[et_pb_section fb_built=”1″ disabled_on=”off|off|off” _builder_version=”4.24.0″ background_color=”#b1c1d8″ custom_padding=”0px||0px|” global_colors_info=”{}”][et_pb_row make_equal=”on” _builder_version=”4.24.0″ background_color=”RGBA(255,255,255,0)” background_position=”top_center” width=”90%” max_width=”2600px” custom_padding=”0px||||false|false” make_fullwidth=”on” use_custom_width=”on” width_unit=”off” custom_width_percent=”100%” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_divider show_divider=”off” _builder_version=”4.16″ height=”50px” global_colors_info=”{}”][\/et_pb_divider][et_pb_text admin_label=”CWI giovani” _builder_version=”4.24.0″ text_text_color=”#000000″ header_font=”Bebas||||||||” header_text_color=”#ffffff” header_font_size=”50px” header_3_font_size=”25px” custom_margin=”||15px|” custom_padding=”0px|0px|0px|0px” custom_padding_tablet=”0px|20px|0px|20px” custom_padding_phone=”” custom_padding_last_edited=”on|tablet” global_colors_info=”{}”]<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”2_5,3_5″ make_equal=”on” _builder_version=”4.24.0″ background_color=”RGBA(255,255,255,0)” background_position=”top_center” width=”90%” max_width=”2600px” custom_padding=”0px|||||” make_fullwidth=”on” use_custom_width=”on” width_unit=”off” custom_width_percent=”100%” global_colors_info=”{}”][et_pb_column type=”2_5″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/choosingwiselyitaly.org\/wp-content\/uploads\/2019\/05\/CW-INTERNATIONAL_mobile.jpg” title_text=”CW-INTERNATIONAL_mobile” _builder_version=”4.24.0″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][et_pb_column type=”3_5″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.27.0″ text_text_color=”#000000″ text_font_size=”15px” header_text_color=”#ffffff” header_font_size=”40px” custom_padding=”0px|0px|0px|0px” custom_padding_tablet=”0px|20px|0px|20px” custom_padding_phone=”” custom_padding_last_edited=”on|tablet” global_colors_info=”{}”]<\/p>\n
Attention has recently been paid to the contribution of health services to greenhouse gas emissions<\/strong>: the climate footprint of healthcare worldwide is equivalent to approximately 5% of global net carbon emissions, a value equivalent to approximately double the entire air transport (1)<\/a>. [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ custom_padding=”0px||0px|” global_colors_info=”{}”][et_pb_row column_structure=”1_2,1_2″ make_equal=”on” _builder_version=”4.24.0″ background_position=”top_center” width=”100%” max_width=”100%” make_fullwidth=”on” use_custom_width=”on” width_unit=”off” custom_width_percent=”100%” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.27.4″ text_text_color=”#000000″ text_font_size=”15px” header_font=”Bebas||||||||” header_text_color=”#87bcce” header_font_size=”50px” custom_margin=”|||50px” custom_padding=”0px|0px|0px|0px” custom_padding_tablet=”0px|20px|0px|20px” custom_padding_phone=”” custom_padding_last_edited=”on|tablet” border_color_all=”#000000″ global_colors_info=”{}”]<\/p>\n In Italy, as part of the Choosing Wisely Italy campaign, the\u00a0Green Choosing Wisely Italy\u00a0<\/strong>initiative was launched at the conference at the IRCCS Mario Negri in Milan in 2022, in collaboration with the\u00a0International Society of Doctors for the Environment \u2013 ISDE Italian section\u00a0<\/strong>and in line with a One Health and Planetary Health approach. New green recommendations were published and are reported below. [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.27.4″ text_text_color=”#000000″ text_font_size=”15px” header_font=”Bebas||||||||” header_text_color=”#87bcce” header_font_size=”50px” custom_padding=”|||60px” global_colors_info=”{}”]<\/p>\n Green Pills<\/strong> Handbook for greener Healthcare Services<\/strong> Plastic project See also:\u00a0https:\/\/noharm-europe.org\/<\/a><\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” _builder_version=”4.24.0″ background_position=”top_center” width=”100%” max_width=”100%” make_fullwidth=”on” use_custom_width=”on” width_unit=”off” custom_width_percent=”100%” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.24.0″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Choosing Wisely\u2019: a growing international campaign” module_class=”.boxino” _builder_version=”4.24.0″ text_font=”|||on|||||” text_text_color=”#000000″ text_font_size=”18px” header_font_size=”20px” header_3_font_size=”18px” background_color=”#c3dee6″ custom_margin=”40px|40px|40px|40px” custom_padding=”20px|20px|20px|20px” link_option_url=”https:\/\/choosingwiselyitaly.org\/en\/societa\/aigo-2\/” link_option_url_new_window=”on” border_width_left=”10px” border_color_left=”#338caa” saved_tabs=”all” global_colors_info=”{}” custom_margin__hover_enabled=”on” custom_margin__hover=”40px|40px|40px|40px”]<\/p>\n [\/et_pb_text][et_pb_text admin_label=”Choosing Wisely\u2019: a growing international campaign” module_class=”.boxino” _builder_version=”4.24.0″ text_font=”|||on|||||” text_text_color=”#000000″ text_font_size=”18px” header_font_size=”20px” header_3_font_size=”18px” background_color=”#c3dee6″ custom_margin=”40px|40px|40px|40px” custom_padding=”20px|20px|20px|20px” link_option_url=”https:\/\/choosingwiselyitaly.org\/en\/societa\/anipio-2\/” link_option_url_new_window=”on” border_width_left=”10px” border_color_left=”#338caa” saved_tabs=”all” global_colors_info=”{}” custom_margin__hover_enabled=”on” custom_margin__hover=”40px|40px|40px|40px”]<\/p>\n [\/et_pb_text][et_pb_text admin_label=”Choosing Wisely\u2019: a growing international campaign” module_class=”.boxino” _builder_version=”4.27.4″ text_font=”|||on|||||” text_text_color=”#000000″ text_font_size=”18px” header_font_size=”20px” header_3_font_size=”18px” background_color=”#c3dee6″ custom_margin=”40px|40px|40px|40px” custom_padding=”20px|20px|20px|20px” link_option_url=”https:\/\/choosingwiselyitaly.org\/en\/societa\/sipmel-2\/” link_option_url_new_window=”on” hover_enabled=”0″ border_width_left=”10px” border_color_left=”#338caa” saved_tabs=”all” global_colors_info=”{}” custom_margin__hover_enabled=”on” custom_margin__hover=”40px|40px|40px|40px” sticky_enabled=”0″]<\/p>\n [\/et_pb_text][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Choosing Wisely\u2019: a growing international campaign” module_class=”.boxino” _builder_version=”4.27.4″ text_font=”|||on|||||” text_text_color=”#000000″ text_font_size=”18px” header_font_size=”20px” header_3_font_size=”18px” background_color=”#c3dee6″ custom_margin=”40px|40px|40px|40px” custom_padding=”20px|20px|20px|20px” link_option_url=”https:\/\/choosingwiselyitaly.org\/en\/societa\/isde-2\/” link_option_url_new_window=”on” border_width_left=”10px” border_color_left=”#338caa” saved_tabs=”all” global_colors_info=”{}” custom_margin__hover_enabled=”on” custom_margin__hover=”40px|40px|40px|40px”]<\/p>\n [\/et_pb_text][et_pb_text admin_label=”Choosing Wisely\u2019: a growing international campaign” module_class=”.boxino” _builder_version=”4.27.4″ text_font=”|||on|||||” text_text_color=”#000000″ text_font_size=”18px” header_font_size=”20px” header_3_font_size=”18px” background_color=”#c3dee6″ custom_margin=”40px|40px|40px|40px” custom_padding=”20px|20px|20px|20px” link_option_url=”https:\/\/choosingwiselyitaly.org\/en\/societa\/siaarti\/” link_option_url_new_window=”on” border_width_left=”10px” border_color_left=”#338caa” saved_tabs=”all” global_colors_info=”{}” custom_margin__hover_enabled=”on” custom_margin__hover=”40px|40px|40px|40px”]<\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.24.0″ _module_preset=”default” background_color=”#b1c1d8″ global_colors_info=”{}”][et_pb_row module_id=”bibliografia” _builder_version=”4.24.0″ _module_preset=”default” width=”90%” max_width=”2600px” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.24.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.24.0″ text_text_color=”#000000″ text_font_size=”15px” header_font=”Bebas||||||||” header_text_color=”#87bcce” header_font_size=”50px” custom_padding=”|||60px” global_colors_info=”{}”]<\/p>\n 1. Romanello M, Di Napoli C, Drummond P, et al. The 2022 report of the Lancet Countdown on health and climate change: health at the mercy of fossil fuels. Lancet 2022;400:1619-54. 2. Health Care Without Harm. Health care climate footprint report. 3. Bonaldi A, Vernero S, Giustetto G, Romizi R. L\u2019impronta ecologica dei servizi sanitari: cosa dovrebbero fare i professionisti della salute. Il Cesalpino 2022;56:14-17<\/p>\n 4. Sherman J D, McGain F, Lem M, Mortimer F, Jonas W B, MacNeill A J et al. Net zero healthcare: a call for clinician action BMJ 2021; 374 :n1323 doi:10.1136\/bmj.n1323 5. Born KB, Levinson W, Vaux E Choosing Wisely and the climate crisis: a role for clinicians. BMJ Quality & Safety Published Online First: 02 June 2023. doi: 10.1136\/bmjqs-2023-015928<\/p>\n 6. Braithwaite J, Pichumani A, Crowley P. Tackling climate change: the pivotal role of clinicians BMJ 2023; 382 :e076963 doi:10.1136\/bmj-2023-076963 7. Wedmore F, Nolan T, Watts N. Sustainable practice: what can I do? BMJ 2023; 383 :p2461 doi:10.1136\/bmj.p2461 8. https:\/\/www.nbst.it\/1839-azioni-per-ridurre-emissioni-gas-serra-sanita-bmj-choosing-wisely.html<\/a><\/p>\n 9. Braithwaite J, Glasziou P, Westbrook J. The three numbers you need to know about healthcare: the 60-30-10 Challenge. BMC Med 2020; 18:102.<\/p>\n 10. https:\/\/choosingwiselyitaly.org\/societa\/adi\/<\/a><\/a><\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" CLIMATE EMERGENCY: THE ROLE OF HEALTH PROFESSIONALSAttention has recently been paid to the contribution of health services to greenhouse gas emissions: the climate footprint of healthcare worldwide is equivalent to approximately 5% of global net carbon emissions, a value equivalent to approximately double the entire air transport (1).If the health sector were a country, it […]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-6833","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/pages\/6833","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/comments?post=6833"}],"version-history":[{"count":4,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/pages\/6833\/revisions"}],"predecessor-version":[{"id":7330,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/pages\/6833\/revisions\/7330"}],"wp:attachment":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media?parent=6833"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
If the health sector were a country, it would be the fifth largest emitter on the planet (2)<\/a>.
Given that clinical activities are responsible for approximately 80% of the climate footprint of health services, the role of professionals<\/strong> is fundamental for its possible reduction (3)<\/a>. Consider, for example, that a thousand blood tests (formula, hemoglobin, hematocrit) produce the CO2 equivalent of 700 km traveled by car and a single MRI produces the CO2 equivalent of a car traveling 145 km.
The control of overuse, such as that implemented through the Choosing Wisely<\/strong> campaigns, is therefore considered among the most important measures to contain the climatological footprint of health services (4)<\/a>, as well as a valid tool for avoiding waste and improving the quality and safety of care.
Choosing Wisely International <\/strong>(5)<\/a> supports the important role of Choosing Wisely campaigns towards climate change, encouraging awareness and assumption of responsibility among healthcare professionals and their professional societies around the world.
The important magazine BMJ<\/strong> has recently launched a campaign (6, 7, 8)<\/a> to reduce carbon emissions in the healthcare sector by addressing concrete actions that healthcare professionals can and must undertake: among them the implementation of the Choosing Wisely recommendations is repeatedly reported in order to avoid or reduce unnecessary or even harmful practices which amount, according to all estimates, to at least 20-30% of the total (9)<\/a>.
Choosing Wisely Canada<\/strong> has released new Climate Conscious Recommendations<\/strong>.
More than 20 clinical specialties have collaborated to create more than 40 climate conscious recommendations in Choosing Wisely Canada. These recommendations aim to engage clinicians in avoiding or reducing routine practices that harm the environment, without compromising patient care.
https:\/\/choosingwiselycanada.org\/climate\/<\/a><\/p>\nGreen Choosing Wisely Italy<\/h1>\n
Italian professional societies and associations were invited:
– to describe the environmental consequences of unnecessary tests, treatments and procedures
– to develop recommendations on practices that cause harm to the environment
– to develop recommendations that help decrease the demand for healthcare services (primary prevention).<\/p>\n
Also to be mentioned the 2021 recommendation of\u00a0ADI-Italian Association of Dietetics and Clinical Nutrition\u00a0for the Mediterranean diet\u00a0(10<\/a>).<\/p>\nOTHER GREEN INITIATIVES<\/h1>\n
The \u201cGreen Pills<\/strong>\u201d (maximum 500 words) are published monthly on the Bergamo Medical Doctors\u2019 and Dentists\u2019 Order website by Dr. Antonio Bonaldi and sent to all members of the Order, as suggestions for health professionals about the environment and the climate crisis.\u00a0https:\/\/www.omceo.bg.it\/media-dell-ordine\/media-dell-ordine-bergamo\/pillole-green.html<\/a><\/p>\n
In Bergamo Healthcare an alliance was made to reduce greenhouse gas emissions generated by health services. An inter institutional \u201cGreen<\/strong> Team\u201d launched initiatives and produced a Handbook for greener Healthcare Services<\/strong> with 12 areas of work.
https:\/\/www.omceo.bg.it\/modulistica-docman\/pillole-green\/2139-handbook-for-greener-healthcare-services\/file.html<\/a><\/p>\n
<\/strong>Choosing Wisely Italy, together with some professional societies, collaborates in the\u00a0campaign to raise awareness among doctors on the problem of plastic damage to health<\/strong>, launched by ISDE Italian Section and the Italian Network of Sentinel Doctors (RIMSA). At the link\u00a0https:\/\/www.isde.it\/progetto-plastica\/\u00a0<\/a>you can find all the information materials including a poster (for medical practices) that we ask doctors to print and display in their practices.
Choosing Wisely recommendations aimed at reducing the unnecessary use of disposable gloves, other personal protective equipment, bladder and venous catheters, nasogastric and PEG feeding tubes as well as some surgical site dressings can help reduce the consumption of plastic material in healthcare.\u00a0<\/p>\n5 recommendations from AIGO GREEN ENDOSCOPY
<\/strong><\/h1>\n5 GREEN recommendations from ANIPIO for nurses<\/strong><\/h1>\n
5 recommendations from SIPMeL on Green Laboratory<\/strong><\/h1>\n
10 recommendations from ISDE Italian Section for professionals and the public and for a GREEN GENERAL PRACTITIONER<\/strong><\/h1>\n
5 recommendations from SIAARTI about green anesthesia<\/strong><\/h1>\n
https:\/\/www.thelancet.com\/article\/S0140-6736(22)01540-9\/fulltext<\/a><\/p>\n
https:\/\/noharm-europe.org\/ClimateFootprintReport<\/a><\/p>\n
https:\/\/www.bmj.com\/content\/374\/bmj.n1323<\/a><\/p>\n
https:\/\/www.bmj.com\/content\/382\/bmj-2023-076963<\/a><\/p>\n
https:\/\/www.bmj.com\/content\/383\/bmj.p2461.long<\/a><\/p>\n