Reuse of dialysis reverse osmosis reject water for aquaponics and horticulture

Chang, Eason; Lim, Jo Anne; Low, Chun Leong; Kassim, Asri

doi:10.1007/s40620-020-00903-0

Cited by 13 publications

(8 citation statements)

References 12 publications

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“…A few other experts followed. Initially unnoticed, the elephant only stayed in the room for a short time, as the international community was rather quick to embrace Agar's teachings [1–5,6 ▪▪ ,7,8 ▪▪ ,9].…”

Section: Why Has Green Nephrology Become Trendy?mentioning

confidence: 99%

Roadmaps to green nephrology: a mediterranean point of view

Ben Hmida,

Torreggiani,

Berman-Parks

et al. 2023

Current Opinion in Nephrology &Amp; Hypertension

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Purpose of review Green nephrology is a movement whose aim is to find ways to reduce the environmental impact of kidney care. The question is of particular concern in this field since haemodialysis is one of the major contributors to waste generation, energy use and water consumption in healthcare. Although several ways for improving sustainability have been advocated, they are all context sensitive. This review aims to analyse the interventions that have been proposed to improve the ecologic sustainability and reduce the carbon footprint of nephrology care adapting to specific settings, and taking advantage of local expertise. Recent findings Green hospitals are becoming a reality in several high-income settings, thanks to new building guidelines, with greater awareness of climate change and users’ demands. Water saving is feasible, and is increasingly done, in different ways (improving hardware, reducing and adapting dialysate flows). Recycling noncontaminated plastic waste is feasible, but is still rarely performed. However, ecological transition has been slow even in high-income countries, while in low and middle-income countries lack of resources limit the ability to cope with the planet's urgent needs. Conversely, where man-power cost is low, some time-consuming tasks, such as separation of various components for recycling may be affordable. Theoretically, implementation of all clinical tasks aiming to avoid or retard dialysis, should be a priority. Summary There is no single roadmap for achieving green nephrology. Each setting should start from those feasible interventions most in line with its specific needs and priorities.

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Section: Why Has Green Nephrology Become Trendy?mentioning

confidence: 99%

Roadmaps to green nephrology: a mediterranean point of view

Ben Hmida,

Torreggiani,

Berman-Parks

et al. 2023

Current Opinion in Nephrology &Amp; Hypertension

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“…In den meisten Einrichtungen werden jedoch große Mengen an "Ausschusswasser" einfach verworfen. Einfache Strategien, die weltweit von ersten Zentren umgesetzt werden, um das Abwasser für andere Zwecke (wie Wäscherei, Hygiene und Niederdruckkessel, landwirtschaftliche Produktion [11]) wiederzuverwenden, sind kosteneffektiv und sollten auf breiter Basis eingeführt werden.…”

Section: Zusammenfassungunclassified

Dialyse auf dem Weg des Glasgower CO2-Reduktionspfads

Beige

Pachmann

2023

Nephrologie aktuell

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ZUSAMMENFASSUNGLeider befasst man sich erst in den letzten 1–2 Jahren signifikant mehr mit der Rolle der Nephrologie und der Dialysemedizin für die Emission von CO2 und die Klimaveränderung. Mittlerweile haben unter anderem internationale Fachgesellschaften und die EU-Kommission (European Green Deal) das Thema auf die Agenda gesetzt. Der vorliegende Artikel gibt einen Überblick zu diesen Entwicklungen, nimmt eine Statusfeststellung für Deutschland vor und zeichnet eine Linie zur möglichen nephrologischen Anpassung an die Ziele des Weltklimarates.

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“…Acknowledging the large amount of usable RW generated from the dialysis process, dialysis units across worldwide have implemented innovative water reusing strategies to reduce the strain on limited freshwater resources. Examples of these include internal reuse of RW within the hospital for sanitation, laundry, use in the sterilisation department, watering neighbouring fields and lawns, or more innovatively, running of an aquaponics system, and car washing [20,24,25,[34][35][36]. Local legislation and infrastructure play a crucial role in making this happen.…”

Section: Water Conservation Reducementioning

confidence: 99%

The climate impact of dialysis

Phua,

Shen

2023

Current Opinion in Nephrology &Amp; Hypertension

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Purpose of review A reciprocal relationship currently exists between climate change and healthcare, mutually influencing each other. There have been significant planetary shifts in recent decades, marked by escalating temperatures, frequent natural calamities, a disturbing surge in climate-linked fatalities, and a heightened incidence of kidney disease diagnoses. Recent findings Dialysis, a life-preserving treatment for kidney failure, extends to 2–3 million patients globally, mainly through in-centre haemodialysis. This treatment exerts an environmental toll, contributing to the healthcare sector's carbon footprint through water usage, energy consumption, waste generation, and current procurement practices. Diligent scrutiny and data collection of these facets have spurred sustainability initiatives, beginning at the local level with water, energy, and waste management. Still, this represents just the tip of the iceberg, with a pressing need for more comprehensive and habitual sustainable dialysis practices. Summary This review examines the carbon footprint from dialysis, probes its ecological ramifications, and underscores potential solutions to lessen its climate impact.

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Reuse of dialysis reverse osmosis reject water for aquaponics and horticulture

Cited by 13 publications

References 12 publications

Roadmaps to green nephrology: a mediterranean point of view

Roadmaps to green nephrology: a mediterranean point of view

Dialyse auf dem Weg des Glasgower CO2-Reduktionspfads

The climate impact of dialysis

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