Environmental work and sustainable development

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1 Environmental work and sustainable development Mats Sandberg Environmental coordinator Professor at Inst Biomedicin Tel Intro sustainable development 2. Not sustainable development Climate change/chemicals 3. Climate change/chemicals - Aspects on health 4. What can we do as health workers and students? 5. What can we do at the academy?

2 Rio and Agenda 21, 1992 Sustainable Development Whole system thinking Principles Social Economic Environmental Principles Principles

3 The Decade of Education for Sustainable Development Approved by UN Gen. Assy UNESCO: appointed lead UN agency

4 New law in higher education kapitel 5 Universities shall support a sustainable development which secure that the present and coming generations are ensured a healthy and good environment, economical and social welfare and justice.

5 Ecological The Lancet 2009; 373: Limited climate impact (2 C ) is necessary for a global sustainable development Consequences if global temp increases 4-5 C : Social Increased famine Increased migration Water shortage Increased unhealthiness Increased poverty Econominal 20% of global BNP Extinction of > 40% of all species Massive death of coral reeves Total collapse of certain ecosystems Decreased crops

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7 Possible tipping points

8 CO Tick borne encephalitis and climate change E Lindgren and R Gustafsson The Lancet 358 (2001) Climate related health impact (malaria, diarrea, mal nutrition ) The Lancet 2009: 373:

9 The Lancet 2009; 373: Climate change is the biggest global health threat of the 21st century

10 Sweden s 16 environmental objectives political consensus Reduced climate impact A non-toxic environment Illustrationer: Tobias Flygar

11 Our chemical society There are more than industrial chemicals in the environment and about 300 has been identified in normal human breast milk (nondangerous levels, so far) Thus, we inherit certain chemicals Big worries concerning hormon-like chemicals (oestrogen-, androgenthyroidhormon-like)

12 We do not learn from history! 1960-> Chlorinated organic chemicals in nature are discovered to be wide-spread 1980-> Brominated organic chemicals 2000-> Fluoronated organic chemicals such as PFOS (an impregnation agent found in rain, human cord blood, breast milk, ice bears, Lena Sommestad ) No toxicology tests with several pollutants simultaneously WWF

13 Negative impact on reproduction in animal by certain pollutants. Risk also in brain development and in humans? Miljöjournalen, nr 1, 2005

14 Bisfenol-A, one of the most used chemicals. In EU prod ca ton/year. Monomer in plastics, for example the inside of cans, in baby s bottles etc

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16 Nature reviews Cancer 3(2003)768- Certain phytochemicals activates the endogenous defense against free radicals

17 More about chemicals and health on Läkare för miljöns home page

18 How can we work with sustainable development in private and at work?

19 Olika länders utsläpp av koldioxidekvivalenter Ton per capita, Fossil 2004 derived CO 2 / year / person USA Australien Kanada Nederländerna Belgien Finland Ryssland Norge Tyskland Danmark Sydkorea Japan Sydafrika Storbritannien Nya Zeeland Spanien Österrike Italien Polen Frankrike Sverige Schweiz Världen totalt Kina Brasilien Indien India, China and Brasil (as countries) soon emit as much as we but the i- world stand for most of the historical emissions Students are in general low fossil CO 2 emitters År Källa: EIA, International Energy Annual 2004 Hämtat:

20 Do more? Contact student organisations: svenska ekodemiker Contact a profession linked organisation : ex. Läkare för miljön ( Läkartidningen Nr Volym 101

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22 Från icn kongress Nr 8, Aug 2009 ICN vill se sjuksköterskor som miljöaktivister Nu måste alla börja dra sitt strå till stacken för att hejda klimatförändringarna, och sjuksköterskorna bör gå i bräschen ICN har pekat ut den globala uppvärmningen som en av de stora frågorna för sjuksköterskor att arbeta med. Position Statement Universal Access to Clean Water Nurses, Climate Change and Health Reducing Environmental and Lifestyle Related Health Hazards

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25 1. Inform your self 2. Advice patients Climate adjusted diet (also health beneficial) Climate adjusted transport (also health beneficial) 3. Reduce energy at work 4. Fly less, drive less 5. Influence food menus at work

26 Example: Advice about food to 3 patients/week x 40 weeks gives advice to 120 patients/year Food consumes ca 2.5 ton fossile CO 2 / person /year. If one patient reduces food intake with 5 % (for example via 50% reduction of meat consumption) then CO 2 is reduced by ton/year ton x 120 patients = 15 ton reduced fossile CO 2 /health worker

27 Same type of advice to 120 patients with reduced car travel by 5% gives 7.2 ton reduced CO 2 /health worker + very well documented health effect

28 Calculate your own CO 2 emissions at

29 Dagens Industri How YOU can live up to the climate objectives Nina Åkerberg Make more effective Change to a low fuel consuming car Change to low energy bulbs (9) Do without Trip to Thailand Reduce meat by 50% Change Leave the car, bicycle to work To Åre by train or bus not plane To Sthlm (Gbg) by train not plane Savings 0,60 ton/y 0,25 ton/y 2,3 ton/y 0,12 ton/y 0,81 ton 0,38 ton (Sthlm) 0,39 ton

30 Climate adjust your travelling CO 2 emissions in kg/mil/person (modifierat från Jonas Åkerman KTH) Flying (charter/regular) 1.3 / 2.5 Bil (fossile fuel) Buss (long distance diesel) 0.3 Tåg (Sverige/other EU) 0.03/0.36 Correct pressure in the tyres saves ca 100 kg/year FRANK McDONALD Environment Editor, sept ORDINARY CITIZENS need to mobilise to ensure that world leaders work towards reaching a comprehensive deal on global warming at December s UN climate change conference in Copenhagen, according to the head of the European Environment Agency.

31 Offset your CO 2 emissions from flying via or similar (S. Gössling et al. J Sust Tourism, 2007, 15 (3): )

32 Work more active with env. issues at work? Take contact with an organistaion, ex. Mercury PVC o DEHP Medical waste Green purchasing Food Pharmaceuticals

33 Chalmers students for sustainability

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35 Social sustainability Sustainable development Second hand Ecological sustainability Economical sustainability

36 More on and Sustainable development Bottled water causes x higher CO Good eco-wines from Ecologica, 2 emission and Think is about local x more expensive Bonterra, than Zeta tap water

37 Guide for eco-food- och eco-clothing on

38 Buy more green electronics and keep it longer Shut off Stand by saves ca 85 kg CO 2 /year

39 Extreme levels of brominated flame retardants in blood of Chinese E-waste workers Basel Action Network Much of the electronics recycling in Guiyu, China, is done in the open air by workers not wearing masks.

40 How do we deal with these environmental problems at the academy?

41 We have an environmental management system Commission from the Government in The system ISO was chosen at GU and: Karolinska University hospital, Akademiska hus, Malmö akademiska sjukhus, Sahlgrenska University hospital etc

42 and the Sahlgrenska academy was certified 2005

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44 Is it really necessary? The Stockholm conference 1972 The Bruntland commission, Sustainable development Rio and Agenda 21, 1992 The Kyoto protocol Rio+10 in Johannesburg Swedish environmental quality goals Regional environmental goals Environmental management system Think global Act local!

45 So what is an environmental management system? A tool to organize the environmental work and make it more effective. Improvements are necessary. Audits 2007 Biomedicine Clin sciences Medicine Audits GU-units in the hospital area + EBM, Odont. Investigation Policy Evaluation Goals Account Implementation Audits Revised goals every year All inst are visited every 3 to 4 year

46 Is it really really possible to change the negative development?

47 New organisation The environmental council co-ordinate the environmental work

48 Environmental goals for in these areas: Research Education Co-opertion with the society Climate impact Consumption of resources Dangerous chemicals Competens develoment

49 Information about the environmental work Mail to alt MS Not so much in English yet

50 The impact on the climate from the work at the academy is investigated with the long-term goal to reach climate neutrality (minimal climate impact). Cycling is good for both the environment and the brain

51 Sorting of waste increase the fraction of resusable material

52 Why sort the waste? Waste increases with income

53 What do researchers say about sorting waste? Reusing by sorting waste in better than burning Press statement KTH Life cycle analysis show that in general one saves energy by reusing material instead of burning even when the energy cost by transport, cleaning etc is taken into account Docent Göran Finnveden m. fl. J. of Cleaner Prod. 13 (2005) 213- Sorting waste saves ca 100 kg CO 2 /year/person

54 OBS! Strictly forbidden to pour out dangerous chemicals in the sink In the lab, as at home, dangerous chemicals are pooled and packed for destruction.

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56 Nice nice! Environmental award to researchers at the academy! Lina Gunnarsson and Linda Samuelsson, have been awarded Renovas environmental award, kr to develop tools to study how fish react to drugs in water. Grattis!

57 Joakim Larsson Published online Nature 457, (2009) Indian factories that make lifesaving drugs.(are) spewing enough of one antibiotic into a stream each day to treat everyone living in Sweden for a work week.

58 Swedish environmental classification of drugs The objective is that information concerning the environmental impact of all active substances should be ready More on

59 Arnold S, a real climate change combat I am happy to announce we have reached a historic agreement on legislation to combat global warming Global Warmings Solution act AB32 (sept 2006): Reduce emission of green house gases by 25% 2020 by 80% 2050

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