Energy efficiency and cost saving opportunities in public and commercial buildings in developing countries – The case of air-conditioners in Ghana

Abstract Aims The Heart Outcomes Prevention Evaluation-3 (HOPE-3) found that rosuvastatin alone or with candesartan and hydrochlorothiazide (HCT) (in a subgroup with hypertension) significantly lowered cardiovascular events compared with placebo in 12 705 individuals from 21 countries at intermediate risk and without cardiovascular disease. We assessed the costs implications of implementation in primary prevention in countries at different economic levels. Methods and results Hospitalizations, procedures, study and non-study medications were documented. We applied country-specific costs to the healthcare resources consumed for each patient. We calculated the average cost per patient in US dollars for the duration of the study (5.6 years). Sensitivity analyses were also performed with cheapest equivalent substitutes. The combination of rosuvastatin with candesartan/HCT reduced total costs and was a cost-saving strategy in United States, Canada, Europe, and Australia. In contrast, the treatments were more expensive in developing countries even when cheapest equivalent substitutes were used. After adjustment for gross domestic product (GDP), the costs of cheapest equivalent substitutes in proportion to the health care costs were higher in developing countries in comparison to developed countries. Conclusion Rosuvastatin and candesartan/HCT in primary prevention is a cost-saving approach in developed countries, but not in developing countries as both drugs and their cheapest equivalent substitutes are relatively more expensive despite adjustment by GDP. Reductions in costs of these drugs in developing countries are essential to make statins and blood pressure lowering drugs affordable and ensure their use. Clinical trial registration HOPE-3 ClinicalTrials.gov number, NCT00468923.

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Building Retrofit and Energy Conservation/Efficiency Review: A Techno-Environ-Economic Assessment of Heat Pump System Retrofit in Housing Stock

Sustainability ◽

10.3390/su13020983 ◽

2021 ◽

Vol 13 (2) ◽

pp. 983

Author(s):

Mustapha Mukhtar ◽

Bismark Ameyaw ◽

Nasser Yimen ◽

Quixin Zhang ◽

Olusola Bamisile ◽

...

Keyword(s):

Energy Conservation ◽

Thermal Comfort ◽

Heat Pump ◽

Cooling System ◽

Commercial Buildings ◽

Optimization Techniques ◽

Hot Water ◽

Environmental Benefits ◽

Pump System ◽

Air Conditioners

The world has not been able to achieve minimum greenhouse gas emissions in buildings’ energy consumptions because the energy and emissions optimization techniques have not been fully utilized. Thermal comfort is one of the most important issues for both residential and commercial buildings. Out of the 40% of global energy consumed by buildings, a large fraction is used to maintain their thermal comfort. In this study, a comprehensive review of the recent advancements in building energy conservation and efficiency application is presented based on existing high-quality research papers. Additionally, the retrofit of the heating/cooling and hot water system for an entire community in Cyprus is presented. This study aims to analyze the technical and environmental benefits of replacing existing electric heaters for hot water with heat pump water heating systems and the use of heat pump air conditioners for thermal comfort in place of the existing ordinary air conditioners for space heating and cooling. One administrative building, 86 apartments (including residential and commercial) buildings, and a restaurant building is retrofitted, and the feasibility of the project is determined based on three economic indicators, namely; simple payback period (SPP), internal rate of return (IRR), and net present value (NPV). The electrical energy required by the hot water systems and the heating/cooling system is reduced by 263,564 kWh/yr and 144,825 kWh/yr, respectively. Additionally, the retrofit project will reduce Cyprus’ CO2 emission by 121,592.8 kg yearly. The SPP, IRR, and NPV for the project show that the retrofit is economically feasible.

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