Gastrointestinal endoscopy's carbon footprint

Area of Science:

• Environmental Science and Public Health
• Healthcare Sustainability

Background:

• Climate change is a global crisis with targets for net-zero emissions by 2050.
• The healthcare sector contributed 5.5% to the national carbon footprint in 2014.
• Gastrointestinal endoscopy (GIE) has a substantial carbon footprint compared to other medical procedures.

Purpose of the Study:

• To identify the environmental impact of Gastrointestinal Endoscopy (GIE).
• To propose strategies for reducing the carbon footprint of GIE.
• To align GIE practices with global climate goals, including net-zero emissions by 2050.

Main Methods:

• Analysis of GIE's contribution to medical waste and carbon emissions.
• Review of current practices contributing to GIE's environmental impact.
• Identification of actionable strategies for environmental impact reduction in GIE.

Main Results:

• GIE is a major generator of medical waste due to high volumes, patient travel, non-renewable waste, single-use devices, and reprocessing.
• Key factors contributing to GIE's carbon footprint include frequent reprocessing and use of single-use devices.
• GIE's environmental impact is linked to high case volumes, patient travel, and reliance on non-renewable resources.

Conclusions:

• Immediate actions like guideline adherence, audit strategies, and waste management are crucial for reducing GIE's environmental impact.
• Implementing digitalization, telemedicine, and minimizing single-use devices can significantly lower GIE's carbon footprint.
• Sustainable infrastructure, renewable energy, and 3R programs are essential for achieving net-zero emissions in GIE by 2050.