EUROPEAN TISSUE SYMPOSIUM The European Tissue Paper Industry Association

1. EUROPEAN TISSUE SYMPOSIUM The European Tissue Paper Industry Association Introductory Presentation Roberto Berardi Celebrating: Contest to create a cartoon or illustration for use in Institutional Campaigns, in collaboration with the Fine Arts Academy of Bologna and the Hochschule für Angewandte Wissenschaften of Hamburg www.europeantissue.com

2. Content of this presentation • This is an introductory presentation to the ETS (European Tissue Symposium), its main activities and to the Worldwide Cartoon Contest being launched in these days. • In order to provide some background to the participants to the contest, this document illustrates: • the AFH (Away From Home) Tissue Products and how they help to achieve a superior level of Hygiene. • the results of the Hygiene studies supported by ETS and conducted by the Westminster University, byEurofins-Inlab, the conclusions of the scientific article on Mayo ClinicProceedingsand Consensus Statement of a Panel of six eminent Microbiologists. • the indications provided by the leading Worldwide Health Authorities (which are perfectly consistent with the outcome of our studies) • the ecological aspects of paper • The Global Handwashing Day and the ETSobjectives promoting a Cartoon and Illustrationcontest: “Hands, wash ‘em with soap, dry ‘em with paper” www.europeantissue.com

3. ETS (European Tissue Symposium)is the Association of the European Tissue producers *ETS Members * * In 2012 the EuropeanOperations of Georgia Pacifichave been acquired by SCA * * * * * * * www.europeantissue.com

4. ETS activities • The European Tissue Symposium (ETS) (www.europeantissue.com) represents 90 per cent of tissue production in Europe. • Its purpose is: • to monitor events and developments within the European Tissue industry, and ensure members are kept informed • to research and develop issues that have an impact on tissue • to liaise with NGOs and European institutions • to improve the science behind tissue usage, by producingbespoke advanced Studies using the most authoritative institutions, including Users preference studies, LCA/ Carbon Footprint studies, Hygiene studies, Food contact, etc. • to define and communicate Industry Position Papers on relevant issues • to promote tissue usage • to increasingly use Internet to communicate with all the relevant Stakeholders www.europeantissue.com

5. x Towards the end of 2009 the ETS Website has been changed, since 2010 we use AdWords. Thanks to a number of factors, we achieve today in 10 days the visits we had previously in a year. 2010 33004 16927 1410 2013 data We currently record about 10.000 visits per month to our website www.europeantissue.com

6. Why the number of visits has increased by a factor of 5 during 2011 in comparison to 2010 and even more in the following years? Three are the key reasons of the big visits increase since 2011: The creation of pages in German, French, Italian, Spanish, Polish and the relative AdWords. (before the website was just in English. Now a single Italian page «l’igienenellavare le mani» has achieved in 2013 19.500 visits and a French one «Comment se laver et se sécher les mains – Recommandations de l’Organisation mondiale de la Santé (OMS – WHO)» has been visited 30.600 times in 2013) Advertising on major Category Magazines,with the indication of our homepage The creation of Cartoon Contest pages and the relative AdWords investment(which has providedin 2012 47.200 visitsfor the 2012 edition) www.europeantissue.com

7. But let’s get acquainted with the Tissue Products and their main features www.europeantissue.com

8. Comparison Per Capita Tissue Consumption -- Life expectancy The correlation is quite strong, both are related to improved hygiene conditions JAPAN ITALY SWEDEN CANADA GERMANY FRANCE UK KOREA USA TAIWAN POLAND CHINA BRASIL RUSSIA INDIA Data: 2005 per capita Tissue cons: EU ConsultingLife Expectancy at birth 2005: Gapminder www.europeantissue.com

9. How Tissue products contribute to improved life quality and health (1) Professor Hans Rosling, of Global Health at Karolinska Medical University in Sweden (the institution responsible for deciding the Nobel Prize in medicine) is the creator of GAPMINDER, (http://www.gapminder.org/videos),a program which provides very useful data, presented in a exciting, dynamic way, about HEALTHaroundtheworld. In an interview released in 2009*, he has declared: “Hygieneis also a very important factor in health. For example if you look at the last cholera outbreak in Chile, it was traced back to and spread by dirty dish cloth. That is a fact.So perhaps paper kitchen towels would have been useful in avoiding this.” * Perini Journal , Issue #33 www.europeantissue.com

10. How Tissue products contribute to improved life quality and health (2) • The USE of TISSUE, both at Home and Away From Home, is an important element of improved life quality and hygieneconditions • Lower hygiene risks contribute to better health. • The uniqueproperties of Tissueproducts (superiorhygiene, absorbency, disposability, easydispensing) provide the Users with superior performance and safety. • The highperformance of the recent Tissue products also means that fewer are needed: reduced consumption saves resources and the environment. • Tissue is a forest based business which uses renewableresources,improves the well-being of the Society, which not only is an essential ingredient of modernlife-style, but contributes to improve people healthconditions everyday, everywhere. • Additionally Tissue products are preferred  by Users too: an independentsurveyconducted in France, Germany, Sweden and the UK, commissioned by the European Tissue Symposium, found that 63% of consumers consider paper towels their preferred system for hand drying Find more at: http://www.europeantissue.com/awayfromhome/ www.europeantissue.com

11. Summary of Intermetra User Preference study WHICH SYSTEM DO YOU LIKE THE MOST? • 2 consumers out of 3 prefer paper tissue towels (while the remaining 1/3 is split among air dryers and textile rolls) • their key motivation is hygiene, in addition to speed of drying and driest feeling. Intermetra study on Consumers’ attitudes to different Hand-drying systems was performed in 2008 and took place in a number of European countries. www.europeantissue.com

12. KEY AFH PRODUCTS AREAS: HYGIENE - DRYING Obviously different solutions are available for toilettissue: standard rolls, never ending jumbo rolls, folded toilet paper, each of them particularly suitable for specific locations. • In the washroomstissue products offer the best hygiene standards in a variety of environments, from luxury hotels to production facilities.   • Towels, toilettissue, facialtissue, tissuedispensers are designed to minimize consumption / waste and optimize cost in use,while offering the right image and style to each location: • highcapacity rolls, useful to reduce refills, labor and waste, typically recommended for high traffic washrooms,   • interfolded and folded towels, particularly suitable for commercial and upscale washrooms. • To match the different types of towels a wide range of dispensers are offered: from "design", slim folded towels dispensers, to roll towels "no touch" ones. What tissue products have absolutely in common is their superior hygienelevel: the study done by the University of Westminster confirms that drying hands with paper tissue hand towels reduces substantially the bacteria count on hands, while the use of electric air dryers actually increases the bacteria count.  Tissue towels insure not only dry hands in few seconds, but also a much safer hygiene level.  www.europeantissue.com

13. The products tested * by the Westminster University PT – Paper Towels WAD – Warm Air Dryers JAD – Jet Air Dryers * Study report with details, including models tested, available on the ETS website www.europeantissue.com

14. How long does it take to dry your hands? 10 seconds for Paper Towels and JAD , much more for Warm Air Dryers Jet Air Dryer (JAD) Immagine prodotti testati da WU www.europeantissue.com

15. Drying hands with Paper Towels significantly reduces the number of Bacteria on your hands, while the use of anyElectric Air Dryer increases the number of Bacteria! Paper Towels A & B Warm <- Air Dryers -> Jet www.europeantissue.com

16. Due to their very high air speed, the Jet Air Dryers present a significant dispersion and potential contamination of other users problem, which has been evaluated in the Westminster University study (page 1) www.europeantissue.com

17. Due to their very high air speed, the Jet Air Dryers present a significant dispersion and potential contamination of other users problem, which has been evaluated in the Westminster University study (page 2) 0 0,25 0,50 0,75 1,00 1,25 1,50 1,75 2,00 meters www.europeantissue.com

18. The 2012 Eurofins-Inlab study. www.europeantissue.com

19. Short Description Institut for Microbiology of food, analyses, hygiene of companies and environmental hygiene Inlab was founded in 1992 as a microbiology laboratory of food. Inlab is member of the Eurofins Group since December 1st, 2007. • Microbiological testing, expert advice & sample drawing in the following areas: • Food (final-, intermediate products and raw materials), feeding stuff, articles of daily use including passing of rapid analyses • Drinks and dispensing equipment • Sanitary products, cosmetics and commercially available drugs • Drinking- and mineral water, bath water • Medical water like flushing water • Hygiene of companies • Compost • Training courses, inspections, hygiene advice Accreditation:Accredited according to DIN/EN ISO/IEC 17025 (DAR and DAkkS for second governmental samples), § 43 IfSG (permission for working with pathogens - according to NRW-governmental permission) drinking water laboratory and admitted laboratory of the “compost qualitycontrol association” for analysis of salmonella." DIN EN ISO/IEC 17025:2005; Authorised experts for double and cross checks accordingto § 43 LFGB (German Food and Feed Code) cosmetics excluded - authorised for drinking water analysis by German authorities For further informations about Eurofins and Inlab look up: www.eurofins.dewww.eurofins.comwww.inlab-dortmund.de www.europeantissue.com

20. Basics on the need of Hands Drying Extracts from comments by Prof. Mark Wilcox about the study • Hand washing helps to preventthecross-contaminationof microbes from one person or surface to another. • It prevents infection and can sometimes even save lives, by reducing the numbers of pathogens on hands. • A fundamental aspect to hand washing is thedryingofhands. • Hands can be dried with …: • the use of single use paperhandtowels, • reusable cotton/textile towels, • traditional warmairdriers • high velocity jetairdriers. • The first two methods absorbwateron the hands; the other types dispersewaterinto the air, via a variety of mechanisms. • Micro-organisms, especially Staphylococci, Coliforms and Yeasts may contaminatehandsduringtoileting. • Hands may alreadybecontaminatedwith bacteria, viruses or yeasts before washing and could be transferred during the drying process or afterwards. www.europeantissue.com

21. Eurofins – Inlab Study description • The Eurofins-Inlab study measured the microbial contamination of three types of drier devices in the washrooms. Commissioned by ETS, it was carried out in various settings in the Ruhrregion, WestGermany(Feb-May 2012). • 150 washrooms were selected by Eurofins –Inlab (ETS doesn’t know their location) and contained jetairdriers, warmairdriers, or handtoweldispensers (50 of each). They were balanced to represent high versus low use settings. • Specialised sponges were used to swab the surfaces of hand drying devices. • The sampled surfaces were those most likely touched during hand drying, i.e. the inside surface of jet air driers, the inside or outsidesurfaces of the outlettube of warmairdriers, and the outlet (bottom) of papertoweldispensers.Also a surfacearea (100 cm2) of the floors below was sampled. • The sponges were processed to determine the total number of microorganismsand numbers of potentialpathogens (e.g. Staphylococci including Staphylococcus aureus, and coliforms including Escherichia coli). • As the sampled drier device surfaces differed in size, measured microbial counts were reanalysedaccording to counts per unit surface area. www.europeantissue.com

22. The total microbe (aerobic bacteria) counts were significantlyhigher both on the surfaces of Jet Air Driers (approximately 1000 times higher) and on the floors beneath these devices (approximately 20times higher), in comparison with PaperHand Towel Dispensers. Eurofins – Inlab Study: key findings (1a) There were also a similar significant difference in total Staphylococcalcounts on and beneath these two hand drier device types. Jet Air DryersPaperHandTowelsDispenser www.europeantissue.com

23. Eurofins – Inlab Study: key findings (2) • Approximately 1 in 8 of the floors below Jet Air Driers had staphylococcal counts > 10 million (per 100 cm2); none of the counts on the floorsbelow Paper Hand Towels Dispensers exceeded this level. 4% of floors beneath Warm Air Dryers had counts above this level. • There was consistency of results: higher drier surface microbe counts were usually accompanied by higher counts on the floors beneath the devices. • The surfaces that were tested were those most likely to be touched. As a result, the actual surfaces that were examined differed in terms of size (surface area); the jet air driers had the largest potential touch areas. • In a recent observational study (commissioned by  the Kimberly-Clark Corporation), one or both hands of all subjects (n=120) touched the blades of a Dyson Jet Air Drier during hand drying; the avg. number of observeddevicetouches by hands per drying was 13. • The microbecounts were adjusted to take account of the differencesinsurfaceareas that were sampled. Having made this adjustment, the microbe counts were still significantly higher (i.e. over 300 times higher per unit area sampled) on the inner surfaces of Jet Air Drier in comparison with those found on bottom surface of Hand Towel Dispensers. www.europeantissue.com

24. Why microbes dispersal must be avoided • But how may micro-organisms contaminate the hand driers? • direct transfer by handstouching a device (direct touch transfer), • transfer by the airduringhanddrying (direct air transfer), • transfer by the airafterhanddrying (indirect air transfer). • Procedures should minimise the risk of microbes dispersal. • Avoidance of touchingcontaminatedsurfaces and prevention of airbornespread of microbes are key ways of minimisingthetransmissionofinfection. • In cases of increased dispersal of microbes during hand drying, hands are more likely to be re-contaminated during the drying process, and this could lead to increasedspread of potentialpathogens. • In some cases this could affect the person who acquires the microbes duringhanddrying, or a subsequentperson using the same washroom. • Microbes could be acquired either by touching a contaminated surface (e.g. the hand drier device), from microbe-containing droplets/particles present in the airthatlandonaperson,or by breathing in tiny microbe-containing particles or droplets. www.europeantissue.com

25. Current ETS Communication

26. Article on Mayo Clinic Proceedings: “The Hygienic Efficacy of Different Hand-Drying Methods: A Review of the Evidence” • What is “Mayo Clinic Proceedings”? • Mayo Clinic Proceedingsis one of the premier peer-reviewed clinical journals in general medicine, among the most widely read and highly cited scientific publication for physicians, with a circulation of 124,000.  • Continuously published since 1926, the Proceedings content includes Nobel-prize-winning research. • The study and the article : • A literature search in April 2011, using the electronic databases PubMed, Scopus, and Web of Science. The search was limited to articles from January 1970 through March 2011. Twelve studies were included in the review. • Among other studies, the authors also reference the University of Westminster 2008 study for ETS (and the university of Bradford Study).  • The review was published in the Mayo Clinic Proceedings in August 2012 and reported in December 2012 on the Washington Post, with the title: The paper towel-hand dryer wars are over www.europeantissue.com

27. Mayo Clinic Proceedings ARTICLE CONCLUSION Handhygiene has the potential to prevent diseases and reduce healthcare–associatedinfections. The properdrying of hands after washing should be an essentialcomponent of effective handhygiene procedures. Most studies have found that papertowelscandryhandsefficiently, removebacteriaeffectively, and causelesscontamination of the washroomenvironment. From a hygiene standpoint, paper towels are superior to air dryers; therefore, paper towels should be recommended for use in locations in which hygiene is paramount, such as hospitals and clinics. The provision of paper towels should also be considered as a means of improvinghandhygieneadherence among healthcareworkers. Our findings may have implications for health professionals and medical educators aiming to designeffectiveprograms to promotehandhygienepractices. To have access to the original article , you can click:http://download.journals.elsevierhealth.com/pdfs/journals/0025-6196/PIIS002561961200393X.pdf www.europeantissue.com

28. Also the most Authoritative Health Insitutionsin the World doraccommend the use of Paper Hands Towels • In the ETS Website we publish the instructions for hands washing and drying provided by the leading Health related Institutions around the world. Among them: • World Health Organization (WHO) • CDC (Centers for Disease Control and Prevention) • UK Health Protection Agency  (HPA) / UK National Health Service(NHS) Additionally, in the page “hygiene in the world”, we also publish the link to a number of national institutions /health authorities websites, dealing with hygiene, from The Koch Institute, to the French Ministry of Education, to the UK Department of health, etc. etc. www.europeantissue.com

29. The World Health Organization (WHO) strongly recommends the use of Paper Towels in their Hand Washing Poster A key point in these recommendations is: "DRY HANDS THOROUGHLY WITH A SINGLE USE TOWEL;  use towel to turn off faucet." www.europeantissue.com

30. The CDC (Centers for Disease Control and Prevention), a USA. Gov. initiative, strongly recommends the use of Paper Towels The CDC (Centers for Disease Control and Prevention), a  USA. Gov.  initiative, publishes  in the page "Health Hygiene in Healthcare Settings" a complete set of instructions to obtain the best Hands Hygiene. The WHO Poster "How to Handwash"  is quoted. Single use Towels are recommended. An interesting video is also presented, illustrating the importance of careful Hands washing and Drying, to reduce transmission of pathogenic microorganisms. At the ETS Website page: http://www.europeantissue.com/hygiene/how-to-wash-your-hands-cdc-usa-hand-hygiene-basics/ the complete CDC’s hands washing instructions VIDEO is published www.europeantissue.com

31. The HPA (UK health Protection Agency) and the NHS (National Heath Service) indicate for the best hygiene the use of Paper Towels • The UK Health Protection Agency  (HPA)www.hpa.org.uk/provides advice on Hand Washing for the general public. • The equipment needed for effective hand washing includes:"DISPOSABLE PAPER TOWEL" • The complete HPA document can be found at the ETS Website. • NHS  provides a complete "MRSA Guidance for nursing staff", also available at the ETS website,. Among the fundamental indications, see in page 7: • "DRY WELL USING DISPOSABLE PAPER TOWELS". These instructions are provided by HPA the UK Health Protection Agency. www.europeantissue.com

32. HAND DRYING – AN IMPORTANT PART OF HAND HYGIENE – Consensus reached by a Panel of six Eminent European Scientists Leading European microbiologists and hospital hygienists have produced a Consensus Statementstating that hand drying using towels is associated with lowernumbers of microbes on the hands and in the washroomenvironment than using warm air dryers or high velocity air dryers. Consensus Statement Hand drying: an important part of hand hygieneConclusions reached by a panel of European scientists • The importance of hand washing to prevent spread of infection is widely accepted by scientists. However, hand drying has received much less attention. • Some microbes remain on the hands after washing, and these are more easily spread around if hands are not dried adequately. • Proper hand drying completes the hand washing process by reducing the risk of transmission of microbes. • Generally available hand drying methods in public washrooms are based on either water absorption (single use paper and textile towels) or water dispersal by several ways (warm air dryers, high velocity air dryers). • There is evidence that hand drying using towels is associated with lower numbers of microbes both on the hands and in the washroom environment than using warm air dryers or high velocity air dryers. • Warm air dryers are less efficient than other methods at drying the hands. Damp hands are more likely to transfer microbes. • High velocity air dryers are particularly likely to spread microbes because they blow water that contains microbes off the hands. These microbes could contaminate the user, other persons and the washroom environment. • These points have implications for the prevention of spread of microbes and potential infection, especially in settings where hygiene is very important. Therefore, the choice of hand drying methods should take into account the risk of contaminating the hands, other individuals or the environment. These findings have implications for the preventionof spread of microbes and infections and could result in reducedillness and time off sick and so ultimately provide economic benefit too,” said MarcVanRanst, professor in virology and chairman of the Department of Microbiology and Immunology at the University of Leuven in Belgium Expert meeting, Leuven, Belgium, March 20, 2013, Attendees: Professor Silvio Brusaferro (Italy), Dr Ralf Kaemmerer (Germany), Professor Bertil Kaijser (Sweden), Keith Redway (UK), Professor Marc Van Ranst (Belgium), Professor Mark Wilcox (UK); sponsored by the ETS.

34. … and what about Paper sustainibility? Well, we have seen the benefits of Paper Products and we have seen that they are supported by the most reputable Health Authorities in the world … • but … are Tissue Paper Products really sustainable? • There are around a number of prejudices about paper … isn’t it true that you must cut trees in order to produce Paper products? • You may start by having a look to this short Danish animation about wood properties and merits. • Click on the frame to see the video or go to: • http://www.youtube.com/user/ETSChoices www.europeantissue.com

35. Let’s examine some of the myths about Paper:1) The paper industry destroys forests The myth The reality The paper industry destroys forests The paper industry contributes to keepupforests. The paper industry practices sustainable forest management. The paper industry is not responsiblefor the depletion of tropical forests. • Comments: • Around 11% of the timber felled throughout the world is used to make paper (FAO 2007) • The Food and Agriculture Organization (FAO) reckons that there is an annual forestgrowth of 0,5 per cent in the Northern Hemisphere, equivalent in Europe alone to the area of 1.4 million football pitches. • Deforestation is generally occurring in the southern hemisphere and is mainly due to conversion of forests into agricultural land and for fuel wood collection* *(FAO Global Forest Resource Assessment 2010) www.europeantissue.com

36. Let’s examine some of the myths about Paper:2) The utilization of Paper products should be minimized The myth The reality Paper supports sustainable consumption. Paper is made from renewable raw materials. Recyclingsparesresources. The utilization of Paper products should be minimized • Comments: • We need paper for our daily hygiene. Unlike other materials, paper is made from a renewable material:wood. Sustainable forest management will ensure that forests grow and enough material is available. • The paper industry’s motto is doing more with less: making paper with fewer materials, less energy increasingly renewable, in more efficient machines, towards zero waste, and providing needed products. • As much as 72% of paper in use is collected for recycling. More concretely, nine out of ten corrugated boxes are made from recycled fibre; and nine out of ten newspapers are made with recovered paper. www.europeantissue.com

37. Let’s examine some of the myths about Paper:3) Paper production is bad for the environment The myth The reality Paper is one of the few sustainableproducts. The paper industry has reduced its environmentalimpact greatly over the last 10 years. Paper products storeCO2. Paper production is bad for the environment • Comments: • Paper boasts exceptional environmental credentials: it’s natural, biodegradable, recyclable, comes from an infinitely renewable resource and is produced in a sustainable manner. • Through nature’s own process – the photosynthesis – treescapture and storebillions of tonnes of carbon, day after day. The carbon sequestered in forests is subsequently stored in productsmade of wood, such as paper, and the carbon storage is further prolonged by recycling paper. • While paper production has increased steadily in the last 10 years, environmentalimpactshave decreased. LIGHT SUGARS →WOOD www.europeantissue.com

38. Let’s examine some of the myths about Paper:4) All paper should be recycled The myth The reality Europe is the worldleader in paper recycling. To keep the recycling process going, freshfibersare needed. All paper should be recycled • Comments: • Paper is the mostrecycled material in Europe and more than half of the paper produced comes from recycling. In Europe, 72% of paper is collected for recycling. Recycling rate has increased 30% in the last 20 years • Year after year paper recycling rates continue to rise and when fibres can no longer be used they can be converted into renewable or greenenergy. It is estimated that it can be reused four to eight times on average. • Some paper grades, due to their end use, need to offer characteristics that can best be provided byvirginfibre. www.europeantissue.com

39. Let’s examine some of the myths about Paper:5) Paper production uses too much energy The myth The reality The paper industry has considerably reduced its energy requirement. 54% of the energy used by the European paper industry is bio-energy. Paper production uses too much energy • Comments: • Energy is required for all industrial production. Of course also the paper industry requires energy to operate its machines and to dry the paper web. • About half of the energy used in the European paper industry already comes today from renewable energy sources and the Industry is committed to bring it to 56% soon. • Around 500 kWh of energy are required to make 200kg of paper, which is about the annual per capita consumption in Europe. Tissue is about 15Kg. Energy used for Tissueinayear is equivalent to the energy consumed by a typical household leaving its electronic equipment on stand-byin a month! www.europeantissue.com

40. Let’s examine some of the myths about Paper:6) Paper production is bad for the climate The myth The reality The EuropeanCouncil has recognized wood products as climatefriendly. The paper industry has reduced its carbondioxide emissions. Sustainableforestmanagement helps reduce worldwide carbon dioxide emissions Paper production is bad for the climate • Comments: • The main source of raw material for paper - trees – is a vast carbonstore and the prime absorber of CO2 from the atmosphere. Youngtrees are much more efficient at absorbing carbon than old forests. • Maturetrees absorb carbon slower the older they get. To maximize the carbon storage we need younghealthyforests where trees are regularly harvested and re-grown. • Paper also continues to store carbon throughout its lifetime. Still, around 160 kg of CO2 are emitted during the production of 200kg of paper, equivalent to the amount emitted by a typical car over 1,000 km. 15 Kg of Tissue yearly are equivalent to 75 Km. 1 Year of Tissue(≈ 15 KG)75 Km by car www.europeantissue.com

41. The role of Cartoons in ETS Hygiene communication Up to now the ETS supported Hygiene studies have been presentedin Press Conferences in the WestminsterUniversity, Hygiene and Cleaningfairs (ISSA, Tissue World), Advertising and PR on CategoryMagazines. Though they are known by theSpecialists(like WHO), the results of these studies are essentially ignored by the PublicOpinion. And yet the high cost of Mass Media is prohibitive for an Association like ETS Younggenerationsin particular ignore almost completely the benefits of paper Towels, which deliver a superior hygiene for hands drying Theobjectiveof Cartoons and Illustrations is to synthetically portray the superiorhygienicperformancesof Paper Products in comparison to Warm Air Dryers (WAD) and Jet Air Dryers ( JAD) The modern and young messages of last years winners are permanently presented in the ETSWebsite and have been published in a number of European Cleaning or Tissue related Magazines (see for example: http://www.perinijournal.com/Items/en-US/Articoli/Tidbits/TidBits-078-Wash-and-Dry-Paper-means-Hygieneand alsohttp://www.perinijournal.com/Items/en-US/Articoli/PJL-42/Paper-bacteria-and ) www.europeantissue.com

42. The results of the 2011 - 2012 - 2013Cartoon contests. 2011 2012 2013 http://http://www.europeantissue.com/position-papers/cartoon-contest-2013/

43. A nice summary of the first edition of the Contest. • - - - - - - - - - - - - - - - • What is new in the 2014 Edition • This is a summary of the Cartoonsand Illustrations which took part to the first Cartoon Contest, summarized by Letizia Rostagnoin a Video. Click on the frame to see the video or go to:http://www.youtube.com/user/ETSChoices • For the 2014 Edition of the Cartoon contest there are two important novelties: • The partnership with the Fine Arts Academy of Bologna is extended this year also to the Hochschule für Angewandte Wissenschaften of Hamburg • We will join our efforts with the Public-Private Partnership for Handwashing with Soap, celebrating on October 15 the Global Handwashing Day. • This is why the theme of this year Cartoon Contest is: • “Hands, wash ‘em with soap, dry ‘em with paper”

44. Pencils of Promise - Laos Global Handwashing Day - October 15 • A day to celebrate a simple behavior that can save lives – handwashing with soap • Reaches over 1 billion • Over 100 countries • Over 1,000,000 schools • Growing each year

45. Why Celebrate Handwashing? • 6.9 million children under 5 die each year. Two of the top three causes are pneumonia and diarrhea.1 • Handwashing with soap can cut pneumonia by up to 45% and diarrhea rates by up to 50%.2 • Handwashing is an accessible, cost-effective method for preventing diarrheal3 and other diseases. • A recent study also shows that intensive handwashing promotion is positively associated with child growth and development4. • Levels & Trends in Child Mortality – Report 2012. UN Inter-agency Group for Child Mortality Estimation; 2012. • Fewtrell et al. The Lancet Infectious Diseases; 2005 • Jamison et al. Disease Control Priorities in Developing Countries; 2006 • Ana Bowen et al. Archive of Pediatric and Adolescent Medicine; 2012

46. Key elements of the 2014 Contest(for details see the Contest Announcement) • The 2014 Contest includes 3 sections: • Cartoon or Illustration Bologna • Cartoon or Illustration Hamburg • Works produced by students of: • the Bologna Fine Arts Accademy • Hochschule für Angewandte Wissenschaften of Hamburg «Open International Contest» 3) Cartoon or Illustration International Works produced by Artists and Students worldwide The number of works per author is limited to 1 (one). • The awards will be: • An aid grant of € 1.000 for the Category Cartoon and Illustration (Bologna students only) • A aid grant of € 1.000 for the Category Cartoon and Illustration (Hamburg students only) • A prize of € 1.000 for the Category Cartoon and Illustration (International Contest) • Additionally ETS offers an aid grant / prize worth € 1.000, to be split among the works which, based on ETS judgment, will be particularly relevant from the marketing and communication point of view. The deadline for the works submission isJune 6th, 2014. A committee appointed by the Organizers of the competition will make the selection of works. The Committee will be composed of members of the ETS working in the field of Marketing and qualified artists working in comics and illustration

47. More information about the studies and activities of the European Tissue Symposium, is available on the Association Web site: http://www.europeantissue.com/ www.europeantissue.com