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Medical and Pharmaceutical Industries       267

                      are opposed to its use because (a) dioxin, a known human
                      carcinogen, can be formed during manufacture of PVC or
                      during the incineration of PVC products, and (b) DEHP, a
                      phthalate used to soften PVC plastic, may leach from PVC
                      medical devices, and has been linked to reproductive birth
                      defects and other illnesses. Despite the lack of definitive evi-
                      dence of harm, PVC has become a controversial material, and
                      many government agencies are urging caution in its use. A
                      wide variety of PVC-free products have been developed (see
                      Johnson & Johnson below).
                    • Waste disposal. In the past, many hospitals simply inciner-
                      ated all their solid waste, which resulted in the release of
                      dioxin, mercury, lead and other dangerous air pollutants.
                      HCWH and other organizations have promoted responsible
                      waste management through waste minimization as well as
                      segregation and treatment of infectious wastes. Many inno-
                      vative treatment technologies have been developed; for exam-
                      ple, the University of Sydney,  Australia, has developed a
                      portable, solar-powered autoclave system for rural areas that
                      can be operated in any weather conditions.

                   Another important movement is the application of “green build-
               ing” principles to health care environments. HWHC and other groups
               have worked with The U.S. Green Building Council to develop a
               Green Guide for Health Care (GGHC), which builds on the principles
               of the well known sustainable design standard, LEED  (Leadership
                                                             ®
               in Energy and Environmental Design). Green hospital buildings are
               healthier for the patients, doctors, and nurses; use less energy and
               water; and have less of an impact on the environment. According to
               Rick Fedrizzi, President of the U.S. Green Building Council, “Patients
               in green hospitals have greater emotional well-being, require less pain
               medication and other drugs, and have shorter hospital stays.” In addi-
               tion, studies have shown substantial increases in the job satisfaction,
               performance, and productivity of people who work in green build-
               ings. By 2008, over 100 facilities had registered for GGHC certification.


          Johnson & Johnson: A Matter of Principle

               Healthy Planet Initiative
               Johnson & Johnson (J&J) is the world’s most comprehensive and
               broadly based provider of health care products and services for the
               consumer, pharmaceutical, and medical devices and diagnostics
               markets. The company employs approximately 116,000 people in 57
               countries, with about $61 billion in annual sales. Well-known brands
               include Johnson’s Baby Shampoo, Band-Aids, and AcuVue contact
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