HCWH Europe Webinar: The impact of pharmaceutical pollution on water quality
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Ms. Lorea Coronado-Garcia, UNDP Greening Health Systems Specialist, delivered a presentation on 8 June on the challenges of the SPHS Member Agencies' global procurement and use of pharmaceuticals, as well as on opportunities for improvement.
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HCWH Europe Webinar: The impact of pharmaceutical pollution on water quality
- 1. Sustainable Procurement of Pharmaceuticals Lorea Coronado-Garcia UNDP Sustainable Supply Chains Specialist lorea.coronado-garcia@undp.org The impact of pharmaceutical pollution on water quality 8 June 2017
- 2. SPHS Task Team is, through a transparent and inclusive engagement process, leveraging its normative and market power, lowering the environmental impact of its procurement, with a final aim of improving human health and well-being.Global perspectives on health and environment
- 3. Hyderabad, India 2013 Pauline Göthberg. “Swedish healthcare causing environmental problems in other countries”. April 2016. PowerPoint PresentationGlobal production global consumption global footprint
- 4. Linking our work to the Sustainable Development Goals and Key Focus Areas
- 5. Strategy on Engaging with Suppliers and Manufacturers on Green Health Procurement Engagement with suppliers and manufacturers
- 6. • List of key hazardous products for substitution in UNDP procurement • In the list: TB (antibiotic) and HIV/AIDS (antiretroviral) pharmaceuticals Source: http://www.savinglivesustainably.org/knowledge-practice/contribution/undp-with-health-care- without-harm-sustainable-procurement-practices-in-the-global-health-aid-market-project-funded-by- skoll-foundation-and-un-foundation/Ff777B.html Green procurement criteria recommendations Chemical Substitutions
- 7. A UNDP Guide For Procurement Practitioners • Measure and monitor the status and progress of healthcare procurement related to the compliance with International Environmental Conventions • Indicators - a building block of the GPIH and the compliance with International Environmental Conventions
- 8. Environmental Assessments of Suppliers and Manufacturers of Health Commodities and Services A user-friendly and dynamic tool which provides comprehensive overview of the environmental performance of suppliers and manufacturers of health commodities and services Questionnaire and OET Interested in testing this tool, which was developed in consultation with leading technical experts? Please contact us at info@savinglivesustainably.org i
- 9. UNDP Procurement Case Studies Source: UNDP (2016) Solar Panels Improve Healthcare in Rural Zambia Solar For Health Initiative
- 10. Country Assessments To assess the possible environmental impact of GF grants, rapid assessments on healthcare waste were carried out Generally applicable recommendations to all GF-funded health programmes Context specific recommendations to particular country http://www.eurasia.undp.org/content/rbec/en/home/library/hiv_aids/rapid-assessment-healthcare-waste-global-fund.html
- 11. Pathways of Environmental Footprint in Healthcare Waste
- 12. Healthcare Waste Management Toolkit UNDP developed a practical toolkit for healthcare waste management. http://www.eurasia.undp.org/content/rbec/en/home/library/hiv_aids/rapid-assessment-healthcare-waste-global-fund.html Part C will be launched shortly
- 13. Sustainable Public Health Procurement Trainings UNDP-UNEP-HCWH support government officials to design and implement sustainable public health procurement policies that equally factor in the social, economic and environmental impact of their operations. Interested in hosting a training in your organization? Please contact us at info@savinglivesustainably.org iEngagement with the key stakeholders
- 15. THANK YOU FOR YOUR ATTENTION www.savinglivesustainably.org Join the conversation and follow us: #act4health
Editor's Notes
- My work at UNDP, and in support of the SPHS, looks at how to integrate sustainable procurement in the health sector into UNDP programmes and practices, and which lessons and tools can be shared across the UN. While I am not able to speak on the behalf of hospitals, I glad to share more about how our work, at UNDP, is overlapping with the pharmaceutical (and broader health sector) procurement. Please let me know if this would be interesting for you.
- Explain what UNDP does related to health: resilient lives UNDP health and environment work - one pillar of the health team work UNDP purchasing need of pharmaceuticals Key SPHS assets highlighted were the leverage of its normative, operational and financial strengths to introduce sustainable procurement practices in the global health aid market, across the UN system and the SPHS global network.
- Global production, global consumption Pharmaceuticals in the environment have been detected in all UN regions: Occur globally – include image of study? – Mentioned in previous Safe Pharma webinar Pharmaceuticals-in-the-environment.org India is fast emerging as an outsourcing destination for global pharmaceutical majors, which are looking at reducing manufacturing and drug development costs. Solution has to address both production and consumption
- Solution has to address both production and consumption – SDG 12 You can see the concentration of dots near the SDGS – this is a representative graphic of the success stories featured on our platform SDG 3 – Good health and wellbeing SDG 12 – Responsible consumption and production SDG 17 – Partnership for the goals Much of our work focuses on health Of our focus areas, largely relevant to today’s webinar are medical products, waste management, and water.
- Supplier engagement In November, SPHS published its Engagement Strategy to work in collaboration with suppliers and manufacturers to introduce procurement in the global health sector. The publication helped identify and prioritize different products and product categories, develop a plan for engaging our supply chain and laid out milestones for the strategy
- improved storage, responsible disposal Recommendations for use of green procurement criteria Guidance and targets to substitute hazardous products purchased by the UN for its health programs List of key products based on procurement volume and environmental impact: Antiretrovirals, Rapid Diagnostic Test Kits, Medical devices (syringes, thermometers, gloves, blood pressure measuring device and catheters), TB drugs, male condoms, hormonal implants and healthcare waste technologies Environmental footprint assessment based on toxicity, carbon footprint, and Resource Depletion Phase in with multi-stakeholder engagement process: UN suppliers, UN procurement departments and multilateral funding institutions Objectives Developing and implementing a guidance note on an initial priority list of a green procurement criteria Developing a list of products that remove priority toxic chemicals from production, products and waste Engaging with suppliers and manufacturers of pharmaceuticals and medical devices to stimulate the development of greener products and manufacturing processes, subsequently reducing the environmental burden of the health sector Outcomes Initial priority list of green procurement criteria and the monitoring of their implementation Recommendations on specifications and how to evaluate and select healthcare products based on the established green procurement criteria Assessment of the environmental footprint from UNDP purchased health care products based on three environmental pillars: Carbon Footprint, Toxicity and Resource Depletion Effective phase-in of the green procurement criteria through a multi-stakeholder engagement process
- We also designed tools to support our procurement officers in their efforts to integrate sustainability criteria into their daily roles. We developed a tool and published a guide that supports procurement officers to check for compliance with 5 international environmental conventions on chemicals. 5 Conventions covered in the Guide are: Basel Convention on the Control of Transboundary Movements of Hazardous Wastes and Their Disposal Rotterdam Convention on the Prior Informed Consent Procedure for Certain Hazardous Chemicals and Pesticides in International Trade Vienna Convention for the Protection of the Ozone Layer and the Montreal Protocol on Substances That Deplete the Ozone Layer Stockholm Convention on Persistent Organic Pollutants (POPs) Minamata Convention on Mercury The tool runs on excel and produces this automated dashboard indicating levels of compliance.
- Also speak regarding SPHS Gavi Cold Chain
- Purpose: To assess the possible environmental impact of GF grants, rapid assessments on healthcare waste were carried out UNDP has been a strategic partner of the GF for the last 10 years. To assess the possible environmental impact caused by waste created through its GF project implications, country assessments on healthcare waste were carried out were conducted in Bosnia and Herzegovina, Kyrgyzstan, Tajikistan, Uzbekistan and Zimbabwe. The implementation of the GF health project will create non-hazardous waste but also dozens of toxic, infectious or otherwise hazardous waste types, such as expired pharmaceuticals, contaminated packing materials, needles and syringes containing pathogens and others. Depending on the country specific context, different options may exist for the disposal and treatment of pharmaceutical waste generated by the project. Analysis of waste management How is the hazardous waste (for each waste group, e.g. infectious waste, pharmaceutical waste, chemical waste, radioactive waste, cytotoxic waste) handled during the steps: segregation, collection, transportation, storage and disposal? ARVs and ACTs include different pharmaceuticals and a separate hazard assessment should be carried out for each pharmaceutical product.
- Pharmaceutical waste defined as: Pharmaceuticals that are expired or no longer needed; items contaminated by or containing pharmaceuticals; Domestic (municipal)n waste: Non-hazardous pharmaceutical waste Chemical waste: Hazardous pharmaceutical waste Definition: Pharmaceutical waste includes expired, unused, unwanted, spilled and contaminated pharmaceutical products, medicines and vaccines. It also includes all sera and bottles, boxes and vials used to contain pharmaceuticals, which are no longer required. WHO recommends burying of pharmaceutical waste in areas away from water source and in soils of low permeability Persistent and toxic
- Also as part of the work, a Healthcare Waste Management Toolkit Package for Global Fund Practitioners and Policy Makers (with various components) was developed The toolkit is intended to help to reduce risks from the generation and disposal of HCW, especially the disposal of unwanted or unused pharmaceuticals, potentially infectious waste and other hazardous waste Excerpts from Part A: Burying of waste not only takes up valuable land space, it also causes air, water and soil pollution, chemicals and pesticides into the earth and groundwater. Chemical risks from HCW are often underestimated. Waste from health programmes often creates chemical risk as the materials are reactive; they are unstable, and may produce toxic fumes, gases and vapours when mixed with water or under other conditions such as heat or pressure. The general public can be at risk through the direct exposure to hazardous substances or indirectly through the polluted environment: water, soil, and air
- To be able to share these projects and lessons with our procurement teams, we developed the Sustainable public health procurement training, in collaboration with UN Environment. As we see it, the supply chain is the new frontier for sustainable operations and programming.
- Online Knowledge-Hub on Good Practices in Sustainable Health Procurement and Manufacturing Constantly being updated