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The Amsterdam model for control of tattoo parlours and businesses
1National Institute for Public Health and the Environment, Amsterdam, The Netherlands.
Abstract:
In the early 1980s, an outbreak of hepatitis B in Amsterdam stood at the start of the development of the first hygiene guidelines for tattooists in The Netherlands. Ever since, infection control in tattoo practice has continued to prove its importance as tattoo-related outbreaks of infectious diseases have continued to be reported in Europe. Furthermore, the act of tattooing includes breaking the skin barrier but is performed by professionals who are not medically trained. The Ministry of Health has now implemented uniform regulations that apply to professionals who perform tattooing and apply permanent make-up. These regulations include hygiene guidelines that were developed by the National Institute for Public Health and the Environment in cooperation with representatives of the tattooing associations. The guidelines contain a list of requirements, including for the studio interior, the cleanness of the studio, the safe use of permitted equipment and products, sterilization methods, and the information provided to the customer. A permit may be granted after an inspection by the local health service, during which the act of tattooing has to be performed. It is now estimated that over 95% of all tattoos in The Netherlands were obtained at one of the almost 900 licensed studios. Reports of complications are generally low in number. We suggest that uniform European hygiene guidelines would further contribute to the safety of tattooing.
Insights
New hygiene guidelines for tattoo artists in The Netherlands have been implemented to enhance safety. These regulations aim to prevent infectious disease outbreaks, ensuring safer tattooing practices for the public.
Area of Science:
- Public Health
- Infectious Disease Control
- Regulatory Science
Background:
- Tattooing involves breaking the skin barrier, posing infection risks.
- Past outbreaks, like hepatitis B in the 1980s, highlighted the need for hygiene standards.
- Professionals performing tattoos are often not medically trained, increasing vulnerability.
Purpose of the Study:
- To detail the implementation of uniform hygiene regulations for tattooing and permanent make-up professionals in The Netherlands.
- To outline the key components of the new hygiene guidelines developed by the National Institute for Public Health and the Environment.
- To assess the impact of these regulations on tattoo studio licensing and complication rates.
Main Methods:
- Development of comprehensive hygiene guidelines in collaboration with public health institutes and tattooing associations.
- Implementation of a permitting system requiring inspection and demonstration of tattooing procedures.
- Monitoring of licensed studios and reported complications post-regulation.
Main Results:
- Over 95% of tattoos in The Netherlands are now performed in nearly 900 licensed studios.
- Complication reports following tattooing procedures are generally low.
- Uniform regulations cover studio environment, equipment, sterilization, and customer information.
Conclusions:
- The implemented hygiene guidelines have successfully increased the number of licensed tattoo studios and appear to be associated with low complication rates.
- Uniform regulations contribute significantly to the safety of tattooing and permanent make-up practices.
- Adoption of similar uniform European hygiene guidelines could further enhance tattooing safety across the continent.
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