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                    <gmx:Anchor xlink:type="simple" xlink:href="http://data.europa.eu/eli/reg/2010/1089">Commission Regulation (EU) No 1089/2010 of 23 November 2010 implementing Directive 2007/2/EC of the European Parliament and of the Council as regards interoperability of spatial data sets and services</gmx:Anchor>
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described the status and trends of contaminant concentrations and biological 
effects measurements in biota and sediment at monitoring stations in waters 
around the UK. Liver neoplasm assessment was conducted on simplified data 
previously submitted to the MERMAN database between 2004 – 2015. All data were 
quality assured in accordance to the Biological Effects Quality Assurance in 
Monitoring Programmes (BEQUALM) Fish Disease Measurement scheme. 

The E&amp;W CSEMP programme was redesigned in 2011 to adopt a biennial sampling 
cycle to include the Greater North Sea one year, followed by the Celtic Seas 
the next. This redesign resulted in an inability to conduct a continuous 
year-on-year temporal trend assessment. A preliminary analysis was conducted 
to ensure the most appropriate use of the data collected. Specifically, this 
was to avoid any bias caused by potentially disproportionate numbers of fish 
within a given age class. 

Data were subsequently split into two periods to include a baseline (2004-10) 
and assessment (2011-15) period. Furthermore, the Scotland data were collected 
from 2010-15, therefore the Scotland data for 2010 was removed from the 
analysis because it fell outside of the assessment period assigned to the E&amp;W 
data (2011-15). This was done because the analysis of data periods, comprised 
of different durations, are not directly comparable i.e. comparing 5 years of 
E&amp;W data (2011-15) to 6 years of Scotland data (2010-15). The treatment of the 
data in this manner allowed for efficient use of UK data for the purposes of 
conducting a UK-wide assessment. The results of the preliminary data analysis, 
used to develop the assessment tool, are located within the Results (extended) 
section of the indicator assessment. Following the preliminary data analysis, 
a generalised linear model (GLM) was used to normalise for the effects of sex 
and age, and determine any temporal trend increase or decrease in the 
prevalence of neoplasms between the baseline and assessment periods. 

Two levels of assessment were conducted using E&amp;W data: (1) MSFD sub-Regions 
and (2) UK biohydrographic marine regions (UKMMAS, 2010). The prevalence range 
of liver neoplasms in E&amp;W waters is reportedly the highest observed within the 
OSPAR region of the North East Atlantic (Stentiford et al., 2009; Stentiford 
et al., 2010; Lang et al., 2015). Thus, the indicator response was classified 
into three categories of background, elevated and significant, by separating 
the total observable range of liver neoplasm prevalence, corresponding to MSFD 
sub-Region or UK marine region, into thirds.

Scotland data were treated independently of E&amp;W data resulting from (a) 
limitations in the number of fish and (b) lack of data from baseline period 
(2004-2010). As a result, the E&amp;W and Scotland data were not directly 
comparable. Consequently, it was not possible to incorporate Scotland data 
into the GLM, alongside E&amp;W data, for an assessment at the MSFD sub-regional 
level, or for the development of assessment criteria thresholds. However, an 
indicative assessment of Scotland data at the UK biohydrographic regional 
level was conducted against proposed assessment criteria derived from E&amp;W 
marine regional data, although this data could not be normalised for age or 
sex. 

One level of assessment was conducted using Scotland data: UK biohydrographic 
marine regions (UKMMAS, 2010). Since older age and the number of females has a 
positive influence i.e. liver neoplasms increase; a brief analysis of age and 
sex distribution using the Scotland data was conducted to inform any 
assessment as best as possible. The results of this analysis are located 
within the extended results section of this indicator assessment. 

There has been a significant decrease in the prevalence of toxicopathic liver 
neoplasms (cancer) in flatfish from the Celtic Seas and Greater North Sea MSFD 
sub regions. Whilst Celtic Seas fish still exhibit a ‘significant response’, 
Greater North Sea fish exhibit an ‘elevated response’ and are marginally above 
background levels. The evidence provided in this assessment indicates that 
pollution effects in the marine environment are decreasing, specifically 
concerning the formation of liver neoplasms. This finding informs good 
progress towards reducing chronic pollution effects.</gco:CharacterString>
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