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Environment & Sustainability​​​​​

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AKU – Plastics factsheet

 

Context

As part of AKU's work on environmental stewardship and sustainability, addressing the use of plastics is of major importance.

While plastics provide many benefits for modern day living, plastic waste is a widely recognised local and global problem. Plastic takes hundreds of years to degrade, takes up valuable space in landfill sites and is polluting to our environment on land as well as in our oceans. 

Most plastics are neither biodegradable nor do they get reused or recycled. Experts believe that more than half of plastic products are single-use, meaning they are used once before being discarded. A simple plastic bag can take up to 300 years to decompose, while a plastic bottle takes around 450 years! Plastics also have other impacts such as high water use during production, and chemical leaching into the environment. And of course, plastics are made from fossil fuel, taking over 60 million years for the Earth to produce, as well as contain more than 16,0000 chemicals, of which more than 25% are known to be toxic to the environment and people.

Impact of the reduction of single-use plastics and replacement with re-usable options at AKU has contributed to:

  • Reduction in plastic waste;
  • Reduction in indirect GHG emissions;
  • Conversations between staff, students, faculty and patients have created awareness and stimulated thousands of people to be multipliers and influencers within society at large;
  • Innovations from the collaborations between various teams across the institution;
  • And showcasing that action is possible to address the triple planetary crisis (climate change, ecosystem degradation, pollution).

AKU aims to be part of the worldwide shift to rethinking the use of plastics. We aim to be part of the solution and to implement more sustainable practices in all that AKU does.

The range of single-use plastics on our campuses is diverse and reducing use is a complex issue in AKU's geographies of operation. AKU recognizes that not all single-use plastics on our campuses and health care services can be eliminated. But as far as possible, AKU will try to reduce the use of single use plastic items.

 

Examples of plastics initiatives, innovations, and impacts

 

Bottles

  • Already in late 2021, AKU took concerted efforts to phase out single-use plastic bottles across all its campuses globally, with multiple positive effects to support environmental stewardship and sustainability.
  • Greenhouse gas emissions avoided from this project are around 8500 kg of CO2e for the avoided bottles in Pakistan and another 1000 kg of CO2e for avoided bottles in Kenya, each month!

 

Straws

  • More than a quarter of a million single-use plastic straws were used yearly at AKU in Pakistan.
  • They have been replaced by paper straws that are biodegradable and do not leech hazardous chemicals into food or the environment.

 

Basic bags

  • In November 2022, AKU Stadium Road's internal shop for employees, BASIC, discontinued giving plastic shopping bags, and offered paper bags as well as re-usable cotton bags. Alongside informing and encouraging stakeholders, many are now bringing their own shopping bags.
  • This initiative contributed to the reduction of over 3000 kg of plastic bags per year.

 

Pharmacy bags

  • AKU's many outpatient pharmacies across Pakistan have reduced the utilization of plastic bags by over 60% since December 2023.
  • Every interaction between AKU staff member and patient can become an opportunity for conversation and learning, which multiplies the positive impact of this initiative.
  • At the AKU pharmacies in Kenya, paper bags have been used for many years, with printed information, emergency call numbers, and more.

 

Plates for large university wide celebrations

  • In the past, single-use plastic plates were used for serving food for large events at AKU in Pakistan. This was considered 'convenient' for such large events with thousands of participants.
  • However, in 2024 a strategic decision was made to invest in 4500 steel plates that can be washed and re-used hundreds of times for a multiplicity of smaller and larger events.
  • Over time, re-usable options tend to be significantly cheaper - even when not accounting for environmental costs that tend to be 'invisible'.

 

RUSUI - Re-Use of Single Use Items

  • AKU maintains a list of currently well over 100 items that are carefully sterilised and re-used in hospital settings, even though manufacturers designate these as single-use.
  • Items are carefully considered  and go through multiple rounds of research for infection control as well as tightly screened approvals before being desigated as re-usable for a very specific number of times.
  • Many of these items are mare of, or include, plastic parts. In this way, AKU is significantly reducing its environmental and waste footprint, while keeping both patients and planet safe and healthy.

 

Endoscopy

  • To help improve the environment and sustainability aspects of medical practice, a multidisciplinary team at AKUH in Karachi innovated a 'Green Endoscopy' project.
  • Several single-use plastic items were swapped with reusable options, including plastic bottles for distilled water to reusable glass bottles, reusable textile gowns and aprons, suction equipment, and food boxes, collectively saving a significant amount of money to t​he institution and the patient, and significantly reducing plastic waste.

 

Recycling initiative in AKUH,N

  • Hospitals rely on a significant number of materials that are packaged in plastic bottles or containers (think: hand sanitizer or detergent), many of which are thick (heavy) materials.
  • AKUH Nairobi has a new partnership agreement for all such plastic bottles, with a recycling company so that they can have a new life and become a useful resource.
​

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