Tag: medical waste

Net Zero Waste Hospital Certification a First for SA

Netcare Blaauwberg Hospital leads the way in reducing landfill waste

Friday, 15 May 2026: The Green Building Council South Africa (GBCSA) has recognised Netcare Blaauwberg Hospital as the first hospital in the country to achieve Net Zero Waste certification with general waste to landfill reduced by more than 90%.

Valid until 2029, this latest certification marks a new departure for healthcare in the country and a notable step in the Netcare Group’s environmental sustainability strategy, first implemented in 2013.

Chief executive officer of GBCSA, Lisa Reynolds, commended the Netcare Group’s initiative in achieving this significant milestone of Net Zero Waste certification.

“As the first hospital in South Africa to achieve the rating, it will serve as the template for other Netcare Group facility certifications, and provides a case study for all medical facilities looking to execute their sustainability goals,” she says.

“The certification process was characterised by solid teamwork, across the Netcare Group teams, the Zero Waste sustainability consultants, and the technical team at GBCSA, and it is this teamwork that is taking projects beyond the boardroom and into action.” 

Alan Abrahams, Netcare’s Cape regional manager and general manager of Netcare Blaauwberg Hospital, congratulated staff and doctors on their enthusiasm for pioneering the Net Zero Waste initiative in the hospital setting.

“Caring for people and caring for the environment should be indivisible, yet progress towards sustainability requires commitment to measurable steps towards the goal of Net Zero Waste within the broader aims of the global Race to Zero,” Abrahams says.

“We appreciate Netcare leadership’s commitment and the support from the Group’s environmental sustainability team who have guided our Net Zero Waste certification journey. This would not be possible without each person in the hospital doing their part to reduce the amount of landfill waste by incorporating small changes into daily practices.”

The GBCSA’s Net Zero Waste Level 2 certification process analyses an existing building’s operational waste generated during day-to-day use and assesses how much of this waste is diverted from landfill, whereas Level 1 is a separate category measuring construction waste reduction in new buildings.

Netcare Blaauwberg Hospital successfully achieved the required diversion rate in line with global best practices through its own waste management processes, without any purchased offsets.

Dimakatso Nhlapo, Netcare’s national lead on integrated waste management, explains that a multidimensional approach is required to achieve Net Zero Waste Level 2 requirements in the healthcare setting.

“Healthcare risk waste, such as blood-contaminated items and pharmaceutical products, is managed in line with regulatory requirements and is not part of this process. Our efforts focused on the hospital’s general waste, which would otherwise be disposed of in landfill,” she explains.

“We looked at where we could minimise waste from every angle and improved the separation of general waste at source through practical measures, such as providing different bins for different types of materials.” 

“The shift towards reducing the hospital’s landfill waste to less than a tenth required continuous staff training and education on waste diversion. Onsite general waste sorting systems and improved processes for the recycling of paper, cardboard boxes, plastics, textile waste, and e-waste were established to further reduce the need for landfill,” Nhlapo says.

“We identified items commonly used in the hospital that can be safely reused and set up the necessary systems to ensure they are properly cleaned and disinfected. For organic waste, such as food scraps, we also established a composting system at Netcare Blaauwberg Hospital.”

André Nortje, Netcare’s environmental sustainability manager, adds that when Netcare joined the United Nations Race to Zero 2050 global campaign in 2021, it became the first healthcare institution in Africa to do so.

“Only by setting ambitious environmental objectives can these goals be achieved. Alongside Netcare’s strategic efforts to improve energy and water efficiency and reduce reliance on non-renewable resources across our operations, minimising waste to landfill is a fundamental component of minimising our operations’ footprint on the planet,” he says.

“We anticipate that many of the learnings from this first hospital’s Net Zero Waste certification will be replicable across other Netcare hospitals and will inspire other healthcare providers and corporates to seek ways to reduce landfill waste through similar initiatives,” Nortje concludes.

Is It Time for the Gloves to Come off?

The indiscriminate use of non-sterile gloves in hospitals and clinics could be doing more harm than good, new research has found.

Photo by Anton on Unsplash

The indiscriminate use of non-sterile gloves in hospitals and clinics is significantly adding to environmental pollution, with little evidence to prove that there are substantial benefits.

New research from Edith Cowan University (ECU) has highlighted the lack of evidenced-based guidelines in the use of non-sterile gloves in healthcare nursing and other medical fields, which could be impacting patient outcomes, healthcare costs, and environmental sustainability in healthcare.

Lead author Dr Natasya Raja Azlan noted while non-sterile gloves are necessary when there is a risk of touching body fluids that could carry viruses or bacteria or hazardous medications, there is no evidence to support the use of gloves for activities like moving patients, feeding, or basic washing or preparing many medications.

In fact, unnecessary glove use can be harmful. Staff are less likely to wash their hands, even though handwashing remains the best way to stop infections spreading. The result can be increased spread of harmful disease between vulnerable patients as well as healthcare staff.

Dr Raja Azlan

Co-author Dr Lesley Andrew added that the abundant use of non-sterile gloves was also contributing to the cost of healthcare, pointing out that one New South Wales hospital’s decision to cut-back on the use of these gloves had saved $155 000 in a single year and reduced medical waste by 8 tonnes.

“The disposal of healthcare products represents 7% of Australia’s national total carbon emissions, only slightly less than the 10% attributed to all road vehicles. Manufacturing these gloves consumes fossil fuels, water, and energy, while their disposal if through incineration can degrade air quality and release harmful chemicals. If sent to landfill, they may leach microparticles and heavy metals into soil and water systems, posing risks to both human health and the environment,” she added.

Dr Raja Azlan noted that, despite non-sterile glove use being a common and routinely taught practice during intravenous antimicrobial preparation and administration, there are currently no evidence-based guidelines or protocols in place to support or standardise this aspect of nursing care.

This lack of evidence-based protocols has resulted in co-author Dr Carol Crevacore calling for a review into this practice.

Source: Edith Cowan University