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Health Care
Establishments providing health care for individuals including hospitals, dental offices, doctors offices and clinics.

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  • Topic hubs - Topical Web guides containing information on the topic or process; example: background, specific "Reasons for Change" and "P2 Options"
  • Reference Documents- Background documents & websites used to create Topic Hubs
  • Additional Resources (Sector Resources) - Lists of documents and resources in the Health Care area. These "sector resources" are compiled by regional P2Rx centers.
Topic Hubs 		 
  [EMS Topic Hub]
Primary References used to create this topic hub
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    EMAS and ISO/EN ISO 14001: Differences and Complementarities
Description:2 page sheet posits that EMAS has more rigorous elements; includes good chart showing the implementation process for both.
Source:European Commission
URL:http://europa.eu.int/comm/environment/emas/pdf/factsheet/fs_is
o_en.pdf
Resource Type:Fact sheet/checklist
Date of Publication:2001
    EMS Design Tools
Description:Outstanding collection of presentations/cases of implementing EMS using various tools
Source:North Carolina Division of Pollution Prevention and Environmental Assistance.
URL:http://www.p2pays.org/iso/TipsTools.asp
Resource Type:Web site
Date of Publication:2001
    Environmental Management Systems
Description:An excellent site with many links to case studies and resources.
Source:North Carolina Division of Pollution Prevention and Environmental Assistance.
URL:http://www.p2pays.org/iso/
Resource Type:List
    Environmental Management Systems: An Implementation Guide for Small and Medium-Sized Organizations (2nd Edition)
Description:The 201-page primary US EPA manual on EMS, revised in 2001, is intended to provide a plain-English guide to organizations interested in implementing an EMS, using the basic Plan-Do-Check model.
Source:NSF International
URL:http://www.epa.gov/owm/iso14001/ems2001final.pdf
Resource Type:Manual/handbook/curriculum
Date of Publication:2001
    Environmental Management Systems: Table of Contents
Description:Table of contents for a good on-line only implementation manual with many organizational tips, examples for SMEs (defined here as viable businesses with less than $5 milllion in assets)
Source:International Finance Corporation
URL:http://www.ifc.org/enviro/Publications/EMS/ems.htm
Resource Type:List
Date of Publication:2000
    IEMS: A Company Manual Template for Small Business
Description:Access to downloadable, editable version of an example EMS manual for "Smith Company"
Source:United States Environmental Protection Agency
URL:http://www.epa.gov/dfe/pubs/projects/iems/index.htm
Resource Type:Fact sheet/checklist
Date of Publication:2000
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[Landscaping Topic Hub]
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    Department of Energy (U.S.) Office of Energy Efficiency and Renewable Energy
Description:Advice and information on how landscaping can reduce energy costs.
Source:Government
URL:http://www.eere.energy.gov/consumer/your_home/landscaping/inde
x.cfm/mytopic=11910
Resource Type:Web site
    Designing for Wildlife, How to Naturescape
Description:Introduces some basic Concepts of landscaping with native plants, referred to by many as "naturescaping," and follows twith Steps you can take to get started.
Source:PlantNative.com
URL:http://plantnative.com/how_wildlife.htm
Resource Type:Manual/handbook/curriculum
    EPA - Green Acres
Description:Information about green landscaping techniques, including information on using native plants and planting for water conservation.
Source:Government
URL:http://www.epa.gov/greenacres/
Resource Type:Web site
    EPA-Hazardous and Solid Waste Publications
Description:Database of publications regarding hazardous and solid wastes and their impacts/relationships to landscaping.
Source:Government
URL:http://yosemite.epa.gov/r10/extaff.nsf/208cfa50afd196da8825650
f0070e8d9/07a1f28a423390a5882565670069de05?OpenDocument
Resource Type:Other resources
    GreenScapes
Description:The U.S. Environmental Protection Agency's (EPA's) GreenScapes program provides cost-efficient and environmentally friendly solutions for landscaping. Designed to help preserve natural resources and prevent waste and pollution, GreenScapes encourages comp
Source:
URL:http://www.epa.gov/greenscapes/
Resource Type:Web site
    Ohio State University College of Food, Agriculture and Environment
Description:An extensive list of fact sheets related to planting, pest control, plant disease and lawn and turf.
Source:State
URL:http://cfaes.osu.edu/
Resource Type:Fact sheet/checklist
    Planning the Home Landscaping
Description:Information regarding overall planning of landscaping for homes wih tips and advice on methods/techniques friendly to the environment.
Source:Government
URL:http://aggie-horticulture.tamu.edu/extension/homelandscape/hom
e.html
Resource Type:Article/report
    Planting Native
Description:Extensive information on how to plant native plants, the benefits for the environment, and other planting tips.
Source:Non-profit organization
URL:http://www.plantnative.org/how_plan_examples_intro.htm
Resource Type:Web site
    Professional Landcare Network (PLANET)
Description:Global trade association for residential and commercial lawn care professionals. A technical and business management resource for its members, PLANET offers workshops, public awareness campaigns, publications, and a management conference.
Source:Private
URL:http://www.landcarenetwork.org/cms/home.html
Resource Type:Web site
    University of Minnesota: Sustainable Urban Landscape Information Series.
Description:Information on design, plant selection, maintenance and implementation for Landscaping.
Source:State
URL:http://www.sustland.umn.edu/
Resource Type:Web site
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[Mercury Topic Hub]
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    Consumption Advice: Joint Federal Advisory for Mercury in Fish
Description:Advisory suggesting that women who are pregnant or may become pregnant, nursing mothers, and young children limit their consumption of fish caught by friends or family.
Source:U.S. Environmental Protection Agency
URL:http://www.epa.gov/ost/fishadvice/factsheet.html
Resource Type:Fact sheet/checklist
Date of Publication:January 2001
    Mercury in Products Phase-Down Strategy
Description:This report was developed in response to the Great Lakes Regional Collaboration (GLRC) Strategy to Restore and Protect the Great Lakes, which calls for the development of a mercury product stewardship strategy designed to phase out the use of mercury and provide for mercury waste management. The goal of this phase-down strategy is to reduce the use of mercury-containing products and to minimize mercury releases caused by remaining uses of mercury-containing products in the Great Lakes region by 2015.
Source:Great Lakes Regional Collaboration (GLRC)
URL:http://www.glrc.us/documents/MercuryPhaseDownStrategy06-19-200
8.pdf
Resource Type:Article/report
Date of Publication:June 2008
    Mercury in the Environment (USGS)
Description:U.S. Geological Survey factsheet providing general information on effects, risks, and sources of mercury.
Source:U.S. Geological Survey
URL:http://www.usgs.gov/themes/factsheet/146-00/
Resource Type:Fact sheet/checklist
Date of Publication:October 2000
    Mercury Study Report to Congress, Volume 1 Chapter 3, Findings of the Mercury Study Report to Congress
Description:This overview discusses sources contributing to mercury in the environment, inventory approaches and uncertainties, an anthropogenic emissions summary, and the approach used to analyze fate and transport of mercury in the environment.
Source:US Environmental Protection Agency
URL:http://www.newmoa.org/prevention/topichub/22/Pages_from_Mercur
y_Report_volume1_3.pdf
Resource Type:Chapter
Date of Publication:December 1997
    Mercury Study Report to Congress, Volume 2, An Inventory of Anthropogenic Mercury Emissions in the United States
Description:This volume estimates mercury emissions from anthropogenic sources and provides abbreviated process descriptions, control technique options, emission factors, and activity levels for these sources.
Source:U.S. Environmental Protection Agency
URL:http://www.epa.gov/ttn/oarpg/t3/reports/volume2.pdf
Resource Type:Manual/handbook/curriculum
Date of Publication:December 1997
    Mercury Study Report to Congress, Volume 5, Health Effects of Mercury and Mercury Compounds
Description:This volume summarizes the known human health effects associated with mercury exposure using human and animal studies. The relevant data is applied to form an assessment of potential effects on human health for elemental mercury, inorganic mercury, and methylmercury.
Source:US Environmental Protection Agency
URL:http://www.epa.gov/ttn/oarpg/t3/reports/volume5.pdf
Resource Type:Manual/handbook/curriculum
Date of Publication:December 1997
    Mercury Update: Impact on Fish Advisories
Description:Overview of fish advisories due to mercury contamination.
Source:U.S. Environmental Protection Agency
URL:http://www.epa.gov/ost/fishadvice/mercupd.pdf
Resource Type:Fact sheet/checklist
Date of Publication:June 2001
    NEWMOA Mercury Education and Reduction Model Legislation
Description:NEWMOA developed the model legislation as a framework to assist states to develop more consistent approaches to managing mercury-containing wastes.
Source:Northeast Waste Management Officials' Association (NEWMOA)
URL:http://www.newmoa.org/prevention/mercury/final_model_legislati
on.htm
Resource Type:Article/report
Date of Publication:1998
    Quantitative Approach for Incorporating Methyl Mercury Risks and Omega-3 Fatty Acid Benefits in Developing Species-Specific Fish Consumption Advice
Description:This report presents information about the risks and benefits of individual fish species based upon their methyl mercury and omega-3 fatty acid content.
Source:National Institute of Environmental Health Sciences
URL:http://www.ehponline.org/members/2008/11368/11368.pdf
Resource Type:Article/report
Date of Publication:September 2008
    Substance Flow Analysis of Mercury in Products
Description:Model which predicts contribution of mercury emissions from individual mercury-containing products. This model can be modified to reflect circumstances of a specific state, region or country.
Source:Minnesota Pollution Control Agency and Barr Engineering Company
URL:http://www.pca.state.mn.us/publications/hg-substance.pdf
Resource Type:Article/report
Date of Publication:August 15, 2001
    The Materials Flow of Mercury in the Economics of the United States and the World
Description:Presents results of a study researching changes and trends in mercury flows in the U.S. and internationally.
Source:U.S. Department of the Interior and U.S. Geological Survey
URL:http://pubs.usgs.gov/circ/2000/c1197/c1197.pdf
Resource Type:Article/report
Date of Publication:June, 2000
    The Mercury Cycle
Description:A graphical representation of how mercury cycles through the environment.
Source:Massachusetts Department of Environmental Protection (MA DEP) and the Massachusetts Executive Office of Environmental Affairs (MA EOEA)
URL:http://www.newmoa.org/prevention/topichub/22/mercury_cycle.pdf
Resource Type:Other resources
    Toxicological Effects of Methylmercury
Description:Study performed at the request of EPA; toxicological effects of methylmercury; recommendations for an exposure reference dose.
Source:National Academy of Sciences
URL:http://books.nap.edu/catalog.php?record_id=9899
Resource Type:Article/report
Date of Publication:2000
    Trends in Mercury Use in Products: Summary of Interstate Mercury Education and Reduction (IMERC) Mercury-Added Database
Description:This report summarizes mercury use in products sold in the United States in 2001 and 2004 from information submitted by hundreds of manufacturers of mercury-added products. This report also identifies trends in mercury use in products and opportunities for further reductions and improvements in the collection and recycling of mercury waste.
Source:Northeast Waste Management Officials' Association
URL:http://www.newmoa.org/prevention/mercury/imerc/factsheets/merc
uryinproducts.pdf
Resource Type:Article/report
Date of Publication:June 2008
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[Mercury-Dental Topic Hub]
Primary References used to create this topic hub
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    Best Management Practices for Dental Offices in New Hampshire
Description:Best Management Practices guide examines hazardous wastes in the dental office, recommended dental office wastes and handling procedures, and other various wastes.
Source:New Hampshire Department of Environmental Services Pollution Prevention Program
URL:http://des.nh.gov/organization/commissioner/pip/publications/w
md/documents/wmd-02-1.pdf
Resource Type:Manual/handbook/curriculum
Date of Publication:January 2002
    Dental Amalgam Use
Description:Estimates the amount of amalgam that the typical general dentist will handle per procedure and characterizes the resulting waste streams.
Source:Western Sustainability and Pollution Prevention Network
URL:http://www.wsppn.org/dental/pages/pdf/Amalgam_Use%2001.pdf
Resource Type:Article/report
Date of Publication:October 2005
    Mercury Use: Dentists
Description:Comprehensive study of the use of mercury in dental offices including amalgam, lamps, switches, etc. Includes information about mercury's human and environmental toxicity.
Source:U.S. Environmental Protection Agency
URL:http://www.epa.gov/glnpo/bnsdocs/hgsbook/dentist.pdf
Resource Type:Chapter
Date of Publication:Not Available
    Recycling of Elemental Mercury and Dental Amalgam by Dentists
Description:This website focuses on the initial law in New York State and new regulations. It also provides Q&A information and describes Best Management Practices.
Source:New York State Department of Environmental Conservation
URL:http://www.dec.ny.gov/chemical/8845.html
Resource Type:Web site
    Sample Newsletter Articles About Amalgam
Description:Provides articles that may be edited as needed and published locally by dental societies, public agencies, and others.
Source:Western Sustainability and Pollution Prevention Network
URL:http://www.wsppn.org/dental/pages/pdf/Newsletter_Articles_01.p
df
Resource Type:List
    The Environmentally Responsible Dental Office: A Guide to Proper Waste Management in Dental Offices
Description:Written for dentists, dental assistants, and office staff. Contains simple ideas for preventing the release of mercury and other potentially harmful contaminants to streams, lakes and rivers.
Source:National Wildlife Federation and The Vermont State Dental Society
URL:http://www.anr.state.vt.us/dec/ead/mercury/dental/
Resource Type:Article/report
Date of Publication:June 1999
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[Mercury-Health Care Topic Hub]
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    Mercury
Description:From MedlinePlus, a very good compilation of links relating to mercury.
Source:National Library of Medicine
URL:http://www.nlm.nih.gov/medlineplus/mercury.html
Resource Type:Web site
    Mercury Reduction
Description:Includes information on all aspects of mercury in health care settings including best management practices for products containing mercury.
Source:Sustainable Hospitals/Lowell Center for Sustainable Production
URL:http://www.sustainablehospitals.org/HTMLSrc/IP_Mercury.html
Resource Type:Web site
    Mercury Use: Dentists
Description:Part of the Wisconsin Mercury Sourcebook covering mercury use and pollution prevention in dental offices, primarily amalgams.
Source:Wisconsin Department of Natural Resources
URL:http://www.epa.gov/glnpo/bnsdocs/hgsbook/dentist.pdf
Resource Type:Manual/handbook/curriculum
    Mercury Use: Hospitals and Clinics
Description:Part of the Wisconsin Mercury Sourcebook covering mercury use and pollution prevention in hospitals and clinics.
Source:Wisconsin Department of Natural Resources
URL:http://www.epa.gov/glnpo/bnsdocs/hgsbook/hospital.pdf
Resource Type:Manual/handbook/curriculum
    Mercury Use: Nursing Homes
Description:Part of the Wisconsin Mercury Sourcebook covering mercury use and pollution prevention in nursing homes.
Source:Wisconsin Department of Natural Resources
URL:http://www.epa.gov/glnpo/bnsdocs/hgsbook/nursing.pdf
Resource Type:Manual/handbook/curriculum
    Reducing Mercury Use in Healthcare: Promoting a Healthier Environment: A How-to Manual
Description:The purpose of this manual is to help hospitals start mercury pollution prevention programs or accelerate programs that have already begun.
Source:U.S. Environmental Protection Agency, Great Lakes National Program Office
URL:http://www.epa.gov/glnpo/bnsdocs/merchealth/
Resource Type:Manual/handbook/curriculum
    Wisconsin Mercury SourceBook: Section One (Background)
Description:Provides background information about mercury, it's effects on human health and the environment, and Wisconsin and federal regulation covering it's use. (PDF Format; Length: 90 pages)
Source:Wisconsin Department of Natural Resources
URL:http://www.epa.gov/glnpo/bnsdocs/hgsbook/section1.pdf
Resource Type:Article/report
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[Mercury-Thermometers Topic Hub]
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    How Should a Fever Thermometer Be Disposed Of? A Survey of Those Likely to be Asked
Description:Survey by the New Jersey Poison Information and Education System of 80 state and local officials regarding disposal of mercury thermometers.
Source:Pediatrics
URL:http://pediatrics.aappublications.org/cgi/content/full/109/5/e
71
Resource Type:Article/report
    How to Plan and Hold a Mercury Fever Thermometer Exchange
Description:Advice on holding a mercury thermometer exchange for the public, work place, or through schools.
Source:Health Care Without Harm
URL:http://www.p2pays.org/ref/26/25006.pdf
Resource Type:Manual/handbook/curriculum
Date of Publication:Not available
    How to Publicize a Mercury Fever Thermometer Exchange
Description:Examples of a press release, public service announcement, flyer and poster that can be edited to advertise a fever thermometer exchange in your community.
Source:Northeast Waste Management Officials' Association
URL:http://v3.mmsd.com/DentistOfficesMercury.aspx
Resource Type:Other resources
Date of Publication:June 2001
    Mercury Thermometers and Your Family's Health
Description:How to handle mercury thermometers in the home.
Source:Health Care Without Harm
URL:http://www.co.rice.mn.us/health/documents/MercThermom121407.pd
f
Resource Type:Article/report
Date of Publication:Not available
    Purdue University: Identifying Mercury Thermometers
Description:How to identify mercury thermometers.
Source:Minnesota Pollution Control Agency
URL:http://www.purdue.edu/envirosoft/mercbuild/src/devicepage.htm#
trm
Resource Type:Article/report
Date of Publication:Not available
    Selecting Non-Mercury Thermometers
Description:Compares the accuracy of different types of thermometers.
Source:Sustainable Hospitals/Lowell Center for Sustainable Production
URL:http://www.sustainablehospitals.org/HTMLSrc/IP_Merc_FTNonmerc.
html
Resource Type:Article/report
Date of Publication:Not available
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[Pollution Prevention (P2) Topic Hub]
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    Cleaner Production - Related Concepts
Description:Describes similarities between cleaner production, eco-efficiency, P2, waste minimisation, green productivity, and industiral ecology with links to resources.
Source:United Nations Environment Programme
URL:http://www.unepie.org/pc/cp/understanding_cp/related_concepts.
htm#1
Resource Type:Fact sheet/checklist
    Cleaner Production: A Guide to Information Sources 4th Edition: Section 15
Description:Audiovisual materials, training courses and institutes, traiing support materials, education and training electronic links
Source:United Nations Environment Programme
URL:http://www.unepie.org/pc/cp/reportspdf/15.pdf
Resource Type:Chapter
    EPA Region 2 P2 Resources
Description:Region 2 list of links for various P2 subjects.
Source:US Environmental Procection Agency, Region 2
URL:http://www.epa.gov/region02/p2/p2res.htm
Resource Type:List
Date of Publication:NA
    Issues in Facility-Level Pollution Prevention Measurement
Description:P2 progress requires measurement; this paper examines data sources and measurement approaches.
Source:Reasearch Triangle Institute
URL:http://www.rti.org/units/ese/p2/measure.PDF
Resource Type:Article/report
Date of Publication:1995
    Merging Pollution Prevention into Quality
Description:Pollution prevention is a type of process improvement activity for environmental management used by many organizations.
Source:Working Capital
URL:http://www.xlp.com/integrated-quality-and-environmental-manage
ment-systems-free-download
Resource Type:Manual/handbook/curriculum
    P2 Policy Definitions
Description:USEPA's P2 policy and definitions, including what isn't P2.
Source:United States Environmental Protection Agency
URL:http://www.epa.gov/p2/pubs/p2policy/definitions.htm
Resource Type:Fact sheet/checklist
    Pollution Prevention (P2) and Industry Resources
Description:Annotated list of P2 resources developed by library is full of technology and research reports for multitude of industrial applications.
Source:Waste Management & Research Center
URL:http://www.wmrc.uiuc.edu/main_sections/info_services/library_m
ain.cfm
Resource Type:List
Date of Publication:2001
    Pollution Prevention Concepts & Principles
Description:Introductory document discusses concepts, objectives, P2 scope, and benefits for both government and the private sector.
Source:National Pollution Prevention Center
URL:http://www.umich.edu/~nppcpub/resources/GENp2.pdf
Resource Type:Manual/handbook/curriculum
Date of Publication:1995
    What is Pollution Prevention?
Description:Defines p2 and the economic incentives.
Source:National Pollution Prevention Roundtable
URL:http://www.epa.gov/p2/
Resource Type:Fact sheet/checklist
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  Additional Resources (Sector Resources)
- Lists of documents and resources in the Health Care area. These "sector resources" are compiled by regional P2Rx centers. 		 
       

The Pollution Prevention Resource Exchange is a national network of regional information centers: NEWMOA (Northeast), ESRC (Southeast), GLRPPR (Great Lakes), ZeroWasteNet (Southwest), P2RIC (Plains), Peaks to Prairies (Mountain), WSPPN (Pacific Southwest), PPRC (Northwest).

 
   
 

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