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| http://dx.doi.org/10.1136/bmj.n1284 | DOI Listing |
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Net Zero is not enough: ratcheting ambition for sustainable health systems through Reduce and Support.
BMJ Glob Health
December 2024
Collaborative Centre for Climate, Health and Sustainable Care, University of Toronto, Toronto, Ontario, Canada.
Net Zero is the dominant framework for organising health system decarbonisation. Yet throughout Net Zero's rise to prominence, greenhouse gas emissions have remained on a dangerous trajectory. In this analysis, we synthesise strands of Net Zero critique from the climate policy literature, examine their implications for health systems and briefly present an alternative framework for decarbonisation.
View Article and Find Full Text PDFEnvironmentally sustainable surgical systems.
BMJ Glob Health
November 2024
NIHR Global Health Research Unit on Global Surgery, Institute of Applied Health Research, University of Birmingham, Birmingham, UK.
Surgeons, anaesthetists, wider surgical teams and hospital managers are a large global group that has the capacity and power to play a leadership role to contribute to change. Hospitals are a good target for improvement since they are centres of communities, linking together surrounding healthcare facilities and influencing wider determinants of the environment. District and rural hospitals are good sites to start since they serve large populations, have the least sustained energy and clean water supplies and will benefit most from quality improvement.
View Article and Find Full Text PDFDecarbonisation of Kidney Care in the United Arab Emirates: A Roadmap to an Environmentally Sustainable Care.
Int J Nephrol Renovasc Dis
October 2024
Maverex Limited, Newcastle upon Tyne, UK.
Chronic kidney disease (CKD) remains a major public health burden and a leading cause of mortality worldwide and in the United Arab Emirates (UAE). Alongside its clinical and humanistic burden, CKD care is associated with a significant carbon footprint. In this narrative review, we present an overview of the carbon footprint of current CKD treatments and the results of an analysis estimating the carbon footprint of CKD treatments in the UAE.
View Article and Find Full Text PDFStrategies and tactics to reduce the impact of healthcare on climate change: systematic review.
BMJ
October 2024
Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, 2109, Australia.
Article Synopsis
- * The review analyzed 33,737 publications, ultimately including 205 studies that explored various strategies to limit emissions in healthcare, with a focus on clinical practices, governance, waste management, and decarbonization efforts.
- * Key findings highlighted nine themes for emission reduction efforts, including changes in surgical practices, policy enactment, waste management, and minimizing transportation, among others.
Mitigating the systemic loss of nitrous oxide: a narrative review and data-driven practice analysis.
Br J Anaesth
December 2024
Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, CA, USA.
Given the negative health impacts of climate change, clinicians have a fundamental responsibility to take an active role in mitigating the environmental impact of their practices. Inhaled anaesthetics are potent greenhouse gases, including nitrous oxide (NO), with their long atmospheric lifetime, high global warming potential, and ozone-depleting properties. However, few clinicians realise that losses from central NO supply systems account for the vast majority of overall NO consumption in healthcare.
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