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The interpretation of the definitions between countries is too diverse and pre harmonization is needed to reliably study cross-national differences in prevalence rates of OA.
This workgroup expressed the view that international harmonization is needed for analytical methods for exposure assessment of biological agents such as bacterial endotoxin, fungal glucan, and other pathogen-associated molecular patterns.
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A European harmonization was needed since a long time and was decided in 2001 [ 6].
A global harmonization initiative is needed.
In fact, as knowledge of biological pathogenesis, homoeostasis, and dose-dependent transitions continue to be understood and integrated, it seems that a low-dose, non-linear, biological threshold, dose response approach might emerge as the choice for this default harmonization, if it is needed at all.
Such systems could be particularly helpful when assay harmonization [ 72, 73] is needed to ensure results are comparable across labs, investigators and studies.
Harmonization between different existing guidelines is needed, since there are different WHO, regional and national guidelines circulating (The Philippines).
Analytical techniques: International harmonization of methods for bioaerosol exposure assessment is needed.
An overview of existing studies and their data is needed to improve collaboration, harmonization, and future project planning.
However further harmonization of the training programs of schools in public health at EU level is needed.
What is needed is a cohesive global effort that can link together and align existing green-freight programs while supporting the development and harmonization of new programs.
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