded in connection with the testing,” Münster said.

The Environmental Agency stated in a September 2021 memorandum that municipal authorities, along with the Danish Patient Safety Authority, should assess potential health risks in water, if contamination is suspected. The safety authority should then advise municipalities, who should then inform residents of the situation and what actions they should take.

In other words, if your tap water is considered to be contaminated following testing, your local municipality is required to inform you.

Do I need to do anything? Should I stop drinking my tap water?

“Unless you specifically receive information from either the water supplier or the municipality telling you not to drink the local water, you can comfortably continue to drink water from the tap in Denmark,” Münster told The Local.

“But if you are pregnant or breastfeeding and, for example, live on an island, it may be a good idea to follow the advice of Professor Phillippe Grandjean,” she added, referring to senior researcher and professor of environmental medicine at the University of Southern Denmark, Philippe Grandjean.

Earlier this week, the Danish Health Authority said it had recalled an expert advice group for further consultation, following criticism of guidelines issued for pregnancy and breastfeeding following exposure to PFAS.

The guidelines are part of a broader set of advisories on PFAS exposure issued by the Danish Health Authority earlier this year.

The Health Authority faced criticism from experts for failing to go far enough with existing recommendations, which state there is not considered to be any cause to delay pregnancy or breastfeeding following exposure to PFAS.

That recommendation is incorrect, according to 14 experts which formed part of the group that advised the Health Authority on its recommendations.

“It seems completely wrong when our conclusion states that women exposed to PFAS can safely get pregnant and breastfeed. Because it’s not our view that there is scientific documentation for this,” Grandjean told TV2.

A number of political parties have called for blood tests to be offered to women considering pregnancy and breastfeeding if they live in areas where PFAS is detected above threshold levels.

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HEALTH

‘Some towns had zero births’: Greenlanders sue Denmark over forced contraception

Henriette Berthelsen was separated from her family at 11 and forced to wear a contraceptive coil, a trauma she buried until she and 142 other Greenlandic women sued the Danish state.

'Some towns had zero births': Greenlanders sue Denmark over forced contraception

Henriette Berthelsen was separated from her family at 11 and forced to wear a contraceptive coil, a trauma she buried until she and 142 other Greenlandic women sued the Danish state.

“I’ve suppressed so much,” Berthelsen said. “I had an IUD (intrauterine device) fitted nine times since the age of 13, according to my medical records,” the psychologist and activist explained with poise and dignity.

“Luckily — if one can say luckily — they fell out,” she said, her voice cracking, at her home in a Copenhagen suburb. “I remember being in so much pain.” 

Now 66, Berthelsen is one of the 143 Greenland Inuits who have sued the Danish state for violating their rights during its forced contraception campaign from the 1960s to 1980.

Some 4,500 fertile women were forced to undergo the procedure, often without their or their family’s consent.

Denmark carried out the campaign to limit the birth rate in the Arctic territory, which had not been its colony since 1953 but was still under its control.

Berthelsen’s parents never consented to her coils.

At the recommendation of the state, she was sent to Denmark for a year as a young girl to learn Danish and then to a Danish boarding school in Nuuk, Greenland’s capital, far from her hometown of Qeqertarsuatsiaat in southwestern Greenland.

One day, “there was a sign that said that all the girls from the boarding school had to go to the infirmary”, she said.

The IUDs kept falling out, she recalled, holding a photograph of herself from the time — a young girl with long dark plaits.

‘Never contradict a Dane’

For a long time she didn’t tell anyone about her ordeal, remembering what her mother had taught her: ‘Never contradict a Dane’.

For many of her classmates, the experience had a devastating impact.

“In my class there were several girls who were never able to have children,” she said.

Berthelsen herself went on to have two kids.

She is now campaigning to get the Danish state to pay for therapy for the victims living in Denmark.

Greenland already pays such benefits to those living in the territory.

Ebbe Volquardsen, a lecturer at the University of Nuuk, said the women were seeking justice now because the time was ripe.

“It simply takes time for marginalised groups, including Greenlanders within the Danish realm, to develop an awareness of systemic inequality and the ability to articulate it as a problem,” she explained.

One of the victims spoke out in the media several years ago about the trauma she experienced.

A podcast series by Danish public broadcaster DR in 2022 then revealed the extent of the campaign.

“It’s important that the Danish state takes responsibility,” said Berthelsen.

“Some things happened as a result of colonialism” — like “deciding, instead of the people (concerned), whether they are too many or too few, committing a genocide, committing violence and offences against young girls”, she fumed.

Historian Soren Rud told AFP: “In the context of the 2020s, the authoritarian elements of the campaign stood out as a shocking example of how the colonial and post-colonial situation affected the interaction between Greenlanders and Danes.”

‘Big success’

The lawyer for the plaintiffs, Mads Pramming, said one of the documents presented as evidence in the case is a copy of a 1971 review by a doctor extolling the “success” of the policy.

“There were 9,000 fertile women and, in just four years, they inserted an IUD in half of them. So 4,500. And the population dived enormously,” he said.

“Some towns had zero births during that period. After four years they concluded (it was a) big success.”

The large majority of the plaintiffs — the oldest of whom is now 82 — were left with lasting scars.

“Of the 143, about 50 of them had their uterus removed and were not able to have kids, and all of them suffered” physically and mentally, he said.

“Their own testimony is going to be the hardest evidence in the case.”

A fire destroyed many of the women’s medical files but that’s unlikely to change much.

“I don’t think the doctor would put in the medical file that he inserted this IUD in a 12-year-old girl with her crying and being held by two other adults,” Pramming said.

In October 2023, 67 of the plaintiffs filed claims for compensation from the Danish state of 300,000 kroner ($42,000) each.

“All of the requests for compensation will be evaluated by (us),” the health ministry told AFP in an email.

The case comes as Denmark and Greenland are re-examining their past relationship in a historic parliamentary committee.

In addition, researchers have opened a probe specifically into the forced contraception campaign.

Its conclusions are due in mid-2025.

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