{"id":1166,"date":"2008-04-01T20:53:00","date_gmt":"2008-04-01T20:53:00","guid":{"rendered":"http:\/\/localhost:8888\/wp-a_lawler\/?p=1166"},"modified":"2021-10-29T11:53:57","modified_gmt":"2021-10-29T15:53:57","slug":"greener-hospitals","status":"publish","type":"post","link":"https:\/\/www.andrewlawler.com\/content\/greener-hospitals\/","title":{"rendered":"Greener Hospitals"},"content":{"rendered":"
\n

Our bodies and the planet need a healthier medical system\u2014stat. And they\u2019re getting one<\/h4>\n

Bad food. Toxic fumes.<\/strong><\/em> Not a blade of grass in sight. Welcome to the hospital, the place where you\u2019re<\/p>\n

supposed to get well. It\u2019s an odd truth that while grocery chains sell organic products and businesses boast energy-e\u2248cient skyscrapers, the places where Americans go to heal have traditionally been among the worst offenders when it comes to disposing chemicals, using resources e\u2248ciently, and providing a healthy environment and diet.<\/p>\n

But recent years have seen a quiet yet radical change. A movement to turn hospitals \u201cgreen\u201d\u2014healthier, more e\u2248cient, less toxic\u2014is gathering force, and can already boast a host of successes. From the use of nontoxic cleaners to the shuttering of many medical incinerators that once polluted the planet with dangerous chemicals, \u201cwe have achieved the tipping point,\u201d says Barbara Sattler, director of the Environmental Healthy Education Center at the University of Maryland.<\/p>\n

As community centers open 24\/7, hospitals aren\u2019t the easiest places to turn into eco-utopias. Air and surfaces must be kept clean to prevent infections, patients and sta\u03a9 need food around the clock, and tons of waste must be disposed of. But as Sattler and other passionate advocates explain it, the greening of our medical system, both within hospital walls and outside them, holds promise for human health and the health of the planet\u2014while illuminating the ways they\u2019re<\/p>\n

inextricably linked.<\/p>\n

Cleaning Up Hospitals<\/strong><\/p>\n

The irony of unhealthy health care is on full display in hospital eateries. Think of oncology wards full of chemotherapy patients eating processed food, obesity wards with vending machines stocked with candy, and cafeterias serving meat from animals given antibiotics at a time when antibiotic resistance poses a serious threat. No doubt about it, says Laura Brannen, director of Hospitals for a Healthy Environment, an advocacy organization based in Lyme, New Hampshire: \u201cWe serve really crappy food.\u201d<\/p>\n

There\u2019s a long way to go, but changes have begun to take hold at hospitals large and small. The health-care giant Kaiser Permanente, for instance, serves milk free of the hormone rGBH and has farmers\u2019 markets on its premises and healthier choices in vending machines. Good Shepherd Health Care System, a small hospital in Oregon, serves meat from grass-fed, antibiotic-free animals and only whole-grain breads and pastas. And if you\u2019re a patient at St. Luke\u2019s in Duluth, Minnesota, you can request organic vegetables in your meals. \u201cAnd you have to go beyond food,\u201d says Brannen. \u201cIf you are serving organic co\u03a9ee in a polystyrene cup, it doesn\u2019t cut it.\u201d That may mean hospitals rethinking their kitchens. \u201cWe are telling them, \u2018Sorry, you have to put your dishwashers back,\u2019 \u201d she adds.<\/p>\n

Just as important as healthy food, of course, is clean air\u2014and in hospitals it\u2019s often hard to come by. The bacteria-fighting cleaners so ubiquitous in hospitals, for instance, have a downside, releasing chemicals shown to cause everything from headaches to breathing di\u2248culties. And patients are not the only ones at risk: A recent study showed that nurses have one of the highest rates of adult asthma.<\/p>\n

As it turns out, safer options can be just as e\u03a9ective. In 2001, New Jersey\u2019s Hackensack University Medical Center (the nation\u2019s fourth-largest hospital) replaced the usual cleaners with greener alternatives without any rise in infections. What\u2019s more, the sta\u03a9 who had sprayed the chemicals stopped reporting headaches and other symptoms once they made the switch. \u201cThis is common sense,\u201d says Deirdre Imus, who founded the hospital\u2019s Environmental Center for Oncology. \u201cWe need to eliminate exposure to the things that make people sick.\u201d<\/p>\n

A less obvious, more insidious threat comes from the widespread use of PVC plastic or vinyl, common in IV bags and tubing. To make such plastic flexible, manufacturers often use a softener made from DEHP, a chemical shown to harm the reproductive systems, livers, kidneys, and lungs in animals. That worried Valerie Briscoe, a neonatal nurse at John Muir Medical Center in Walnut Creek, California, and she spent six months transitioning the facility to alternative materials.<\/p>\n

Briscoe\u2019s concerns were confirmed in a 2005 study by the Harvard School of Public Health. Babies in two Boston-area intensive-care units had up to 25 times the amount of DEHP in their systems as the general population. Though the study didn\u2019t detail health e\u03a9ects on the babies (and there\u2019s no evidence the chemical harms humans), the FDA now recommends against its use in some medical procedures\u2014another green-hospital victory.<\/p>\n

The Planet\u2019s Health<\/strong><\/p>\n

The movement extends far beyond the patient wards and cafeterias, as medical facilities work to minimize their negative impact on the planet. As late as the 1990s, more than 5,000 medical incinerators in the United States burned through millions of tons of waste every year\u2014a practice considered environmentally sound at the time because it reduced the need for landfills. But researchers then discovered that those incinerators burned medical devices made with PVC plastic, creating dioxin, a dangerous toxin used in the infamous herbicide Agent Orange.<\/p>\n

\u201cIt was so ironic. Hospitals full of cancer patients were pumping out one of the worst carcinogens,\u201d says Stacy Malkan at Health Care Without Harm, an international consortium of hospitals, community groups, and health organizations. Stricter pollution-control regulations along with a public outcry for cleaner air has led to the closure of the majority of medical incinerators over the past decade; only about 100 remain active in the United States. (So worrisome is PVC that Kaiser Permanente is investing billions to replace PVC-laden floors and carpets at its facilities with safer alternatives.)<\/p>\n

Of course, when you take incinerators out of commission, landfill contents soar\u2014and they have. Recycling e\u03a9orts are under way, however. Sta\u03a9at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire, for example, upped recycling to 38 percent of its waste stream in the past decade, winning kudos from eco-advocates.<\/p>\n

Unlike recycling at home, hospitals must sort out dangerous wastes such as mercury, used in thermometers and other equipment. A single splash can contaminate a 20-acre pond, and up to 1 in 10 women in the United States has enough of the potent neurotoxin in her blood to threaten the health of a fetus. Hospitals produced 17 tons of mercury waste from thermometers in 2000 alone\u2014a tenth of the amount generated in the entire country.<\/p>\n

Alarmed at the mercury threat, a group of activists, including Hospitals for a Healthy Environment, started a campaign, and today more than 4,000 medical centers have pledged to become mercury-free. For thermometers, there\u2019s even a relatively simple fix: Digital or alcohol-based versions are widely available and are generally as accurate as their toxic counterparts.<\/p>\n

A Green Frontier<\/strong><\/p>\n

As with the rest of the green movement, there\u2019s no more ignoring the cause-and-e\u03a9ect nature of unhealthy hospitals or putting changes o\u03a9 for the future. \u201cThis is the future,\u201d says Imus.<\/p>\n

On the green-building front, the Green Guide for Healthcare was launched in 2004 as an educational tool for hospitals wanting to integrate environmental design, construction, and operations principles. \u201cIn the past year, I\u2019ve seen an upsurge in the number of hospitals going green,\u201d says Kim Shinn, a consulting engineer in Nashville who works with architectural firms to create healthier medical centers. That means more natural light, more open spaces, and more comfort for patients, visitors, and staff. Behind the scenes, new hospitals have more-e\u2248cient systems that capture rainwater and automated controls that switch o\u03a9 lighting and electronics when not in use. As it turns out, right action and good business sense can go hand in hand; investing more up front leads to reduced operating costs over time.<\/p>\n

What\u2019s next? The pioneers in the green-hospital movement want to transform medical centers into carbon-neutral places that, at the very least, don\u2019t harm the environment. It\u2019s a bold idea\u2014but then, \u201cdo no harm\u201d is the first tenet of medicine.<\/p>\n","protected":false},"excerpt":{"rendered":"

Our bodies and the planet need a healthier medical system\u2014stat. […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[11],"tags":[],"class_list":["post-1166","post","type-post","status-publish","format-standard","hentry","category-body-soul"],"yoast_head":"\nGreener Hospitals • Andrew Lawler<\/title>\n<meta name=\"description\" content=\"Our bodies and the planet need a healthier medical system\u2014stat. And they\u2019re getting one Bad food. Toxic fumes. Not a blade of grass in sight. 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