Supporting Publications 2015:EN-742 EXTERNAL SCIENTIFIC REPORT Review Of Stunning Interventions In Commercial Rabbits At The Time Of Slaughter1 A. O’Connor1, R. S. Dzikamunhenga1, S. Totton2, J. Sargeant2, J. Glanville3 and H. Wood3 1 Iowa State University, Ames, Iowa, USA, 2 University of Guelph, Guelph, Ontario, Canada, 3 York Health Economics Consortium, University of York, UK ABSTRACT EFSA commissioned a comprehensive review of the welfare aspects of carbon dioxide stunning in rabbits to assess whether scientific studies would address criteria outlined in an EFSA guidance on the assessment criteria for studies evaluating the effectiveness of stunning interventions regarding animal protection at the time of killing (EFSA Journal 2013;11(12):3486). The objective was to provide an summary of studies assessing modified atmosphere (using carbon dioxide), electrical and mechanical stunning methods to stun rabbits prior to slaughter. The outcomes of interest were onset of unconsciousness, duration of unconsciousness, and absence of pain, distress, or suffering prior to the onset of unconsciousness. The key electronic databases were searched: Science Citation Index (1900-2014), CAB Abstracts (1910-2014), and MEDLINE (1946-2014). Key conference and the bibliographies of review articles were also manually searched for relevant studies. Study inclusion criteria comprised primary research of any study design investigating the effects of modified atmosphere, electrical and/or mechanical stunning of commercial rabbits on the onset or duration of unconsciousness and/or absence of pain, distress, or suffering prior to the onset of unconsciousness. Risk of bias assessment was only be performed on studies that reported the stun method as requested by the EFSA guidance. Data extraction and study methodological assessment were conducted by two reviewers independently. Data were extracted for two modified atmosphere stunning studies, one mechanical stunning study, and five electrical stunning studies. None of the studies reported all the criteria which are detailed in the EFSA guidance, so no risk of bias assessment was conducted. The two modified atmosphere stunning studies found during this review failed to report several essential points of intervention information as listed in the EFSA Guidance. As a result, the effectiveness of modified atmosphere stunning with respect to animal welfare, as compared to electrical and mechanical stunning methods, could not be assessed. © European Food Safety Authority, 2015 KEY WORDS animal welfare, carbon dioxide, stunning, rabbits, slaughter 1 Question No EFSA-Q-2014-00613. Any enquiries related to this output should be addressed to [email protected] Suggested citation: A. O’Connor, R. S. Dzikamunhenga, S. Totton, J. Sargeant, J. Glanville and H. Wood systematic review and provision of abstracts, when available, of studies related tocarbon dioxide stunning of rabbits as an acceptable alternative to legally applied stunning interventions in the eu Supporting Publications 2015:EN-742. [75 pp.]. Available online: www.efsa.europa.eu/publications © European Food Safety Authority, 2015 Supporting Publications 2015:EN-742 TABLE OF CONTENTS Abstract .................................................................................................................................................... 1 Table of contents ...................................................................................................................................... 2 Background as provided by EFSA ........................................................................................................... 4 Terms of reference as provided by EFSA ................................................................................................ 4 Introduction and Objectives ..................................................................................................................... 6 Materials and Methods ............................................................................................................................. 6 1. Protocol and registration (PRISMA ITEM 5) ................................................................................. 6 2. Eligibility criteria (PRISMA ITEM 6) ............................................................................................ 6 3. Information sources (PRISMA ITEM 7) ......................................................................................... 7 4. Search (PRISMA ITEM 8) .............................................................................................................. 7 4.1. Search terms ............................................................................................................................ 7 5. Study selection (PRISMA ITEM 9) ................................................................................................ 7 6. Data collection process (PRISMA ITEM 10) .................................................................................. 9 7. Data items (PRISMA ITEM 11) ...................................................................................................... 9 8. Risk of bias of individual studies (PRISMA ITEM 12) ................................................................ 10 9. Summary measure (PRISMA ITEM 13) ....................................................................................... 10 10. Synthesis of results (PRISMA ITEM 14).................................................................................. 10 11. Risk of bias across studies (PRISMA ITEM 15)....................................................................... 10 12. Ancillary analyses (PRISMA ITEM 16) ................................................................................... 10 Results .................................................................................................................................................... 10 13. Study selection (PRISMA ITEM 17) ........................................................................................ 10 14. Study characteristics for studies assessing modified atmosphere stunning in rabbits (PRISMA ITEM 18) ................................................................................................................................................ 11 15. Risk of bias in studies using modified atmosphere stunning of rabbits (PRISMA ITEM 19) .. 11 15.1. Results of individual studies using modified atmosphere stunning of rabbits (PRISMA ITEM 20) ........................................................................................................................................... 11 16. Study characteristics of studies assessing mechanical stunning of rabbits (PRISMA ITEM 18)12 17. Risk of bias in studies using mechanical stunning of rabbits (PRISMA ITEM 19) .................. 12 18. Results of individual studies using mechanical stunning of rabbits (PRISMA ITEM 20)........ 12 19. Study characteristics for the studies assessing electrical stunning of rabbits (PRISMA ITEM 18) 13 20. Risk of bias in studies using electrical stunning of rabbits (PRISMA ITEM 19) ..................... 13 20.1. Results of individual studies using electrical stunning of rabbits (PRISMA ITEM 20) ....... 13 21. Discussion ................................................................................................................................. 13 22. Conclusions & Recommendations ............................................................................................ 14 APPENDICES ........................................................................................................................................ 40 Appendix A. Detailed Protocol provided as start-up contract ......................................................... 41 Step 1: Extensive Literature Search ....................................................................................................... 41 Search terms ....................................................................................................................................... 41 Information sources searched............................................................................................................. 42 Step 2: Relevance screening for publications that report modified atmosphere stunning methods: ...... 43 Screening level 1 based on abstract and title only ............................................................................. 44 Screening level 2 based on full text. .................................................................................................. 44 Step 3. Assessing the relevant modified atmosphere publications for eligibility: .................................. 45 Step 4. Extraction of clinical and methodological source of heterogeneity from eligible publications that report modified atmosphere stunning methods ............................................................................... 45 Step 5. Summarize the eligible modified atmosphere publications....................................................... 45 Step 6. Relevance screening for publications that report mechanical methods of stunning: ................. 46 Supporting publications 2015:EN-742 2 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 Screening level 1 based on abstract and title only ............................................................................. 46 Screening level 2 based on full text. .................................................................................................. 46 Step 7. Assessing the relevant publications that report mechanical methods of stunning for eligibility:47 Step 8. Extraction of clinical or methodological outcomes for publications that report eligible mechanical methods of stunning ............................................................................................................ 47 Step 9. Summarize publications that report eligible mechanical methods of stunning .......................... 47 Step 10. Relevance screening for publications that report head-only electrical methods of stunning for rabbits: .................................................................................................................................................... 47 Screening level 1 based on abstract and title only ............................................................................. 47 Screening level 2 based on full text. .................................................................................................. 48 Step 11. Assessing the relevant electrical methods of stunning publications for eligibility for head-only or head-to-body electrical stunning methods ......................................................................................... 48 Step 12. Extraction of clinical or methodological outcomes for the eligible head-only or head-to-body electrical methods of stunning publications ........................................................................................... 49 Step 13. Summarize eligible publications that report eligible head-only or head-to-body electrical methods of stunning ............................................................................................................................... 49 Appendix B. Search strategies ......................................................................................................... 56 Supporting publications 2015:EN-742 3 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 BACKGROUND AS PROVIDED BY EFSA The European Commission requested EFSA to prepare a scientific opinion on the use of carbon dioxide for stunning rabbits. Article 4 (2) of Council Regulation (EC) No 1099/2009 on the protection of animals at the time of killing (Official Journal, 2009) allows the Commission to amend stunning parameters laid down in Annex I to this Regulation to take into account scientific and technical progress on the basis of an EFSA opinion. Any such amendments shall ensure a level of animal welfare at least equivalent to that ensured by the existing methods. At present, the use of carbon dioxide is not allowed for stunning rabbits (Council Regulation (EC) No 1099/2099). Legally permitted stunning systems for rabbits are the mechanical and electrical methods. In support of the evidence base of the scientific opinion concerning carbon dioxide stunning of rabbits (M-2014-0078; EFSA-Q-2014-00186) EFSA wishes to carry out a systematic literature review. The aim of this assignment is to undertake a systematic review and elucidate any studies related to carbon dioxide stunning of rabbits (sections 3.1.3.1. and 3.1.3.2.) as the main focus and of mechanical interventions (3.1.1.) and electrical interventions (3.1.2.) applied commercially for stunning rabbits as comparators with regards to welfare advantages/disadvantages and effectiveness following the EFSA guidance (2013) (EFSA Panel on Animal Health and Welfare (AHAW), 2013. Guidance on the assessment criteria for studies evaluating the effectiveness of stunning methods regarding animal protection at the time of killing. EFSA Journal 2013;11(12):3486, 41 pp. doi:10.2903/j.efsa.2013.3486). The systematic search shall present an overview of the area and shall follow the structure of a PICO (Population, Interventions, Comparators and Outcomes). The population under study is rabbits, the intervention is carbon dioxide stunning, comparators are different carbon dioxide stunning options as outlined in section 3.1.3.1 entitled ‘carbon dioxide (CO2) at high concentrations and CO2 in two phases’ and section 3.1.3.2. entitled ‘CO2 associated with inert gases’ and mechanical interventions (3.1.1.) and electrical interventions (3.1.2.) applied commercially for stunning rabbits with regards to welfare advantages/disadvantages following the EFSA guidance (2013) . Outcomes are immediate unconsciousness or absence of pain until onset of unconsciousness (according to sections 3.2. entitled ‘outcome’ detailed in sections 3.1.2., 3.2.2. and 3.2.3. of the EFSA guidance (2013). TERMS OF REFERENCE AS PROVIDED BY EFSA To undertake a systematic review related to carbon dioxide stunning of rabbits and an external scientific report detailing the search methodology and provide and interpretation of the results. A systematic review on the effectiveness of carbon dioxide stunning of rabbits to provide a complete overview of all information which is available regarding carbon dioxide stunning of rabbits and in particular on information relating to carbon dioxide stunning of rabbits being an acceptable alternative for the stunning of rabbits considering the welfare advantages/disadvantages and effectiveness when compared to other stunning methods used for rabbits under commercial conditions in achieving unconsciousness, taking into account different requirements possibly attached to the use of carbon dioxide for stunning rabbits, in particular in terms of minimum and maximum gas concentration, duration of exposure, stun-to-stick interval, quality of the gas, temperature of the gas, type of recording and maintenance etc.. The systematic review shall include all available information regarding the validity to apply carbon dioxide stunning of rabbits in slaughterhouses in Europe. A systematic review on the effectiveness of carbon dioxide stunning of rabbits (in particular focus on information relating to carbon dioxide stunning of rabbits being an acceptable alternative for the stunning of rabbits considering the welfare advantages/disadvantages and effectiveness when compared to other stunning methods used for rabbits under commercial conditions) in achieving Supporting publications 2015:EN-742 4 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 unconsciousness, taking into account different requirements possibly attached to the use of carbon dioxide for stunning rabbits, in particular in terms of minimum and maximum gas concentration, duration of exposure, stun-to-stick interval, quality of the gas, temperature of the gas, type of recording and maintenance etc. The systematic review shall include all available information regarding the validity to apply carbon dioxide stunning of rabbits in slaughterhouses in the EU. This contract/grant was awarded by EFSA to: Annette O’Connor at the Iowa State University, Julie Glanville at the York Health Economics Consortium, University of York and Jan Sargeant at the University of Guelph. Contract/grant title: Systematic review and provision of abstracts, when available, of studies related to carbon dioxide stunning of rabbits as an acceptable alternative to legally applied stunning interventions in the EU considering animal welfare and effectiveness Contract/grant number: RC/EFSA/ALPHA/2014/03 Supporting publications 2015:EN-742 5 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 INTRODUCTION AND OBJECTIVES The only legally permitted systems for stunning rabbits in the EU are mechanical (captive bolt) and electrical (European Council Regulation (EC) No 1099/2099 http://ec.europa.eu/food/animal/welfare/ slaughter/regulation_1099_2009_en.pdf). Since January 2009, stunning using carbon dioxide (at high concentrations, or in two phases, or associated with inert gases) has not been allowed for rabbits (Council Regulation (EC) No 1099/2099). EFSA commissioned a comprehensive review of the welfare aspects of carbon dioxide stunning in rabbits to establish the state of the art in the field and to assess whether scientific studies would address criteria outlined in an EFSA guidance on the assessment criteria for studies evaluating the effectiveness of stunning interventions regarding animal protection at the time of killing (EFSA, 2013). The request from EFSA was for an overview of information about stunning in rabbits rather than a standard systematic review approach that would adopt the specific PICO question format (population (P), the intervention (I) the comparison (C.) and the outcome (O)). The aim therefore was to conduct a review to locate and evaluate studies of carbon dioxide stunning of rabbits and other methods described in the EFSA Guidance on the assessment criteria for studies evaluating the effectiveness of stunning methods regarding animal protection at the time of killing : and mechanical stunning in rabbits as described in section 3.1.1., the EFSA Guidance (2013) and electrical stunning in rabbits as described in section 3.1.2., the EFSA Guidance (2013). The aim of the overall project conducted by the EFSA working group was to assess the comprehensiveness of reporting and document the welfare advantages/disadvantages of carbon dioxide stunning compared to the other methods and to ultimately determine whether carbon dioxide is an acceptable alternative for to the currently permitted methods for stunning rabbits in European slaughterhouses. This report is to be used by that group as a summary of such studies and provides a detailed description of the search methodology, followed by interpretation of the results. MATERIALS AND METHODS 1. Protocol and registration A protocol was developed prior to conducting the review through discussion between EFSA staff and the contractors. The protocol is not registered but is included in Appendix Appendix A. This approach to the review deviated from the steps usually used in a systematic review for 2 reasons. First, EFSA was not interested in a PICO review format, and second, EFSA requested the review team follow the approach to reviewing the literature proposed in a prior EFSA document specific to stunning methods rather than the general method proposed in the systematic review guidance. Note that hereafter, when referring to the EFSA Guidance we are referring to the 2013 document. The protocol in Appendix B contains detailed discussions of the steps used for this review however a brief summary of the steps is provided in Table 1. Although a systematic review process was not followed, many steps associated with a systematic review were included, therefore we used a reporting style consistent with PRISMA guidelines Moher et al. (2009). 2. Eligibility criteria Potentially relevant references were those that described primary research that evaluated modified atmosphere, mechanical, or electrical methods of stunning commercial rabbits prior to slaughter. The population of interest was defined as rabbits raised for the production of meat, skins, or fur and definitions of the other PICO components are not provided because such an approach was not consistent with EFSA request or needs. Supporting publications 2015:EN-742 6 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 3. Information sources Consistent with the protocol, a range of information sources indexing published research were searched for studies reporting stunning methods in rabbits (Table 2). Ongoing or recently completed trials, unpublished research, and research reported in the grey literature were identified by searching trial registers, databases indexing conference proceedings, and specialised search engines as follows: TEKTRAN, CRIS, Conference Proceedings Citation Index – Science, Science.gov, ScienceResearch.com, Open Grey. The following key conference web-pages from the last three years (where available) were also searched to identify additional conference abstracts: International Congress of Meat Science and Technology, International Workshop on Assessment of Animal Welfare at Farm and Group Level, OIE Global Conference on Animal Welfare, and Humane Slaughter Association Centenary International Symposium. Where possible, search results were downloaded from the information sources and imported into EndNote (Thomson Reuters, Philadelphia, USA) bibliographic management software. Deduplication was undertaken using a number of algorithms. In addition to the information sources described, the reference lists of potentially relevant reviews and eligible studies were checked for additional trials that had not been identified by electronic searches. 4. Search Searches were conducted in a range of relevant information sources in order to identify studies of any method of stunning rabbits, including those reporting the use of modified atmosphere, mechanical, and electrical methods of stunning, and also including studies reporting on the specificity and sensitivity of indicators for stunning, and studies reporting the prevalence of successful stuns as measured by the specified indicators. 4.1. Search terms The search strategy comprised two elements: the search terms and the information sources to be searched. The search strategy used to identify studies indexed in CAB Abstracts (Web of Knowledge) is presented in Figure 1. This strategy was composed of two key elements: The population: rabbits (search line 1); The exposure: stunning methods (search lines 2 to 12). A second, more focused approach was used in search line 15 to capture any studies concerning stunning rabbits that may have been missed by the initial two-concept approach. The searches were not limited by language, date, or study design. The search strategy developed for CAB Abstracts was adapted appropriately to perform efficiently in other information sources. This included consideration of database interface differences as well as adaptation to different indexing languages and syntax. The strategies used to search each information source are presented in Appendix Appendix B. 5. Study selection The search results were uploaded into the online systematic review software DistillerSR® (Ottawa, ON, Canada). Abstracts and titles were screened for inclusion. There were two levels of screening. Two reviewers (DW and RD), both veterinarians with post-graduate training in epidemiology and with Supporting publications 2015:EN-742 7 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 systematic review methodology experience, independently evaluated each citation for relevance using the following questions: 1) Does the title/abstract describe a method of stunning in rabbits raised for commercial use (NOT pet euthanasia) that is mechanical, electrical, or modified atmosphere? Yes (Go to Q2) No (Exclude) 2) Which methods are described? Choose all that apply. 100% Carbon dioxide or high concentration carbon dioxide (Go to Q3) CO2 and O2 (Got to Q3) CO2 and inert gases (Go to Q3) Inert gases Mechanical methods (Go to Q6) Electrical methods None of the above (Exclude) Not discernible 3) Does the title/abstract describe a review of carbon dioxide stunning in rabbits OR describe a primary study evaluating the effectiveness of carbon dioxide stunning? Yes - primary study (Go to Q4) Yes - relevant review Not discernible (Go to Q4) None of the above 4) Does the title/abstract describe the assessment of one or both of the following in rabbits stunned with carbon dioxide? Unconsciousness and insensibility (Go to Q5) Absence of pain, distress and suffering of until onset of unconsciousness and insensibility (Go to Q5) Not discernible - may need full paper to evaluate (Go to Q5) None of the above 5) What comparative methods (if any) of stunning are described in the study? Carbon dioxide and / or other gas Mechanical intervention Electrical intervention Not discernible None of the above No comparison described 6) What methods of mechanical stunning are described? Stun – cervical dislocation Stun – penetrative captive bolt Stun – non-penetrative captive bolt Stun – described as “captive bolt” only 7) Which methods (IF ANY) are used to assess the efficacy of STUN? Supporting publications 2015:EN-742 8 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 Text response 8) Does the title/abstract describe meat quality as the only outcome? Yes (Exclude) No Citations were excluded if both reviewers responded “No” to the first question. Studies that were not discernible were procured for evaluation of the full text. This was the second level of screening. Studies that appeared to be potential review articles were selected so that their reference lists could be manually scanned for additional relevant studies. Studies for which both reviewers answered “Yes” to question 8 were excluded. Non-English-language papers with English titles and abstracts were included in relevance screening. When conflicts about relevance arose, the two reviewers discussed the abstract, and consulted with a third reviewer (AOC), when necessary, to clarify the relevance decision 6. Data collection process After identifying the relevant studies, we conducted eligibility assessment based on the EFSA guidance which is Step 3 of Table 1. Studies would be eligible for the next steps of the review, Step 4 of Table 1 onwards, only if they reported the interventions in a manner consistent with the requirements of the EFSA guidance. In this step we assessed if all the items about the stunning methods requested by the EFSA guidance are reported. Outcomes of interest are also extracted. Assessment of eligibility was collected independently for each study by two reviewers (RD and ST), and conflicts were resolved through discussion. All data were collected and stored in the online systematic review software DistillerSR® (Ottawa, ON, Canada). 7. Data items Data extraction forms were designed to include data fields for the key items identified by EFSA regarding interventions (for modified atmosphere stunning interventions section 3.1.3. of the EFSA guidance , for mechanical methods of stunning section 3.1.1.1 and 3.1.1.2. of the EFSA guidance , and for electrical methods of stunning section 3.1.2 ‘Electrical stunning interventions’ of the EFSA guidance (2013) and outcomes as listed in sections 3.2.1.3. ‘Onset of unconsciousness and insensibility’, 3.2.2. ‘Absence of pain, distress and suffering until the loss of consciousness and sensibility’ and 3.2.3 ‘Duration of unconsciousness and insensibility’. Two reviewers independently extracted the following information from each record: 1) Study Level Information Setting (Commercial, Larger scale experimental (replica plant), Small scale experimental (laboratory), not reported or not discernible) Country Breed Animal type (Meat, fur, skins) Sample size Age in weeks Weight in kilograms Sex Supporting publications 2015:EN-742 9 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 2) Intervention Level Information Available information as detailed in Tables 5, 6, and 7 of the EFSA guidance were extracted. 3) Outcome Level Information(where possible) 8. Study arm identification Outcome (s) reported in the study Outcome definition (as described by the author(s) of the individual study) R (if proportion data were reported) Arm sample size Mean and dispersion descriptor for continuous data (incl. time in seconds) Summary effect P-value Risk of bias of individual studies Consistent with the approach recommended by the EFSA guidance , data about risk of bias (methodological quality) was only extracted if the reporting of the stunning methods was comprehensive. This process is consistent with Step 4 of Table 1. 9. Summary measure Consistent with the request to provide an overview rather than a comparative assessment of a particular outcome across stunning methods, no particular summary effect measure was of interest. 10. Synthesis of results Consistent with the request to provide an overview of the characteristics of stunning methods and outcomes reported rather than to compare an outcome across stunning methods, it was not anticipated that quantitative meta-analysis would be performed. The approach to reporting therefore was to present the characteristics of the stunning methods and to indicate which aspects were not reported and to present the results of the studies. 11. Risk of bias across studies Assessment of risk of bias across studies would require a comparative effective size; as such results were not of interest, assessment of risk of bias was not conducted. 12. Ancillary analyses No ancillary analyses were conducted. RESULTS 13. Study selection The literature searches yielded 2304 records. The source of these records is presented in Table 3: After de-duplication, 718 records were removed, leaving 1586 records to be assessed for relevance using the relevance screening questions above. The study identification flowchart is shown in Figure 2: 1586 studies were identified by the search and 1554 were removed as they were not relevant based Supporting publications 2015:EN-742 10 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 on screening of the abstract and title. The remaining 32 studies 24 were excluded with the remaining 8 studies relevant. The reasons for exclusion are presented in the Appendix C. 14. Study characteristics for studies assessing modified atmosphere stunning in rabbits There were two relevant studies: Hattingh et al. (1986); Llonch et al. (2012) that assessed modified atmosphere stunning in rabbits. Llonch et al. (2012) described carbon dioxide at high concentrations, while Hattingh et al. (1986) described stunning using carbon dioxide associated with inert gases. The characteristics of the study populations are provided in the Table 4: The two studies described five approaches to stunning rabbits using modified atmospheres. Table 5 contains the details of the method used to stun the rabbits and also indicates items omitted by the authors based on the information requested in the EFSA guidance. Hattingh et al. (1986) used high-concentration CO2 to stun rabbits. Each rabbit was placed in a 120-L Perspex chamber with 21 % O2, 0.1 % CO2 and 79 % nitrogen. The amount of oxygen was decreased to 3.5 %, and the amount of CO2 was increased to 50 % over a period of 20 to 30 minutes. Blood pressure and EEG were recorded continuously, while blood was sampled at regular intervals. The authors did not report the flow rate (L/min) of the gases entering the chamber, the stocking density during stunning, the location of the gas monitoring system with respect to the rabbit’s position, the calibration methods for the monitoring system, the total duration of exposure to the targeted CO2 concentration, the maximum stun-to-stick/kill interval and the humidity and temperature of the gases used--all essential reporting criteria for this type of modified atmosphere study, according to the EFSA Guidance (Section 3.1.3.1). Llonch et al. (2012) investigated stunning with high CO2 (one arm) as well as CO2 associated with inert gases (second arm). They did not report the following essential reporting criteria according to the EFSA guidance document (Section 3.1.3.2) for intervention information, for the arm investigating stunning associated with inert gases combined with CO2: the initial CO2 and O2 concentrations, the CO2 and O2 concentration gradients, stocking density (kg/m2) of the rabbits at stunning, monitoring of CO2 and O2 concentrations (how, when and where it was done), time to reach targeted CO2 and O2 concentrations, total duration of targeted CO2 and O2 exposure, source of the inert gas, and the humidity and temperature of the gases. For the high CO2 treatment arm, the following essential reporting criteria, according to the EFSA Guidance (Section 3.1.3.1.) for intervention information, were not reported: the CO2 concentration gradient, stocking density (kg/m2) of the rabbits at stunning, time taken to reach the targeted CO2 concentration, and the source, humidity, and temperature of the CO2. They did not kill the rabbits at the end of their study, instead allowing them to fully recover from the effects of the modified atmosphere stunning; therefore a maximum stun-to-stick/kill interval could not be reported for this study. 15. Risk of bias in studies using modified atmosphere stunning of rabbits For this project, the review team followed the EFSA guidance and risk of bias was only assessed on papers that reported all of the elements of the intervention requested by EFSA guidance. As no studies meet that criterion, no risk of bias assessment was conducted. 15.1. Results of individual studies using modified atmosphere stunning of rabbits Outcomes reported by Llonch et al. (2012) are shown in Table 6 and Table 7. Llonch et al. (2012) exposed the rabbits to modified atmosphere treatments by placing them in a crate and lowering them into a 290 cm-deep pit, pre-filled with the gas mixture. Rabbits were held at the top of the pit (normal Supporting publications 2015:EN-742 11 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 atmosphere) and observed, before being lowered into the pit. Absence of pain, distress and suffering was ascertained by observing the behavioral response of the rabbit at each phase of being at the top of the pit, while descending into the pit, at the bottom of the pit and while ascending to the top of the pit, as well as the physiological response (respiratory distress) at each phase. The authors considered loss of balance in the rabbits to be the first sign of the onset of unconsciousness. Time to recovery of balance was then used to assess duration of unconsciousness. Outcomes reported by Hattingh et al. (1986) are shown in Table 8. Rabbits were placed in a chamber for stunning under normal atmospheric conditions for 30 minutes, and readings were taken prior to the gas composition in the chamber being altered. Rabbits were monitored under these conditions until death (i.e. defined as an isoelectric EEG reading). Onset of unconsciousness was assessed using EEG recordings and lack of response to visual stimuli and ear pinching; however, the authors did not report the time to the onset of unconsciousness. A true assessment of pain, distress and suffering was not reported by the authors, as the physiologic responses recorded (plasma glucose, lactate, cortisol and the heart rate of the rabbits) were only reported for rabbits that were already unconscious, not for rabbits after exposure to the gas mixture but prior to losing consciousness. Duration of unconsciousness was not ascertained because the rabbits were exposed to the gas mixture until death occurred (i.e. not allowed to recover). Note that although not explicitly reported in the results section of the manuscript, Hattingh et al. (1986) does comment at the end of the document (last sentence) that ‘all animals become unconscious while hyperventilating severely’. 16. Study characteristics of studies assessing mechanical stunning of rabbits Only one relevant study, by Dennis et al. (1988), investigated a mechanical stunning method (penetrative captive bolt) in rabbits. This method is approved for use according to the Council Regulation (EC) No 1099/2009 of 24 September 2009 on the protection of animals at the time of killing (http://ec.europa.eu/food/animal/welfare/slaughter/regulation_1099_2009_en.pdf). The study characteristics of this study are shown in Table 9. The intervention information for the arm describing mechanical stunning is shown in Table 10. The following key intervention parameters for captive bolt stunning, as identified in section 3.1.1.1. of the EFSA guidance , were not reported by Dennis et al. (1988): velocity, the length and diameter of the bolt, whether it utilized contact or trigger firing, whether the bolt was recessed or not, the bolt dimensions, the mass and velocity, and equipment maintenance, cleaning and storage conditions. 17. Risk of bias in studies using mechanical stunning of rabbits As the Dennis et al. (1988) study did not report all of the key intervention parameters and no risk of bias assessment was conducted. 18. Results of individual studies using mechanical stunning of rabbits Dennis et al. (1988) reported seven outcomes, described in Table 11. We were able to group the outcomes reported into those that evaluated onset of unconsciousness and insensibility, and those that evaluated absence of pain, distress and suffering until the loss of consciousness and sensibility, according to the EFSA guidance (2013). Unfortunately, the sample size was very small (n=5) and Dennis et al. (1988) did not report time measures for most of these outcomes. One rabbit took 100 seconds to stop breathing while all others immediately ceased respiration. Supporting publications 2015:EN-742 12 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 19. Study characteristics for the studies assessing electrical stunning of rabbits Five relevant studies assessed electrical stunning in rabbits. Four studies assessed head-to-body electrical stunning Anil et al. (1998b, 2000); Maria et al. (2001); Nodari et al. (2009) and one study assessed head-to-anus stunning Guerrero et al. (2007). Head-to-anus stunning is not an approved method of electrical stunning in rabbits according to EFSA guidance (2013). However, because of the scarcity of information available regarding electrical stunning in rabbits, a summary of the findings reported by Guerrero et al. (2007) is provided here. The study characteristics of the five studies describing electrical stunning are shown in Table 12: The intervention information for the 18 stunning methods (trial arms) describing electrical stunning is shown in Table 13, Table 14 and Table 15 Anil et al. (2000), Guerrero et al. (2007) and Nodari et al. (2009) each had a single arm of rabbits that were electrically stunned and these are reported in Table 13. Maria et al. (2001) reported five treatment groups (trial arms) of rabbits (Table 14) while Anil et al. (1998b) reported seven arms (Table 15). The following electrical stunning parameters were not reported by Maria et al. (2001) for any of the arms: minimum current type, minimum current (A), minimum current-waveform, minimum current-latency, minimum voltage, minimum or maximum frequency, maximum stun-to-stick-/kill interval, frequency of calibration of the equipment, electrode appearance, prevention of electrical shocks before stunning, and animal skin condition. The following parameters were not reported by Anil et al. (1998b): minimum current-latency, minimum voltage, maximum stun-to-stick-/kill interval, frequency of calibration of the equipment, electrode appearance, and animal skin condition. 20. Risk of bias in studies using electrical stunning of rabbits As no studies reported all of the key intervention parameters recommended by the EFSA Guidance (2013), no risk of bias assessment was conducted. 20.1. Results of individual studies using electrical stunning of rabbits The outcomes reported for the studies investigating electrical stunning are shown in Table 16, Table 17, Table 18, Table 19 and Table 20. Because of the differences in stunning approaches and incomplete reporting of stunning parameters, it was not possible to harmonize the outcomes reported by each author so these are reported separately. We classified the reported outcomes into one of the following: (1) onset of unconsciousness and insensibility, (2) absence of pain, distress and suffering until the onset of unconsciousness, (3) duration of unconsciousness and insensibility, according to the EFSA guidance. None of the authors reported all three outcome classifications. To the review team, it was not always clear how each of the outcomes should be grouped. For example, Nodari et al. (2009) described ‘stunning variables measured from sticking to death’. These variables appeared to be outcomes that would typically be used to assess onset of unconsciousness and insensibility. Moreover, many of the rabbits in the study were stunned multiple times prior to recording of these outcomes. Frequently authors did not report if reported measures of dispersions were standard deviation or standard error e.g. outcomes reported by Anil et al. (2000) and Guerrero et al. (2007). 21. Discussion The two modified atmosphere stunning studies found during this review failed to report several essential points of intervention information as listed in the EFSA Guidance (EFSA, 2013). As a result, the effectiveness of modified atmosphere stunning with respect to animal welfare, as compared to electrical and mechanical stunning methods, could not be assessed. Supporting publications 2015:EN-742 13 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 It is regrettable that many studies failed to comprehensively report information that is relevant to assessing the efficacy and welfare implications of stunning methods. The review team suspects that this failure to report is a function of accidental omission or failure to realize the importance of characteristics that describe stunning methods. There appears to be an urgent need to communicate to the community of researchers working in this area what constitutes current standards of reporting. It was also surprising that no study provided a rationale for the number of animals included in the study. Many studies were case reports (i.e., only one method assessed) and in these situations, sample sizes might aim to determine the prevalence of an important outcome. For example, if failure of successful stunning is of interest, then authors may be able to design studies and document a minimum detection level for successful stunning. Such an approach would require large sample sizes; however it would also be sensible to include a stopping rule that indicated that as soon as one failure occurred, the study could stop. For studies that compare methods, clearly there is a need to determine if the aim is to assess equivalence or superiority, and sample sizes for such approaches can readily be determined. Under-powering comparative studies can be wasteful, and the concept of reduction should not be used as justification for underpowered studies. With respect to the review approach, neither the EFSA working group nor the EFSA guidance was specific regarding the relative importance of outcomes of interest. The review team considered that it might be worthwhile considering in future reviews that a threshold outcome be used. Only if that outcome is assessed, and passes a minimum standard, would other outcomes be extracted. For example, for stunning methods that should result in immediate unconsciousness such as electrical stunning methods, perhaps it is sensible to say that the method must document a minimum stunning efficacy, and only if this threshold is met will other metrics be evaluated. 22. Conclusions & Recommendations When generating supporting data for modified or new stunning interventions, the use of live animals should be minimized as stated in Directive 2010/63/EU on the protection of animals used for scientific purposes. Potential pain, distress and suffering of animals subjected to experimental investigations must be avoided and the principles of replacement, reduction and refinement (the 3Rs) when using animals for scientific purposes should be applied. It is recommended that any investigator intending to study the effects of modified atmosphere stunning in rabbits should first consult the EFSA Guidance document (EFSA, 2013) on the minimum reporting criteria before conducting their study so that the subsequent study will be reported in a manner than it can contribute all available information to the body of literature on stunning in rabbits. Supporting publications 2015:EN-742 14 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 Table 1: Brief summary of steps in the review process based on the EFSA guidance (EFSA, 2013) Step Process Step 1. Extensive literature search: Conduct an extensive literature search to identify studies that report methods of stunning in rabbits Step 2. Relevance screening for publications that report modified atmosphere stunning methods: Screen the literature for relevant publications and partition the literature into those studies that use Modified atmosphere stunning interventions (section 3.1.3. of the EFSA guidance) and report the outcomes referred to in section 3.2.1.3. (Onset of unconsciousness and insensibility) and 3.2.2. Absence of pain, distress and suffering until the loss of consciousness and sensibility) and 3.2.3 (Duration of unconsciousness and insensibility) of the EFSA guidance Step 3. Assessing the relevant modified atmosphere publications for eligibility: For studies that pass step 2, we assessed the eligibility based on Table 5, 6 or 7 of the EFSA guidance as applicable and the outcome reported in sections 3.2.1.3, 3.2.2 and 3.2.3. of the EFSA guidance Step 4. Extraction of clinical and methodological source of heterogeneity from eligible publications that report modified atmosphere stunning methods For studies that passed step 3 and report all of the information, we will extract the data sources of clinical heterogeneity and methodological quality. Step 5. Summarize the eligible modified atmosphere publications Summarize the findings of the studies that report stunning with modified atmosphere methods. N.B. we will complete the steps after 5 if sufficient resources remain after screening and identifying the modified atmosphere studies. Step 6. Relevance screening for publications that report mechanical methods of stunning Screen the literature for relevant publications and partition the literature into those studies that use mechanical methods of stunning (sections 3.1.1.1 and 3.1.1.2. of the EFSA guidance.) And report the outcomes referred to in section 3.2.1.1. (onset of unconsciousness and insensibility ) of the EFSA guidance and the outcomes reported in sections 3.2.3 (duration of unconsciousness and insensibility) of the EFSA guidance Supporting publications 2015:EN-742 15 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 Step 7. Assessing the relevant publications that report mechanical methods of stunning for eligibility For studies that pass step 6, we will extract the key parameters about captive bolt methods, i.e. the appropriate velocity, bolt length and diameter of the captive bolt and the outcome reported in sections 3.2.1.1, and 3.2.3 of the EFSA guidance Step 8. Extraction of clinical or methodological outcomes for publications that report eligible mechanical methods of stunning For studies that pass step 6, report all of the information requested, we will extract the data about clinical heterogeneity and methodological quality. . Step 9. Summarize publications that report eligible mechanical methods of stunning Step 10. Relevance screening for publications that report electrical methods of stunning for rabbits: Step 11. Assessing the relevant electrical methods of stunning publications for eligibility with minimum or maximum amperes reported using head-only or head-tobody electrical stunning. Step 12. Extraction of clinical or methodological outcomes for the eligible electrical methods of stunning publications using head-only or head-to-body electrical stunning. Screen the literature for relevant publications and partition the literature into those studies that use Electrical methods of stunning that use permitted interventions for rabbits (section 3.1.2 (electrical stunning interventions) of the EFSA guidance) And report the outcomes referred to in section 3.2.1.2. (onset of unconsciousness and insensibility ) of the EFSA guidance and the outcomes reported in section 3.2.3 (duration of unconsciousness and insensibility) of the EFSA guidance For studies that pass step 10 we will assess the eligibility based on reporting of the key parameters of electrical stunning (minimum and maximum current used time of application) and the outcome reported in sections 3.2.1.2, and 3.2.3. of the EFSA guidance For studies that pass step 11 report all of the information, we will extract the data sources of clinical heterogeneity and methodological quality. Step 13. Summarize eligible publications that report eligible electrical methods of stunning using head-only or head-to-body electrical stunning Supporting publications 2015:EN-742 16 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 Table 2: Information sources searched to identify relevant studies Database Interface Science Citation Index (SCI) Web of Knowledge, Thomson Reuters Conference Proceedings Citation Index – Science (CPCI-S) CAB Abstracts Web of Knowledge, Thomson Reuters BIOSIS Citation Index Web of Knowledge, Thomson Reuters MEDLINE and MEDLINE In-Process OvidSP AGRIS agris.fao.org AGRICOLA agricola.nal.usda.gov TEKTRAN www.ars.usda.gov/services/tektran.htm CRIS cris.nifa.usda.gov Science.gov www.science.gov ScienceResearch.com http://scienceresearch.com Open Grey www.opengrey.eu Supporting publications 2015:EN-742 Web of Knowledge, Thomson Reuters 17 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 Table 3: Number of records identified, by information source Information source Number of records identified Science Citation Index (SCI) 890 Conference Proceedings Citation Index – Science (CPCI-S) 84 CAB Abstracts 428 BIOSIS Citation Index 515 MEDLINE and MEDLINE In-Process 360 AGRIS 17 AGRICOLA 7 TEKTRAN 0 CRIS 0 Science.gov 0 ScienceResearch.com 0 Open Grey 0 Search of conference abstracts 3 Search of reference lists of relevant studies and reviews 0 Total 2304 Supporting publications 2015:EN-742 18 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 Table 4: Study characteristics for studies describing modified atmosphere stunning Author Setting Country Breed Purpose Llonch et al. (2012) Larger scale experimental (replica) plant Small scale experimental (laboratory) Spain NR NR NR Hattingh et al. (1986) Age (weeks) NR Weight (kg) 1.8-2.0 Sex Meat Sample size 60 NR 19 NR NR NR NR NR = Not Reported Supporting publications 2015:EN-742 19 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 Table 5: Intervention information for studies assessing modified atmosphere stunning based on section 3.1.3 of the EFSA guidance (EFSA, 2013) Author Llonch et al. (2012) Hattingh et al. (1986) 90% CO2 80%N, 20% CO2 Group 1, N=8 Group 2, N=6 Group 3, N=5 CO2 at high concentrations NA CO2 associated with inert gases Nitrogen CO2 associated with inert gases Nitrogen CO2 associated with inert gases Nitrogen CO2 associated with inert gases Nitrogen NA 80% NR but presumably 49% 90% NR NR but presumably 96.5% 0.10% 0.10% NR but presumably 46.5% 0.10% Initial O2 concentration NR NR 21% 21% 21% Targeted CO2 concentration 90% 20% 0.10% 50% 50% Targeted O2 concentration NR <2% 3.50% 21% 3.50% Final CO2 concentration 90% 20% 0.10% 50% 50% Final O2 concentration NR <2% 3.50% 21% 3.50% NR NR NR NR Method of stunning Type of inert gas used to create the atmosphere Final concentration of inert gases Initial CO2 concentration * Monitoring See footnote Time to reach targeted CO2 concentration / Total duration of targeted CO2 and O2 exposure Total duration of targeted CO2 exposure NR NR 20-30 minutes 20-30 minutes 20-30 minutes 1 minute NR NR NR NR Quality of gas -- CO2 source NR “The concentrations of both gases inside the pit were controlled by a mixed O2/CO2 analyser (MAP Check Combi, PBI Dansensor, Denmark) placed 1.5 m below "medical grade" from gas cylinders "medical grade" from gas cylinders "medical grade" from gas cylinders Supporting publications 2015:EN-742 20 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 the top of the pit” Quality of gas -- Inert gas source NR NR "medical grade" from gas cylinders "medical grade" from gas cylinders "medical grade" from gas cylinders NR = Not reported *"When 90% CO2 was used, the pit was automatically pre-filled and the concentration controlled by a sensor placed 1.5 m below the top of the pit (the position of the crate after 8 s of descent) and connected to a pump into the stunning system" Supporting publications 2015:EN-742 21 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 Table 6: Behavioural outcomes reported by Llonch et al. (2012) Outcome Control 80%N, 20% CO2 (N=30) 90% CO2 (N=30) Effect Size P-value Exposure Time (seconds) Top* 8.5±0.5 6.5±1 8.5±1 NR NR 120 Descent* 1.5±0.5 3.5±0.5 2.5±0.5 C2=11.84 0.0027 15 Stationary* 1.44±1.939 2.23±1.991 0.07±0.365 C2=34.79 <0.0001 30 Ascent* 2.10±2.006 0 0 C2=106.3 <0.0001 15 Top again* 9.37±5.366 0.19±0.535 0.27±0.450 C2=137.47 <0.0001 120 Top 100 90 100 NR NR 120 Descent 85 75 70 NR NR 15 Stationary 85 0 0 C2=113.88 <0.0001 30 Ascent 90 0 0 C2=127.15 <0.0001 15 Top again 97 91 57 NR <0.01 120 Escape attempts (percentage of total) Top 43 14 10 NR NR 120 Descent NR NR NR NR NR 15 Stationary NR NR NR NR NR 30 Ascent NR NR NR NR NR 15 Top again 0.33 NR NR NR NR 120 General activity Exploratory activity NR=Not reported NA = Not applicable Control (Atmospheric air) (Each rabbit served as its own control) General activity (counted as number of moves, i.e. number of times that rabbits crossed one of the lines painted on the floor) Exploratory activity (defined as chewing or licking crate elements, sniffing the environment, gnawing or marking with the chain) % The measures of precision reported here are according to the author +/- SEM. *”Animals were positioned one in front of the other in the two sides of the crate, with a distance of 150 cm between them (three floor marked lines). During this period, the onset and latency of the explorative behaviour, defined as chewing or licking crate elements, sniffing the environment, gnawing or marking with the chain (Prinz et al 2008; Shepers et al 2009) and general activity (counted as number of moves, i.e. number of times that rabbits crossed one of the lines painted on the floor [Dalmau et al 2009]) were assessed. …General models (PROC GENMOD) by means of a binomial distribution and with animal as a repeated measure were used to analyse the percentage of exploratory behaviour when the crate was on the top of the pit, descending, stationary at the bottom of the pit, ascending and again at top of the pit.” Llonch et al. (2012) Supporting publications 2015:EN-742 22 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 Table 7: Onset of unconsciousness and insensibility reported by Llonch et al. (2012). Outcome Control 80N20C (N=30) 90C (N=30) Effect Size* P value Time to appearance of respiratory distress (seconds) NA 14.46 16.9 F=5.17 0.0284 Overall % with respiratory distress 0 42 97 C2*=12.31 0.0005 Number with loss of balance (during gas treatment) NA 30 29 NR NR Time to loss of balance/posture (seconds) NA 24.16 28.34 F=9.7 0.0028 Rabbits that lost balance that subsequently recovered it NA 30 29 NR NR Time to appearance of muscle twitches (muscle contractions similar to spams or convulsions) Duration of unconsciousness and insensibility NA 23.9 37.4 F=41.41 <0.0001 Time to recovery of balance NA 74.43 81.81 F=12.81 0.0007 Number of rabbits showing muscle twitches (muscle contractions similar to spasm or convulsions) Duration of muscle twitches (seconds) 0 NR NR C2*=39.65 <0.0001 NA NR NR F=6.48 0.0156 NR=Not reported NA = Not applicable *The study did not report the contrast information and instead reported with the F statistic or C2. The review team was unable to determine what C2 means. Supporting publications 2015:EN-742 23 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 Table 8: Outcomes reported by Hattingh et al. (1986). Outcomes Group 1, N=8 Group 2, N=6 Group 3, N=5 Onset of unconsciousness and insensibility EEG recording NR NR NR Lack of response to stimuli (ear pinching) Lack of response to stimuli (visual) NR NR NR NR NR NR *Absence of pain, distress and suffering until the loss of unconsciousness and insensibility Arterial blood Po, (mm Hg) 23 ± 2 86 ± 18 25 ± 1 Arterial blood Pco, (mm Hg) 9±3 131 ± 12 99 ± 27 Arterial blood pH 7.480 ± 0,170 6.893 ± 0.090 7.021 ± 0.055 Heart rate (b/m) 195 ± 90 160 ± 51 118 ± 37 Systolic pressure (mm Hg) 132 ± 26 125 ± 20 110 ± 14 Plasma glucose (mmol/l) 12.00 ± 2,44 10.40 ± 1.60 9.07 ± 1,32 Plasma lactate (mmol/l) 10.83 ± 7,08 2.14 ± 0.91 7.46 ± 1.17 Plasma cortisol (nmol/l) 82 ± 7 63 ± 19 53 ± 35 NR= Not reported; *While these outcomes are described to determine absence of pain, distress and suffering until the loss of unconsciousness and insensibility according to the EFSA Guidance, the authors appear to have measured these outcomes in rabbits that were already unconscious. The measures of precision reported here are according to the author +/- standard deviation. Supporting publications 2015:EN-742 24 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 Table 9: Study characteristics for study describing mechanical stunning Author Setting Country Breed Purpose Dennis et al. (1988) NR NR New Zealand Whites NR Sample size 5 Age (Weeks) NR Weight (kg) 2.5-5 Sex Mixed NR=Not reported Supporting publications 2015:EN-742 25 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 Table 10: Intervention information for study assessing mechanical stunning by Dennis et al. (1988) Parameter Description Mechanical stunning method described Penetrative captive bolt Restraining system “Rabbits were placed in sternal recumbency. They were petted and calmed in order to minimize anxiety and movement, but no other restraint was needed.” “The end of the rod was placed onto the animal's head at the intersection of imaginary lines drawn from the lateral canthus of each eye to the base of the ear on the opposite side.” “The rod was held firmly against the head, aimed toward the location of the medulla oblongata, and the trigger was pulled, discharging the blank cartridge and propelling the bolt forward into the skull.” NR Position of captive bolt gun Bolt penetration site Captive bolt characteristics – Velocity, length, diameter of bolt Cartridge or compressed air specifications 0.22 caliber blank cartridge Bolt dimensions, mass and velocity NR Equipment maintenance, cleaning and storage conditions NR Maximum stun to stick/kill interval(s) NR NR=Not reported Supporting publications 2015:EN-742 26 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Supporting Publications 2015:EN-742 Table 11: Outcomes for the study assessing mechanical stunning as reported by Dennis et al. (1988) Outcome R n Mean (seconds) Dispersion Disappearance of corneal reflex 5 5 NR NA Immediate cessation of respiration 4 5 NR NA Cessation of respiration NA 1 100 sec NA Extensor rigidity 2 5 NR NA Onset of unconsciousness and insensibility Absence of pain, distress and suffering until the loss of consciousness and sensibility Cessation of heartbeat NA 5 146.2 SEM = 34.6 Hind limb movement 5 5 NR NA Vocalization 1 5 NR NA R=number of rabbits exhibiting the outcome n=sample size NR=Not reported NA=Not applicable Supporting publications 2015:EN-742 27 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Publications 2015:EN-742 Table 12: Study characteristics for studies describing electrical stunning of rabbits Author Setting Country Breed Anil et al. (1998b) NR NR NR Anil et al. (2000) NR NR NR Purpose Sample size Age (weeks) Weight (kg) *Dispersion Sex NR 71 NR 1.7-3.1 NR Mixed NR 8 NR NR NR 0.07 (with rest group), 0.10 (without rest group) Mixed NR Mixed NR Mixed Guerrero et al. (2007) Larger scale experimental (replica plant) Mexico Californian Meat 40 10 Maria et al. (2001) Commercial NR NR NR 148 NR 1.7-3.1 Mean= 2.85 (with rest group), 2.90 (without rest group) “around 2” Nodari et al. (2009) Commercial Italy Crossbreed NR 1020 22.5 Mean=2.5 NR=Not reported Mixed = Bucks and Does NR=Not reported *Not reported in text if SD or SE Supporting publications 2015:EN-742 28 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Publications 2015:EN-742 Table 13: Interventions of the studies assessing electrical stunning Nodari et al. (2009) Anil et al. (2000) Guerrero et al. (2007) Treatment group (applicable only for multiple arm trials) Electrical stunning method No description, single arm assessed No description, single arm assessed Head-only Head-only Electrical stunning (applied to males and females, with or without rest) Head-to-anus Minimum current (A) - current type NR NR NR Minimum current - waveform NR Sinusoidal NR Minimum current (A) 1.1 22-390 NR Minimum current --latency 0 seconds NR NR Minimum voltage Peak to peak voltage NR NR Exposed minimum voltage (V) NR NR NR Delivered minimum voltage (V) 117 100 110 Frequency (Hz) NR 50 60 Minimum time exposure in seconds Mean : 1.31, SD : 0.29 1 5 Maximum stun-to-stick-/kill interval (s) Mean : 5.55, SD : 0.88, n : 50 240-300 NR Frequency of calibration of the equipment NR NR NR Electrode characteristics NR NR Alligator clips Electrode appearance NR NR Prevention of electrical shocks before stunning “The apparatus incorporated a device which measured the impedance of the load and prevented the functioning of the apparatus if the minimum required current was not available.” Thick accumulation of carbon and tarnish on the electrodes NR Supporting publications 2015:EN-742 NR 29 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Publications 2015:EN-742 Position of the electrodes “two arms of the stunner between the eyes and the ears of the rabbit” across the head Type of electrode PZ004C, Gozlin®, Italy NR “alligator clips are attached to one ear and the other in the ANAL region” alligator clips Animal skin condition NR NR NR NR= Not reported Supporting publications 2015:EN-742 30 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Table 14: Interventions of the studies assessing electrical stunning in Maria et al (2001) Parameter Electrical stunning method Minimum current waveform Exposed minimum voltage (V) Delivered minimum voltage (V) Maximum frequency (Hz) Minimum time exposure in seconds Electrode characteristics Position of the electrodes Type of electrode 49 V, 5.6 ms, 179 Hz, 3 s, n=10 Head-only 130 V, 6.2 ms, 161 Hz, 3 s, n=10 Head-only 19 V, 0.6 ms, 1667 Hz, 3 s, n=10 Head-only 130 V, 0.6 ms, 1667 Hz, 3 s n=10 Head-only 19 V, 6.2 ms, 161 Hz, 3 s n=10 Head-only Square waves Square waves Square waves Square waves Square waves 49 130 19 130 9 49 130 19 130 19 179 161 1667 1667 161 49 V, 5.6 ms, 130 V, 6.2 ms, 19 V, 0.6 ms, 130 V, 0.6 ms, 19 V, 6.2 ms, 179 Hz 1s 161 Hz, 3 s 1667 Hz, 3 s, 1667 Hz, 3 s 161 Hz, 3 s "V'' shaped metal electrode (with serrated edges for optimum contact) “applied between the back of the eyes and the base of the ears to span the brain” "V" shaped metal electrode (with serrated edges for optimum contact) (Verderio Impianti S.N.C., Strumentazione Meccanica, Milan, Italy) The following electrical stunning parameters were not reported by Maria et al. (2001) for any of the arms: minimum current type, minimum current (A), minimum current-waveform, minimum current-latency, minimum voltage, minimum or maximum frequency, maximum stun-to-stick-/kill interval, frequency of calibration of the equipment, electrode appearance, prevention of electrical shocks before stunning, and animal skin condition. Supporting publications 2015:EN-742 31 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Publications 2015:EN-742 Table 15: Interventions of the studies assessing electrical stunning in Anil et al. (1998b) Parameter 100 V head-only application, n = 10 75 V head-only application, n = 10 50 V head-only application, n = 10 100 V head-only application for 1 s, n = 10 100 V head only application for 3 s, n = 10 50 V head-only application for 1 s, n = 10 50 V headonly application for 3 s, n = 10 Minimum current (A) Mean : 0.216, Range : 0.1540.279 Mean : 0.178, Range : 0.1380.211 Mean Range 0.012 Mean : 0.143,SD : 0.0656 Mean : 0.158,SD : 0.0386 Mean : 0.077,SD : 0.0128 Mean 0.070,SD 0.0116 Exposed minimum voltage (V) 100 75 50 100 100 50 50 Delivered minimum voltage (V) Mean : 94, Range : 88-100 Mean : 69, Range : 65-75 Mean : 48, Range : 46-49 Mean : 92, SD : 4.7 Mean : 97, SD : 4.9 Mean : 48, SD : 1.1 Mean : 48, SD : 0.1 Frequency (Hz) 50Hz 50Hz 50Hz 50Hz 50Hz 50Hz 50Hz Minimum time exposure in seconds Mean : 4.6, Range : 4.1-5.2 Mean : 4.4, Range : 4.0-4.9 Mean : 4.1, Range : 3.5-4.4 1 2 1 2 Electrode characteristics “A wall mounted ‘V’ shaped metal electrode, with serrated edges for optimum contact, was used as the stunning electrode” Supporting publications 2015:EN-742 : : 0.105, 0.092- : : 32 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Publications 2015:EN-742 Prevention of electrical shocks before stunning “The electrodes were attached to a variable transformer which in turn was attached to an electronic timer. Therefore, it was possible to stun the animal while limiting the current flow.” Position of the electrodes “The head of the rabbit was placed into the ‘V’ of the electrodes which were firmly applied between the back of the eyes and the base of the ears to span the brain.” Type of electrode A wall-mounted V-shaped metal electrode, with serrated edges Comments for Anil et al. (1998b): --Electrical stunning method for all groups was Head-only --Minimum current (A) - current type for all groups was Sine alternating current (bipolar or biphasic) --Minimum current – waveform for all groups was sinusoidal --The following parameters were not reported minimum current-latency, minimum voltage, maximum stun-to-stick-/kill interval, Frequency of calibration of the equipment, electrode appearance, and animal skin condition. Supporting publications 2015:EN-742 33 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Table 16: Outcomes as reported by Anil et al. (2000) Duration of unconsciousness and insensibility R n *Mean Time for return of spontaneous physical activity (tonic) (s) NR 3 18.5 Time for return of spontaneous physical activity (clonic) (s) NR 3 9.7 Time to return of corneal reflex (s) NR 8 39 Time to return of breathing (s) NR 8 40 Time to return of pain reflex (s) NR 7 54 Time to return of head righting (s) NR 8 86 Duration of cortical parameters- grand mal (s) 6 8 NR Duration of cortical parameters - polyspikes (s) 5 8 NR Duration of cortical parameters - ECOG suppression (s) 4 8 NR Duration of cortical parameters - high amplitude low frequency (s) 2 8 NR Time to return of normal ECOG (s) NR 5 NR Time to return of visual evoked responses (s) NR 7 NR Time to return of sensory evoked responses (s) NR 7 NR R= The number of rabbits for which this outcome was reported NR=Not reported *SD or SE not reported Supporting publications 2015:EN-742 34 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Publications 2015:EN-742 Table 17: Outcomes as reported by Anil et al. (1998b) Outcome 100 V headonly application, n = 10 75 V headonly application, n = 10 50 V headonly application, n = 10 100 V headonly application for 1 s, n = 10 100 V head only application for 3 s, n = 10 50 V headonly application for 1 s, n = 10 50 V headonly application for 3 s, n = 10 Onset of unconsciousness and insensibility (mean + SD) Duration of spontaneous physical activity Tonic phase (s) 17±2.6 17±3.8 16±2.3 15±3.4 14±3.5 17±1.7 16±1.3 Duration of spontaneous physical activity Clonic phase (s) 17±6.4 14±6.0 17±6.4 8±2.4 12±5.4 10±3.5 12±3.5 0 1/11 0 0 0 0 0 *Failed to be stunned Duration of unconsciousness and insensibility (mean + SD) Time to return of rhythmic breathing (s) 38±5.0 37±6.1 41±3.2 35*± 11.1 34± 5.5 40±6.2 35±5.7 Time to return of corneal reflex (s) 26±5.0 26± 5.4 26 ±2.6 26±9.8 25±5.0 25±4.9 24±4.0 Time to return of response to nose prick (s) 54±13.8 56±10.8 55±7.2 44±17.9 44±6.0 55±14.6 46±8.5 Time to return of head righting reflex (s) 62±9.2 64±10.8 60±7.4 NR NR NR NR Time to return of hind leg posture reflex (s) 75±14.6 70±13.5 71±7.8 NR NR NR NR *One rabbit getting 75V failed to be stunned, therefore duration of insensibility could not be reported for this rabbit. Instead, one additional rabbit was used hence n=11. NR= Not reported Supporting publications 2015:EN-742 35 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Table 18: Outcomes reported by Nodari et al. (2009) Outcome R n Corneal reflex (elicited by fingerprint contact of the eyeball) 1002 1020 Absence of gasping (measured from sticking to death) 729 1020 Absence of blinking (measured from sticking to death) 993 1020 Absence of head righting (measured from sticking to death) 1019 1020 Absence of rhythmic breathing (more than 10 breaths per min) 1020 1020 Absence of pain, distress and suffering until the loss of consciousness and sensibility Absence of vocalization (measured from sticking to death) 1017 1020 Flight at current application 1 1020 Onset of unconsciousness and insensibility R=Number of rabbits exhibiting the outcome; n=sample size Supporting publications 2015:EN-742 36 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Table 19: Outcomes as reported by Guerrero et al. (2007) Outcome n Mean (s) *Dispersion Absence of pain, distress and suffering until onset of unconsciousness Group: Electrical stunning without rest Ear temperature at weight (degrees C) 10 35.81 0.108 Post-stunning ear temperature (degrees C) 10 36.02 0.386 Glucose (mg/dL) 10 125.00 4.07 Creatine kinase (IU/L) 10 772.08 46.83 Lactate dehydrogenase (IU/L) 10 417.53 28.16 pH blood 10 7.47 0.03 Blood temperature (degrees C) 10 20.70 0.44 Absence of pain, distress and suffering until onset of unconsciousness Group: Electrical stunning with rest Ear temperature at weight (degrees C) 10 35.07 0.355 Post-stunning ear temperature (degrees C) 10 36.49 0.431 Glucose (mg/dL) 10 134.72 5.66 Creatine kinase (IU/L) 10 842.40 53.29 Lactate dehydrogenase (IU/L) 10 307.60 29.14 pH blood 10 7.31 0.03 Blood temperature (degrees C) 10 20.9 0.98 *Not reported in text if SD or SE Supporting publications 2015:EN-742 37 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Table 20: Outcomes reported by Maria et al. (2001) as (mean + ** seconds) N 49 V/179 Hz Onset of unconsciousness and insensibility 130 V/161 Hz 19 V/166 Hz 130 V/166 Hz 19 V/161 Hz Start of the tonic phase 2.90 ± 0.26 3.22 ± 0.27 3.14 ±0.31 3.10 ±0.26 3.55± 0.27 0/10 0/10 1/11 0/10 1/11 10 *Failed to be stunned Duration of unconsciousness and insensibility Finish of the tonic phase 10 12.90±1.02 13.77±1.07 14.00±1.22 14.70±1.02 14.11±1.08 Start of the clonic phase 10 14.00±1.27 21.11±1.34 14.42±1.52 14.70±1.27 14.88±1.34 Finish of the clonic phase 10 29.30±1.77 30.43±2.12 31.50±1.78 Return to rhythmic breathing 10 28.10±1.35 38.88± 1.87 26.22±1.43 32.86±1.62 31.10±1.35 31.22± 1.87 32.44±1.43 Return of corneal reflex; 10 33.70±3.13 37.55±3.29 25.14±3.73 33.00±3.12 29.33±3.29 Return of hind leg posture 10 93.60±6.66 81.71±7.96 96.90±6.66 79.37±7.45 Return of response to nose prick. 10 90.44± 7.88 103.44±7.0 2 84.22±7.88 85.00±8.94 99.60±7.48 118.75± 8.36 *One rabbit getting 19V, 0.6ms, 1667 Hz, 3s failed to be stunned. One rabbit getting 19V, 6.2ms, 161 Hz, 3 s also failed to be stunned; therefore duration of insensibility could not be reported for those rabbits, so one additional rabbit was used for each of those treatments **Authors described SE in text but SD in table so this measure of precision is unclear Supporting publications 2015:EN-742 38 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Figure 1: Search strategy to identify studies reporting on stunning of rabbits in CAB Abstracts (Web of Knowledge, Thomson Reuters) # 16 #15 OR #14 # 15 TS=((rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) NEAR/5 (“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun*)) # 14 # 13 # 12 # 11 # 10 #9 #8 #7 #13 AND #1 #12 OR #11 OR #10 OR #9 OR #8 OR #7 OR #6 OR #5 OR #4 OR #3 OR #2 TS=(ritual* OR religious* OR “kosher” OR “halal” OR “shechita” OR “shehitah” OR “shehita” OR “shechitah” OR “dhabihah” OR “zabiha”) TS=(("mechanized" OR "mechanised" OR mechanical* OR "percussive") NEAR/5 (stunning OR stun OR stunned OR stuns OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*)) TS=(("penetrating" OR "penetrative" OR "needle") NEAR/3 bolt*) TS=(("captive” NEAR/2 bolt*) OR (bolt* NEAR/2 pistol*) OR zephyr* OR "bolt gun*" OR boltgun* OR "stun bolt*” OR stunbolt* OR “cattle gun*” OR "cattle bolt*") TS=("low atmosphere*" OR "controlled atmosphere*" OR "atmosphere pressure*" OR “modified atmosphere*” OR “atmosphere stun*”) TS=(waterbath* OR "water bath*") #6 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND (electric* OR electrif* OR electro* OR voltage* OR "volts" OR "current" OR "currents" OR "wave form" OR "waveform" OR frequenc* OR “amps” OR “amperage”)) #5 TS=(("head" OR "body" OR "back" OR "cardiac" OR "heart") AND ("stunning" OR "stun" OR "stunned" OR "stuns" OR stunner*)) #4 #3 #2 TS=((electric* OR electrif* OR electro* OR stun*) AND ("wand" OR "wands" OR "tong" OR "tongs")) TS=(“electronarcosis” OR “electro-narcosis” OR “electronarcoses” OR “electro-narcoses”) TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND ("carbon dioxide" OR "CO2" OR "CO 2" OR "gas" OR "gases" OR "gassing" OR "gassed" OR "gaseous" OR LAPS OR inert)) Supporting publications 2015:EN-742 39 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. #1 TS=(rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) IDENTIFICATION Figure 2: Flow diagram showing study identification process Records identified through database searching (n=2301) Additional records identified through other sources (n= 3) SCREENING Records after duplicates removed (n=1586) INCLUDED ELIGIBILITY Records screened at Level 1 (n=1586) Records screened at Level 2 (n=32) Records excluded (n=1554) Records excluded (n=24) Studies included in data collection (n=8) Modified atmosphere (n=2) Mechanical stunning (n=1) Electrical stunning (n=5) Supporting publications 2015:EN-742 40 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. APPENDICES Appendix A. DETAILED PROTOCOL PROVIDED AS START-UP CONTRACT STEP 1: EXTENSIVE LITERATURE SEARCH Searches were conducted in a range of relevant information sources in order to identify studies related any method of stunning rabbits, including those reporting the use of carbon dioxide, mechanical, and electrical methods of stunning. The search strategy comprised two elements: the search terms and the information sources to be searched. Search terms The search strategy used to identify studies indexed in CAB Abstracts (Web of Knowledge) is presented in Figure 2. The strategy comprised two key elements: The population: rabbits (search line 1); The exposure: stunning methods (search lines 2 to 12). A second, very focused approach is used in search line 15 to capture any studies concerning stunning rabbits that may have been missed by the two-concept approach. The searches were not limited by language, date, or study design. The search strategy developed for CAB Abstracts will be adapted appropriately to perform efficiently in other information sources. This included consideration of database interface differences as well as adaption to different indexing languages and syntax. Figure 3: Search strategy to identify studies reporting on stunning of rabbits in CAB Abstracts (Web of Knowledge, Thompson Reuters) # 16 #15 OR #14 # 15 TS=((rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) NEAR/5 (“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun*)) # 14 #13 AND #1 # 13 #12 OR #11 OR #10 OR #9 OR #8 OR #7 OR #6 OR #5 OR #4 OR #3 OR #2 # 12 TS=(ritual* OR religious* OR “kosher” OR “halal” OR “shechita” OR “shehitah” OR “shehita” OR “shechitah” OR “dhabihah” OR “zabiha”) Supporting publications 2015:EN-742 41 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. # 11 TS=(("mechanized" OR "mechanised" OR mechanical* OR "percussive") NEAR/5 (stunning OR stun OR stunned OR stuns OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*)) # 10 TS=(("penetrating" OR "penetrative" OR "needle") NEAR/3 bolt*) #9 TS=(("captive” NEAR/2 bolt*) OR (bolt* NEAR/2 pistol*) OR zephyr* OR "bolt gun*" OR boltgun* OR "stun bolt*” OR stunbolt* OR “cattle gun*” OR "cattle bolt*") #8 TS=("low atmosphere*" OR "controlled atmosphere*" OR "atmosphere pressure*" OR “modified atmosphere*” OR “atmosphere stun*”) #7 TS=(waterbath* OR "water bath*") #6 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND (electric* OR electrif* OR electro* OR voltage* OR "volts" OR "current" OR "currents" OR "wave form" OR "waveform" OR frequenc* OR “amps” OR “amperage”)) #5 TS=(("head" OR "body" OR "back" OR "cardiac" OR "heart") AND ("stunning" OR "stun" OR "stunned" OR "stuns" OR stunner*)) #4 TS=((electric* OR electrif* OR electro* OR stun*) AND ("wand" OR "wands" OR "tong" OR "tongs")) #3 TS=(“electronarcosis” OR “electro-narcosis” OR “electronarcoses” OR “electro-narcoses”) #2 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND ("carbon dioxide" OR "CO2" OR "CO 2" OR "gas" OR "gases" OR "gassing" OR "gassed" OR "gaseous" OR LAPS OR inert)) #1 TS=(rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) Information sources searched A range of information sources indexing published research will be searched for studies reporting on stunning methods (Table below). Table: Information sources searched to identify relevant studies Database Interface Science Citation Index (SCI) Conference Proceedings Citation Index – Science (CPCI-S) CAB Abstracts Web of Knowledge, Thompson Reuters Web of Knowledge, Thompson Reuters Web of Knowledge, Thompson Reuters Supporting publications 2015:EN-742 42 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. BIOSIS Citation Index MEDLINE and MEDLINE InProcess AGRIS AGRICOLA TEKTRAN CRIS Science.gov ScienceResearch.com Open Grey Web of Knowledge, Thompson Reuters OvidSP http://agris.fao.org/ http://agricola.nal.usda.gov/ www.ars.usda.gov/services/tektran.htm http://cris.nifa.usda.gov/ www.science.gov/ http://scienceresearch.com/ www.opengrey.eu/ Information on ongoing or recently completed trials, unpublished research, and research reported in the grey literature will be identified by searching trial registers, databases indexing conference proceedings, and specialised search engines as follows: TEKTRAN; CRIS; Conference Proceedings Citation Index – Science; Science.gov; ScienceResearch.com; Open Grey. The following key conference web-pages from the last three years (where available) were also searched to identify additional conference abstracts: International Congress of Meat Science and Technology; International Workshop on Assessment of Animal Welfare at Farm and Group Level; OIE Global Conference on Animal Welfare; Humane Slaughter Association Centenary International Symposium. Where possible, search results will be downloaded from the information sources and imported into EndNote bibliographic management software. Deduplication will be undertaken using a number of algorithms. In addition to the information sources described, the references of recent reviews and eligible studies will be checked for additional trials which had not been identified by electronic searches. STEP 2: RELEVANCE SCREENING FOR PUBLICATIONS THAT REPORT MODIFIED ATMOSPHERE STUNNING METHODS: We will identify the relevant studies using a two-step screening process. Supporting publications 2015:EN-742 43 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Screening level 1 based on abstract and title only Q1 Does the title/abstract describe methods of stunning rabbits that uses a modified atmosphere methods? Yes (Go to Q2 based on full text) No- exclude Screening level 2 based on full text. Q1 For the modified atmosphere methods does the study describe unconsciousness outcomes referred to in section 3.2.1.3. of the EFSA guidance (EFSA, 2013) in either laboratory or in-plant settings. Appearance of slow waves (high amplitude, low frequency (less than 4 Hz)) in EEG activity Profoundly suppressed or quiescent EEGs, i.e. a complete loss of spontaneous brain activity or a reduction of EEG total power content to less than 10 % of the pre-stun EEG power content has been used as an indicator of consciousness Abolition of evoked electrical activity in the brain (somatosensory evoked potentials, auditory evoked potentials or flash visual evoked potentials), dilated pupils absence of palpebral reflexes absence of corneal reflexes absence of pupillary reflexes apnoea relaxed body / lack of muscle tone / paralysis absence of response to painful stimuli such as nose pricking. None of the above (Go to Q 2) Q 2. For the modified atmosphere methods does the study describe the outcomes that measure the absence of pain, distress and suffering until the loss of consciousness and sensibility referred to in section 3.2.2. and Table 9 of the EFSA guidance (EFSA, 2013) of in either laboratory or in-plant settings. vocalisations posture and movements general behavior Supporting publications 2015:EN-742 44 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. hormone concentrations blood metabolites automatic responses brain activity None of the above (Go to Question 3). Q 3. For the modified atmosphere methods does the study describe the outcomes that measure the duration of unconsciousness and insensibility referred to in section 3.2.3. of the EFSA guidance (EFSA, 2013) of in either laboratory or in-plant settings. Return of regular gagging (forced/laboured breathing through the mouth) Return of corneal reflex Recovery of spontaneous or evoked electrical activity in the brain Time to the return of total EEG power content (voltage squared) to 10% or more of the prestun level has been used as an indicator of consciousness. STEP 3. ASSESSING THE RELEVANT MODIFIED ATMOSPHERE PUBLICATIONS FOR ELIGIBILITY: For each full text obtained from Step 2, 2 reviewers will assess the fulfilment criteria (yes-no) based on Tables 5, 6, and 7 of the EFSA guidance (EFSA, 2013) based on the type of modified atmosphere intervention used. For yes responses, one reviewer will extract the relevant information when reported. Outcome data will also be extracted using a template form listed in Appendix A of this document for each of the outcomes of interest (listed above in Q1, Q2 and Q3) of section below of this report. . STEP 4. EXTRACTION OF CLINICAL AND METHODOLOGICAL SOURCE OF HETEROGENEITY FROM ELIGIBLE PUBLICATIONS THAT REPORT MODIFIED ATMOSPHERE STUNNING METHODS For those studies that do report the eligibility information requested by EFSA in Tables 5, 6, and 7 of the EFSA guidance (EFSA, 2013) and the outcomes of interest, we will also extract additional clinical relevant information and information about methodological quality. The form for the clinically relevant information will use Appendix B of this document and the form for the methodological quality assessment will be Appendix C of this document. STEP 5. SUMMARIZE THE ELIGIBLE MODIFIED ATMOSPHERE PUBLICATIONS For each paper included in Step 3, we will provide the extracted information for interventions summarized in one table and the outcomes information in another table organized by each method of modified atmosphere stunning and each category of outcome (unconsciousness, absence of pain, and duration of unconsciousness). For papers that are included in Step 4, we will provide the information extracted in two tables, one that summarizes the clinical heterogeneity information and one that provides the methodology information. N.B. we will complete steps after 5 if sufficient resources remain after screening and identifying the modified atmosphere studies. Supporting publications 2015:EN-742 45 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. STEP 6. RELEVANCE SCREENING FOR PUBLICATIONS THAT REPORT MECHANICAL METHODS OF STUNNING: If time and resources are available after completion of the information about modified atmosphere publications, the approach to screening for relevance for mechanical stunning methods will be as follows. Screening level 1 based on abstract and title only Q1 Does the title/abstract describe methods of stunning rabbits that uses mechanical methods of stunning (section 3.1.1.1 and 3.1.1.2. of the EFSA guidance.) Yes (Go to Q2 based on full text) No- exclude Screening level 2 based on full text. Q1 For the mechanical methods of stunning, does the study describe onset of unconsciousness and insensibility outcomes referred to in section 3.2.1.1. of the EFSA guidance in either laboratory or inplant settings. Induction of brain concussion can be recognised from the predominance of less than 4 Hz high-amplitude (slow wave) EEG activity. The slow wave activity is followed by a quiescent EEG Somatosensory, visual or auditory evoked responses or potentials in the brain are abolished immediately after captive bolt stunning Immediate collapse of the animal accompanied with apnoea (absence of breathing), Onset of tonic seizure, which can be recognised from the occurrence of arched back and legs flexed under the body, and fixed eyes. Tonic seizure lasts for several seconds, followed by loss of muscle tone, which can be recognised from drooping ears, relaxed jaw, protruding tongue and limp tail and legs, Absence of palpebral, corneal and pupillary reflexes and response to external stimuli including pain (e.g. nose prick) are also abolished Absence of palpebral reflexes Absence of corneal reflexes Absence of pupillary reflexes Response to external stimuli including pain (e.g. nose prick) are also abolished For non-penetrative captive bolt applications, the incidence of skull fractures needs to be reported. Supporting publications 2015:EN-742 46 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. None of the above (Go to Q 2) Q 2. For the mechanical methods of stunning, does the study describe the outcomes that measure the duration of unconsciousness and insensibility referred to in section 3.2.3. of the EFSA guidance of in either laboratory or in-plant settings. Return of regular gagging (forced/laboured breathing through the mouth) Return of corneal reflex Recovery of spontaneous or evoked electrical activity in the brain Time to the return of total EEG power content (voltage squared) to 10% or more of the prestun level has been used as an indicator of consciousness. STEP 7. ASSESSING THE RELEVANT PUBLICATIONS THAT REPORT MECHANICAL METHODS OF STUNNING FOR ELIGIBILITY: For studies that pass step 6, 2 reviewers will assess the reporting of the key parameters about captive bolt methods, i.e. the appropriate velocity, bolt length and diameter of the captive bolt methods (yes or no). For yes responses, two reviewers will extract the relevant information when reported. The outcome data will be extracted using a template form listed in sections described below of this document. STEP 8. EXTRACTION OF CLINICAL OR METHODOLOGICAL OUTCOMES FOR PUBLICATIONS THAT REPORT ELIGIBLE MECHANICAL METHODS OF STUNNING For those studies that do report the key parameters about the stunning methods and the outcomes of interest, we will also extract additional clinically relevant information and information about methodological quality. The form for the clinically relevant information will use Appendix B in this document and the form for the methodological quality assessment will be Appendix C in this document. STEP 9. SUMMARIZE PUBLICATIONS THAT REPORT ELIGIBLE MECHANICAL METHODS OF STUNNING For each paper included in Step 7, we will the provide the extracted information for interventions summarized in one table and the outcomes information in another table, organized by each method of modified atmosphere stunning and each category of outcome (unconsciousness, absence of pain, and duration of unconsciousness). For papers that are included in Step 8, we will provide the information extracted in 2 tables, one that summarizes the clinical heterogeneity information, and one that provides the methodological information. STEP 10. RELEVANCE SCREENING FOR PUBLICATIONS THAT REPORT HEAD-ONLY ELECTRICAL METHODS OF STUNNING FOR RABBITS: If time and resources are available after completion of the information about modified atmosphere publications, the approach to screening for relevance for mechanical stunning methods will be as follows: Screening level 1 based on abstract and title only Q1 Does the title/abstract describe methods that use permitted interventions for rabbits ( section 3.1.2 (electrical stunning interventions) of the EFSA guidance? Supporting publications 2015:EN-742 47 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Yes (Go to Q2 based on full text) No- exclude Screening level 2 based on full text. Q1 For the electrical methods of stunning does the study describe the onset of unconsciousness and insensibility outcomes referred to in section 3.2.1.2. of the EFSA guidance in either laboratory or inplant settings? Induction of a generalised epileptiform activity in the brain, which can be recognised from the predominance of 8–13 Hz high-amplitude EEG activity, followed by a quiescent EEG. An immediate onset of a quiescent EEG. (laboratory) No somatosensory, visual or auditory evoked responses or potentials in the brain immediately after the stunning. (laboratory) Occurrence of tonic seizure after the application of the electric current followed by apnoea Occurrence of tonic seizure after the application of the electric current followed by lack of response to painful stimuli (laboratory) Presence of tonic seizures after removal of the current AND apnoea during tonic and clonic seizures. (in-plant studies) None of the above (Go to Q 2) Q 2. For the mechanical methods of stunning does the study describe the outcomes that measure the duration of unconsciousness and insensibility referred to in section 3.2.3. of the EFSA guidance of in either laboratory or in-plant settings? Return of regular gagging (forced/laboured breathing through the mouth)) Return of corneal reflex Recovery of spontaneous or evoked electrical activity in the brain The time to the return of total EEG power content (voltage squared) to 10% or more of the pre-stun level has been used as an indicator of consciousness. STEP 11. ASSESSING THE RELEVANT ELECTRICAL METHODS OF STUNNING PUBLICATIONS FOR ELIGIBILITY FOR HEAD-ONLY OR HEAD-TO-BODY ELECTRICAL STUNNING METHODS For studies that pass step 10, 2 reviewers will assess the fulfilment eligibility based on reporting of the key parameters (minimum and maximum current used time of application) of the EFSA guidance (yes or no). For yes responses, two reviewers will extract the relevant information when reported. The outcome data will be extracted using a template form listed in Appendix A for each of the outcomes of interest (listed above in Q1 and Q2 ) of section 6.10.2. of this report. Supporting publications 2015:EN-742 48 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. STEP 12. EXTRACTION OF CLINICAL OR METHODOLOGICAL OUTCOMES FOR THE ELIGIBLE HEADONLY OR HEAD-TO-BODY ELECTRICAL METHODS OF STUNNING PUBLICATIONS For those studies that do report the key parameters about the stunning methods and the outcomes of interest (i.e., pass step 11), we will also extract additional clinically relevant information and information about methodological quality. The form for the clinically relevant information will use Appendix B and the form for the methodological quality assessment will be Appendix C. STEP 13. SUMMARIZE ELIGIBLE PUBLICATIONS THAT REPORT ELIGIBLE HEAD-ONLY OR HEAD-TOBODY ELECTRICAL METHODS OF STUNNING For each paper included in Step 11, we will the provide the extracted information for interventions summarized in one table and the outcome information in another table organized by each method of electrical stunning and each category of outcome (unconsciousness and insensibility, and duration of unconsciousness). For papers that are included in Step 12, we will provide the information extracted in 2 tables, one that summarizes the clinical heterogeneity information and one that provides the methodological information. Supporting publications 2015:EN-742 49 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Publications 2015:EN-742 OUTCOMES EXTRACTION FROM FOR PROTOCOL Question Methods Response type Checkbox Unconsciousness outcomes measured - Checkbox Notes Modified atmosphere Mechanical Electrical None measured Not applicable Appearance of slow waves (high amplitude, low frequency (less than 4 Hz)) in EEG activity Profoundly suppressed or quiescent EEGs, i.e. a complete loss of spontaneous brain activity or a reduction of EEG total power content to less than 10 % of the pre-stun EEG power content Abolition of evoked electrical activity in the brain (somatosensory evoked potentials, auditory evoked potentials or flash visual evoked potentials), Dilated pupils Absence of palpebral reflexes Absence of corneal reflexes Absence of pupillary reflexes Apnoea Relaxed body / lack of muscle tone / paralysis Absence of response to painful stimuli such as nose pricking Tonic seizure lasts for several seconds, followed by loss of muscle tone, which can be recognised from drooping ears, relaxed jaw, protruding tongue and limp tail and legs Onset of tonic seizure, which can be recognised from the occurrence of arched back and legs flexed under the body, and fixed eyes. Immediate collapse of the animal accompanied with apnoea (absence of breathing) Supporting publications 2015:EN-742 50 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Publications 2015:EN-742 Absence of pain outcomes Duration of consciousness outcomes None measured Not applicable Vocalizations Kicking Tail flicking Avoidance Agitation Freezing Retreat attempts Escape attempts Corticosteroids ACTH Adrenaline Noradrenaline Glucose Lactate Lactate dehydrogenase Heart rate Heart rate variability Blood pressure Respiratory rate Body temperature EEG ECoG None measured Return of regular gagging (forced/laboured breathing through the mouth) Supporting publications 2015:EN-742 51 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Publications 2015:EN-742 Return of corneal reflex Recovery of spontaneous or evoked electrical activity in the brain Time to the return of total EEG power content (voltage squared) to 10% or more of the pre-stun level has been used as an indicator of consciousness. Outcome definition (as described by authors) Text box Copied from paper R (if proportion data is described) Text box Number only N (if proportion data is described) Text box Number only Mean for continuous data (or time) Text box Number only Dispersion descriptor Radio SD SEM Not discernible or not reported Value of dispersion Summary effect P value Text box Text box Text box Number only Number only Number only Supporting publications 2015:EN-742 52 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. STUDY LEVEL INFORMATION FORM Questions items Response type Answers Q1. Is the full text available in English? Radio Yes No (end here and note) Q2. Setting Checkbox Commercial Larger scale experimental (replica plant) Not discernible or not reported Small scale experimental (laboratory) Q3. Country Radio List countries Q4. Breed Radio New Zealand Whites Californians Angora This list will be added to as the review identifies breeds. Q5. Animal type Checkbox Meat Fur Not discernible or not reported Q6 Sample size N Text Q7. Age (Weeks) Text Q8. Descriptor of age Radio Mean Range Not discernible or not reported Q9. Dispersion descriptor for age Radio SD SEM Not discernible or not reported Not applicable Q10. Value of dispersion Text Q11. Weight (kg) Text Q12. Descriptor of age Radio Mean Range Not discernible or not reported Q13. Dispersion descriptor for weight Radio SD SEM Not discernible or not reported Supporting publications 2015:EN-742 53 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Q14. Value of dispersion Text Q15. Sex Checkbox Supporting publications 2015:EN-742 Bucks Does Mixed (bucks and does) Not discernible or not reported Kits 54 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. METHODOLOGICAL QUALITY FORM BASED ON THE EFSA GUIDANCE Question Q1. Information bias for the exposure — Was the extent of information bias on the exposure variable likely to be non-differential? (e.g., were different evaluations of the exposure applied to different groups?) Rationale Q2: Selection bias — Was the approach to enrolment likely to be associated with differential selection probabilities for different outcome groups? (e.g., farm with indoor management systems with high prevalence of lameness were more likely to be enrolled than other groups) Rationale Q3. Confounding — Were known confounders identified a priori and controlled for, either by restriction, matching, or multivariable analysis? Style Radio Rationale Text Supporting publications 2015:EN-742 Text Radio Text Radio Answers Yes No Unclear Yes No Unclear Yes No Unclear 55 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Appendix B. SEARCH STRATEGIES 1. Database: Science Citation Index Expanded (SCI Expanded) Web of Knowledge, Thomson Reuters. 1900-Present. Last Updated 23/07/14. Searched 24/07/14. # 16 #15 OR #14 876 # 15 TS=((rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) NEAR/5 (“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun*)) 136 # 14 #13 AND #1 837 # 13 #12 OR #11 OR #10 OR #9 OR #8 OR #7 OR #6 OR #5 OR #4 OR #3 OR #2 32,290 # 12 TS=(ritual* OR religious* OR “kosher” OR “halal” OR “shechita” OR “shehitah” OR “shehita” OR “shechitah” OR “dhabihah” OR “zabiha”) 11,653 # 11 TS=(("mechanized" OR "mechanised" OR mechanical* OR "percussive") NEAR/5 (stunning OR stun OR stunned OR stuns OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*)) 196 # 10 TS=(("penetrating" OR "penetrative" OR "needle") NEAR/3 bolt*) 40 #9 TS=(("captive” NEAR/2 bolt*) OR (bolt* NEAR/2 pistol*) OR zephyr* OR "bolt gun*" OR boltgun* OR "stun bolt*” OR stunbolt* OR “cattle gun*” OR "cattle bolt*") 531 #8 TS=("low atmosphere*" OR "controlled atmosphere*" OR "atmosphere pressure*") 3,794 #7 TS=(waterbath* OR "water bath*") 4,584 #6 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND (electric* OR electrif* OR electro* OR voltage* OR "volts" OR "current" OR "currents" OR "wave form" OR "waveform" OR frequenc* OR “amps” OR “amperage”)) 8,007 #5 TS=(("head" OR "body" OR "back" OR "cardiac" OR "heart") AND ("stunning" OR "stun" OR "stunned" OR "stuns" OR stunner*)) 2,737 #4 TS=((electric* OR electrif* OR electro* OR stun*) AND ("wand" OR "wands" OR "tong" OR "tongs")) 409 #3 TS=(“electronarcosis” OR “electro-narcosis” OR “electronarcoses” OR “electro-narcoses”) 116 Supporting publications 2015:EN-742 56 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. #2 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND ("carbon dioxide" OR "CO2" OR "CO 2" OR "gas" OR "gases" OR "gassing" OR "gassed" OR "gaseous")) 1,880 #1 TS=(rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) 302,212 876 records retrieved and downloaded Search updated with new potentially relevant terms 12/08/14. Date of last database update 08/08/14. 14 new records retrieved and downloaded. # 21 #20 NOT #14 14 # 20 #19 AND #1 17 # 19 #18 OR #17 3,945 # 18 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND ("LAPS" OR "inert")) 167 # 17 TS=(“modified atmosphere*” OR “atmosphere stun*”) 3,780 # 16 #15 OR #14 877 # 15 TS=((rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) NEAR/5 (“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun*)) 136 # 14 #13 AND #1 838 # 13 #12 OR #11 OR #10 OR #9 OR #8 OR #7 OR #6 OR #5 OR #4 OR #3 OR #2 32,391 # 12 TS=(ritual* OR religious* OR “kosher” OR “halal” OR “shechita” OR “shehitah” OR “shehita” OR “shechitah” OR “dhabihah” OR “zabiha”) 11,695 # 11 TS=(("mechanized" OR "mechanised" OR mechanical* OR "percussive") NEAR/5 (stunning OR stun OR stunned OR stuns OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*)) 196 # 10 TS=(("penetrating" OR "penetrative" OR "needle") NEAR/3 bolt*) 41 #9 TS=(("captive” NEAR/2 bolt*) OR (bolt* NEAR/2 pistol*) OR zephyr* OR "bolt gun*" OR boltgun* OR "stun bolt*” OR stunbolt* OR “cattle gun*” OR "cattle bolt*") 532 Supporting publications 2015:EN-742 57 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. #8 TS=("low atmosphere*" OR "controlled atmosphere*" OR "atmosphere pressure*" ) 3,806 #7 TS=(waterbath* OR "water bath*") 4,598 #6 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND (electric* OR electrif* OR electro* OR voltage* OR "volts" OR "current" OR "currents" OR "wave form" OR "waveform" OR frequenc* OR “amps” OR “amperage”)) 8,035 #5 TS=(("head" OR "body" OR "back" OR "cardiac" OR "heart") AND ("stunning" OR "stun" OR "stunned" OR "stuns" OR stunner*)) 2,737 #4 TS=((electric* OR electrif* OR electro* OR stun*) AND ("wand" OR "wands" OR "tong" OR "tongs")) 410 #3 TS=(“electronarcosis” OR “electro-narcosis” OR “electronarcoses” OR “electro-narcoses”) 116 #2 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND ("carbon dioxide" OR "CO2" OR "CO 2" OR "gas" OR "gases" OR "gassing" OR "gassed" OR "gaseous" )) 1,883 #1 TS=(rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) 302,627 2. Database: CAB Abstracts. Web of Knowledge, Thomson Reuters. 1910-Present. Last Updated 17/07/14. Searched 22/07/14. # 16 #15 OR #14 419 # 15 TS=((rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) NEAR/5 (“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun*)) 25 # 14 #13 AND #1 414 # 13 #12 OR #11 OR #10 OR #9 OR #8 OR #7 OR #6 OR #5 OR #4 OR #3 OR #2 26,929 # 12 TS=(ritual* OR religious* OR “kosher” OR “halal” OR “shechita” OR “shehitah” OR “shehita” OR “shechitah” OR “dhabihah” OR “zabiha”) 6,992 Supporting publications 2015:EN-742 58 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. # 11 TS=(("mechanized" OR "mechanised" OR mechanical* OR "percussive") NEAR/5 (stunning OR stun OR stunned OR stuns OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*)) 126 # 10 TS=(("penetrating" OR "penetrative" OR "needle") NEAR/3 bolt*) 35 #9 TS=(("captive” NEAR/2 bolt*) OR (bolt* NEAR/2 pistol*) OR zephyr* OR "bolt gun*" OR boltgun* OR "stun bolt*” OR stunbolt* OR “cattle gun*” OR "cattle bolt*") 888 #8 TS=("low atmosphere*" OR "controlled atmosphere*" OR "atmosphere pressure*") 6,055 #7 TS=(waterbath* OR "water bath*") 4,059 #6 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND (electric* OR electrif* OR electro* OR voltage* OR "volts" OR "current" OR "currents" OR "wave form" OR "waveform" OR frequenc* OR “amps” OR “amperage”)) 7,668 #5 TS=(("head" OR "body" OR "back" OR "cardiac" OR "heart") AND ("stunning" OR "stun" OR "stunned" OR "stuns" OR stunner*)) 483 #4 TS=((electric* OR electrif* OR electro* OR stun*) AND ("wand" OR "wands" OR "tong" OR "tongs")) 77 #3 TS=(“electronarcosis” OR “electro-narcosis” OR “electronarcoses” OR “electro-narcoses”) 663 #2 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND ("carbon dioxide" OR "CO2" OR "CO 2" OR "gas" OR "gases" OR "gassing" OR "gassed" OR "gaseous")) 1,839 #1 TS=(rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) 108,612 419 records retrieved and downloaded. Search updated with new potentially relevant terms 12/08/14. Date of last database update 08/08/14. 9 new records retrieved and downloaded. #21 #20 NOT #14 9 # 20 #19 AND #1 11 # 19 #18 OR #17 4,635 Supporting publications 2015:EN-742 59 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. # 18 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND ("LAPS" OR "inert")) 56 # 17 TS=(“modified atmosphere*” OR “atmosphere stun*”) 4,583 # 16 #15 OR #14 421 # 15 TS=((rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) NEAR/5 (“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun*)) 25 # 14 #13 AND #1 416 # 13 #12 OR #11 OR #10 OR #9 OR #8 OR #7 OR #6 OR #5 OR #4 OR #3 OR #2 28,031 # 12 TS=(ritual* OR religious* OR “kosher” OR “halal” OR “shechita” OR “shehitah” OR “shehita” OR “shechitah” OR “dhabihah” OR “zabiha”) 7,003 # 11 TS=(("mechanized" OR "mechanised" OR mechanical* OR "percussive") NEAR/5 (stunning OR stun OR stunned OR stuns OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*)) 127 # 10 TS=(("penetrating" OR "penetrative" OR "needle") NEAR/3 bolt*) 35 #9 TS=(("captive” NEAR/2 bolt*) OR (bolt* NEAR/2 pistol*) OR zephyr* OR "bolt gun*" OR boltgun* OR "stun bolt*” OR stunbolt* OR “cattle gun*” OR "cattle bolt*") 889 #8 TS=("low atmosphere*" OR "controlled atmosphere*" OR "atmosphere pressure*" ) 6,060 #7 TS=(waterbath* OR "water bath*") 4,071 #6 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND (electric* OR electrif* OR electro* OR voltage* OR "volts" OR "current" OR "currents" OR "wave form" OR "waveform" OR frequenc* OR “amps” OR “amperage”)) 7,711 #5 TS=(("head" OR "body" OR "back" OR "cardiac" OR "heart") AND ("stunning" OR "stun" OR "stunned" OR "stuns" OR stunner*)) 484 #4 TS=((electric* OR electrif* OR electro* OR stun*) AND ("wand" OR "wands" OR "tong" OR "tongs")) 77 #3 TS=(“electronarcosis” OR “electro-narcosis” OR “electronarcoses” OR “electro-narcoses”) 665 Supporting publications 2015:EN-742 60 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. #2 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND ("carbon dioxide" OR "CO2" OR "CO 2" OR "gas" OR "gases" OR "gassing" OR "gassed" OR "gaseous" )) 1,843 #1 TS=(rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) 108,800 3. Database: Conference Proceedings Citation Index – Science (CPCI-S) Web of Knowledge, Thomson Reuters. 1990-Present. Last Updated 23/07/14. Searched 25/07/14. # 16 #15 OR #14 83 # 15 TS=((rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) NEAR/5 (“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun*)) 17 # 14 #13 AND #1 78 # 13 #12 OR #11 OR #10 OR #9 OR #8 OR #7 OR #6 OR #5 OR #4 OR #3 OR #2 4,376 # 12 TS=(ritual* OR religious* OR “kosher” OR “halal” OR “shechita” OR “shehitah” OR “shehita” OR “shechitah” OR “dhabihah” OR “zabiha”) 1,340 # 11 TS=(("mechanized" OR "mechanised" OR mechanical* OR "percussive") NEAR/5 (stunning OR stun OR stunned OR stuns OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*)) 19 # 10 TS=(("penetrating" OR "penetrative" OR "needle") NEAR/3 bolt*) 6 #9 TS=(("captive” NEAR/2 bolt*) OR (bolt* NEAR/2 pistol*) OR zephyr* OR "bolt gun*" OR boltgun* OR "stun bolt*” OR stunbolt* OR “cattle gun*” OR "cattle bolt*") 65 #8 TS=("low atmosphere*" OR "controlled atmosphere*" OR "atmosphere pressure*") 1,256 #7 TS=(waterbath* OR "water bath*") 641 #6 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND (electric* OR electrif* OR electro* OR voltage* OR "volts" OR "current" OR "currents" OR "wave form" OR "waveform" OR frequenc* OR “amps” OR “amperage”)) 714 #5 TS=(("head" OR "body" OR "back" OR "cardiac" OR "heart") AND ("stunning" OR "stun" OR "stunned" OR "stuns" OR stunner*)) 270 Supporting publications 2015:EN-742 61 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. #4 TS=((electric* OR electrif* OR electro* OR stun*) AND ("wand" OR "wands" OR "tong" OR "tongs")) 72 #3 TS=(“electronarcosis” OR “electro-narcosis” OR “electronarcoses” OR “electro-narcoses”) 3 #2 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND ("carbon dioxide" OR "CO2" OR "CO 2" OR "gas" OR "gases" OR "gassing" OR "gassed" OR "gaseous")) 119 #1 TS=(rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) 29,489 83 records retrieved and downloaded. Search updated with new potentially relevant terms 12/08/14. Date of last database update 08/08/14. 1 new record retrieved and downloaded. # 21 #20 NOT #14 1 # 20 #19 AND #1 1 # 19 #18 OR #17 700 # 18 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND ("LAPS" OR "inert")) 9 # 17 TS=(“modified atmosphere*” OR “atmosphere stun*”) 17 # 16 #15 OR #14 83 # 15 TS=((rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) NEAR/5 (“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun*)) 17 # 14 #13 AND #1 78 # 13 #12 OR #11 OR #10 OR #9 OR #8 OR #7 OR #6 OR #5 OR #4 OR #3 OR #2 4,383 # 12 TS=(ritual* OR religious* OR “kosher” OR “halal” OR “shechita” OR “shehitah” OR “shehita” OR “shechitah” OR “dhabihah” OR “zabiha”) 1,342 # 11 TS=(("mechanized" OR "mechanised" OR mechanical* OR "percussive") NEAR/5 (stunning OR stun OR stunned OR stuns OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*)) 19 Supporting publications 2015:EN-742 62 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. # 10 TS=(("penetrating" OR "penetrative" OR "needle") NEAR/3 bolt*) 7 #9 TS=(("captive” NEAR/2 bolt*) OR (bolt* NEAR/2 pistol*) OR zephyr* OR "bolt gun*" OR boltgun* OR "stun bolt*” OR stunbolt* OR “cattle gun*” OR "cattle bolt*") 66 #8 TS=("low atmosphere*" OR "controlled atmosphere*" OR "atmosphere pressure*") 1,259 #7 TS=(waterbath* OR "water bath*") 641 #6 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND (electric* OR electrif* OR electro* OR voltage* OR "volts" OR "current" OR "currents" OR "wave form" OR "waveform" OR frequenc* OR “amps” OR “amperage”)) 715 #5 TS=(("head" OR "body" OR "back" OR "cardiac" OR "heart") AND ("stunning" OR "stun" OR "stunned" OR "stuns" OR stunner*)) 270 #4 TS=((electric* OR electrif* OR electro* OR stun*) AND ("wand" OR "wands" OR "tong" OR "tongs")) 72 #3 TS=(“electronarcosis” OR “electro-narcosis” OR “electronarcoses” OR “electro-narcoses”) 3 #2 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND ("carbon dioxide" OR "CO2" OR "CO 2" OR "gas" OR "gases" OR "gassing" OR "gassed" OR "gaseous" )) 119 #1 TS=(rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) 29,516 4. Database: BIOSIS Citation Index. Web of Knowledge, Thomson Reuters. 1969-Present. Last Updated 18/07/14. Searched 25/07/14. # 16 #15 OR #14 499 # 15 TS=((rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) NEAR/5 (“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun*)) 104 # 14 #13 AND #1 489 # 13 #12 OR #11 OR #10 OR #9 OR #8 OR #7 OR #6 OR #5 OR #4 OR #3 OR #2 Supporting publications 2015:EN-742 19,416 63 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. # 12 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) NEAR/5 ("carbon dioxide" OR "CO2" OR "CO 2" OR "gas" OR "gases" OR "gassing" OR "gassed" OR "gaseous")) 566 # 11 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) NEAR/5 (electric* OR electrif* OR electro* OR voltage* OR "volts" OR "current" OR "currents" OR "wave form" OR "waveform" OR frequenc* OR “amps” OR “amperage”)) 1,139 # 10 TS=(ritual* OR religious* OR “kosher” OR “halal” OR “shechita” OR “shehitah” OR “shehita” OR “shechitah” OR “dhabihah” OR “zabiha”) 7,929 #9 TS=(("mechanized" OR "mechanised" OR mechanical* OR "percussive") NEAR/5 (stunning OR stun OR stunned OR stuns OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*)) 175 #8 TS=(("penetrating" OR "penetrative" OR "needle") NEAR/3 bolt*) 26 #7 TS=(("captive” NEAR/2 bolt*) OR (bolt* NEAR/2 pistol*) OR zephyr* OR "bolt gun*" OR boltgun* OR "stun bolt*” OR stunbolt* OR “cattle gun*” OR "cattle bolt*") 632 #6 TS=("low atmosphere*" OR "controlled atmosphere*" OR "atmosphere pressure*") 1,874 #5 TS=(waterbath* OR "water bath*") 4,206 #4 TS=(("head" OR "body" OR "back" OR "cardiac" OR "heart") AND ("stunning" OR "stun" OR "stunned" OR "stuns" OR stunner*)) 3,358 #3 TS=((electric* OR electrif* OR electro* OR stun*) AND ("wand" OR "wands" OR "tong" OR "tongs")) 202 #2 TS=(“electronarcosis” OR “electro-narcosis” OR “electronarcoses” OR “electro-narcoses”) 41 #1 TS=(rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) 434,108 499 records retrieved and downloaded. Search updated with new potentially relevant terms 12/08/14. Date of last database update 08/08/14. 16 new records retrieved and downloaded. # 21 #20 NOT #14 16 # 20 #19 AND #1 16 Supporting publications 2015:EN-742 64 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. # 19 #18 OR #17 2,704 # 18 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND ("LAPS" OR "inert")) 144 # 17 TS=(“modified atmosphere*” OR “atmosphere stun*”) 2,563 # 16 #15 OR #14 500 # 15 TS=((rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) NEAR/5 (“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun*)) 104 # 14 #13 AND #1 490 # 13 #12 OR #11 OR #10 OR #9 OR #8 OR #7 OR #6 OR #5 OR #4 OR #3 OR #2 19,467 # 12 TS=(ritual* OR religious* OR “kosher” OR “halal” OR “shechita” OR “shehitah” OR “shehita” OR “shechitah” OR “dhabihah” OR “zabiha”) 7,962 # 11 TS=(("mechanized" OR "mechanised" OR mechanical* OR "percussive") NEAR/5 (stunning OR stun OR stunned OR stuns OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*)) 178 # 10 TS=(("penetrating" OR "penetrative" OR "needle") NEAR/3 bolt*) 26 #9 TS=(("captive” NEAR/2 bolt*) OR (bolt* NEAR/2 pistol*) OR zephyr* OR "bolt gun*" OR boltgun* OR "stun bolt*” OR stunbolt* OR “cattle gun*” OR "cattle bolt*") 633 #8 TS=("low atmosphere*" OR "controlled atmosphere*" OR "atmosphere pressure*") 1,874 #7 TS=(waterbath* OR "water bath*") 4,215 #6 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND (electric* OR electrif* OR electro* OR voltage* OR "volts" OR "current" OR "currents" OR "wave form" OR "waveform" OR frequenc* OR “amps” OR “amperage”)) 1,141 #5 TS=(("head" OR "body" OR "back" OR "cardiac" OR "heart") AND ("stunning" OR "stun" OR "stunned" OR "stuns" OR stunner*))3,360 #4 TS=((electric* OR electrif* OR electro* OR stun*) AND ("wand" OR "wands" OR "tong" OR "tongs")) 203 #3 TS=(“electronarcosis” OR “electro-narcosis” OR “electronarcoses” OR “electro-narcoses”) 41 Supporting publications 2015:EN-742 65 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. #2 TS=((“stunning” OR “stun” OR “stunned” OR “stuns” OR stunner* OR prestun* OR restun* OR unstun* OR unconscious* OR euthan* OR "narcosis" OR "narcoses" OR insensib* OR slaughter* OR abattoir*) AND ("carbon dioxide" OR "CO2" OR "CO 2" OR "gas" OR "gases" OR "gassing" OR "gassed" OR "gaseous" )) 568 #1 TS=(rabbit* OR "buck" OR "bucks" OR "doe" OR "kitten" OR "kit" OR "hare" OR "hares" OR "pika" OR "pikas" OR "leporidae" OR "lagomorpha" OR "oryctolagus cuniculus" OR "o cuniculus" OR fryer* OR roaster*) 434,559 5. Database: Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid MEDLINE(R). 1946 to Present. Updated daily. Searched 25/07/14 1 exp Lagomorpha/ (312377) 2 (rabbit* or buck or bucks or doe or kitten or kit or hare or hares or pika or pikas or leporidae or lagomorpha or oryctolagus cuniculus or o cuniculus or fryer* or roaster*).ti,ab. (267361) 3 1 or 2 (403079) 4 ((stunning or stun or stunned or stuns or stunner* or prestun* or restun* or unstun* or unconscious* or euthan* or narcosis or narcoses or insensib* or slaughter* or abattoir*) adj5 (carbon dioxide or CO2 or CO 2 or gas or gases or gassing or gassed or gaseous)).ti,ab. (469) 5 (electronarcosis or electro-narcosis or electronarcoses or electro-narcoses).ti,ab. (213) 6 ((electric* or electrif* or electro* or stun*) and (wand or wands or tong or tongs)).ti,ab. (103) 7 ((head or body or back or cardiac or heart) and (stunning or stun or stunned or stuns or stunner*)).ti,ab. (1689) 8 ((stunning or stun or stunned or stuns or stunner* or prestun* or restun* or unstun* or unconscious* or euthan* or narcosis or narcoses or insensib* or slaughter* or abattoir*) adj5 (electric* or electrif* or electro* or voltage* or volts or current or currents or wave form or waveform or frequenc* or amps or amperage)).ti,ab. (799) 9 10 (waterbath* or water bath*).ti,ab. (3821) (low atmosphere* or controlled atmosphere* or atmosphere pressure*).ti,ab. (374) 11 ((captive adj2 bolt*) or (bolt* adj2 pistol*) or zephyr* or bolt gun* or boltgun* or stun bolt* or stunbolt* or cattle gun* or cattle bolt*).ti,ab. (256) 12 ((penetrating or penetrative or needle) adj3 bolt*).ti,ab. (21) 13 ((mechanized or mechanised or mechanical* or percussive) adj5 (stunning or stun or stunned or stuns or stunner* or prestun* or restun* or unstun* or unconscious* or euthan* or narcosis or narcoses or insensib* or slaughter* or abattoir*)).ti,ab. (158) Supporting publications 2015:EN-742 66 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. 14 (ritual* or religious* or kosher or halal or shechita or shehitah or shehita or shechitah or dhabihah or zabiha).ti,ab. (19925) 15 exp meat packing industry/ (5248) 16 or/4-15 (32321) 17 3 and 16 (371) 18 ((rabbit* or buck or bucks or doe or kitten or kit or hare or hares or pika or pikas or leporidae or lagomorpha or oryctolagus cuniculus or o cuniculus or fryer* or roaster*) adj5 (stunning or stun or stunned or stuns or stunner* or prestun* or restun* or unstun*)).ti,ab. (66) 19 17 or 18 (393) 20 humans/ not animals/ (12103067) 21 19 not 20 (357) 357 records retrieved and downloaded. Search updated with new potentially relevant terms 12/08/14. Date of last database update 12/08/14. 3 new records retrieved and downloaded. 1 exp Lagomorpha/ (313827) 2 (rabbit* or buck or bucks or doe or kitten or kit or hare or hares or pika or pikas or leporidae or lagomorpha or oryctolagus cuniculus or o cuniculus or fryer* or roaster*).ti,ab. (268734) 3 1 or 2 (405054) 4 ((stunning or stun or stunned or stuns or stunner* or prestun* or restun* or unstun* or unconscious* or euthan* or narcosis or narcoses or insensib* or slaughter* or abattoir*) adj5 (carbon dioxide or CO2 or CO 2 or gas or gases or gassing or gassed or gaseous)).ti,ab. (470) 5 (electronarcosis or electro-narcosis or electronarcoses or electro-narcoses).ti,ab. (213) 6 ((electric* or electrif* or electro* or stun*) and (wand or wands or tong or tongs)).ti,ab. (103) 7 ((head or body or back or cardiac or heart) and (stunning or stun or stunned or stuns or stunner*)).ti,ab. (1705) 8 ((stunning or stun or stunned or stuns or stunner* or prestun* or restun* or unstun* or unconscious* or euthan* or narcosis or narcoses or insensib* or slaughter* or abattoir*) adj5 (electric* or electrif* or electro* or voltage* or volts or current or currents or wave form or waveform or frequenc* or amps or amperage)).ti,ab. (804) 9 (waterbath* or water bath*).ti,ab. (3841) Supporting publications 2015:EN-742 67 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. 10 (low atmosphere* or controlled atmosphere* or atmosphere pressure*).ti,ab. (377) 11 ((captive adj2 bolt*) or (bolt* adj2 pistol*) or zephyr* or bolt gun* or boltgun* or stun bolt* or stunbolt* or cattle gun* or cattle bolt*).ti,ab. (255) 12 ((penetrating or penetrative or needle) adj3 bolt*).ti,ab. (21) 13 ((mechanized or mechanised or mechanical* or percussive) adj5 (stunning or stun or stunned or stuns or stunner* or prestun* or restun* or unstun* or unconscious* or euthan* or narcosis or narcoses or insensib* or slaughter* or abattoir*)).ti,ab. (158) 14 (ritual* or religious* or kosher or halal or shechita or shehitah or shehita or shechitah or dhabihah or zabiha).ti,ab. (20099) 15 exp meat packing industry/ (5272) 16 or/4-15 (32561) 17 3 and 16 (373) 18 ((rabbit* or buck or bucks or doe or kitten or kit or hare or hares or pika or pikas or leporidae or lagomorpha or oryctolagus cuniculus or o cuniculus or fryer* or roaster*) adj5 (stunning or stun or stunned or stuns or stunner* or prestun* or restun* or unstun*)).ti,ab. (67) 19 17 or 18 (395) 20 humans/ not animals/ (12190512) 21 19 not 20 (359) 22 (modified atmosphere* or atmosphere stun*).ti,ab. (806) 23 ((stunning or stun or stunned or stuns or stunner* or prestun* or restun* or unstun* or unconscious* or euthan* or narcosis or narcoses or insensib* or slaughter* or abattoir*) adj5 (laps or inert)).ti,ab. (67) 24 22 or 23 (872) 25 24 and 3 (3) 26 25 not 21 (3) 6. Database: National Agriculture Library http://agricola.nal.usda.gov/ Searched 25/07/14 Catalog [AGRICOLA] 1970-Current Advanced search: Articles Supporting publications 2015:EN-742 68 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Search Request: Command = (stun OR stunning OR stunned OR stuns OR stunner? OR prestun? OR restun? OR unstun?) AND (rabbit? OR buck OR bucks OR doe OR kitten OR kit OR hare OR hares OR pika OR pikas OR leporidae OR lagomorpha OR "oryctolagus cuniculus" OR "o cuniculus") 7 records retrieved and downloaded. 7. Database: International Information System for the Agricultural Sciences and Technology [AGRIS] 1975 to date http://agris.fao.org/ Searched 25/07/14 Query: (stun stunning stunned stuns stunner* restun* unstun* prestun*) AND (rabbit* buck bucks doe kitten kit hare hares pika pikas leporidae lagomorpha "oryctolagus cuniculus" "o cuniculus") 17 records retrieved and downloaded. 8. Database: TEKTRAN: The ARS http://www.ars.usda.gov/services/tektran.htm Searched 25/07/14 Manuscripts Database Browse: Measure & Evaluate Animal Well-Being, Animal Behavior Search: rabbit, stun, prestuun, restun, unstun (appears to automatically truncate terms) Records manually scanned; 0 potentially relevant records identified and added to EndNote 9. Database: National Institute of Food and Agriculture Current Research Information System [CRIS] http://cris.nifa.usda.gov/ Searched 25/07/14 CRIS Assisted Search (automatic truncation) Fulltext Terms: stun; prestuun; restun; unstun; slaughter AND Fulltext Terms: Rabbit Not these: Fulltext Terms: Stunt Records manually scanned; 0 potentially relevant records identified and added to EndNote 10. Database: Open Grey http://www.opengrey.eu/ Searched 28/07/14 Supporting publications 2015:EN-742 69 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. (stun OR stunning OR stunned OR stuns OR stunner* OR prestun* OR restun* OR unstun*) AND (rabbit* OR buck OR bucks OR doe OR kitten OR kit OR hare OR hares OR pika OR pikas OR leporidae OR lagomorpha OR "oryctolagus cuniculus" OR "o cuniculus") 1 record retrieved, clearly irrelevant not added to EndNote 11. Database: Science.gov http://www.science.gov/ Searched 28/07/14 (stun OR stunning OR stunned OR stuns OR stunner* OR prestun* OR restun* OR unstun*) AND (rabbit* OR buck OR bucks OR doe OR kitten OR kit OR hare OR hares OR pika OR pikas OR leporidae OR lagomorpha OR "oryctolagus cuniculus" OR "o cuniculus") Search full record: Science.gov websites, Biology and Nature, General Science. Agriculture and Food not searched as AGRICOLA and TEKTRAN searched separately. Results scanned in databases – any potentially relevant records already identified by previous database searches. No records added to EndNote. 12. Database: Scienceresearch.com http://scienceresearch.com/ Search functionality not working – refused to display results. Could not be searched – July 2014. 13. International Congress of Meat Science and Technology 2013, August 18-23 Izmir Turkey http://www.sciencedirect.com/science/journal/03091740/95 Searched 28/07/14 Proceedings available as a journal supplement; presentations manually scanned. 0 abstracts added to EndNote. 14. International Congress of Meat Science and Technology 2012, August 12-17 Montreal, Canada http://www.sciencedirect.com/science/journal/03091740/92/3 Searched 28/07/14 Proceedings available as a journal supplement; presentations manually scanned. 0 abstracts added to EndNote. 15. International Congress of Meat Science and Technology 2011, August 7-12 Ghent, Belguim http://www.sciencedirect.com/science/journal/03091740/89/3 Searched 28/07/14 Proceedings available as a journal supplement; presentations manually scanned. 0 abstracts added to EndNote. Supporting publications 2015:EN-742 70 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. 16. International Congress of Meat Science and Technology 2010, August 15-10 Jeju, Korea http://www.sciencedirect.com/science/journal/03091740/86/1 Searched 28/07/14 Proceedings available as a journal supplement; presentations manually scanned. 0 abstracts added to EndNote. 17. International Conference on Assessment of Animal Welfare at Farm and Group Level, 2011, August 8-1 Guelph, Ontario http://www.uoguelph.ca/csaw/wafl/documents/WAFLproceedingsweb.pdf Searched 28/07/14 Proceedings available online; presentations manually scanned. 2 abstracts added to EndNote. Conference was not held in 2010, 2012 or 2013 (takes place every 3 years) so proceedings from these years could not be searched. 2014 conference not due to take place until September. 18. Humane Slaughter Association Centenary International Symposium. Recent Advances in the Welfare of Livestock at Slaughter. 30 June-1 July 2011 Portsmouth, UK. http://www.hsa.org.uk/symposium%202011.html Searched 28/07/14 Proceedings available online; presentations manually scanned.1 abstracts added to EndNote. This was a one-off event, proceedings from 2010 and 2012 not available to search. Next Symposium 2015. 19. OIE Global Conference on Animal Welfare. 6-8 November 2012 Kuala Lumpur, Malaysia http://www.oie.int/eng/AW2012/presentations.htm Searched 28/07/14 Proceedings available online; presentations manually scanned. 0 abstracts added to EndNote. Conference was not held in 2010, 2011, 2013 or 2014 so proceedings from these years could not be searched. Supporting publications 2015:EN-742 71 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Appendix C. EXCLUDED STUDIES AND RATIONALE FOR EXCLUSION Author Reason for exclusion (Civera et al., 1989a) Non-English publication and potentially about meat quality based on title and abstract (Leoni et al., 2005) Non-English publication (Lopez et al., 2008) Meat quality study (Pares, 2000) Non-English publication and potentially about meat quality based on title and abstract (Lafuente and Lopez, 2014) (Civera et al., 1989b) Meat quality study (Ouhayoun, 1990) Non-English publication and potentially about meat quality based on title and/or abstract (Bosco et al., 1997) Non-English publication and potentially about meat quality based on title and/or abstract (Holtzmann and Loeffler, 1991) (Holtzmann, 1991) Non-English publication (Croft, 1971) No abstract and could not be obtained (1984) Review/report (2013) Review/report (Bosco et al., 2003) Non-English publication (Fleischmann and Gisske, 1967) (Freesemann, 1975) Non-English publication (Gregory and Grandin, 2007) (Hertrampf and Mickwitz, 1979) (Loliger, 1981) Review/report in book chapter Non-English publication (Nodari et al., 2008) Conference proceeding; full paper found by search (duplicate) (Anil et al., 1998a) Conference abstract only no full paper (Holtzmann, 1992) Non-English publication (Rau et al., 2011) Conference abstract only no full paper Non-English publication and potentially about meat quality based on title and abstract Non-English publication Non-English publication Non-English publication Supporting publications 2015:EN-742 72 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. (Schuttabraham 1992) et al., Non-English publication Supporting publications 2015:EN-742 73 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. REFERENCES 1984. Report on the welfare of livestock (red meat animals) at the time of slaughter. Report on the welfare of livestock, 77pp. 2013. Scientific opinion on the use of carbon dioxide for stunning rabbits. EFSA Journal, 11, 3250. Anil MH, Mohan RAB and McKinstry JL, 1998a. Evaluation of electrical stunning in commercial rabbits. Proceedings of the 6th World Rabbit Congress, Vols 1-3: Vol 1: Nutrition, Wool & Fur; Vol 2: Reproduction & Reproduction Physiology - Genetics & Selection - General Physiology - Ethology & Welfare; Vol 3: Pathology & Prophylaxis - Growth & Meat Management & Production, B407-B410. Anil MH, Raj ABM and McKinstry JL, 1998b. Electrical stunning in commercial rabbits: Effective currents, spontaneous physical activity and reflex behaviour. Meat Science, 48, 21-28. Anil MH, Raj ABM and McKinstry JL, 2000. Evaluation of electrical stunning in commercial rabbits: effect on brain function. Meat Science, 54, 217-220. Bosco AD, Castellini C and Bernardini M, 1997. Effect of transportation and stunning method on some characteristics of rabbit carcasses and meat. World Rabbit Science, 5, 156-119. Bosco AD, Diverio S, Barone A, Canali C and Porfiri S, 2003. Information on welfare guidelines Normativa e benessere aspetti da conoscere. Rivista di Coniglicoltura, 40, 37-42. Civera T, Julini M and Quaglino G, 1989a. Assessment of Meat Quality in Rabbits Slaughtered by Means of Different Stunning Methods. Industrie Alimentari, 28, 492-&. Civera T, Julini M, Quaglino G and Ferrero E, 1989b. Influenza delle tecniche di stordimento sulla qualita della carne cunicola. [Assessment of meat quality in rabbits slaughtered by means of different stunning methods]. [Italian]. Industrie-Alimentari (Italy). (May 1989. v. 28(271) p. 492-495, 500., Croft PG, 1971. Electrocution of Mink and Electric Stunning of Rabbits. Veterinary Record, 89, 372&. Dennis MB, Dong WK, Weisbrod KA and Elchlepp CA, 1988. Use of captive bolt as a method of euthanasia in larger laboratory animal species. Laboratory Animal Science, 38, 459-462. EFSA, 2010. Application of Systematic Review Methodology to Food and Feed Safety Assessments to Support Decision Making. EFSA Journal, 8, 1-90. EFSA AHAW Panel (EFSA Panel on Animal Health and Welfare), 2013. Guidance on the assessment criteria for studies evaluating the effectiveness of stunning interventions regarding animal protection at the time of killing. EFSA Journal, 11, 41. Fleischmann O and Gisske W, 1967. On the use of Narcpren for the stunning of slaughter animals. Archiv. Lebensmittelhyg., 18, 109-112. Freesemann L, 1975. Electroencephalographic and electrocardiographic studies in stunning by the captive bolt method in sheep Elektroencephalographische und elektrokardiographische Untersuchungen zur Bolzenschussbetaubung beim Schaf. Elektroencephalographische und elektrokardiographische Untersuchungen zur Bolzenschussbetaubung beim Schaf., 78pp. Gregory NG and Grandin T, 2007. Stunning and slaughter. Animal welfare and meat production, 191212. Guerrero MY, Flores-Peinado SC, Becerril-Herrera M, Cardona-Leija A, Alonso-Spilsbury M, Zamora-Fonseca MM, Toca J, Ramirez R, Toca JA and Mota-Rojas D, 2007. Insensibilization of California breed rabbits and it's effect on sanguineous pH, temperature, glucose levels, creatine kinase and slaughter performance. Journal of Animal and Veterinary Advances, 6, 410-415. Supporting publications 2015:EN-742 74 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors. Hattingh J, Cornelius ST, Ganhao MF and Fonseca F, 1986. Arterial blood gas composition, consciousness and death in rabbits. Journal of the South African Veterinary Association, 57, 13-16. Hertrampf B and Mickwitz Gv, 1979. Stunning of slaughter animals. I. CO2 anaesthesia. (Part 3, turkey and rabbit) Betaubung von Schlachttieren. I. CO2-Betaubung. Deutsche Tierarztliche Wochenschrift, 86, 504-510. Holtzmann M, 1991. Killing of Experimental Rabbits Using Captive Bolt Guns with Consideration of Animal-Welfare. Journal of Experimental Animal Science, 34, 203-206. Holtzmann M, 1992. Eine Hilfestellung fuer die Schlachtung: Tierschutzgerechte Betaeubung von Schlachtkaninchen. [An advice for slaughtering: Preslaughter stunning of rabbits considering animal welfare]. [German]. Deutsche-Gefluegelwirtschaft-und-Schweineproduktion, 44, 376377. Holtzmann M and Loeffler K, 1991. Welfare Aspects of the Use of Captive Bolt Guns for the PreSlaughter Stunning of Rabbits. Tierarztliche Umschau, 46, 617-620. Lafuente R and Lopez M, 2014. Effect of electrical and mechanical stunning on bleeding, instrumental properties and sensory meat quality in rabbits. Meat Science, 98, 247-254. Leoni S, Moriggi F and Ghirlanducci G, 2005. Stunning - a delicate phase of slaughter Stordimento, una fase delicata della macellazione. Rivista di Coniglicoltura, 42, 32-36. Llonch P, Rodriguez P, Velarde A, Lima VAd and Dalmau A, 2012. Aversion to the inhalation of nitrogen and carbon dioxide mixtures compared to high concentrations of carbon dioxide for stunning rabbits. Animal Welfare, 21, 123-129. Loliger HC, 1981. Humane slaughter of rabbits and furbearing animals Tierschutzgerechte Totung von Kaninchen und Pelztieren. Krankheiten der Pelztiere, Kaninchen und Heimtiere. 4 Tagung Fachgruppe Kleintierkrankheiten, Celle, 18-20 Juni 1981., 35-40. Lopez M, Carrilho MC, Campo MM and Lafuente R, 2008. Halal slaughter and electrical stunning in rabbits: effect on welfare and muscle characteristics. Proceedings of the 9th World Rabbit Congress, Verona, Italy, 10-13 June 2008, 1201-1206. Maria G, Lopez M, Lafuente R and Moce ML, 2001. Evaluation of electrical stunning methods using alternative frequencies in commercial rabbits. Meat Science, 57, 139-143. Moher D, Liberati A, Tetzlaff J and Altman DG, 2009. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Journal of Clinical Epidemiology, 62, 1006-1012. Nodari SR, Lavazza A and Candotti P, 2008. Evaluation of rabbit welfare at stunning and slaughtering in a commercial abattoir. Proceedings of the 9th World Rabbit Congress, Verona, Italy, 10-13 June 2008, 1239-1244. Nodari SR, Lavazza A and Candotti P, 2009. Technical Note: Rabbit Welfare during Electrical Stunning and Slaughter at a Commercial Abattoir. World Rabbit Science, 17, 163-167. Ouhayoun J, 1990. [Slaugther of rabbits. 1. Effects of stunning and chilling rate of carcass on the evolution of sarcomere length]. 5. Journees de la recherche cunicole en France, Paris (France), 12-13 Dec 1990, Pares PM, 2000. Stunning of rabbits and effect on carcasses El aturdimiento en los conejos y su efecto sobre las canales. Medicina Veterinaria, 17, 298-301. Rau J, Lawlis PC and Joynes K, 2011. Practical animal based measures for assessing the effectiveness of a novel stunning device for rabbits. International Conference on Assessment of Animal Welfare at Farm and Group Level, Poster 30. Schuttabraham I, Knauerkraetzl B and Wormuth HJ, 1992. Observations during Captive Bolt Stunning of Rabbits. Berliner Und Munchener Tierarztliche Wochenschrift, 105, 10-15. Supporting publications 2015:EN-742 75 The present document has been produced and adopted by the bodies identified above as author(s). This task has been carried out exclusively by the author(s) in the context of a contract between the European Food Safety Authority and the author(s), awarded following a tender procedure. The present document is published complying with the transparency principle to which the Authority is subject. It may not be considered as an output adopted by the Authority. The European food Safety Authority reserves its rights, view and position as regards the issues addressed and the conclusions reached in the present document, without prejudice to the rights of the authors.