Sustainability and Healthcare

With all of the changes taking place on campus, the emphasis on budgets, and the efforts to work together more, some have asked why we are spending time on sustainability.  Why do we care about being “green”?  Don’t we have other things to worry about or focus on (like patients?) rather than saving the rainforest?

Good question.

Answer: No. Well, yes.  Let me clarify.

We aren’t spending direct time/money saving the rainforests or endangered species of your choice.  We are spending time improving the environment we live in, because that’s directly related to our health.  Our mission is “to lead the world in transforming lives to create a healthy future for all individuals and communities… “; being sustainable meets that mission.  We are part of an ecosystem, and our health is directly related to that ecosystem.

We know that when air quality is poor, ER visits for asthma and lung ailments go up.  We know that when it’s exceedingly hot out, vulnerable populations are at risk of dying.  We know that temperature changes affect disease transmission, especially those carried by insects and parasites.  Two years ago most of us hadn’t heard of the ‘tropical’ Zika virus, and now it’s affecting children in our state.

While the connection between climate, the environment, and health has been known for a while (see box on side, for local information) last week that connection was amplified with a landmark article in the internationally respected scientific journal, The Lancet.

The Lancet’s article was a collaboration between 24 academic institutions and government organizations in a wide range of focus areas.  They call this the “greatest global health opportunity of the 21st century” and note that inaction, including a slow response will lead to “irreversible and unacceptable cost to human health.”

“Highlights” include but are not limited to:

  • Decrease in crop yields, and nutrient levels in those crops
  • Increase in acute kidney injury and cardiovascular events
  • Increased occurrence and mortality in both communicable (virus) and non-communicable (cancer) diseases
  • Decrease in outdoor labor capacity
  • Overall decrease in wellbeing; combination of health, stress, stability

Scary stuff.  But that is why Nebraska Medicine and UNMC work to be sustainable.  That is why we are leading the way, working to be Net Zero Emissions, Net Zero Waste, and reduce our water use by 54% all by 2030, while increasing active transportation.  Preventive or acute care, it’s all about health.

For more information, see these resources:

Dr. Khan’s presentation on Climate Change and Health

Dr. Donald Wilhite’s presentation on Climate Change Implications for Nebraska

UNL’s Report: Understanding and Assessing Climate Change, Implications for Nebraska

UNL’s Summary Report from Roundtable Discussions

Dr. Khan’s (and others) Roundtable video presentations

Additional Presentations from UNL’s roundtable discussions

Climate Change Implications for Nebraska Project Page

Mulch much?

By Anne Rivas

photo credit: freeimages.com/doratakasia

I live in a neighborhood where people have huge mounds of wood mulch delivered.  I planned to mulch this spring, to keep the weeds down and preserve moisture in the soil, but mainly to make my gardens look like everyone else’s.

I didn’t get around to it, and now I’m glad.

Read this for a breakdown of commercial wood mulches, it’s eye opening.

I usually cover my gardens in the fall with a mixture of shredded leaves and grass clippings – every other mowing or so after the leaves start to fall, I bag the clippings and dump them on my gardens.  It turns out that this is probably the best thing to do, and you can dig leaves directly into annual and vegetable beds in the fall.  Half of the time I don’t bag the clippings, leaving them to enrich the soil.

If a little is good, is more better?  Not when it comes to mulch.  For one thing, deep layers of mulch – more than 4 inches – are not good for trees with surface roots.  For another, mulch piled up against tree trunks provides shelter to rodents while they eat the tree bark…which is weaker and prone to infection because of the mulch.  Similarly, mulch against your house foundation will draw rodents, and if you have a tiny crack in the foundation, the little darlings will come inside to enjoy your hospitality.

I start each spring and fall with big plans.  This fall I will spread an inch or so of compost on all of my gardens, including around shrubs and trees.  Then I’ll spread a mixture of grass clippings and leaves.  I will leave some space between plants and mulch, because I have voles (still!) who might tunnel under the cover and feast on bark this winter.  I’ll do the same in my perennial gardens, keeping a little distance between the mulch and the perennial crowns to avoid rot. I might do a modified lasagna – of compost, newspaper, and then shredded leaves and grass clippings to feed the soil, encourage earthworms, and discourage weeds.

So, if I’m spreading compost why do I need mulch?  Mulch keeps the soil warm longer, encourages worm activity, and my compost contains some weed seeds that the layer of mulch will help to discourage from sprouting next spring.

This fall my dream may actually come true, because I will have both free time and help.

Sustainability Survey Winners

Thank you to the thousands of colleagues and students that recently completed the Sustainability Survey!  We appreciate you taking the time to provide us with your honest answers.

The data we collected are currently being compiled and will provide us with a new sustainability engagement score as well as with transportation mode split information; both of which are sustainability master plan goals.  We’ll report those numbers as soon as we can.  The other information collected will help to inform us on upcoming projects, communication methods, and goals.

I also appreciate the numerous comments that so many of you left in the survey.  There were many great ideas, and a lot of helpful feedback, that will help us as we move forward.  We are as excited and invested in working on these projects as you are—we just can’t do it all at once.  As we work through the data we’ll answer your questions through your Live Green Ambassadors, future stories on this website, and updates posted on the LiveGreen website.

For example, many of you wondered about replacing paper towels with air dryers in restrooms.  Infection Control guidelines do not allow for recycled air so paper towels must be used.  In places where patient care is not an issue, we still need to be mindful of who may be using the dryers.  In many cases the necessary electrical infrastructure is not in place, making air dryers cost prohibitive.  That said, it may still be something to consider for future spaces and remodeled areas.

If at any time you have a question, concern, or additional feedback to provide, please feel free to email LiveGreen@unmc.edu .  I’m happy to respond to any type of request, including constructive criticism, and, while it’s not anonymous, it does give you an answer while allowing me to ask follow-up questions.

We wish we could give a gift certificate to everyone who participated, but since we can’t, please congratulate the three lucky people who won this time around:

Matthew Dorwart, Student, Medicine

Nicole Smith, Medical Technology Core Lab

Chris Jensen, Assistant Professor, Family Medicine

Winners were selected by a third party, using a random number generator.

Zip – Gone!

UNMC/Nebraska Medical Center and the University of Nebraska at Omaha have ended their contracts with Zipcar, and there are no longer any Zipcars located on our campus or at UNO.  We apologize for the short notice and any inconvenience this may cause you.  Our original intent was to provide a way for colleagues, students, patient families, and visitors to travel to and from campus if they didn’t have a car here.

Creighton appears to still be using Zipcar, and individuals are welcome to make their own decisions regarding their Zipcar membership.  While UNMC/Nebraska Medicine has no plans to bring Zipcars back, it is pursuing other options to fill that gap.

We have removed all Zipcar information from the TravelSmart website, and we ask that, to avoid confusion, you recycle any Zipcar promotional information you may have.

Everybody’s Got One

We would like your input!

If you haven’t done so already, please complete UNMC and Nebraska Medicine’s brief Sustainability Survey by October 8th.

This anonymous survey takes roughly 8-10 minutes to complete and inquires about your experiences and opinions regarding sustainability efforts at UNMC & Nebraska Medicine (i.e., actions and decisions that are environmentally, socially, and financially responsible, which  benefit present and future generations).

Your valuable input will help assess current efforts and help us effectively plan for the future.

After finishing the sustainability survey, you will be directed to a separate survey where you can enter your name into a drawing for a $50 Amazon Gift Card.

This second survey will also help us to measure participation in the TravelSmart program, so if you ever bike, bus, walk, or carpool to campus, please take the survey to let us know.

We will provide an update on the results of this survey and will let you know when our Sustainability Master Plan update comes out.  Most metrics are updated quarterly and can be found in the box on the front page of the LiveGreen website.

If you have any questions, comments, or concerns that you would like dealt with directly, please email livegreen@unmc.edu

Don’t forget, we are piloting new containers in the Nebraska, Clarkson, and Buffett Cancer Center Cafés through this Friday the 6th.  If you have used one of the new compostable containers, please provide us with your feedback here.

 

Going Styrofoam Free

In 2016, the Student Senate from all four University of Nebraska campuses passed a Styrofoam Free resolution, representing student concerns about the use of Styrofoam on campus. The proposal echoes concerns voiced by many colleagues in both UNMC and Nebraska Medicine, about Styrofoam in the dining areas.

This week we kick-start the initiative by piloting new, compostable to-go containers in the Nebraska, Clarkson, and Buffett Cancer Center Cafés.

While polystyrene (or Styrofoam) containers are financially inexpensive, their health and environmental costs far outweigh those of their paper or bio-based counterparts. Polystyrene is petroleum-based and contains chemicals that are known carcinogens. At the end of their one-time use, these containers go to the landfills, where they will take thousands of years to decompose, if they decompose at all. UNMC and Nebraska Medicine are sending over 400,000 Styrofoam to-go containers go to the landfill every year from our cafeterias. This does not include Bellevue, lunch vendors, or special events.

The new to-go containers are compostable, made from paper pulp and fibers. Not only are these materials more environmentally friendly, they are compostable, and therefore essential to the campus’ 2030 Zero Waste goal.

We encourage you to head to the Nebraska and Clarkson Cafés to try the new containers.  Take the online survey to provide feedback and/or Sustainability Office representatives will conduct onsite surveys in the cafeterias on Friday, October 6th.  If the pilot is successful, the new to-go containers could soon be implemented campus-wide.

Time to Pay the Pie-per

As predicted, it was another hot and humid summer forcing the campus into “energy curtailment” for numerous days.  July was particularly brutal as we saw heat indexes hit the 115 degree mark and there were only 3 business days where we weren’t in curtailment.

The upside to this weather is that it gave colleagues and students plenty of opportunities to demonstrate energy saving actions and vote to pie a campus leader invested in sustainability.

While curtailment actions can seem insignificant, they really add up!  What seems like turning off just one light, closing one window shade, or one trip up the stairs instead of taking the elevator, is magnified when many people perform those actions on a campus of this size.  We know we can’t meet our energy goals without your help so we appreciate you taking the time to do these simple tasks.

In addition to the weather, we also opened 3 new buildings in the past year which are fully occupied and using energy as well, so we knew it was going to be tough.  The personnel in the utility plant and energy group worked hard to keep the systems efficient and operational and you were great at performing those small actions this summer, thank you!

While performing those actions you also had the opportunity to vote for a member of the Executive Sustainability Council to pie, and a chance to be the pie thrower.  Summer is winding down so it’s time to settle up:

 

 

 

Who: Ken Hansen, Dr. Ali Khan, Paul Baltes, Frank Venuto, Bill Lawlor, and Melanie Stewart

What: Are getting pied in the face by some energy conserving colleagues

When: Friday, September 29th at 12pm

Where: Michael Sorrell Center green space (by the ice rink)

Why: To celebrate your efforts in saving energy and resources and have fun!

 

We hope you come celebrate with us.  Bring your lunch, enjoy the (hopefully fall-like) weather on a Friday, and get a good laugh in.  We’ll be out there rain or shine.

 

 

 

 

Stop Sucking

By Melanie Stewart

We suck.

We suck in the morning, we suck in the afternoon, some of us suck all day long, and many of us suck every day of the year. Celebrities suck too.

We suck up soda, water, and other beverages, all through plastic straws.  So many of us suck that the U.S. uses, and discards, 500 million plastic straws a day—enough to wrap around the earth 2 ½ times.  What seems like a small piece of insignificant plastic adds up to 12 million pounds of plastic waste in the United States every year.

Because straws are small and lightweight they are prone to becoming litter and harming wildlife.  This is especially true in the ocean, where they float and animals mistake them for other things, often food.  Remember the terrible video with the sea turtle who had a straw stuck in his nostril?  We suck because this is a part of the 28 Billion pounds of plastic that makes its way into the ocean every year.

So the Lonely Whale Foundation has a way to help this problem: #StopSucking

Yes, straws are made from a plastic that can be recycled (so put them in the green recycling bin!) but this doesn’t happen often and their size and lack of weight means they sometimes avoid the recycling process.

Straws are almost never needed.  Restaurants often serve straws with glasses, even though you can drink directly from that glass.  People take straws (and lids) for cups that are meant “to-go” but then don’t take them past their table.

If you do need a straw, there are reusable plastic straws that can be easily cleaned as well as reusable straws from a variety of other materials, including bamboo, which will biodegrade once you decide to StopSucking for good.

This campaign is young, but it’s taking off and spawning (pun intended) initiatives in towns across the country.  Seattle is having Strawless September, Walt Disney World’s Animal Kingdom and the Smithsonian Museums banned them outright,  and even this 9-year old changed restaurants in his Vermont town.

So #StopSucking!  There’s a good chance the beverage you are sucking up isn’t that good for your health anyway.

Join me by visiting this page (probably the only website you’ll ever see people getting slow motion face- slapped by an octopus tentacle) to take the pledge and #StopSucking

Did you know?

by Melanie Stewart

photo credit: freeimages.com/bobsmith

 

LiveGreen has been getting some great questions lately, so we wanted to share the answers with all of you.

In our Little Free Library’s first 2 years of existence, LiveGreen placed more than 5,000 books on the shelves, and that doesn’t count the books all of you have placed!  We stopped counting at that point, but we’ll always need more books.  Feel free to bring books in whenever you can.  If you have a large donation, email livegreen@unmc.edu and we’ll help!  Doing so prevents books from being wasted, promotes reading, keeps bored kids busy, and helps patients and visitors distract themselves while here.

Did you know you can properly dispose of medication on campus?

If your space is cool/warm, set the thermostat to the temperature you want…don’t overshoot.  The system will put out the same amount of cooling/heating whether it is trying to raise the temperature 1 degree or 6.  Changing it 6 degrees only means you’ll be uncomfortable in the opposite direction in the near future…and you are wasting more energy.

Revolving doors are more efficient than other doors.  When standard doors are opened, the pressure of the building causes us to lose the air that we just heated, humidified, or cooled.  Revolving doors are always sealed on the edges, so while some outside air may creep in, it’s substantially less.

ADA buttons are there if you need them, but if you don’t, we’d prefer you not use them.  They use energy and cause the door to stay open longer than needed.  Opening the door without hitting the button will not break the ADA mechanism.  Check out this Nebraska Medicine video for a funny take on the ADA button.

Cardboard recycling includes all grades of cardboard, not just corrugated, incorporating what is commonly referred to as chipboard or paperboard (glove boxes, frozen meal boxes, etc). Break down these boxes and leave them for your EVS rep between the wall and another recycling container.  Don’t place cardboard in paper recycling bins.

Turning items like lights or monitors off when you aren’t using them is a great (and easy) way to save energy.  It may not seem like much, but when everybody does it, the impact is incredible.

Have you visited the LiveGreen Supply Exchange lately? There are lots of free research and office supplies waiting; you save money when you help them find a new home.

 

Go Big Green!

Are you ready for some football?  Most of us get excited when football season returns, bringing with it fantasy football drafts, tailgates, and parties.  Here are some tips to green your football party or tailgate:

  • Buy in bulk. Buy larger quantities of the items you know you will need throughout the season.  One family size bag of chips is less packaging than 2 small ones and a case of pop is less packaging than two 12-packs.  Items like this store all season long, save you money, reduce waste, and save you trips to the store.  Remember to take reusable bags whenever you shop.
  • Buy reusable, then recyclable. If reusable tableware isn’t an option, buy recyclable items made with recycled material.  Strive for plastics labeled #1 & #2, as they are more easily recycled.
  • Grill with propane. It has a lower level of emissions and fewer VOCs than charcoal.  Consider yourself a grill master?  Go for sustainably sourced natural brands of charcoal; fewer chemicals go into your food – better for you and for the planet.
  • Buy locally grown produce and meat (or, dare I say, go meatless?) and buy buns from local bakeries.
  • Reuse old team apparel you don’t wear anymore to make fun washable tablecloths or napkins.
  • Shut off your engine. Bring a rechargeable battery device or a crank radio: you generate the power while burning a few calories, and it will even charge your cell phone.  If you have the cash, check out these solar powered outlets to run your devices.
  • Buy locally brewed beer or organic beer.
  • Skip prepackaged foods. They cost more and have more packaging.  Make the foods you love and then only make what you will eat.
  • Clean up! No matter where you are, don’t litter.  Recycle everything you can and pack an extra bag to bring recyclables home.  Many places in Omaha offer Curbside Rewards for recycling, so it’s a win-win!
  • Don’t tailgate out of town. I’m not a killjoy, but driving out of town to tailgate at a game for which you don’t have tickets isn’t green.  If you have tickets, carpool to the game or use the park-n-ride locations, then use the tips above for your tailgate.  Otherwise, invite some friends over to your house to watch the game, and eat with reusable tableware.  You’ll save time, money, and the planet!