SMART

Hospitals

Unit 1 Introduction

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Health
Organization

Hospital Safety Index: climate
change issues not included
Safe Hospitals Checklist
(structural, nonstructural, functional)
Mathematical Model (Safety Index Calculator)
Hospital improvement plan

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Health
Organization
 Consider Climate change as a hazard

INTENSITY
EXPOSURE IS INCREASING !

HAZARDS
INTENSITY AND
FREQUENCY ARE Do not wait for
INCREASING
the right answer!

FREQUENCY Pan American

Health
Organization
Dr.Jose Rubiera
Climate change impact on hospitals
Sea rise: location
60% world population lives close to the sea

Extreme events: design

a 10% increase of wind speed

Reduce the carbon foot print: greening hospitals

Brazil Hospitals use 10% of countrys energy
NHS/UK carbon footprint is 25% of total public sector
emissions

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Health
Organization
Co-benets of green hospitals
Measure Actions Co-benets
Energy ecient Fluorescent light bulbs Cost saving
appliances Reduced emissions

Power system, heating/ Ecient HVAC system Cost, air quality

cooling Reduce airborne
infections

Enhanced access to Locate hospital close to Cost saving

health facilities public transport Sta productivity

Water conservation Rainwater, water Cost, emissions and

ecient xtures access to safe water
 Cycle of Hospital
Type of carbon Phases of construction
impact
Management carbon O site carbon costs of the project

Embodied carbon Raw materials, extraction, production assembly

Construction carbon Hospital construction, transport of materials on site

Operating carbon Hospital functioning

Deconstruction carbon Demolition, recovery of materials, land lling a.o.

IstructE
Smart Hospitals = green + safe
DFID/PAHO project
Design and construction requirements are
sometimes conflicting
Development of guidelines on how to harmonize
both
Demonstration projects: St Vincent and St Kitts
Smart Toolkit

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Health
Organization
 Importance of Policy
Investment on the basis of carbon?

Building Code evolution: 0 energy?

Reduced carbon?

When is carbon reduction too expensive?

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Health
Organization
If you think you are too small to make a change, try
sleeping in a room with a mosquito.
- African proverb -

Pan American
Health
Organization