SPHS Webinar Series: Human Rights, Water and Antimicrobial Resistance: A New Nexus-Approach To Address a Complex Challenge?
•Download as PPTX, PDF•
2 likes•304 views
In light of the discussions held at the Asia Forum 2018 Campfire Session led by Stockholm International Water Institute (SIWI), the SPHS webinar "Human Rights, Water and Antimicrobial Resistance: A New Nexus-Approach To Address a Complex Challenge?" focuses on the relationship between a healthy environment and human rights, with a special focus on water and antibiotics. Experts explain how this approach can stimulate virtuous developments within the health sector, and how health care providers ensure simultaneous access to affordable medicines while safeguarding human rights of people living nearby production sites, who share the same water resources. The objective is to share information with the audience about the activities of pharmaceutical companies and relevant stakeholders from the health sector, including leading practices and gaps, to trigger a conversation on how purchasers can influence sustainable procurement of pharmaceuticals. In addition, Active Pharmaceutical Ingredients (APIs & Formulations) or chemicals that are discharged in the wastewater from the production of pharmaceuticals, impact the human health and the environment through water contamination. The webinar also discusses strategies to effectively measure and monitor the APIs in the wastewater discharged resulting from production, development and related activities involving pharmaceuticals manufacturing.
Recommended
Recommended
More Related Content
Similar to SPHS Webinar Series: Human Rights, Water and Antimicrobial Resistance: A New Nexus-Approach To Address a Complex Challenge?
Similar to SPHS Webinar Series: Human Rights, Water and Antimicrobial Resistance: A New Nexus-Approach To Address a Complex Challenge? (20)
More from UN SPHS
More from UN SPHS (20)
Recently uploaded
Recently uploaded (20)
SPHS Webinar Series: Human Rights, Water and Antimicrobial Resistance: A New Nexus-Approach To Address a Complex Challenge?
- 1. Welcome to the SPHS Webinar Series Human Rights, Water and Antimicrobial Resistance: A New Nexus Approach To Address A Complex Challenge 6th November 2018 www.savinglivesustainably.org
- 2. Agenda 1. Welcome remarks by the moderator 2. Introduction to speakers 3. Presentations • UNDP: Introduction to the SPHS initiative • SIWI: Human Rights, Water and Antimicrobial Resistance: A New Nexus-Approach to Address a Complex Challenge? • Aarhus University Hospital : Removal of Pharmaceuticals from Wastewater 4. Questions & Answers Dr. Natalya Lukyanova HIV and Health Policy Officer UNDP Ukraine
- 3. Speakers Dr Rosemary Kumwenda Regional Team Leader, HIV, Health and Development and Coordinator of Sustainable Procurement in the Health Sector UNDP Istanbul Regional Hub Mr. Nicolai Schaaf Programme Manager Stockholm International Water House (SIWI) Mr. Thomas Møller Environmental Coordinator Aarhus University Hospital (AUH)
- 4. Sustainable Procurement in the Health Sector (SPHS) SPHS Webinar Series : Human Rights, Water and Antimicrobial Resistance: A New Nexus Approach To Address A Complex Challenge INTRODUCTION November 6th 2018
- 5. Who We Are Established in 2012, SPHS brings together seven United Nations agencies and three global health financing institutions, committed to introducing sustainable procurement in the global health sector and beyond. Our annual cumulative purchasing power is around US$ 5 billion, which represents a sizable portion of the global pharmaceutical and other health products markets. What We Do MULTI- LEVEL PERSPECTI VECROSS- CUTTING INNOVATION DRIVER FOR CHANGE INCLUSIVE APPROACH MARKET INTELLIGEN CE ONLINE ENGAGEME NT PLATFORM BUSINESS TO BUSINESS Our UN procurers, suppliers and manufactures work at global, regional and national levels We address sustainability from different perspectives - public health, the environment, procurement. We promote sustainable health systems and inclusive green economies Our engagement with suppliers and manufacturers is based on systematic consultation, ongoing dialogue and collaboration We can draw on the expertise and knowledge from our far- reaching network We maintain a repository of good practice examples on sustainable procurement and sustainable manufacturing We bring together a global network of technical experts who can support suppliers and manufacturers Emerging Opportunities www.savinglivesustainably.org Establishment of a Multi- Stakeholder Partnership Platform on Sustainable Production, Procurement and Disposal of Health Commodities Development of Sustainable Procurement Index for Health (SPIH) Development of Sustainable Health Procurement Guidance Note Delivery of trainings on Sustainable Procurement in the Health Sector Engagement with our supply chains to ensure more sustainable and responsible procurement and sustainable production of health commodities
- 6. GET IN TOUCH @ www.savinglivesustainably.org Twitter: @UN_SPHS We look forward to working with you on a more sustainable global health sector.
- 7. Human Rights, Water and Antimicrobial Resistance A New Nexus-Approach to Address a Complex Challenge? nicolai.schaaf@siwi.org SPHS Webinar 2018-11-06 PRESENTATION #1
- 8. Water and Development SIWI and Swedish Water House
- 9. The core of the interrelation Infectious Diseases WASHAMR
- 11. Pharmaceutical Industry The Water and Human Rights perspective Infectious Diseases WASHAMRAntibiotics USAGE POLLUTI ON SDG 6 Rights to Water and Sanitation • Rights holders • Duty bearers: Responsibility to protect • Industry: Responsibility to Respect • Access to water and sanitation • Safeguarding water resources (quality and quantity)
- 12. Pharmaceutical Industry Pharmaceutical Industry Roles, responsibilities, obligations Infectious Diseases WASHAMRAntibiotics USAGE POLLUTI ON SDG 6 Rights to Water and Sanitation • Access to water and sanitation • Safeguarding water resources (quality and quantity) States: • Regulation • Procurement R2R Rights Holder s Duty Bearer sImple- mento r Imple- mento r Imple- mento r Beneficiary Beneficiary • Rights holders • Duty bearers: Responsibility to protect • Industry: Responsibility to Respect Beneficiary
- 13. The core of the interrelation Infectious Diseases WASHAMR
- 14. Synergies through conscious planning and implementation! (Water in the) 2030 Agenda Human Rights AMR Strategies
- 15. Tekchnical Department Removal of pharmaceuticals from wastewater SPHS webinar 6. November 2018 Thomas Møller Aarhus University Hospital PRESENTATION #2
- 16. Key facts for AUH Clinical departments: 44 Number of beds: 1,150 Annual activities: 803,100 out-patiens visits 40,749 emergency visits 94,329 discharges 83,202 surgeries 44,600 endoscopies 4,876 births Staff: 10,200 employees (9,400 full-time positions) Who are we? Tekchnical Department
- 17. Tekchnical Department Agenda • Two challenges • Central or local treatment • Finding the right technology for treatment • Mapping of pharmaceuticals in wastewater • Where do we get the best effect from treating the water • Developing treatment technology for removal og pharmaceuticals and neutralising multiresistant bacterias • Outlook – pushing the agenda
- 18. Tekchnical Department Background Danish legislation dictates local treatment • We at AUH disagree on this Dialogue with the local municipality • Participation in development projects. • Collect knowledge on whether local or central treatment would be the most beneficial Engaging in R&D project with danish universities, technology suppliers, water companies and more. Ambulant treatm ents at Aarhus U niversity H ospital 500000 550000 600000 650000 700000 750000 800000 850000 2007 2008 2009 2010 2011 2012 2013 2014 2015 Ye a r Amount
- 19. Participants in the development projects Development projekts Tekchnical Department
- 20. Tekchnical Department Where to treat the wastewater? 6 S2 Pilot Herning Water April – Jan 2017 Pilot Viby R/A Feb 2015 - Sept 2015 Pilot Municipal hospital Aarhus Onkology dept. July 2013 – Nov 2014 Pilot Skejby hospital May 2015 – Feb 2016 Wastewater from specific depertments Total wastewater from hospital Total municipal wastewater stream
- 21. Tekchnical Department Mapping of pharmaceuticals Looking at a list of 42 different pharmaceuticals pointed out by the danish authorities as critical, because of the toxicity and the amount used on hospitals. • The consumption of pharmaceuticals on the danish hospitals represent ~4% of the total national consumption. • The 42 pharmaceuticals represent 4% of the drugs used in danish hospitals Mapping based on data from the EPJ (Electronical Patient Journal) • Possibility to divide patients into ambulant treated and hospitalized.
- 22. Mapping of pharmaceuticals Results from mapping show, that the vast majority of the polution from pharmaceuticals are discharged from peoples own homes. • Over 90% of the mapped environmental pollution comes from peoples own homes. • The effect of treating wastewater locally on hospital will fail to materialize. • Mapping shows, that the same is the case for all hospitals in Central Region Denmark • Measuring of wastewater supports the results from mapping
- 23. Another conclusion • The environmental pollution comes from just a few of the mapped pharmaceuticals • Valuable input for designing a technology to remove pharmaceuticals Mapping of pharmaceuticals
- 24. Recommendations for a designguide for WWTT (Waste Water Treatment Technology) • Focus on a few pharmaceuticals that represent the major or significant environmental pollution (if possible). • Back this with a list of indicator pharmaceuticals that are chosen based on their different degradeabilities. • Define to what degree the different pharmaceuticals need be removed to apply with demands Mapping of pharmaceuticals
- 25. Developing treatment technology Focusing on the MBBR (Moving Bed Bio Reactor) technology
- 26. Developing treatment technology MBBR 1 MBBR 3MBBR 2
- 27. 13 ▪ www.regionmidtjylland.dk Developing treatment technology New configuration of the MBBR technology as a post treatment on existing WWTP (Waste Water Treatment Plants) A B C Effluent WWTP Polished effluent Untreated wastewater Recirculate to WWTP
- 28. Results from new configuration of the MBBR technology based on lab scale testing. • Removal of pharmaceuticals is possible based solely on natures own ability to degrade the organic compunds. • Cost is estimated to around 3 cent/m³. Prize for full treatment at the hospital will typically be above 1€/m³. • THIS IS THE GAME CHANGER! • Ongoing new project in pilot scale to support the results from the lab scale testing. Developing treatment technology
- 29. Neutralising resistent bacterias in wastewater • Testproject at AUH in the fall 2018 • Injection of peracetic acid • Testing in the laboratory showing promissing results • Results from tests with injection directly in the sewer expected before the end of 2018 • The remmedies for a societal sustainable solution are emerging..! Reduction of ciprofloxacine resistent bacterias [%] Developing treatment technology
- 30. Outlook – pushing the agenda Low cost WWTT for pharmaceuticals opens up new opportunities. • Cheaper removal of pharmaceuticals from municipal wastewater. • Cheaper to formulate new demands for suppliers of pharmaceuticals in terms of cleaning the wastewater from their production plants. Transparent and identical criterias is key.
- 31. How can we work together on this? • Big demands will push the market. Central Region Denmark can’t solve this one alone. • Transparent criterias regarding removal of pharmaceuticals from the environment • Identical criterias across boarders and continents A global index for sustainability could define and guide procurement criterias the right way. Need for upscaling the effort
- 32. Questions & Answers Session Send us your Questions in the Chat Box for Live Answers
- 33. GET IN TOUCH @ www.savinglivesustainably.org Twitter: @UN_SPHS We look forward to working with you on a more sustainable global health sector.
Editor's Notes
- Good morning, Good afternoon and Good evening everyone, and thank you very much for joining us for the United Nations Informal Interagency task team on Sustainable Procurement in the Health Sector (SPHS) webinar series. Today’s webinar will focus on “Human Rights, Water and Antimicrobial Resistance: A New Nexus Approach To Address A Complex Challenge”.
- My name is Dr. Natalya Lukyanova. I am the HIV and Health Policy Officer for UNDP Ukraine. I will moderate today’s webinar and I will start with introducing the speakers, and then we will continue with the presentations, after which we will have a Q&A session.
- Our first speaker is Dr Rosemary Kumwenda. Rosemary is the UNDP HIV Health and Development Regional Team Leader for Eastern Europe and Central Asia and Coordinator of the Sustainable Procurement in the Health Sector. Today Dr Rosemary Kumwenda will offer her insights on the UN initiative on Sustainable Procurement in the Health Sector (SPHS). One of the key strengths of this informal SPHS initiative is its knowledge sharing, and we thank the SPHS Secretariat for hosting another important SPHS Webinar Series. Today’s webinar will also be the last SPHS webinar organized in 2018. Our second speaker is Mr Nicolai Schaaf. Mr Schaaf is responsible for SIWI's work on water and pharmaceuticals, leading projects and stakeholder dialogue focusing on sustainable supply chains and procurement of pharmaceuticals, especially in the context of antibiotics and antibiotic resistance. The goal is to engage the industry as well as customers or regulators to improve the mutual understanding of the supply and demand perspective on sustainability in pharmaceuticals manufacturing. This encloses working on the technical factory level as well as establishing multi stakeholder dialogue platforms. He also coordinates SIWI's policy dialogue and represents SIWI in the Swedish section of the International Water Association (IWA). Our third speaker is Thomas Møller. Mr Møller is an Environmental Engineer working as Environmental Coordinator at the Aarhus University Hospital (AUH), Denmark. Thomas works with both waste and wastewater, and coordinates the approach regarding these areas at the hospital. He has a year long experience with "removing pharmaceuticals from wastewater", both in terms of mapping the source to environmental pollution with pharmaceuticals from hospital activities and contribution to the development of technology for removal of pharmaceuticals from waste water. Thomas is also the mastermind behind an ongoing project on circular economy at the AUH, that aims to address the challenges associated with implementing the circular economy in the whole supply chain in the health sector.
- Briefly, before we move to three highly interesting perspectives on “Human Rights, Water and Antimicrobial Resistance: A New Nexus Approach To Address A Complex Challenge”, I would like to introduce to you UN informal Interagency Task Team on Sustainable Procurement in the Health Sector, which brought to you the SPHS Webinar Series. Dr Rosemary Kumwenda is the UNDP HIV Health and Development Regional Team Leader for Eastern Europe and Central Asia and Coordinator of the Sustainable Procurement in Health Sector (SPHS). As the coordinator of the SPHS Dr Rosemary Kumwenda will offer insights into the UN perspective on how in collaboration with the Member States, the private sector and technical experts, work on sustainable global health sector, with the final aim of improving human health and well-being.
- Dr Rosemary Kumwenda will Present
- For more information on our work and current projects; you can also follow us on twitter , and receive regular updates on the SPHS initiative by subscribing to our Newsletter. In case you have any questions, please do not hesitate to ask. Thank you.
- For more information on our work and current projects; you can also follow us on twitter, and receive regular updates on the SPHS initiative by subscribing to our Newsletter. In case you have any questions, please do not hesitate to ask. Thank you.