This document is Tokyo Medical and Dental University's 2009 Environmental Report. It summarizes the University's environmental performance in 2009, including emissions of CO2 and other pollutants from energy use and waste management. Key points are that CO2 emissions were 30,639 tons, recycling rates for waste exceeded 99% for most materials, and environmental studies were conducted on urban public health issues. The report concludes by encouraging further efforts to reduce the University's environmental impact.