A comparative study of the economy’s environmental impact between states in the USA and provinces in China

2018 ◽  
Vol 8 (2) ◽  
pp. 132-141 ◽  
Author(s):  
Feng Hao ◽  
Guizhen He ◽  
Michael Snipes
Gut ◽  
2021 ◽  
pp. gutjnl-2021-324729
Author(s):  
Sathvik Namburar ◽  
Daniel von Renteln ◽  
John Damianos ◽  
Lisa Bradish ◽  
Jeanne Barrett ◽  
...  

ObjectiveProcedure-intense specialties, such as surgery or endoscopy, are a major contributor to the impact of the healthcare sector on the environment. We aimed to measure the amount of waste generated during endoscopic procedures and to understand the impact on waste of changing from reusable to single use endoscopes in the USA.DesignWe conducted a 5-day audit (cross-sectional study) of all endoscopies performed at two US academic medical centres with low and a high endoscopy volume (2000 and 13 000 procedures annually, respectively). We calculated the average disposable waste (excluding waste from reprocessing) generated during one endoscopic procedure to estimate waste of all endoscopic procedures generated in the USA annually (18 million). We further estimated the impact of changing from reusable to single-use endoscopes taking reprocessing waste into account.Results278 endoscopies were performed for 243 patients. Each endoscopy generated 2.1 kg of disposable waste (46 L volume). 64% of waste was going to the landfill, 28% represented biohazard waste and 9% was recycled. The estimated total waste generated during all endoscopic procedures performed in the USA annually would weigh 38 000 metric tons (equivalent of 25 000 passenger cars) and cover 117 soccer fields to 1 m depth. If all endoscopic procedures were performed with single-use endoscopes and accounting for reprocessing, the net waste mass would increase by 40%. Excluding waste from ancillary supplies, net waste generated from reprocessing and endoscope disposal would quadruple with only using single-use endoscopes.ConclusionThis quantitative assessment of the environmental impact of endoscopic procedures highlights that a large amount of waste is generated from disposable instruments. Transitioning to single-use endoscopes may reduce reprocessing waste but would increase net waste.


2018 ◽  
Vol 10 (8) ◽  
pp. 2917 ◽  
Author(s):  
José Lozano-Miralles ◽  
Manuel Hermoso-Orzáez ◽  
Carmen Martínez-García ◽  
José Rojas-Sola

The construction industry is responsible for 40–45% of primary energy consumption in Europe. Therefore, it is essential to find new materials with a lower environmental impact to achieve sustainable buildings. The objective of this study was to carry out the life cycle analysis (LCA) to evaluate the environmental impacts of baked clay bricks incorporating organic waste. The scope of this comparative study of LCA covers cradle to gate and involves the extraction of clay and organic waste from the brick, transport, crushing, modelling, drying and cooking. Local sustainability within a circular economy strategy is used as a laboratory test. The energy used during the cooking process of the bricks modified with organic waste, the gas emission concentrate and the emission factors are quantified experimentally in the laboratory. Potential environmental impacts are analysed and compared using the ReCiPe midpoint LCA method using SimaPro 8.0.5.13. These results achieved from this method are compared with those obtained with a second method—Impact 2002+ v2.12. The results of LCA show that the incorporation of organic waste in bricks is favourable from an environmental point of view and is a promising alternative approach in terms of environmental impacts, as it leads to a decrease of 15–20% in all the impact categories studied. Therefore, the suitability of the use of organic additives in clay bricks was confirmed, as this addition was shown to improve their efficiency and sustainability, thus reducing the environmental impact.


Sign in / Sign up

Export Citation Format

Share Document