IN HEALTHCARE INDUSTRY Presented By; Dr Foo Say Moo Associate - PowerPoint PPT Presentation

Presentation 5; HOW TO REDUCE CARBON FOOTPRINT IN HEALTHCARE INDUSTRY Presented By; Dr Foo Say Moo Associate Member of International Green Training Centre Sdn Bhd 4 th July, 2019

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - UNDERSTAND RELATIONSHIP BETWEEN GHG INTENSITY AND GLOBAL WARMING EFFECT 20% 80% Intensity Intensity GHG GHG 20% >400ppm <100ppm 80% PRE-INDUSTRIAL CURRENT LEVEL LEVEL

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - CLIMATE SCIENCE (1 OF 2) • CO 2 concentration to increase from 368 to between 540 - 1000 ppm. • Temperatures to rise by between 1.4 – 5.8 0 C globally ▪ Sea level to rise 9 – 88 cm ▪ Global warming is expected to cause plant and animal species extinction, agriculture yields to drop, food supply disruption and adverse human health

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - CLIMATE SCIENCE – IPCC AR4 REPORT (2 OF 2)

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - VULNERABLE LOCATIONS TO EXTREME WEATHER AND SEA LEVEL RISE

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - WORLD ISOKERAUNIC MAP THUNDERSTORM DAYS 0 2 4 10 20 40 60 80 100 140 200+

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - NATIONAL COMMITMENT AND BIENNIAL UPDATE REPORT TO THE UNFCCC

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - TYPICAL SOURCE OF GHG EMISSIONS

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - WHAT IS CARBON FOOTPRINT? Definition; The total amount of greenhouse gases produced to directly and indirectly support human activities, usually expressed in equivalent kg/tons of carbon dioxide (CO2eq). The carbon dioxide equivalent (CO2eq) allows the different greenhouse gases to be compared on a like-for-like basis relative to one unit of CO2. CO2eq is calculated by multiplying the emissions of each of the six greenhouse gases by its 100 year global warming potential (GWP).

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - TYPICAL GHG EMISSIONS % WITHIN HEALTHCARE INDUSTRY Source: Malik A., Lenzen M., McAlister S., McGain F., Jan. 2018, The carbon footprint of Australian health care, Vol 2 Issue 1, https://doi.org/10.1016/S2542-5196(17)30180-8

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - WHY HOSPITAL IS THE HIGHEST CONTRIBUTOR IN HEALTHCARE INDUSTRY

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - MALAYSIA BEI LABELLING FOR GOVERNMENT BUILDINGS

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - CONCEPTUAL STEPS TO REDUCE CARBON FOOTPRINT FOR HEALTHCARE FACILITIES DEVELOP CLEAR COMMUNICATION CHANNEL BETWEEN POLICY MAKER – SUSTAINABLE TEAM – EXECUTOR IMPLEMENT ESTABLISH ESTABLISH START WITH IMPLEMENT IMPLEMENT MEDIUM SUSTAINABLE BASELINE & AWARENESS LOW COST HIGH COST COST TEAM SET TARGET PROGRAMS INITIATIVES INITIATIVES INITIATIVES PERFORM MEASUREMENT & VERIFICATION, AND SHARE REPORTS TO ALL STAKEHOLDERSE

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - OPPORTUNITY TO REDUCE CARBON FOOTPRINT IN HEALTHCARE INDUSTRY; EXAMPLE OF GREEN ACTION DOCUMENT SECTOR; SHORT TERM ENERGY BASELINE; CALCULATED B.E.I = 280.00 kWh/m2/yr as at 2018 GREEN INITIATIVES; 1. Switch ON lights only when needed 2. Ensure A/C temperature at 24oC all time 3. Use nature lighting as maximum possible 4. Reduce use of lifts and escalator TARGET; B.E.I = 250.00 kWh/m2/yr by 2019 M&V SCHEDULE; At 2 months interval

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - OPPORTUNITY TO REDUCE CARBON FOOTPRINT IN HEALTHCARE INDUSTRY; POLLUTION PREVENTION ✓ Green Cleaning Programs ✓ Battery Take Back Programs ✓ Pesticide – Free Grounds Maintenance ✓ Low Mercury Lighting ✓ Electronic Waste ✓ Anaesthetic Agents

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - OPPORTUNITY TO REDUCE CARBON FOOTPRINT IN HEALTHCARE INDUSTRY; ENERGY EFFICIENCY PRACTICES 1.Set temperature controls to suit the space and only have cooling/heating ON when required 2. Minimize heat wastage by closing doors and keeping radiators unobstructed 3. Maintain boilers and pipe-work for optimal operation 4. Revise control options — consider optimum start, compensators and TRVs 5.Try to ventilate and cool with natural methods 6. Check that heating and cooling are not operating at the same time 7. Switch off all non-essential lights 8. Find the most efficient lighting options 9. Install controls — consider time switches, occupancy sensors and daylight sensors 10. Wire lights to switch in parallel

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - OPPORTUNITY TO REDUCE CARBON FOOTPRINT IN HEALTHCARE INDUSTRY; ENERGY EFFICIENCY PRACTICES 11. Turn OFF unused electrical and office equipment 12. Consider life cycle costs when purchasing equipment 13. Check for air loss through the building fabric of floors, walls, roofs and windows 14. Repair gaps in the building fabric immediately so heated or cooled air is not escaping 15. Insulate as much as possible, including pipe-work 16. Get all staff involved and run an awareness campaign 17. Monitor energy usage by checking meter data and bills 18. Consider sub-metering, especially in energy intensive departments 19. Set targets and devise an action plan 20. Consider combined heat and power (Co-generation) if the hospital site has appropriate demand

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - OPPORTUNITY TO REDUCE CARBON FOOTPRINT IN HEALTHCARE INDUSTRY; GREEN TRANSPORTATION • Encourage use of public transport for staff and patients • Introduce car pool programs • Organise eco-driving trainings to all drivers • Use Biodiesel fuel (B10) to all diesel powered vehicles • Introduce bicycle ride within hospital compound • Introduce no idling for all stationary vehicles except ambulance with hospital compound • Plan for electric car for heavy traffic use

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - OPPORTUNITY TO REDUCE CARBON FOOTPRINT IN HEALTHCARE INDUSTRY; WATER MANAGEMENT • Use of Process & Irrigation Water • Dual Flush Toilets • Fix Leakage • Sterilizer Conversion • Install Rain Water Harvesting System • Decreased usage & disposal • Reverse osmosis for increased boiler cycles • Non metals treatment for closed loop system • Infectious Disease Control • Patented biocide and corrosion products • Cooling tower microbiological control & potable water options

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - OPPORTUNITY TO REDUCE CARBON FOOTPRINT IN HEALTHCARE INDUSTRY; DIGITALISATION ✓ EMS, HIS, RIS and PACs systems; • Information when and where its needed • Improved efficiency • Reduced storage space ✓ Single broadband (or multi-use or Distributed Antenna System (DAS)); • Wireless and communication needs ✓ Digital Imaging systems; • Reduced film and chemical usage • Reduced image storage space • Improved efficiency

TITLE: PRESENTATION #5 – HOW TO REDUCE CARBON FOOTPRINT - OPPORTUNITY TO REDUCE CARBON FOOTPRINT IN HEALTHCARE INDUSTRY; ENVIRONMENTAL SAFETY AND AIR QUALITY UVGI systems drive quality by decreasing infection cases by an average of 78%

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