Although there has been remarkable progress in environmental conditions in the European region over the past few decades which has led to longer and healthier lives for millions of people, environmental hazards are still a significant cause of disease burden, Dr Brundtland warned.

She said outdoor air pollution accounts for 3-4% of the burden of premature mortality and disability in Eastern Europe and causes at least half a million deaths worldwide each year. Poor water, sanitation and hygiene practices add to this disease burden, causing an estimated 7-8% of all disease and injury in developing countries.

Indoor air pollution is emerging as a major contributor to ill-health, primarily from respiratory diseases. The majority of this hazard occurs in the developing world, but the potential exists for an increase in disease burden from both indoor and outdoor air pollution in Europe. "Strict public health vigilance is required," warned Dr Brundtland.

Dr Brundtland also said that consumers have a right to expect that products on the shelves do not contain substances dangerous to their health. In a number of areas, there are clear recommendations as to the level of exposure.

"Countries must take these recommendations seriously and guarantee that reliable and accurate control mechanisms are put in place," she insisted.

World Health Organization (WHO) and Food and Agricultural Organization (FAO) are establishing specific guidelines for dioxins in food, Dr Brundtland announced.