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Going Green: A Resource Kit for Pollution Prevention in Health Care
Going Green was written for a health care audience, taking into account the unique challenges inherent in the health care arena. This resource kit contains steps ranging from the simple to the complex that can measurably improve your facility's environmental performance. All fact sheets are in PDF form. To order a printed copy of all or part of this kit, contact us.
Table of Contents (pdf)
 Overview
Mercury
Dioxin, PVC & DEHP
Waste Minimization
Environmentally Preferable Purchasing
Worker Health & Safety
Computers and Electronics
Food and Food Purchasing
Brominated Flame Retardants
1. Overview
1-1 Introduction
1-2 Who We Are
1-3 Memorandum of Understanding Between the US EPA and the American Hospital Association
1-6 List of Resolutions/Ordinances on PVC, Dioxin and Mercury
2. Mercury
2-1 The Mercury Problem - Fast Facts
2-2 Making Medicine Mercury Free
2-3 List of Mercury-Containing Items in a Hospital Setting
2-4 Thermometer Fact Sheet
2-5 How to Plan and Hold a Mercury Fever Thermometer Exchange
2-6 Battery Roundups: Get Charged!
2-7 List of Mercury Recycling Companies
2-9 A New Era: The Elimination of Mercury Sphygmomanometers
2-10 List of Resolutions on Mercury
2-11 Fluorescent Lamp Recycling - 10 Steps to a Successful Program
3. Dioxin, PVC & DEHP
3-1 Dioxin, PVC & Health Care
3-2 What's Wrong With Incineration?
3-3 Alternative Technologies Report Order Form
3-4 Reducing PVC Use in Hospitals
3-5 PVC Alternatives for Medical Devices
3-6 DEHP Exposures During the Medical Care of Infants: A Cause for Concern
3-7 A Summary of the Expert Panel Report of the National Toxicology Program on DEHP and its Risks to Human Reproduction
3-8 A Summary of the FDA Safety Assessment of DEHP Released from PVC Medical Devices
3-9 PVC/DEHP Resource List
3-10 Summary of the 2002 Report of the Health Canada Expert Advisory Panel on DEHP in Medical Devices
3-11 The Weight of the Evidence on DEHP: Exposures Are a Cause for Concern, Especially During Medical Care
3-12 Implementing the FDA's Public Health Notification on PVC Devices Containing DEHP
3-13 PVC Medical Devices Containing DEHP: Guidelines for an Audit
3-14 Alternatives to Polyvinyl Chloride (PVC) in Office Supplies
3-15 A Case Study: Kaiser Permanente
B Case Study: Miller Children's Hospital
C Case Study: Lucile Packard
D Case Study: John Muir Medical Center
E Case Study: Evergreen Hospital
3-16 Executive Summary: Aggregate Exposure to Phthalates in Humans
3-17 Commitments to Reduce PVC, DEHP, Dioxins, or Medical Waste Incineration
3-18 DEHP Risk Minimisation Strategy (also in French, German, and Czech)
3-19 Why Health Care is Moving Away from the Hazardous Plastic Polyvinyl Chloride (PVC)
3-21 Alternatives to Polyvinyl Chloride (PVC) Medical Devices for the Neonatal Intensive Care Unit (NICU)
3-22 Green Building: Alternatives to Polyvinyl Chloride (PVC) Building Materials for Health Care
4. Waste Minimization
4-1 Waste Minimization, Segregation and Recycling in Hospitals
4-2 10 Ways to Reduce Regulated Medical Wastes
4-3 Guidelines for Optimizing Waste Segregation
4-4 Disposables and their Alternatives
4-5 Reach for Unbleached Paper
4-6 Recycling Fact Sheet
4-7 Waste Minimization Resources
5. Environmentally Preferable Purchasing
5-1 Environmentally Preferable Purchasing How-To Guide
5-2 Sample Letter to Group Purchasing Organizations
5-4 SmartWay Transport Partnership Program
6. Worker Health & Safety
6-1 Latex Allergy in Health Care Fact Sheet
6-2 Needlestick Fact Sheet
6-3 10 Reasons to Eliminate Gluturaldehyde
6-4 Cleaning Chemical Use in Hospitals Fact Sheet
7. Computers and Electronics
The original Going Green documents on Computers and Electronics need to be revised and have been temporarily removed from the website. HCWH, H2E and the Electronics TakeBack Coalition (formerly CTBC) developed the following resources in October 2007:
How to Buy Better Computers - Going Beyond EPEAT (pdf)
Purchasing Guidelines for Environmentally Preferable Computers (pdf or doc)
Equipment End-of-Life Management Program Summary (pdf or doc)
Packaging Takeback Program Summary (pdf or doc)
8. Food and Food Purchasing
8-1 Food and Food Purchasing: A Role for Health Care
8-2 Antibiotic Resistance and the Agricultural Overuse of Antibiotics
8-3 Healthy Food in Health Care: A Menu of Options
8-4 Farmers' Markets on Hospital Grounds
8-5 Food Eco-Labels: A Purchasing Guide
8-6 Feeding Arsenic to Poultry: Is This Good Medicine?
8-7 Seasonal Foods: A New Menu for Public Health
8-8a Case Study: Incorporating Locally and Sustainably Produced Foods into Food Services
8-8b Case Study: Purchasing Directly from a Community Farming Cooperative
9. Brominated Flame Retardants
9-1 What Health Care Purchasers Can Do To Reduce Flame Retardants
9-2 Flame Retardants: Alarming Increases in Humans and the Environment
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