Tag: medical waste

Poor Antibody Validation Wastes Millions of Biological Samples, but Solutions Exist

Two linked studies provide effective recommendations for publishers, funders, institutions, and manufacturers

Tubes of samples going into clinical waste. Image credit: Only Good Antibodies team at the University of Leicester (CC-BY 4.0)

A widespread failure to validate research antibodies before use is estimated to lead to the avoidable waste of millions of animal and human tissue samples worldwide, and an international expert panel has reached consensus on how to address the problem, according to two studies published October 6th in the open access journal PLOS Biology by Harvinder Virk of the University of Leicester, UK, and colleagues.

Antibodies are critical reagents that enable researchers to detect, quantify, and isolate specific proteins in biological samples. However, research antibodies do not always bind their intended targets, or may bind additional unintended targets. Studies have suggested that many antibodies do not bind as advertised. This lack of specificity can misdirect biomedical research across fields.

In the first study, Virk and first author Michael Biddle combined data from focus groups (12 researchers), a survey (107 researchers), and an analysis of 785 publications linked to antibodies that had failed rigorous, knockout-controlled testing. Among 760 publications where validation status could be determined, only 120 (15.8%) presented any validation evidence, despite 72.0% of surveyed researchers reporting having used at least one recommended validation method. The papers lacking antibody validation used a minimum of 8064 animal samples and 4424 human tissue samples. Extrapolating, the researchers estimate that millions of animal and human tissue samples have been consumed globally without adequate validation.

“This study provides, to our knowledge, the first systematic quantification of biological sample waste attributable to the use of poorly performing antibodies without context-specific validation,” the researchers say.

In the second study, Virk and first author Katherine Blades convened 32 international experts – including researchers, publishers, funders, antibody manufacturers and institutional leaders – for a two-round Delphi consensus exercise to rate proposed reforms for antibody validation. The panel agreed that 15 actions, including institutional training, dedicated validation budgets in grant applications, and publisher reporting requirements, were both effective and feasible for implementation by 2030; a further 15 actions were judged effective but of uncertain feasibility. Participants pointed to diffuse ownership of the problem, and market incentives that fail to reward antibody quality as key barriers.

“The findings lend themselves to a programme of targeted stakeholder consultation,” the authors say. “To support this, we have prepared separate documents for each stakeholder group – publishers, funders, institutions, and manufacturers – presenting consensus recommendations alongside implementation options derived from the panel’s qualitative feedback. These present options rather than prescriptions, recognising that the optimal approach will vary across organisations, countries, and contexts.”

Harvinder Virk (corresponding author on both papers) says, “Around ten years ago I discovered that data I had submitted in a grant application relied on an antibody that did not detect its intended target. The data included staining of bronchial biopsies from patients who had given informed consent. They would not have expected their donation to be wasted. That has driven this work ever since.”

Michael Biddle (first author, “Inadequate antibody validation places substantial numbers of animal and human tissue samples at risk of waste”) adds, “Researchers told us they validate their antibodies: 72% reported using at least one recommended method. But only 120 of the 760 papers we could assess showed any validation evidence. The other 640 studies reported at least 8,064 animal and 4424 human tissue samples used with antibodies that had failed independent testing; we describe these samples as at risk of waste. In the clearest cases – where the antibody has since been withdrawn from sale, so the work cannot be reproduced at all – scaling to the commercial antibody market gives a lower-bound global estimate of 4 to 7 million animal samples and 6 to 11 million human tissue samples.”

Katherine Blades (first author, “Actionable solutions to address antibody validation failures”) states, “What struck us was the level of agreement once researchers, funders, publishers, institutions and manufacturers were brought into the same process. The panel reached consensus on 15 actions that are both effective and achievable by 2030. Progress is held back not by disagreement about what to do, but because no single group owns the problem – so everyone waits for someone else to move first.”

Harvinder Virk notes, “Together these papers show the problem has significant impact with ethical dimensions, and is solvable. Since completing this work, we have embedded champions for better practice in 14 UK research institutions, and the University of Leicester has made antibody validation training mandatory for its bioscience postgraduate researchers. We are working with two national funders – the NC3Rs and Cancer Research UK – on implementation solutions, and have built free tools publishers can use to protect the integrity of what they publish.”

Provided by PLOS

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