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      Materials Science Toolkit for Carbon Footprint Assessment: A Case Study for Endoscopic Accessories of Common Use

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          Abstract

          Ironically, healthcare systems are key agents in respiratory-related diseases and estimated deaths because of the high impact of their greenhouse gas emissions, along with industry, transportation, and housing. Based on safety requirements, hospitals and related services use an extensive number of consumables, most of which end up incinerated at the end of their life cycle. A thorough assessment of the carbon footprint of such devices typically requires knowing precise information about the manufacturing process, which is rarely available in detail because of the many materials, pieces, and steps involved during the fabrication. Yet, the tools most often used for determining the environmental impact of consumer goods require a bunch of parameters, mainly based on the material composition of the device. Here, we report a basic set of analytical methods that provide the information required by the software OpenLCA to calculate the main outcome related to environmental impact, greenhouse gas emissions. Through thermogravimetry, calorimetry, infrared spectroscopy, and elemental analysis, we proved that obtaining relevant data for the calculator in the exemplifying case of endoscopy tooling or accessories is possible. This routine procedure opens the door to a broader, more accurate analysis of the environmental impact of everyday work at hospital services, offering potential alternatives to minimize it.

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          The ecoinvent database version 3 (part I): overview and methodology

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            Determinants of carbon dioxide emissions: Empirical evidence from 69 countries

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              Environmental Impacts of the U.S. Health Care System and Effects on Public Health

              The U.S. health care sector is highly interconnected with industrial activities that emit much of the nation’s pollution to air, water, and soils. We estimate emissions directly and indirectly attributable to the health care sector, and potential harmful effects on public health. Negative environmental and public health outcomes were estimated through economic input-output life cycle assessment (EIOLCA) modeling using National Health Expenditures (NHE) for the decade 2003–2013 and compared to national totals. In 2013, the health care sector was also responsible for significant fractions of national air pollution emissions and impacts, including acid rain (12%), greenhouse gas emissions (10%), smog formation (10%) criteria air pollutants (9%), stratospheric ozone depletion (1%), and carcinogenic and non-carcinogenic air toxics (1–2%). The largest contributors to impacts are discussed from both the supply side (EIOLCA economic sectors) and demand side (NHE categories), as are trends over the study period. Health damages from these pollutants are estimated at 470,000 DALYs lost from pollution-related disease, or 405,000 DALYs when adjusted for recent shifts in power generation sector emissions. These indirect health burdens are commensurate with the 44,000–98,000 people who die in hospitals each year in the U.S. as a result of preventable medical errors, but are currently not attributed to our health system. Concerted efforts to improve environmental performance of health care could reduce expenditures directly through waste reduction and energy savings, and indirectly through reducing pollution burden on public health, and ought to be included in efforts to improve health care quality and safety.
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                Author and article information

                Journal
                ACS Environ Au
                ACS Environ Au
                vg
                aeacc4
                ACS Environmental Au
                American Chemical Society
                2694-2518
                29 December 2023
                17 January 2024
                : 4
                : 1
                : 42-50
                Affiliations
                []Centre for Biomaterials and Tissue Engineering, CBIT, Universitat Politècnica de València , 46022 València, Spain
                []CIBER-BBN, ISCIII , 46022 València, Spain
                [§ ]Department of Gastroenterology, La Fe Health Research Institute—IIS La Fe , 46026 València, Spain
                Author notes
                [* ]Email: rubmarca@ 123456doctor.upv.es . Phone: +34601461276.
                [* ]Email: alcamfer@ 123456ter.upv.es . Phone: +34963877000 (ext. 88929).
                Author information
                https://orcid.org/0000-0002-5642-4692
                https://orcid.org/0000-0002-2978-5994
                https://orcid.org/0000-0002-5409-1599
                Article
                10.1021/acsenvironau.3c00044
                10797683
                1bbc43f6-3999-4592-8e7a-da1bee54db67
                © 2023 The Authors. Published by American Chemical Society

                Permits non-commercial access and re-use, provided that author attribution and integrity are maintained; but does not permit creation of adaptations or other derivative works ( https://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 03 August 2023
                : 22 December 2023
                : 21 December 2023
                Funding
                Funded by: European Commission, doi 10.13039/501100000780;
                Award ID: NA
                Funded by: Instituto de Salud Carlos III, doi 10.13039/501100004587;
                Award ID: PI21/00193
                Categories
                Article
                Custom metadata
                vg3c00044
                vg3c00044

                endoscopy accessories,materials characterization,carbon footprint,life cycle assessment,toolkit

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