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Shu-Ti Chiou, MD, PhD, MSc

Director-General, Health Promotion Administration, Ministry of Health and Welfare, Taiwan

President, International Network of Health Promoting Hospitals and Health Services

Global vice president of the International Union for Health Promotion and Education (IUHPE)

Chair, International Task Force on Health Promoting Hospitals and Age-Friendly Health Care

Chair, International Task Force on Health Promoting Hospitals and Environment

Task Force on HPH and Environment

Achievements and Prospect

2010~2014

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Outline

Task Force Organization and Members

WHO-HPH Standards and Indicators

Teaching and Training

Communication and Advocacy

Advancement of Clinical Health Promotion

Research

Where do we go from here?

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Task Force Organization

Susan Wilburn,

Department of

Public Health

and

Environment

(WHO)

Hanne

Tonnesen,

Jürgen

Pelikan

WHO-HPH

CC

Gary Cohen,

Anja Leetz

Michael Wong

(Singapore),

Chin-Lon Lin

(Taiwan)

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General

Member

174 Taiwan/

International

members

International

HPH Network

Leader

Shu-Ti Chiou

Advisory

Group

WHO International

HPH Network HCWH

Hospitals

Representatives

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Terms of Reference

2010.04.16, Approved by the General Assembly

ToR 1:Visualizing environment-related health promotion issues

in existing HPH Models and Tools

ToR 2: Giving examples on best evidence practice related to

HPH Models and Tools

ToR 3: Developing tools for monitoring the effect of

environment friendly intervention programs

ToR 4: Disseminating the best practice examples and HPH

Models and Tools through the network and increasing the

health professionals literacy about climate change and

health impacts

ToR 5: Establishing a database for environmental friendly

hospitals and health services programs 4

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Main Task Force Members

Advisory Members : Leadership

Chair and coordinator: Dr. Shu-Ti Chiou, Chair of GB, International HPH Network; Director-General, Health Promotion Administration, Taiwan

Prof. Hanne Tonnesen, Director of WHO-Collaborating Center for Evidence-based Health Promotion in Hospitals & Health Services, Bispebjerg University Hospital, Denmark & Secretariat of International HPH Network

Professor Jurgen Pelikan, Director of WHO-Collaborating Center for Health Promoting in Hospitals & Health Services in Ludwig Boltzmann Institute, Austria

Partnership Susan Wilburn, Technical officer, Department of Public Health and Environment,

WHO Dr. Gary Cohen, Co-Executive Director, Health Care Without Harm Ms. Anja Leetz, Executive Director, Health Care Without Harm Europe

Participation Dr. Michael Wong, Director, Health for Life Center, Khoo Teck Puat Hospital,

Alexandra Health Cluster (HPH Member) Dr. Chun-Lon Lin, CEO, Tzuchi Medical Mission, Tzuchi Compassionate

Foundation, Taiwan (HPH Member)

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Achievements in HPH Global

Strategies

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1.WHO-HPH Standards and

Indicators

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HPH and Environment Manual

Follows the ToR 1

Modeled on the HPH

Manual

Finalized in 2013 by the

HPH Secretariat and

available for download

from the TF website

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2. Teaching and Training

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Teaching and Training (1): Dissemination of information

Task Force information in HPH Newsletters

TF Website

Newsletter in partners such as HCWH and GGHH

Emails, official letters, activity reports on the HPA website

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Teaching and Training (2): Self-Assessment Forms for Environment-

friendly Hospital Initiative (2012-2013)

Adapted from the Health Care Without Harm’s Global Green and Healthy Hospital Agenda

8 major dimensions (Leadership, Chemicals, Waste, Energy, Water, Transportation, Food and Building) and 84 measurable items.

Pilot tested in 168 Taiwanese hospitals.

2012: 122 hospitals returned data, analysis showed strong areas were leadership, waste and water; weaker dimensions were transportation and food.

2013: 138 hospitals returned data; strong areas were leadership, waste, energy and building; weaker dimensions were transportation and food.

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Teaching and Training (3): Workshops and Training

TF organized best practice hospital

site visits, encouraged experience

sharing and offered expert

consultation

2011: 5 workshops, 112 hospital and

154 attendees

2012: 3 workshops, 73 hospitals and

84 attendees

2013: 2 workshops,77 hospitals and

165 attendees

Topics of the workshops featured

carbon reduction strategies, energy

saving baseline data, reducing and

safe disposal of healthcare waste,

controlling indoor air quality etc.

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Teaching and Training (4): Expert consultation groups for

hospitals

HPA created a mentoring and consultation program in Taiwan in 2013.

39 hospitals have joined this program.

2 to 3 experts were invited to help hospitals reviewing carbon reduction plans, including organization, energy efficiency strategies and other environment measures

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3. Communication and Advocacy

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Communication and Advocacy (1) 128 Taiwanese hospitals

said “yes, we can!” in 2010

The Power of Many

Group efforts by the hospitals to tackle challenges of climate change to health

Goal Setting

In October 2010: 128 hospitals joined and committed to achieve 13% reduction of annual CO2 emissions (164,648 tons of CO2 emissions) by 2020, compared to the level in 2007

The amount in CO2 reduction is equivalent to the annual absorbing capacity of 34 New York Central Parks

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Communication and Advocacy (2): Task Force Publications

2010: Experiences Sharing on Green

Hospitals (Chinese and English version)

Case examples from 12 Taiwanese

hospital and the Khoo Teck Puat

Hospital in Singapore

English version updated in 2012

2012: An introduction of Task Force on

HPH and Environment (Chinese and

English versions)

Available for download from HPA’s

website and the TF section on the

International HPH (www.hphnet.org)

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Communication and Advocacy (3): Domestic Media

Magazine spread on the achievement of the Task Force

(Common Wealth, Nov.14~27, 2012, Issue 510) 17

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Communication and Advocacy (4): International HPH

Conferences (2010~2014)

18th HPH in United Kingdom, 2010

Symposium on HPH and Environment

1st Task Force Meeting

19th HPH in Finland, 2011

Symposium on HPH and Environment

3rd Task Force Meeting

9 submissions on environment and healthcare in the conference

20th HPH in Taiwan, 2012

Symposium on HPH and environment

4th Task Force Meeting

49 submissions on environment and healthcare in the conference

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International HPH Conferences (2010~2014)

21st HPH Conference in

Gothenburg, Sweden 2013

Symposium on HPH and

Environment

5th Task Force Meeting

3 mini orals, 3 posters and

5 oral presentations on

environment and

healthcare (11)

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Attended the Satellite event “The First Global Climate and Health Summit”

(Dec. 4th, 2011) ; acted as Panelist with Dr. Carlos Dora, an WHO official

Communication and Advocacy (5): UNFCCC COP17 (2011)

Attended COP17 Press conference (Dec. 4th, 2011) : joined with Dr. Maria Neira,

Director of the Department of Public Health and Environment, WHO

Minister of Health,

South Africa (Center)

WHO, Dr. Carlos Dora

WHO, Dr. Maria Neira Sharing Taiwan’s green

hospital experience

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Satellite event “ Climate Change & Public Health”

Electronic and conference coverage (such as Scientific American, Mainichi Shimbun, IISD Earth News Bulletin, and newspaper coverage)

Conference Report

UNFCCC COP 17 International Media Coverage

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Communication and Advocacy (6): Global Green and Health Hospitals

South Eastern Asia Launch Ceremony (2012)

Pre-conference on HPH and Environment on April 11th, 2012, during the 20th International HPH Conference in Taiwan

Southeast Asian Launch Ceremony of HCWH’s Global Green and Healthy Hospitals Network (GGHHN)

Dr. Shu-Ti Chiou, Chair of the International HPH Network and Task Force; Dr. José Gomes Do Amaral, President of the World Medical Association; Mr. Somsak Pattarakulwanich, Deputy Director-General of the Department of Health under Ministry of Public Health.

Over 4,000 hospitals and healthcare institutions world wide has joined this network (5 hospitals from Taiwan as Founding Members); the Task Force also joined this network.

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Communication and Advocacy (7): CleanMed 2012 Europe (Malmo,

Sweden 2012)

September 2012 - Dr. Chiou gave a plenary speech on “The Experience of Taiwan’s Hospitals in Reducing Their Ecological Footprint

Shared with the attendees on Taiwan’s experience in promoting the TF and environment-friendly hospitals.

Joint panel discussion with Mr. Gary Cohen, President of HCWH, Ms. Anja Leetz, Executive Director of HCWH Europe, and Ms. Sonia Roschnik, Operation Director of NHS Sustainable Development Unit, U.K.

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Communication and Advocacy (8): Visit by the UNFCCC International

Media Group (2012)

November 2012 - a group of 17

journalists and media workers in

the fields of environment from 17

nations visited the TF leader Dr.

Chiou, who introduced missions

of the TF and the experience of

health promoting hospitals in

Taiwan on reducing their

ecological footprints.

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Communication and Advocacy (9): collaboration and participation with

HCWH’s Global Green and Healthy Hospital Agenda (2013)

February: The National Cheng Kung University Hospital submitted “Energy Saving and Carbon Reduction Policies”, which was featured in the GGHH Newsletter and made available for download on the GGHH website

May 2013:5 hospitals from the Task Force general members in Taiwan have joined the network (DOH Chia-Yi hospital, Taipei City Hospital Zhong Xiao Branch, NCKU Hospital, Tzuchi Dalin and Taichung Hospital)

October 2013: member hospital Dalin Tzuchi Hospital was invited to attend the 2013 Green Hospitals Asia Conference in Manilla, Philippines, sharing the achievements of the task force to attendees.

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Communication and Advocacy (10): 2013 International Environment-

Friendly Hospital Team Work Best Practice Award

To identify outstanding organizations in energy conservation and carbon reduction activities, and to serve as role models for the others in the healthcare sector.

6 out of 33 entries were selected to receive best practice awards (5 hospitals from Taiwan and 1 from Singapore).

Award will be presented during the HPH and Environment Symposium on April 24th, 2014, during Parallel Session O2.7, 13:30-15:00

Five hospital representatives have been invited to share their award submission entries

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4. Advancement of Clinical Health

Promotion Research

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Advancement of Clinical Health Promotion Research (1): Best practice

examples in publications

Journal of Clinical Health Promotion (Vol 2 Issue 2 (Oct 2012), Pg 76 - “Plant-based diet to offset flight carbon emission – an experience from the 2012 HPH Conference in Taiwan”. Tina H. T. Chiu, Victoria Y. Fan, Chin-Lon Lin)

Case study from National Cheng Kung University Hospital, submitted to the GGHH website, about energy saving and carbon Reduction Policies.

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Advancement of Clinical Health Promotion Research (2): Climate

change and health related publications from Taiwan (2011-2014)

1. Cardiovascular mortality during heat and cold events: determinants of regional vulnerability in Taiwan (Occupational & Environmental Medicine, July 2011,Vol. 68, )

2. Influence of environmental conditions on asynchronous outbreaks of dengue disease and increasing vector population in Kaohsiung, Taiwan (International Journal of Environmental Health Research, Volume 21, Issue 2, 2011)

3. Temperature change dominates the suicidal seasonality in Taiwan: A time-series analysis (Journal of Affective Disorders, Volume 136, Issue 3, February 2012, Pages 412–418)

4. Ambient temperature and spontaneous intracerebral haemorrhage: a cross-sectional analysis in Tainan, Taiwan (BMJ Open 2012)

5. Different profiles of allergen sensitization in different ages and geographic areas in Changhua, Taiwan (J Microbiol Immunol Infect; 46(4):295-301, Aug 2013)

6. The impact of climate factors on the prevalence of urolithiasis in Northern Taiwan (Biomedical Journal, 2014 Vol 37, Issue 1, Pg: 24-30

7. The Correlation between Cholecystectomy and Seasonal Impact in Taiwan (Chinese Journal of Physiology, Feb 28 2014;57(1):48-56)

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Where do we go from here?

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New mission priorities

Extension of the Task Force for further 4 years – passing the torch to Buddhist Tzu Chi Medical Foundation of Taiwan

To strengthen global promotion of the environment-friendly hospital initiatives through collaboration with international NGOs (INGOs)

To maintain collaboration with established environmental experts

To further highlight the co-benefits of environment and health during international events

To continue collecting best practice examples

To continue advocating and raise awareness

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~A Big Thank You for all the good work~

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Promotion, Prevention, Protection, Participation!

Taiwan Health Promotion Administration

Ministry of Health & Welfare