The international efforts to
limit climate change are increasing, that during the COP26 convention, reaching Net Zero Greenhouse
Gas emissions became part of the global goals for many countries and entities.
One of the sectors that holds the responsibility of addressing the impacts of
climate change is the healthcare sector, and accordingly, it is also encouraged
to take a leading role in maintaining its sustainability and be a role model
for the other sectors. Additionally, the buildings sector, through the World
Green Building council, has taken the
initiative to launch the Net Zero Carbon Buildings Commitment for the
sector. Based on these practices, the work presented aims to introduce and
formulate an Approaching Net Zero assessment methodology to be integrated as part of the sustainability
criteria and rating system for healthcare facilities in developing
countries. The methodology planned is based on four different aspects which
are: 1) Approaching Net Zero Energy, 2) Approaching Net Zero Wastewater, 3)
Approaching Net Zero Solid Waste, and 4) Approaching Net Zero GHG emissions.
The facility should have achieved a Green
Building certification through any certification body, and then apply
for the aspect on which it requires to be assessed. The assessment methodology
follows a systematic approach, where a baseline year of normal operation is
determined for existing facilities to act as a base of assessment, and normal
design practices for new facilities Based on the assessment and proof of
performance enhancement, the facility will either be awarded a basic
certificate for achieving continuous savings, or additionally be awarded a best
performance certificate compared to other facilities in the same category.
References
[1]
Abd El-Salam, M. M. (2010). Hospital Waste Management in El-Beheira Governorate, Egypt. Journal of Environmental Management, 91, 618-629. https://doi.org/10.1016/j.jenvman.2009.08.012
[2]
Arab Republic of Egypt—Ministry of Environment (2022). Egypt National Climate Change Strategy 2050.
[3]
Chartier, Y., Emmanuel, J., Pieper, U., Pruess, A., Rushbrook, P., Stringer, R., Townend, W., Wilbum, S., & Zghondi, R. (2014). Safe Management of Waste from Health-Care Activities (2nd ed.). World Health Organization.
[4]
Chasseigne, V., Leguelinel-Blache, G., Nguyen, T. L., de Tayrac, R., Prudhomme, M., Kinowski, J. M., & Costa, P. (2018). Assessing the Costs of Disposable and Reusable Supplies Wasted during Surgeries. International Journal of Surgery, 53, 18-23. https://doi.org/10.1016/j.ijsu.2018.02.004
[5]
Chen, L., Sun, J. M., & Huang, Z. W. (2014). Research on the Whole-Progress Management of Medical Waste with Life Cycle Assessment. Advanced Materials Research, 915-916, 900-904. https://doi.org/10.4028/www.scientific.net/AMR.915-916.900
[6]
Climate Action Tracker (2021). Warming Projections Global Update (Issue November).
[7]
DNGB (German Sustainable Building Council) (2022a). DNGB System for Buildings in Use. https://www.dgnb-system.de/en/buildings/in-use/
[8]
DNGB (German Sustainable Building Council) (2022b). Framework for Carbon Neutral Buildings and Sites. https://www.dgnb.de/en/topics/climate-action/framework/
[9]
Egyptian Ministry of Environment, & Waste Management Regulatory Authority (2020). Health Care Waste Management Guideline.
[10]
El-Haggar, S. et al. (2015). Sustainability and Innovation: The Next Global Industrial Revolution. The American University in Cairo press. https://doi.org/10.2307/j.ctv2ks70tf
[11]
El-Haggar, S. M. (2007). Sustainable Industrial Design and Waste Management: Cradle-to-Cradle for Sustainable Development. Academic Press. https://doi.org/10.1016/B978-0-12-373623-9.X5000-X
[12]
El-Haggar, S., & Samaha, A. (2019). Roadmap for Global Sustainability—Rise of the Green Communities. Springer. https://doi.org/10.1007/978-3-030-14584-2
[13]
ElMitainy, E., & El-Haggar, S. (2019). Developing Sustainability Rating System for Healthcare Facilities: Focus on Egypt. Journal of Environmental Protection, 10, 958-971. https://doi.org/10.4236/jep.2019.107057
[14]
European Commission (2015). Paris Agreement. Climate Action. https://climate.ec.europa.eu/eu-action/international-action-climate-change/climate-negotiations/paris-agreement_en
[15]
García-Sanz-Calcedo, J., López-Rodriguez, F., Yusaf, T., & Al-Kassir, A. (2017). Analysis of the Average Annual Consumption of Water in the Hospitals of Extremadura (Spain). Energies, 10, Article No. 479. https://doi.org/10.3390/en10040479
[16]
González, A. G., García-Sanz-Calcedo, J., & Salgado, D. R. (2018). Evaluation of Energy Consumption in German Hospitals: Benchmarking in the Public Sector. Energies, 11, Article No. 2279. https://doi.org/10.3390/en11092279
[17]
Health Care without Harm, Karliner, J., Slotterback, S., Arup, Boyd, R., Ashby, B., & Steele, K. (2019a). Appendix B: Detailed Methodology. In Health Care’s Climate Footprint. Health Care Without Harm. https://noharm-global.org/sites/default/files/documents-files/5958/Appendix%20B%209-4-19.pdf
[18]
Health Care without Harm, Karliner, J., Slotterback, S., Arup, Boyd, R., Ashby, B., & Steele, K. (2019b). Health Care’s Climate Footprint. Health Care Without Harm. https://www.arup.com/-/media/arup/files/publications/h/health-cares-climate-footprint.pdf
[19]
IEA (International Energy Agency) (2021). Net Zero by 2050—A Roadmap for the Global Energy Sector. https://www.iea.org/events/net-zero-by-2050-a-roadmap-for-the-global-energy-system
[20]
Massachusetts Water Resources Authority (n.d.). Typical Hospital Sector Information. https://www.mwra.com/comsupport/ici/norwoodhospital.htm
[21]
Minoglou, M., Gerassimidou, S., & Komilis, D. (2017). Healthcare Waste Generation World-wide and Its Dependence on Socio-Economic and Environmental Factors. Sustainability, 9, Article No. 220. https://doi.org/10.3390/su9020220
[22]
National Health Service (UK NHS) (2013). Environment and Sustainability Health Technical Memorandum 07-04: Water Management and Water Efficiency-Best Practice Advice for the Healthcare Sector. http://www.nationalarchives.gov.uk/doc/open-government-licence/
[23]
Office of Energy Efficiency, & Natural Resources Canada (2013). Survey of Commercial and Institutional Energy Use: Buildings 2009—Summary Report.
[24]
Shouman, E., Al Bazedi, G., Sorour, M. H., & Abulnour, A. G. (2013). Management of Hazardous Medical Waste Treatment in Egypt. World Applied Sciences Journal, 28, 804-808.
[25]
Smith, M. H., Hargroves, K. J., Desha, C. J. K., & Stasinopoulos, P. (2010). Chapter 4: Identifying and Implementing Water Efficiency & Recycling Opportunities by Service Sector—Educational Module 4.2: The Health Sector—Water Savings in Hospitals. In Water Transformed—Sustainable Water Solutions for Climate Change Adaptation. Commonwealth Government of Australia, ANU, Griffith University and TNEP in partnership with the AWA, Engineers Australia and the Australia Industry Group.
[26]
SWEEP-Net (2014). Country Report on the Solid Waste Management in EGYPT (Issue April).
[27]
The World Bank (2017). Geographic Hotspots for World Bank Action on Climate Change and Health. The World Bank.
[28]
The World Bank, & Ministry of Health and Population (2018). Environmental and Social Management Framework (ESMF)—Transforming Egypt’s Healthcare System Project. http://documents.worldbank.org/curated/pt/594471524601888530/pdf/ESMF.pdf
[29]
U.S. Energy Information Administration, & Commercial Buildings Energy Consumption Survey (CBECS) (n.d.a). 2012 Commercial Buildings Energy Consumption Survey: Water Consumption in Large Buildings Summary. https://www.eia.gov/consumption/commercial/reports/2012/water/
[30]
U.S. Energy Information Administration, & Commercial Buildings Energy Consumption Survey (CBECS) (n.d.b). 2018 Commercial Buildings Energy Consumption Survey, Consumption and Expenditures Highlights. https://www.eia.gov/cbecs
[31]
U.S. Energy Information Administration, & Commercial Buildings Energy Consumption Survey (CBECS) (2021). 2018 CBECS Survey Data. https://www.eia.gov/consumption/commercial/data/2018/index.php?view=consumption#major
[32]
UK Government, & United Nations Climate Change (n.d.). UN Climate Change Conference UK 2021: COP26 Goals. https://ukcop26.org/cop26-goals/
[33]
UKGBC (2020). Net Zero and Sustainability Design Guide-Net Zero Annex. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/925231/Net_Zero_and_Sustainability_Annex__August_2020_.pdf
[34]
UN (United Nations) (n.d.). UN Climate Action: Net Zero Coalition. https://www.un.org/en/climatechange/net-zero-coalition
[35]
UNDP (United Nations Development Programme), & GEF (Global Environment Facility) (2015). Protect Human Health and the Environment from Unintentional Releases of POPs Originating from Incineration and Open Burning of Health Care- and Electronic Waste. https://greenhealthcarewaste.org/wp-content/uploads/2020/12/Egypt-UNDP-GEF-Medical-Waste-and-E-Waste-Project-Document.pdf
[36]
UNFCCC (n.d.). Race to Zero—Climate Champions. https://climatechampions.unfccc.int/join-the-race-to-zero/
[37]
UNFCCC (United Nations Framework Convention on Climate Change) (2022). Decisions Taken at the Sharm El-Sheikh Climate Change Conference—Advance Unedited Versions. https://unfccc.int/cop27/auv
[38]
UNFCCC (United Nations Framework Convention on Climate Change), & UN (United Nations) (2022). Decision: Funding Arrangements for Responding to Loss and Damage Associated with the Adverse Effects of Climate Change, Including a Focus on Addressing Loss and Damage.
[39]
UNFCCC (United Nations Framework Convention on Climate Change), & Climate Neutral Now (2021). Climate Neutral Now Guidelines for Participation.
[40]
USGBC (2020). LEED Zero Program Guide (Issue April). USGBC.
[41]
Watts, N., Amann, M., Arnell, N., Ayeb-Karlsson, S., Belesova, K., Boykoff, M., Byass, P., Cai, W., Campbell-Lendrum, D., Capstick, S., Chambers, J., Dalin, C., Daly, M., Dasandi, N., Davies, M., Drummond, P., Dubrow, R., Ebi, K. L., Eckelman, M. et al. (2019). The 2019 Report of the Lancet Countdown on Health and Climate Change: Ensuring That the Health of a Child Born Today Is Not Defined by A Changing Climate. The Lancet, 394, 1836-1878. https://doi.org/10.1016/S0140-6736(19)32596-6
[42]
WGBC (World Green Building Council) (n.d.a). Advancing Net Zero around the World. World Green Building Council. https://worldgbc.org/advancing-net-zero/advancing-net-zero-around-the-world/
[43]
WGBC (World Green Building Council) (n.d.b). Commitment Signatories. World Green Building Council. https://worldgbc.org/thecommitment/commitment-signatories/
[44]
WHO (World Health Organization) (2015). Operational Framework for Building Climate Resilient Health Systems. World Health Organization.
[45]
WHO (World Health Organization) (2020). WHO Guidance for Climate-Resilient and Environmentally Sustainable Health Care Facilities. World Health Organization. https://www.who.int/publications/i/item/9789240012226
[46]
WHO (World Health Organization) (2021a). Climate Change and Health Vulnerability and Adaptation Assessment. World Health Organization.
[47]
WHO (World Health Organization) (2021b). COP26 Special Report on Climate Change and Health: The Health Argument for Climate Action. World Health Organization.
[48]
WHO (World Health Organization) (2022a). Global Spending on Health Rising to the Pandemic’s Challenges. World Health Organization.
[49]
WHO (World Health Organization) (2022b). COP26 Health Programme: Alliance for Transformative Action on Climate and Health (ATACH). World Health Organization. https://www.who.int/initiatives/alliance-for-transformative-action-on-climate-and-health/cop26-health-programme
[50]
WHO (World Health Organization) (2022c). Highlights of Some Key Health Events at COP27. World Health Organization. https://www.who.int/news/item/03-11-2022-highlights-of-some-health-key-health-events-at-cop27
[51]
World Business Council for Sustainable Development, World Resources Institute, & GHG Protocol (2011). Corporate Value Chain (Scope 3) Accounting and Reporting Standard. Supplement to the GHG Protocol Corporate Accounting and Reporting Standard GHG Protocol Team.
[52]
World Business Council for Sustainable Development, World Resources Institute, & GHG Protocol (2015). The Greenhouse Gas Protocol, A Corporate Accounting and Reporting Standard.
[53]
World Green Building Council (2016). Advancing Net Zero. https://www.worldgbc.org/advancing-net-zero
[54]
World Green Building Council (n.d.). The Net Zero Carbon Buildings Commitment. https://www.worldgbc.org/thecommitment
