Healthcare Procurement and Compliance with International Conventions on Chemicals
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UNDP has introduced a novel and unique tool that will allow procurement practitioners to measure and monitor the status and progress of healthcare procurement related to the compliance with International Environmental Conventions. The presentation was delivered on 11 May 2016 at the “Fostering Sustainable Procurement: How Procurers Can Change the Global Health Sector” in UN City, Copenhagen.
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Healthcare Procurement and Compliance with International Conventions on Chemicals
- 1. 1 Ignacio Sanchez Diaz Greening Health Systems Specialist UNDP Istanbul Regional HHD Team UN informal Interagency Task Team on Sustainabl Procurement in the Health Sector (iIATT-SPHS) Fostering Sustainable Procurement Copenhagen, May 11, 2016 Explore. Learn. Engage. 'Saving Lives Sustainably' #act4env HEALTHCARE PROCUREMENT AND COMPLIANCE WITH INTERNATIONAL ENVIRONMENTAL CONVENTIONS ON CHEMICALS
- 2. Funding partners: Green Procurement Index Health (GPIH)
- 3. International Environmental Conventions on Chemicals This novel and unique tool will allow procurement practitioners to measure and monitor the status and progress of healthcare procurement related to the compliance with International Environmental Conventions The indicators proposed as part of this guide are intended to serve as a building block of the GPIH and the compliance with International Environmental Conventions might be considered as one of the pillars for the development of the Index
- 4. International Environmental Conventions on Chemicals Stockholm Convention on Persistent Organic Pollutants (POPs) • Substances that Parties must eliminate in their production and use. Annex A to the Convention • Substances that Parties must restrict in production and use. Annex B to the Convention • Substances that parties must reduce from unintentional releases. Annex C to the Convention PVCDDT
- 5. International Environmental Conventions on Chemicals Minamata Convention on Mercury • Mercury-added medical products: It is used throughout health care in a variety of products, including thermometers; sphygmomanometers; dental amalgam; laboratory chemicals, etc. • Safe and cost-effective non-mercury alternatives that exist for nearly all uses of mercury in health care • 2020 phase out deadline
- 6. International Environmental Conventions on Chemicals Vienna Convention for the Protection of the Ozone Layer and the Montreal Protocol on Substances That Deplete the Ozone Layer • Ozone Depleting Substances (ODS) are still being produced and used in different sectors, for example in refrigeration, air conditioning and heat pump systems. Some solvents considered as ODS are used in laboratories and in the pharmaceutical industry • There are eco-labels, such as EU eco-label or The Blue Angel, certifying the non-use of ODS in products
- 7. International Environmental Conventions on Chemicals Basel Convention on the Control of Transboundary Movements of Hazardous Wastes and Their Disposal • Disposal of hazardous healthcare waste must be done at an approved facility, which is authorized to operate for this purpose by a relevant authority of the State where the site or facility is located • Waste streams related to health products: • Clinical waste from hospitals, medical centers and clinics • Waste from the production and preparation of pharmaceutical products • Waste pharmaceuticals, drugs and medicines • Waste from the production, formulation and use of biocides and phytopharmaceuticals
- 8. International Environmental Conventions on Chemicals Rotterdam Convention on the Prior Informed Consent Procedure for Certain Hazardous Chemicals and Pesticides in International Trade • The Convention does not apply to pharmaceuticals, including human and veterinary drugs nor wastes • The chemicals listed in the Convention include pesticides still procured in some cases by global health organizations as a disease control vector in regions at high risk of malaria transmission
- 9. INTRODUCTION Checklist, Indicators and Guidance
- 11. THANK YOU FOR YOUR ATTENTION. IGNACIO SANCHEZ DIAZ Greening Health Systems Specialist UNDP Istanbul Regional HHD Team UN informal Interagency Task Team on Sustainable Procurement in the Health Sector (SPHS) ignacio.sanchez.diaz@undp.org Twitter: @SanchezDIgnacio MIRJANA MILIC SPHS Associate Coordinator UN informal Interagency Task Team on Sustainable Procurement in the Health Sector (SPHS) mirjana.milic@undp.org Twitter: @milic_mirjana JOIN THE CONVERSATION AND FOLLOW US ON: #act4env
Editor's Notes
- Stockholm Convention on Persistent Organic Pollutants (POPs) Minamata Convention on Mercury Vienna Convention for the Protection of the Ozone Layer and the Montreal Protocol on Substances that Deplete the Ozone Layer 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
- The Convention restricts the use of DDT for some specific situation, including for vector control in accordance with the World Health Organization (WHO) recommendations and guidelines on the use of DDT Given the fact that DDT kills mosquito larvae but is harmful to the environment and human health, alternatives have been introduced. One of them is spraying Bti, an environmentally-safe biopesticide. PVC (also known as vinyl) is the most commonly used plastic in medical devices, such as IV bags and tubing, and it has been used in a wide variety of other applications in the health care setting, such as disposable gloves, curtains, and flooring. Unfortunately, PVC creates a number of environmental health risks. Dioxin, a known human carcinogen, can be formed during the manufacture of PVC, and during the incineration or burning of PVC products. DEHP, a phthalate used to soften PVC plastic that can leach from PVC medical devices, is linked to reproductive birth defects and other illnesses. Fortunately, medical devices that do not contain PVC or phthalates are available for use — and many health care facilities are switching to these safer alternatives.
- Mercury is a potent neurotoxin that can harm the brain, spinal cord, kidneys, and liver. It is used throughout health care in a variety of products, including thermometers; sphygmomanometers; dental amalgam; laboratory chemicals; preservatives such as thimerosal; cleaning agents; and various electronic devices such as fluorescent lamps and computer equipment. The cumulative usage, spills, breakages, and disposal of these products makes the health care sector a significant contributor of mercury pollution in the environment. Fortunately, it is relatively easy to phase out the use of mercury because of the many safe, cost-effective non-mercury alternatives that exist for nearly all uses of mercury in health care
- A number of ODS are still being produced and used in different sectors., for example in refrigeration, air conditioning and heat pump systems). Some solvents considered as ODS are used in laboratories and in the pharmaceutical industry. http://ozone.unep.org/Assessment_Panels/TEAP/Reports/CTOC/ctoc_assessment_report06.pdf