Global Green and Healthy Hospitals

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1 Global Green and Healthy Hospitals Sustainability Examples From Around the World Scott Slotterback, Policy Director, Global Green and Health Hospitals

2 NOAA, Todd Heitkamp Wikimedia Commons USEPA, Wikimedia Commons Jami Dwyer, Wikimedia Commons National Parks Service, Wikimedia Commons Climate change is the biggest global health threat of the 21 st century The impacts will be felt all around the world and not just in some distant future but in our lifetimes and those of our children. The Lancet USDA, Wikimedia Commons NOAA, Wikimedia Commons Suat Eman, freedigitalphotos.net 2

3 Fossil Fuels = 65% of Greenhouse Gas Emissions

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5 Air Pollution Deaths are greater than the Combined Mortality of HIV/AIDS, Malaria and TB -- WHO 4.3 Annual Global Deaths (Millions) Indoor Air Pollution Outdoor Air Pollution HIV / AIDS Tuberculosis Malaria Health Care Without Harm Source: World Health Organization

6 NOAA, Todd Heitkamp Wikimedia Commons USEPA, Wikimedia Commons Jami Dwyer, Wikimedia Commons National Parks Service, Wikimedia Commons Climate change is the biggest global health threat of the 21 st century The impacts will be felt all around the world and not just in some distant future but in our lifetimes and those of our children. The Lancet USDA, Wikimedia Commons NOAA, Wikimedia Commons Suat Eman, freedigitalphotos.net 6

7 Health care is NOT PREPARED for climate change

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9 130 participants, representing over 9,000 hospitals and health centers in 23 countries Partial List Assistance Publique Hôpitaux de Paris (France) Albert Einstein Hospital (Brazil) Mater Misericordiae Limited (Australia) Counties Manukau Health (New Zealand) Dignity Health (USA) Yonsei University Health System (South Korea) Health Department Xativa-Ontinyent (Spain) Hospital León Becerra (Ecuador) Hospital Sirio Libanes (Brazil) Hospital Dr. Enrique F. Enril (Argentina) Kaiser Permanente (USA) Public Health Foundation of India (India) Partners Health Care (USA) National Health Service (England) Stockholm County Council (Sweden) University Health Network (Canada)

10 the 2020 Challenge The Challenge is based on the Lancet s three pillars: Mitigation Reducing health care s own carbon footprint and deploying low carbon strategies. Resilience Preparing for the impacts of extreme weather and the shifting burden of disease. Leadership Educating staff and the public while promoting policies to protect public health from climate change.

11 Case Studies GGHH has its foundation in a comprehensive framework of 10 interconnected goals for the health sector to address and promote greater sustainability and environmental health. Leadership Prioritize Environmental Health Transportation Improve Transportation Strategies for Patients and Staff Chemicals Substitute Harmful Chemicals with Safer Alternatives Waste Reduce, Treat and Safely Dispose of Healthcare Waste Food Purchase and Serve Sustainably Grown, Healthy Food Pharmaceuticals Safely Manage and Dispose of Pharmaceuticals Energy Implement Energy Efficiency and Clean, Renewable Energy Generation Buildings Support Green and Healthy Hospital Design and Construction Water Reduce Hospital Water Consumption and Supply Potable Water Purchasing Buy Safer and More Sustainable Products and Materials

12 GGHH has members representing over 25,600 Hospitals and Health Centers USA and Canada HCWH s implementation arm, Practice Greenhealth has 1,400 Hospital members in the U.S. In Canada, GGHH members include 5 Health Systems and 2 Organizations representing the interests of 1080 Hospitals and Health Centers. Europe 21 Hospitals, 1 Health Care Facility, 19 Health Systems and 9 Organizations, representing the interests of 7213 Hospitals and Health Centers. Asia 94 Hospitals, 3 Health Care Facilities, 8 Health Systems and 26 Organizations, representing the interests of Hospitals and Health Centers. Latin America 413 Hospitals, 47 Health Care Facilities, 36 Health Systems and 15 Organizations, representing the interests of 1629 Hospitals and Health Centers. Global 1 Health System and 4 Organizations representing the interests of 1040 Hospitals. Africa 41 Hospitals, 10 Health Care Facilities, 5 Health Systems and 2 Organization, representing the interests of 1474 Hospitals and Health Centers. HCWH Regional Offices Strategic Partners Pacific 7 Hospitals, 19 Health Systems and 8 Organizations, representing the interests of 582 Hospitals and Health Centers.

13 CO2 Emissions (MtCO2) National Health Service (NHS), UK Footprint: 18 million tons of CO2 per year, 26% of public sector emissions CO2 Reduction Targets 10% by % by % by 2050

14 Barts Health Trust, NHS England Reduce Carbon Footprint by 34% by % by 2050 Between 2007 and 2013 reduced GHG emissions by 25% Innovative strategic partnerships to reduce fuel poverty Improves energy efficiency of housing Reduces Emergency Department cold weather patient incidents Saves NHS.42 on every 1 spent on initiative

15 Region Skane, Sweden 100% Fossil Free by 2020 No fossil fuel use in buildings No fossil fuel in transport No fossil fuel in electricity

16 KOREA GREEN HOSPITALS SOCIETY Yonsei University Health System, South Korea Target: reduce GHG emissions 30% by ,000 metric tons of CO2e reduction in 2015 Annual energy savings of $1.6 million Developed IT systems for monitoring, analyzing, and managing energy use and GHG emissions Equipment improvements, large and small, around hospitals contribute to carbon reductions Heating and cooling management sytem, solar powered streetlights, power saving mode on all equipment from computers to escalators

17 Sanatorio Finochietto, Buenos Aires, Argentina Integrated Systems Thick thermal insulation in walls Sunshades and a ventilated facade system Geothermal interchange Heat exchange between exhausts and fresh air inlets Natural lighting Roof gardens and green roofs

18 Hospital Sírio-Libanês, Brazil New towers LEED Gold Certified LEED certified buildings GHG Protocol reporting Solar heated water, high efficiency electric chillers, CFC-free refrigerants Grey Water system reduces water consumption by 64%

19 Hospital Sírio-Libanês, Brazil Treatment/reuse of greywater Water from sinks, showers and urinals Reuse water in new hospital towers in toilet bowls, cooling towers and vegetated areas of the hospital Uses customized technology a system that separates organic material by flotation with subsequent ultrafiltration providing ultra-filtered reusable water without suspended solids and biological material

20 Partners HealthCare, USA 25% reduction in energy consumption over 5 years on a $100m U.S. annual energy bill 230 energy conservation measures Energy reduction of 25% Implementation cost: $61M Average payback 3.7 years 27% annual ROI Annual pollutant reduction resulting from the energy conservation measures: 21.6 tons of sulfur dioxide, 5 tons of nitrous oxide, 6,332 tons of carbon dioxide and 0.15 tons of mercury.

21 Climate-Smart Health Care Resilience Georgetown Hospital, St Vincent and the Grenadines Strengthened roof to withstand Hurricanes and volcanic ash Solar Panels to generate electricity Reduced energy consumption by over 60% Water storage system Natural lighting Part of PAHO Smart Hospitals Initiative Georgetown Hospital (Photo: stlucianewsonline.com)

22 Kaiser Permanente, USA 30% Energy savings by 2020 achieved in 2017 All new hospitals - LEED Gold Energy systems upgrades Power Purchase agreements for renewable energy wind and solar On-site solar power Photo: Kaiser Permanente

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24 BECOME A MEMBER Joining the Global Green and Healthy Hospitals network is a fluid and easy process. Membership in GGHH is currently free of charge. Step 1: Join GGHH by sending your letter of intent. Visit Step 2: Get Started! Activate your account and access resources, benefits and more!

25 GGHH IS A PROJECT OF HCWH HCWH works to transform health care worldwide so that it reduces its environmental footprint while mobilizing its ethical, economic and political influence to create an ecologically sustainable, equitable and healthy world.

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27 Thank You!