Acting Together for Environmental Healthwww.greenhospitals.net

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TOWARD A GREENER AND HEALTHIER WORLD

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Imagine hospitals around the world deploying onsite renewable energy and super-efficient building design. Imagine cancer centers built without chemicals that cause cancer. Imagine health centers that provide clean water and healthy food for their communities. Imagine hospitals that minimize waste generation and practice water recycling.Imagine the health sector as a beacon of and advocate for low-carbon development.Imagine Global Green and Healthy Hospitals.

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THE PROBLEM

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Climate change, chemical contamination, water and air pollution are all exacerbating diseases the world over. These environmental health problems are increasing the pressure on, and eroding the capacity of, already thinly-stretched health care systems.

The health sector itself is paradoxically contributing to these very environmental health problems, even as it attempts to address their downstream impacts. Through the products and technologies it deploys, the resources it consumes, the waste it generates and the buildings it constructs and operates, the health sector is a significant source of pollution around the world, and therefore an unintentional contributor to trends that undermine public health.

THE SOLUTION

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There is a growing convergence of solutions that foster both public health and environmental sustainability, pointing the way toward a sustainable, healthier future.

Nurses, doctors, hospitals, health systems and ministries of health are increasingly at the center of these solutions— playing leadership roles in transforming their own institutions and becoming advocates for policies and practices that promote public environmental health, while often saving scarce financial resources.

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AGENDA

The Global Green and Healthy Hospitals Agenda provides a comprehensive framework for hospitals and health systems everywhere in the world to achieve greater sustainability and to contribute to improved public and environmental health.

The Agenda consists of ten interconnected goals. Each contains a series of Action Items, as well as links to tools and resources that hospitals and health systems can use to support implementation.

The Agenda is currently available in English, Spanish, Portuguese and Chinese at www.greenhospitals.net

10 GOALS LeadershipPrioritize Environmental Health

ChemicalsSubstitute Harmful Chemicals with Safer Alternatives

EnergyImplement Energy Efficiency and Clean, Renewable Energy Generation

WasteReduce, Treat and Safely Dispose of Healthcare Waste

WaterReduce Hospital Water Consumption and Supply Potable Water

TransportationImprove Transportation Strategies for Patients and Staff

FoodPurchase and Serve Sustainably Grown, Healthy Food

PharmaceuticalsSafely Manage and Dispose of Pharmaceuticals

BuildingsSupport Green and Healthy Hospital Design and Construction

PurchasingBuy Safer and More Sustainable Products and Materials

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THE NETWORK

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Hospitals, health systems and health organizations representing the interests of more than 4,000 hospitals from six continents came together over the course of 2012 to form a global network based on the Global Green and Healthy Hospitals Agenda.

The Global Green and Healthy Hospitals Network (GGHH) is a community for institutions in the health sector dedicated to reducing their ecological footprint and promoting public and environmental health.

GGHH members from across the globe are working together in a global learning community to share best practices, find solutions to the challenges they face, and achieve measurable outputs.

Founding members of the GGHH include government agencies, hospital associations, health systems and individual hospitals representing the interests of more than 4,000 hospitals from every continent. These include

» national hospital associations in China, Indonesia and Australia;

» national and municipal health authorities in Argentina, Chile, England, Mexico and Thailand;

» major hospitals and health systems in Brazil, India, Nepal, Korea, New Zealand, the United States and more.

*for a more complete list see page 13

NETWORK MEMBERSHIP

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The Global Green and Healthy Hospitals Agenda forms the foundation of the GGHH Network. By endorsing the Agenda and committing to begin by implementing at least two of its goals, hospitals and health systems can become members of GGHH.

Health professional, non-governmental and international organizations can also join the Network by endorsing the Agenda and committing to promote it to the hospitals and health systems they work with.

Membership in GGHH is free of charge.

To join or for more information visit www.greenhospitals.net/join-the-network

HOW TO JOIN THE NETWORK

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With a robust founding membership established over the course of 2012, GGHH is now establishing and implementing a series of services. These include:

» Regular release of case studies and success stories produced by members from around the world.

» An internet platform that combines social networking, content creation, and integrated real-time communications— GGHH Connect— powered by Cisco Systems and supported by the Skoll Foundation— to enable members to connect, share and collaborate with one another.

» The exchange of information and experiences between and among hospitals and health systems in different parts of the world.

» A suite of technical tools to support implementation of the ten GGHH goals and the measurement of this implementation.

» A suite of PR and media tools for members to promote their participation in the GGHH to staff, patients, and the public.

» A series of webinars and in person workshops and conferences to support implementation.

» An online reporting mechanism to help members measure progress and share their efforts in a standard format.

» An Awards Program that recognizes world leaders in sustainability in healthcare.

BENEFITS AND ACTIVITIES

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GGHH is supported primarily by the generosity of a number of philanthropic foundations. In order to assure the sustainability of this effort, GGHH has established a Green Hospitals Fund.

Donations are welcome. If you are interested in donating or receiving more information about the Green Hospitals Fund, please contact GlobalNetwork@hcwh.org

GREEN HOSPITALS FUND

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Health Systems

› AMIL Assistência Médica Internacional S/A (Brasil) (30 hospitals)› Barts Health NHS Trust (UK) (3 hospitals)› Cornwall Healthcare Estates Support Services Estates NHS (UK)› Counties Manukau District Health Board (New Zealand) (23 institutions)› Departamento Provincial de Salud Choapa (Chile) (3 hospitals, 4 departments of health)› Department of Health, Ministry of Public Health (GREEN and CLEAN Hospitals Program) (Thailand) (746 hospitals and 3,099 sub district hospitals)› East and North Hertfordshire NHS Trust (UK) (4 hospitals)› Gloucestershire Hospitals NHS Trust (UK) (2 hospitals)› Hull and East Yorkshire Hospitals NHS Trust (UK) (2 hospitals)› Irmandade da Santa Casa de Misericordia de São Paulo (Brazil) (10 hospitals)› Ministerio de Salud Pública de San Juan (Argentina) (16 public hospitals, 3 hospitals under construction, 150 health centers)› NHS Sustainable Development Unit (UK)› Pro Saúde (Brazil) (35 hospitals)› Sandwell and West Birmingham NHS Trust (UK) (3 hospitals)› Secretaría de Salud del Gobierno del Distrito Federal (México) (33 public hospitals)› Sistema de Salud Pública de la Municipalidad de Rosario (Argentina) (52 municipal health centers, 5 hospitals, 2 maternities, and 1 ambulatory medical center)› South Essex NHS Cluster (UK) (2 hospitals)› SPDM – Associaçâo Paulista para o Desenvolvimento da Medicina (Brazil) (10 hospitals)› Stockport NHS Foundation Trust (UK) (community health services across 24 sites in Stockport and, 17 sites in Tameside and Glossop)› Sussex Community NHS Trust (UK)› The Newcastle upon Tyne Hospitals NHS Trust (UK) (3 hospitals)› UNIMED FESP (Brazil)› University College London Hospitals NHS Trust Director of Estates & Facilities (UK) (8 hospitals)› Western Health (Australia)› Yonsei University Health System (Korea) (5 hospitals)

Health Professional, International and Non-Governmental Organizations

› Asociación Argentina de Arquitectura e Ingeniería Hospitalaria (Argentina)› Australian Healthcare & Hospitals Association (Australia)› Colegio de Enfermeras y Enfermeros de Costa Rica (Costa Rica)› Chinese Hospital Association, Hospital Architecture, System Research Branch (China) (150 Hospitals)› FHI360 (Global)› Health Care Foundation (Nepal)› Health Promoting Hospitals Network, Environment Task Force (Global)› Healthier Hospitals Initiative (US) (more than 600 hospitals and 13 major health systems. For complete list of hospitals see www.healthierhospitals.org)Indonesia Hospital Association (Indonesia) (1,234 hospitals)

FOUNDING MEMBERS

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› Materia de Salud Socioambiental, Programa Ambiente Saludable de la Secretaría de Extensión Universitaria de la Facultad de Ciencias Médicas de la Universidad Nacional de Rosario (Argentina)› Projeto Hospitais Saudáveis (Brazil)› Rural Clinical School (Australia)› Synergie Santé Environnement (Canada)› Yorkshire Ambulance Service (UK)

Hospitals

› Amil Resgate Saúde (Brazil)› Área de Salud Puriscal Turrubares (Costa Rica)› Associação Lar Francisco de Assis (Brazil)› Austin Health (Australia)› Buddhist Dalin Tzu Chi General Hospital (Taiwan)› Buddhist Tzu Chi General Hospital (Taiwan)› Centro de Reabilitação Lucy Montoro (Brazil)› Dansai Crown Prince Hospital (Thailand)› Fundação Doutor Amaral Carvalho (Brazil)› GP Genesis Dialysis Clinic and Diagnostic Center (Philippines)› Gunjaman Singh Memorial DCC (Nepal)› Hospital ABC – Unidade Cirúrgica (Brazil)› Hospital ABC – Unidade Materno Infantil (Brazil)› Hospital Carlos Luis Valverde Vega (Costa Rica)› Hospital da Luz (Brazil)› Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (Brazil)› Hospital de Clínicas da Universidade Federal do Paraná (Brazil)› Hospital de Clínicas de Uberlãndia (Brazil)› Hospital de Illapel (Chile)› Hospital de la Niñez Oaxaqueña (México)› Hospital de Niños de la Santísima Trinidad (Argentina)› Hospital de Salamanca (Chile)› Hospital del Niño DIF – Hidalgo (México)› Hospital Dr. Juan Bautista Alberdi (Argentina)› Hospital Dr. Rafael Ángel Calderón Guardia (Costa Rica)› Hospital Dr. Roque Saenz Peña (Argentina)› Hospital e Maternidade de Assis – HMA (Brazil)› Hospital e Maternidade de Metropolitano (Brazil)› Hospital El Cruce, Dr. Néstor Kirchner (Argentina)› Hospital Escalante Pradilla (Costa Rica)› Hospital Federal Dos Servidores Do Estado (Brazil)› Hospital General de Agudos Bernardino Rivadavia (Argentina)› Hospital General de Ecatepec “Doctor José Ma. Rodríguez” (Mexico)› Hospital General de México (Mexico)› Hospital Geral Dr. Beda (Brazil)› Hospital Infantil de México Federico Gómez (Mexico)› Hospital Italiano de Buenos Aires (Argentina)

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› Hospital Juan A. Fernández (Argentina)› Hospital Los Vilos (Chile)› Hospital Metropolitano do Butantã (Brazil)› Hospital México (Costa Rica)› Hospital Municipal de Araucária (Brazil)› Hospital Municipal de Cubatão (Brazil)› Hospital Nacional de Niños “Dr. Carlos Sáenz Herrera” (Costa Rica)› Hospital Nove de Abril de Juruti (Brazil)› Hospital Pediátrico Iztapalapa (Mexico)› Hospital Público Desc. Dr. G. Rawson (Argentina)› Hospital San Rafael de Alajuela (Costa Rica)› Hospital San Vicente de Paúl (Costa Rica)› Hospital Santa Paula (Brazil)› Hospital Sírio Libanês (Brazil)› Hospital totalCor (Brazil)› Hospital Universitario Austral (Argentina)› Hospital Universitário Bettina Ferro de Souza (Brazil)› Hospital Vitória (Brazil)› Instituto Nacional de Pediatría (Mexico)› Instituto Nacional de Saúde da Mulher da Criança e do Adolescente Fernandes Figueira – Fiocruz (Brazil)› Instituto Nacional de Traumatologia e Ortopedia (Brazil)› Irmandade Da Santa Casa de Misericordia de São Paulo (Brazil)› KK Women’s and Children’s Hospital (Singapore)› King Fahad Medical City (Saudi Arabia)› Luton & Dunstable Hospital NHS Trust (UK)› Maternidade Escola Vila Nova Cachoeirinha (Brazil)› National Cheng Kung University Hospital (Taiwan)› Northampton General Hospital NHS Trust (UK)› Nuevo Hospital San Roque (Argentina)› Pushpanjali Crosslay Hospital (India)› Regional Health Promotion Center 5 (Thailand)› Regional Health Promotion Center 8 (Thailand)› Santa Casa de Atibaia (Brazil)› Taipei City Hospital Zhongxiao Branch (Taiwan)› UNASP PSF (Brazil)› Vachira Phuket Hospital (Thailand)

To join GGHH, access the Global Green and Healthy Hospitals Agenda and for general information visit www.greenhospitals.net or write us at GlobalNetwork@hcwh.org

Global Green and Healthy Hospitals is a project of Health Care Without Harmwww.noharm.org

This brochure was produced by GGHH Founding Member FHI 360, www.fhi360.org