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East Africa Dental Amalgam Phase-Down Phase I

2012 - 2013

Promoting the phase down of dental amalgam in developing countries The East Africa Dental Amalgam Phase-Down Project (EADAP) implemented in Kenya, Uganda, and Tanzania aims to demonstrate the phase-down approach of dental amalgam use. Providing valuable lessons learnt, the project's findings are useful for other countries aiming to phase down the use of dental amalgam. Under the coordination of UNEP Chemicals and the WHO Oral health Programme, the project brings together a variety of stakeholders.

This collaborative project engages the Ministries of Environment and Health in Kenya, Tanzania, and Uganda, iLima, the World Dental Federation (FDI), the International Association of Dental Manufacturers (IDM,) and National Dental Associations. Among others, it investigates supply and trade patterns, creates awareness of preventive dental care, encourages alternatives, and promotes environmentally sound waste management practices. Further information is available here

Steering committee

A Project Steering Committee comprised of UNEP, WHO, FDI, IDM, and iLIma was established in order to provide advice and guidance on the overall project execution. The Concept Note and Agenda of the 1st Steering Committee Meeting, which was held in Geneva on September 24th 2012, is available here

Survey of dental trade flows and waste management final report

The study obtained data and information on dental amalgam trade flows and current dentists' practices in handling and waste management of dental amalgam and its alternatives in Kenya, Tanzania and Uganda. The final report is available here

Training of Trainers

A Training of Trainers (ToT) took place in Kampala Uganda 6-7 March 2013. Organized by the World Dental Federation and hosted by the Government of Uganda, the ToT was conducted by UNEP, WHO, FDL, IDM, and Japan Ministry of Environment. The meeting report is available here

Flyers and Posters

Flyers and posters have been created to raise awareness on dental amalgam and its impact on the environment. They provide information for the Ministry of Health/Chief Dental Officers, National Dental Association, dentists and patients.

Flyer for Ministry of Health/ Chief Dental Officers 
Flyer for National Dental Association 
Flyer for Dentists
Flyer for Patients 
Poster for Ministry of Health/ Chief Dental Officers
Poster for National Dental Association
Poster for Patients

Final Country Reports for Project Implementation Activities

The final reports on the implementation of the project activities are available for:   

Inception Workshop

Hosted by the Government of Kenya, the project inception workshop was held on 18-19 December 2012 and attended by all stakeholders. The meeting provided participants with a better understanding and role clarification of the project objectives, methodology, outputs and outcomes. The various participants presented their respective contributions to the project and the national project coordinators presented their respective project workplans. 
Concept note and Agenda
Report of the inception workshop


Dental amalgam issues in Uganda
Dental amalgam issues in Tanzania
Best waste management practice in Kenya
Project Overview by UNEP
WHO policies on oral health and dental restorations
iLima's Initial findings of trade and waste management surveys
Clinic selection for amalgam separator installation by IDM
Training of dental personnel by FDI
Project management
Initial findings of case studies demonstrating phase-down
Training workshops

Project Results Workshop

The project results workshop took place on 5-6 November 2013 in Dar es salaam, Tanzania.
Concept note and draft agenda
Report of the results workshop


Phasing Down Dental Amalgam: Country Case Studies
Michael T. Bender - Zero Mercury Working Group

Significance of the EADAP project and Other Initiatives/Activities on the Phase-down of Dental Amalgam
Desiree Montecillo Narvaez, UNEP

Reducing Mercury in the Environment, Dental amalgam recycling

Marc M. Sussman, DNRA & DRI

BU10-30 Amalgam Separator Change-out Instructions

The role of IDM

Jean luc Eisele, International Association of Dental Manufacturers (IDM)

EADAP Project Phase II

EADAP Phase II draws on lessons learned and recommendations from the EADAP phase I. Read more