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Hospitals, Healthcare, Climate change

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Hospitals: The New Victims of Emissions?

Sonal Desai


Hospitals, the lifeline of citizens globally, are fighting a new pandemic!

According to a new study from Cross Dependency Initiative (XDI), more than 2 lakh hospitals globally, face the risk of shutdowns due to extreme weather.

Translated: 1 in 12 hospitals around the world could face partial or total shutdown from climate change-triggered extreme weather events by century-end if countries continue to emit unabatedly.

The statistics for India are equally harrowing. The document said in India, the proportion of hospitals at high risk of being shut down by extreme weather events would be 5.7 percent by 2050.

Translated: These events will impact almost 1 in 10 hospitals by century-end if emissions are high.

These figures tell a startling tale. They serve as a warning to the entire healthcare ecosystem.

Healthcare systems are part of the solution as well as part of the issue, bearing the brunt of providing care for those impacted by climate change. As per data, up to 4.6% of all greenhouse gas (GHG) emissions—which include ozone, carbon dioxide, and methane—are produced globally by the healthcare industry.

India’s healthcare system is diverse in ownership, size, and comfort levels, resulting in varying energy needs across different institutions. The categories include (public, insurance, municipal, railway, defense, and private hospitals, for example) and size (small clinics in rural areas to large multi-specialty hospitals), air-conditioned areas, and medical services. Hospitals, a vital industry, rely heavily on grid power for operations like cleaning, washing, and oxygen provision, ensuring constant power supply.

Climate change can significantly impact healthcare access and delivery, potentially disrupting infrastructure essential for emergency services, transportation, and communication networks.

Research also shows that heavy reliance on fossil fuels in medical cold chains negatively impacts healthcare providers, causing fuel supply issues and power outages. This exacerbates global warming, contributes to air pollution, and increases greenhouse gas emissions.

In terms of actual numbers, the pharmaceutical industry in India has the seventh-largest climate footprint in the health sector. The industry is expected to develop at a 13.4% compound annual growth rate (CAGR) until 2030, which, absent a shift to more environmentally friendly and energy-efficient alternatives, would increase both energy demand and carbon footprint.

Insights from a National Hospital Energy Consumption Survey titled: Towards Climate-smart Hospitals found the following:
• Electricity from the grid (mainly), on-site solar PV, and on-site diesel generators comprise more than 90% of hospitals’ energy supply.
• The penetration of on-site solar PV is 17% in private and 11% in public hospitals.
• Hospitals consumed ~9% of India’s “commercial” electricity consumption in FY2019-20 (i.e., 9.7 TWh/year).
• The annual Scope 2 GHG emissions of hospitals in FY2019-20 were 7.7 million tonnes of CO2. (Scope 2 emissions are indirect emissions from purchased energy)
* Hospital-level energy intensities vary significantly between and within hospital typologies, influenced by factors such as end-use equipment and behavioral energy efficiency, air-conditioned areas, medical service levels, active use hours, climate zones, service outsourcing, and patient privacy.

The Indian healthcare sector relies heavily on diesel-based gensets for energy, which is a vulnerability to climate events. Access to uninterrupted energy is crucial for the health system’s sustainability and climate-smart healthcare under the Health Adaptation Plan. It is also a vital component of the proposed framework for green (environmentally sustainable) and climate-resilient or climate-smart healthcare under the NPCCHH.

 


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Carbon emissions

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How were carbon emissions reduced at traditional medicine summit?

WriteCanvas News


How did the Ministry of Ayush reduce 72,964 Kg CO2 equivalent emissions at the recently concluded WHO Traditional Medicine Global Summit in Gujarat?

At a recent two-day WHO Traditional Global Medicine Summit, the Ministry of Ayush adopted eco-friendly methods to reduce carbon emissions and environmental pollution, aligned with Sustainable Development Goals (SDGs).

How did the ministry reduce approximately 72,964 Kg carbon equivalent emission at the summit?

• Delegate’s badges were made of biodegradable and ready to be planted seed papers (marigolds)
• More than 50 thousand plastic bottles & 30,000 single use plastic cutleries were avoided
• The summit was completely paperless and had strong online presence, thereby reducing transport emission
• Media event and related documents available on the online platforms and App
• In the exhibition zone only reusable materials were used
• Bio-degradable cutlery, glass bottles were used over the entire duration
• Signages at the airport were mostly digital
• Some of the large outdoor hoardings were on fabric and not on flex as is common practice
• 90% of the exhibition space was constructed using wood with extensive use of real plants and reusable materials.

The impact:

According to a statement, the Ayush ministry feels that such initiatives will have a large impact in the long run and initiatives taken for reduction of carbon emissions can set precedence for other such large scale events.

In total, 6,046 streams of the Summit were streamed online (both live and Video/recordings). This significantly reduced the number of participants/travels onsite, reducing carbon emissions.

Background:

It must be noted that the two global events held in April 2022, i.e. ground breaking ceremony of WHO Global Centre for Traditional Medicine (GCTM) and the 3-day Global Ayush Investment and Innovation Summit (GAIIS) also saw same commitment of the Ministry.

During those twin events, use of more than 1 lakh plastic bottles, 15000 plastic tags and 50,000 plastic cutlery was avoided. Furthermore, it was estimated that the ministry succeeded in reducing 1,19,437.5 kg Co2 equivalent emission during those events.


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Blog

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How is solar power transforming lives of 40,000 people in West Africa?

Renjini Liza Varghese


In the recent past, WriteCanvas created case studies on the impact of solar power adoption across eight industry verticals. Noticeably, we have seen amazing examples of how solar has transformed energy consumption in enterprises, but the impact on the lives of the marginalized segment across the country. This impact story from the West African resonates with our belief at WriteCanvas that renewable energy has a social impact; it touches the spirit of `Bharat’—makes it an inclusive part of the larger Indian society.

Similarly, in Africa/globally, where one in eight people rely on unelectrified or under-electrified healthcare facilities; one in four people lack access to clean drinking water, solar energy is bridging the gap. While a large segment of the African people, especially in the rural areas, have daily challenges to access clean water, regular electricity, food, transportation and medical facilities etc, the local governments ably aided by local NGOs, the World Bank, IMF and other international agencies are looking at RE, especially solar power to address the issue.

Today, I want to focus on how solar power is empowering more than 40,000 people in the Kalale District of Benin, West Africa. Till some time back people did not have access to regular electricity. Translated, they did not have access to potable water and refrigerators to store vaccines.

A solar power adoption initiative which included installing 24 solar-powered water pumps and five solar-powered vaccine refrigerators—all operational, changed the lives of the communities living in Kalalé. The project handled by Solar Electric Light Fund (SELF), with funding from the Millennium Challenge Corporation (MCC)—an independent U.S. foreign assistance agency—in collaboration with MCC’s counterpart in Benin, the Millennium Challenge Account, is witnessing the social impacts.

The project:

For this project, a solar array was hooked up to a water pump in each of the 24 villages. During daylight, the pump draws water from an underground source into an elevated reservoir. The water is then gravity-fed to a distribution station, where local people can access it. A small, affordable fee is charged for water, which will cover repairs indefinitely. Because these systems are direct-drive (i.e., battery-free), maintenance needs are minimal.

The vaccine refrigerators are direct-drive as well. This improves reliability, but the lack of a battery also means there’s no way to store surplus power generated during peak sunlight hours. To make good use of this electricity, the refrigerators are equipped with an energy harvest control (EHC) mechanism. The EHC diverts surplus energy to charge ancillary devices in the clinic, such as battery-operated lights or cell phones. As an additional measure of accessibility surrounding the five clinics, solar-powered streetlights were installed to help light the way for patients at night.

The social impact:

Solar power is providing the citizens with their foundation right to basic healthcare, food and water, and education.

Women, especially girls who missed school because they had to walk miles to fetch water, are now regularly attending classes. The households have access to clean water. The drip irrigation project which was implemented earlier is hearing fruits. It is helping villagers to grow vegetables and fruits thus giving access to nutritional food. This is also an additional income source for women.

Secondly, the vaccination drive against waterborne and other diseases has gained momentum because the vaccines being stored in refrigerators. Experts estimate that the number of fully vaccinated people in the region to rise significantly as against the present … percent, because of solar power adoption.

“In the past, we suffered a lot to get water. This was a major problem for us,” says Koulou Démon, a Kalalé District resident. “We are praying for other communities to get the same system to alleviate their water scarcity issues.”

“Water access meets many fundamental needs of course,” says Dr. Cardinal Akpakpa, a physician in the Kalalé District village of Gberougbassi. “Reliable access to clean water will not only improve hygiene measures, but it is also critical for the prevention of waterborne diseases.”

“As a society, we don’t often think about lack of electricity as an underlying cause of health disparities,” says Robert Freling, SELF’s executive director. “You can provide all the vaccines in the world, but if a clinic doesn’t have the ability to refrigerate them, it doesn’t matter. Electricity is a prerequisite for healthy communities.”

“The Millennium Challenge Corporation invests in country-led solutions that reduce poverty and foster economic growth,” says Jason Bauer, director of finance, investment and trade at MCC. “This investment helps address health constraints that bind economic growth for thousands of people in the Kalalé District, while adapting to growing climate challenges.”

Both clean water and vaccinations are vital for improving local health. Waterborne illness is a leading cause of death in Benin. Only 58% of children in the country are considered fully immunized. The new solar infrastructure will help the people of the Kalalé District defy those statistics.


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News

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AIIMS joins the sustainable bandwagon with solar rooftop

WriteCanvas News


AIIMS Delhi, one of India’s leading players in the healthcare segment has taken the solar route towards its sustainable journey. 

As one of the steps, a 9 KW rooftop solar solution was installed on the AIIMS Director, Dr M Srinivas’s Bungalow. The plant is expected to generate ~13,140 units per year. The project was inaugurated by Dr. Srinivas, and Mr P K Das, Chairman and Managing Director of IREDA.

The Noida-headquartered Jakson Group has collaborated with AIIMS and the project has been developed under the aegis of Jakson Welfare Trust, the CSR arm of the Group. The company has installed its latest high-efficiency Helia series solar panels, which are built on the A+ category of half-cut MonoPERC solar cells, to provide lower LCoE resulting in higher performance.  

Emphasizing on the importance of this initiative, Dr Srinivas said ” Collaborating with Jakson Group to build the Rooftop Solar project is an important step towards attaining our environmental objectives. We recognise green energy’s important role in not just improving our operational efficiency but also contributing to the greater environmental cause.”

Speaking on the occasion, Sameer Gupta, Chairman and Managing Director of Jakson Group, said “We are delighted to collaborate with AIIMS, Delhi, for this project. As a diversified energy company, Jakson is firmly committed to support the nationwide Net Zero Mission, through a bouquet of renewable energy solutions, and our partnership with AIIMS demonstrates this commitment.”

With this project, Jakson has inked another landmark with the prestigious healthcare institution along with providing power backup solutions and EPC services in the past for its Nagpur, Rishikesh and Bhubaneswar campuses.


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