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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
Dentist Offices & Mercury
Abstract: Milwaukee Metropolitan Sewage District (MMSD), is among the Wisconsin DNR, UW-Extension, Wisconsin Dental Association and member components, and other publicly owned wastewater treatment works working together in The Wisconsin Dental Mercury Pollution Prevention Program. This program is intended to reduce the mercury discharge from dental offices. Site includes general information about reducing discharges of mercury from dental offices, a guide booklet on amalgam management, an amalgam separator installation schedule report, and a link to the text of relevant rules.
Source: Milwaukee Metropolitan Sewerage District
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
Environmentally Preferable LED Exit Signs: Saving Money and Protecting the Environment Through Energy Efficiency [PDF]
Abstract: This fact sheet from INFORM, Inc. discusses LED exit signs; these signs are more energy efficient than fluorescent lamp exit signs and contain no mercury. One fluorescent lamp exit sign can contain more than 10 mg of mercury. Topics covered in this fact sheet include comparative performance of incandescent, fluorescent and LED exit signs, financial savings estimates for using LED exit signs, and retrofit options. (PDF Format; 3 pages)
Source: INFORM, Inc.
Hospitals for a Healthy Environment (H2E)
Abstract: Cooperative effort between the American Hospital Association and EPA with goal of virtual mercury elimination by 2005. Site includes information on mercury, waste reduction, chemicals/P2, green buildings, green purchasing, and other tools.
Source: American Hospital Association
Interstate Mercury Education & Reduction Clearinghouse (IMERC) Mercury-Added Products Database
Abstract: Maintained by the Northeast Waste Management Officials? Association (NEWMOA), this database presents information submitted to IMERC on the amount and purpose of mercury in consumer products. The database is intended to inform consumers, recyclers, policy makers and others about: products that contain intentionally-added mercury; the amount of mercury in a specific product; the amount of mercury in a specific product line sold in the U.S. in a given year; and manufacturers of mercury added products. The information in this database was submitted to IMERC by or on behalf of product manufacturers in compliance with laws in the states of Connecticut, Maine, New Hampshire and Rhode Island. The database may be searched by sector, product category, manufacturer or amount of mercury content.
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)
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 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: This portion of the Health Care Without Harm website lists state laws, local ordinances and resolutions from throughout the United States banning the manufacture, sale or distribution of mercury-containing devices. This list includes links to the actual text of each of the laws, ordinances and resolutions.
Source: Health Care Without Harm
Mercury Reduction Programs Database
Abstract: Maintained by the Northeast Waste Management Officials? Association (NEWMOA), a searchable database that includes descriptions of mercury reduction programs underway around the U.S. Each profile provides a brief description of the project, its title, a list of products affected, program results, sources of funding, and contact information. The database may be searched by state, program title or agency. An online form is available for submission of information on programs not currently included in the database.
Abstract: This portion of the Health Care Without Harm web site lists pharmacies throughout the United States that have phased out the manufacture, distribution and sale of mercury-containing devices.
Source: Health Care Without Harm
Replacing Mercury in Healthcare Facilities--A Step-by-Step Approach
Abstract: This H2E guide provides 10 steps for reducing mercury in healthcare facilities.
Source: Hospitals for a Healthy Environment (H2E)
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 Menace (Chicago Tribune Series)
Abstract: This multimedia series from the Chicago Tribune includes articles on the newspaper's investigation into the amount of mercury in seafood being sold in Chicago area stores. This site includes links to the articles, including those on the toxic risks and how to minimize those risks, those on the flawed mercury warning system, and those specific to tuna. Also included are a calculator to determine how much fish you can safely consume, a survey, answers to readers' questions in an online forum, links for more information, photos, a graphic showing sources of mercury and a video introduction to the series. Copyright 2005, Chicago Tribune.
Source: Chicago Tribune
Thimerosal in Vaccines
Abstract: Thimerosal is a mercury-containing organic compound (an organomercurial). Since the 1930s, it has been widely used as a preservative in a number of biological and drug products, including many vaccines, to help prevent potentially life threatening contamination with harmful microbes. Over the past several years, because of an increasing awareness of the theoretical potential for neurotoxicity of even low levels of organomercurials and because of the increased number of thimerosal containing vaccines that had been added to the infant immunization schedule, concerns about the use of thimerosal in vaccines and other products have been raised. Thimerosal has been removed from or reduced to trace amounts in all vaccines routinely recommended for children 6 years of age and younger, with the exception of inactivated influenza vaccine; a preservative-free version of the inactivated influenza vaccine (contains trace amounts of thimerosal) is available in limited supply at this time for use in infants, children and pregnant women. In this document, a discussion of preservatives, the use of thimerosal as a preservative, guidelines on exposure to organomercurials (primarily methylmercury), thimerosal toxicity, recent and future FDA actions, and the conclusions of the Institute of Medicine's most recent review of thimerosal in vaccines are presented. This narrative on thimerosal contains references to the literature and links to other sites for readers who wish additional information; for quick reference, a number of frequently asked questions (FAQs) and answers are provided.
Source: U.S. Food & Drug Administration (FDA)
U.S. EPA Mercury Portal
Abstract: This mercury site provides a broad range of information: actions by EPA and others, including international actions; effects on people and the environment; and how to protect you and your family. The site includes collections of information specifically geared toward consumers, parents, schools, health care providers, and business and industry. The site may also be viewed in Spanish.
Source: U.S. Environmental Protection Agency (EPA)
U.S. EPA: Human Health Research Program
Abstract: EPA's Human Health Research Program offers this Web site on the latest information on its research to protect public health. The program's science looks at such questions as why some people are more sensitive to pollution and how exposure to chemicals affects people's health. The site is designed for the general public as well as for the scientific community. The site provides easy access to research and results on methods, tools, and data needed to improve risk assessments to protect the public. Visitors to the site will find an overview of the research, information on how research has contributed to decision making, resource materials available in journal publications and reports, and a listing of meetings and conferences.
Source: U.S. Environmental Protection Agency (EPA)
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The Mercury-Health Care Topic Hub™ was developed by:
Hub Last Updated: 8/2/2012