1. Projeto Hospitais Saudáveis (Healthy Hospitals Project) Vital Ribeiro Healthy Hospitals Project Health Care Without Harm

2. Projeto Hospitais Saudáveis - PHS ( Healthy Hospitals Project)  A very new Brazilian organization  Started as an initiative of health professionals in 2008  Formally constituted in early 2010 as a non-profit, non- governmental organization  Based in São Paulo, acting nationally  Focal point of HCWH in Brazil www.hospitaissaudaveis.org 2

3. Brazilian Health System  More than 5,566 municipalities  190.000.000 inhabitants  70% attended only by the public health system  7.300 Hospitals  432,000 hospital beds  94,000 healthcare facilities  Between 3 and 5 million of workers directly employed in health care 3

4. Consumption of resources and pollution In 2010, the Brazilian economy spent $ 140 billion (6% GDP) on healthcare, half of that with:  products, materials and other supplies  equipment and technology  energy and water  facilities and buildings Brazilian Health System 4

5. Projeto Hospitais Saudáveis - PHS ( Healthy Hospitals Project) PHS is formed of health professionals, service providers, educational and health research institutions, civil society and other organizations, public or private, committed to the goals and values ​​ advocated by us. www.hospitaissaudaveis.org IV HEALTH HOSPITALS SEMINAR September 2011 5

6. Projeto Hospitais Saudáveis - PHS ( Healthy Hospitals Project) OUR MISSION To transform the health sector in an example for society in matters such as environmental protection and health of workers, patients and general population. www.hospitaissaudaveis.org 6

7. Projeto Hospitais Saudáveis - PHS ( Healthy Hospitals Project) PHS accomplishes its mission through the following actions:  Develop research, produce information and influence public policies about risks to patients, workers and the environment in health care sector;  Raise public awareness and prepare health care professionals;  Encourage public and private institutions to get involved and collaborate with the goals of PHS;  Evaluate the results of illness, accidents and environmental damage prevention actions developed by health care providers;  Develop, evaluate and promote alternative technologies to eliminate or reduce environmental and health risks in health care activities;  Promote ethics, peace, citizenship, human rights, democracy and others universal values. www.hospitaissaudaveis.org 7

8. Projeto Hospitais Saudáveis - PHS ( Healthy Hospitals Project) PHS participations in Internationals Conferences

9. Projeto Hospitais Saudáveis - PHS ( Healthy Hospitals Project) Healthy Hospitals National Seminar 2008, 2009, 2010, 2011… Friend of the Environment Award Intense paticipation of health professionals Exchange of tecnical and oprational information Some of PHS initiatives in Brazil Mercury-Free Health Care Seminars in Rio (2009 and 1010) and Belo Horizonte (2011) 2012 Seminars in MG, RJ, PR, BA Representing the WHO/HCWH campain in Brazil

10. HCWH Global Green and Healthy Hospitals Agenda  Based in ten interconnected goals.  Sets out to support existing efforts around the world in the health sector.  It forms the foundation of the Global Green and Healthy Hospitals Network 10

11.  PHS is working in the disclosure of the Agenda in Brazil  AGHVS - Portuguese version of GGHHA (also in Spanish)  Discussion on how will operates the Global Green and Healthy Hospitals Network 11 HCWH Global Green and Healthy Hospitals Agenda

12. 1. LEADERSHIP: Prioritize Environmental Health 2. CHEMICALS: Substitute Harmful Chemicals with Safer Alternatives 3. WASTE: Reduce, Treat and Safely Dispose of Healthcare Waste 4. ENERGY: Implement Energy Efficiency and Clean Renewable Energy Generation 5. WATER: Reduce Hospital Water Consumption and Supply Potable Water 6. TRANSPORTATION: Improve Transportation Strategies for Patients and Staff 7. FOOD: Purchase and Serve Sustainably Grown, Healthy Food 8. PHARMACEUTICALS: Safely Manage and Dispose of Pharmaceuticals 9. BUILDINGS: Support Green and Healthy Hospital Design and Construction 10. PURCHASING: Buy Safer and More Sustainable Products and Materials The Ten Goals

13. Global Green and Healthy Hospitals Agenda To download the Agenda and for information on joining the network please visit: www.greenhospitals.net 13

14. Thank you vitalribeiro@hospitaissaudaveis.org www.hospitaissaudaveis.org.br www.climateandhealthcare.org 14

15. What is the role and the responsibility of the health sector in addressing the most profound crisis of our time? 15

16. Brazilian Health System  More than 5,566 municipalities  190.000.000 inhabitants  70% attended only by the public health system  7.300 Hospitals  432,000 hospital beds  94,000 healthcare facilities  Between 3 and 5 million of workers directly employed in health care 16

17. Consumption of resources and pollution In 2010, the Brazilian economy spent $ 140 billion (6% GDP) on healthcare, half of that with:  products, materials and other supplies  equipment and technology  energy and water  facilities and buildings Brazilian Health System 17

18. The Health Sector Can Provide Leadership in Addressing Climate Change Education Economics Adaptation Mitigation Action EducationEconomicsAdaptationMitigation Action 18

19. A Closer Look at the Economics 19 In 2007, world health expenditures reached $5.3 trillion USD, $639 per person per year or 8-10% of global GDP.

20. Adaptation  We need develop capacity to understand and address the shifting burden of disease.  We need to strengthen our health systems and make them resilient. 20

21. Mitigation  WHO mandate from member states: develop “programs for health systems that will contribute to reducing their own greenhouse gas emissions”  The health sector has a significant climate footprint.  We can lead by example and demonstrate climate friendly policies and approaches in our societies.  Climate mitigation can provide co-benefits to public health  Mitigation and adaptation strategies can work together 21

22. Energy Efficiency and Alternative Sources 22

23. Green Building Design: 23

24. England’s National Health Service Footprint: 18 million tons of CO2 per year, 26% of public sector emissions Target Reduction : 10% by 2015 26% by 2020 80% by 2050 24

25. 25 http://www.who.int/globalchange/publications/healthcare_settings/en/index.html