Skip to main content
. 2020 Jul 8;7(1):107–111. doi: 10.1016/j.ijwd.2020.05.015

Table 1.

Recommended interventions to decrease the carbon footprint of outpatient dermatology clinics.

Intervention Implementation
Commissioning
  • Calibrate, improve, or replace energy-inefficient building systems with greener alternatives.

  • Ensure proper function of thermostat sensors; schedule thermostat to function only during business hours and operations.

  • Replace or repair malfunctioning equipment or system components that are not the appropriate size for the building.




Lighting modifications
  • Replace energy-inefficient conventional incandescent or fluorescent-tube lighting with compact fluorescent lamps or light emitting diode lighting

  • Install light-adjustment technologies to automatically turn off lights when a room or area is empty or based on the amount of natural light present.




Heating and cooling
  • Activate heating and cooling systems only when rooms or building areas are populated.

  • Set office thermostats to 74°F (23 °C) in the summer and 68°F (20 °C) in the winter for optimal energy consumption.

  • Consider turning off water heating systems.




Reduce standby energy use
  • Remind clinic employees to turn off or unplug all computers, chargers, and lights at the end of the day.

  • Adjust computer settings to automatically enter a hibernating or shutdown state after a set period of time of inactivity.




Replace appliances with energy-efficient alternatives
  • Substitute energy-inefficient machines with greener alternatives, including appliances such as computers, monitors, printers, scanners, external power adaptors, copiers, fax machines, digital duplicators, mailing machines, and water coolers.




Supply-side interventions
  • Purchase energy collected from wind, hydroelectric, biomass, or solar sources.

  • Install photovoltaic solar cell panels to collect and use renewable energy onsite.




Recycling and environmentally preferable purchasing
  • Use 100% recycled paper.

  • Purchase products with less packaging that are free of harmful components, such as latex, polyvinyl chloride, and di-ethylhexyl phthalate.




Water conservation and water-related waste
  • Replace washroom toilets and faucets with alternatives that use less water, such as those that are marked with the U.S. Environmental Protection Agency’s WaterSense label.

  • Replace disposable Styrofoam cups with biodegradable or recyclable cups.




Reduce regulated medical waste
  • Clearly indicate which materials are considered medical waste according to the Occupational Safety and Hazard Administration’s bloodborne pathogens standard.

  • Replace toxic cleaning products with nontoxic alternatives.