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Alphabetical Listing of Reference Documents by Title
NOTE: [PDF] links require Acrobat Reader from Adobe.
America's Top 10 Green Hospitals
Abstract: With 24/7 operations and powerful medical equipment, hospitals are one of the greatest consumers of energy - and one of the greatest generators of waste. Increasingly hospitals are finding that they can improve the care they give to patients and protect the natural environment by making greener choices in building materials, food, cleaners, lighting and landscaping. The Green Guide has released its first-ever exclusive report on 10 hospitals, from New York, NY, to Boulder, CO, that have set a green standard with innovative operational programs and new buildings. Three hospitals in the Great Lakes states made the top 10 list, and four hospitals in Great Lakes states received honorable mentions.
Source: The Green Guide Institute
Eliminating Mercury in Hospitals: Environmental Best Practices for Health Care Facilities [PDF]
Abstract: Comprehensive factsheet including info. on environmental effects of mercury, exposure pathways, industrial sources, case studies & reduction strategies for health care facilities. Cost & efficacy comparisons for sphygmomanometers & thermometers.
Source: U.S. EPA Region 9 Pollution Prevention Program
Main Hospitals for a Healthy Environment Pollution Prevention Agreement
Abstract: Every hospital in Maine has signed a landmark agreement with the state?s Department of Environmental Protection (DEP) and environmental groups to significantly reduce or eliminate use of products that contribute to the release or mercury and dioxin to Maine?s environment. This is the text of the pollution prevention agreement between the Maine DEP and the Maine Hospital Association.
Source: Maine Department of Environmental Protection
Managing Wastes From Health Care Providers [PDF]
Abstract: This MPCA fact sheet is intended to assist health care providers with proper waste management. For the purposes of this fact sheet "health care providers" include "a school or plant nurse's office, a physicians' office, a dental office, a medical clinic or center, an assisted-care or long-term care facility, a hospital, a veterinary clinic or animal hospital and those personnel providing health care or operating such facilities." Waste types discussed include hazardous wastes, industrial solid waste, infectious waste, pharmaceutical waste, radioactive wastes, and sewerable waste. (PDF Format; Length: 7 pages)
Source: Minnesota Pollution Control Agency (MPCA)
Abstract: From the proceedings of the Setting Healthcare's Environmental Agenda conference of October 16, 2000. Gives good overview of mercury reduction in healthcare facilities.
Source: Institute for a Sustainable Future
Mercury in Drug and Biological Products
Abstract: FDA list of mercury ingredients in drug and biological products, as derived from submissions made by manufacturers in response to the agency's call-for-data notices of December 14, 1998 (63 FR 68775), April 29, 1999 (64 FR 23083) and February 3, 2003 (68 FR 5299), the agency's Drug Registration and Listing System, and other agency sources. List includes manufacturer's name, product name, the mercury ingredient involved, and the percentage of that ingredient in the product. The mercury ingredients are abbreviated as TM for thimerosal, PMA for phenylmercuric acetate, PMN for phenylmercuric nitrate, MA for mercuric acetate, MN for mercuric nitrate, MB for merbromin, and MOY for mercuric oxide yellow. The list includes nonhomeopathic human and veterinary drug products and human biological products. Homeopathic drug products are not included because of the low amounts of mercury present in the products.
Source: U.S. Food & Drug Administration (FDA)
Mercury in Health Care Lab Reagents
Abstract: This fact sheet provides steps to identify mercury in lab reagents, a list of potential mercury containing reagents, and a list of brand specific potential mercury-containing lab reagents. Also available at this web page in PDF format (Length: 8 pages)
Source: Minnesota Technical Assistance Program (MnTAP)
Mercury in Medical Facilities
Abstract: Teaches health care professionals about the hazards of mercury as commonly used in health care facilities, especially hospitals and clinics.
Source: U.S. Environmental Protection Agency, Great Lakes National Program Office
Mercury in Plasma-Derived Products
Abstract: FDA fact sheet on mercury ingredients, such as thimerosal, in plasma-derived products.
Source: U.S. Food & Drug Administration (FDA)
Abstract: Includes information on all aspects of mercury in health care settings including best management practices for products containing mercury.
Source: Sustainable Hospitals/Lowell Center for Sustainable Production
Mercury Reduction at Healthcare Facilities
Abstract: In 1999, The NH Department of Environmental Services Pollution Prevention Program partnered with the U.S. Environmental Protection Agency and the NH Hospital Association's Foundation for Healthy Communities to promote the reduction of mercury in health care facilities. This page provides the results of this project and information on the dangers of mercury, sources of mercury in healthcare facilities, and tips for reducing mercury in healthcare facilities.
Source: New Hamshire Department of Environmental Services Pollution Prevention Program
Mercury Spills:How Much Do They Cost? [PDF]
Abstract: The true costs of mercury spills are not well documented and tend to be anecdotal. This fact sheet provides references and excerpts from those references to help estimate the potential cost of various types of mercury spills that may occur in a health care setting. (PDF Format; Length: 2 pages)
Source: Sustainable Hospitals Project
Mercury Use Reduction & Waste Prevention in Medical Facilities
Abstract: This is an interactive environmental education software program developed jointly by the U.S. Environmental Protection Agency and Purdue University to provide information on the proper handling and disposal of mercury wastes produced by medical facilities. Copyright 1996 by Purdue Research Foundation, West Lafayette, Indiana 47907. All Rights Reserved.
Source: U.S. EPA & Purdue University
Mercury Use: Hospitals and Clinics [PDF]
Abstract: Part of the Wisconsin Mercury Sourcebook covering mercury use and pollution prevention in hospitals and clinics.
Source: Wisconsin Department of Natural Resources
Nearly Everything You Need to Know About Mercury Fever Thermometer Exchanges
Abstract: This portion of the Northeast Waste Management Officials? Association (NEWMOA) web site provides guidance for planning, promoting and conducting a mercury fever thermometer exchange event.
OSHA Hospital eTool: Mercury
Abstract: This portion of the Occupational Safety & Health Administration (OSHA) Hospital eTool addresses mercury. It outlines potential hazards, health effects of both acute and chronic exposure, possible solutions, OSHA requirements, and National Institute for Occupational Safety and Health (NIOSH) recommendations.
Source: U.S. Dept. of Labor OSHA
State Government Regulations:2005 Legislation: Eliminating Mercury in Health Care Setting
Abstract: This portion of the American Nurses Association web site provides an overview of legislation related to the elimination of mercury in health care devices in the United States for 2005. A map of the U.S. is provided, showing where such legislation has been introduced or enacted in 2005, and where such legislation has been enacted in prior years.
Source: American Nurses Association (ANA)
The Mercury Challenge Handbook: The Opportunity to Become a Mercury-Free Facility [PDF]
Abstract: Provides information on participating in the Mercury Challenge Program, a cooperative effort of Ohio EPA and the Ohio Hospital Association. Also outlines how to reduce and eliminate mercury from heathcare facilities, as well as where to go for information
Source: Ohio Environmental Protection Agency, Office of Pollution Prevention