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The Adverse Weather and Health Plan (AWHP) delivers the UK government's commitment under the National Adaptation Programme to develop a single plan, bringing together and improving guidance on weather…
Published date
March 2026
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by
Adverse Weather and Health Plan Implementation Team
AbstractBackgroundHaemodialysis (HD) has a significant environmental footprint due to its high resource consumption and waste generation. A key component is dialysate production, which typically…
Published date
November 2025
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Larkin, J., Alfano, G., Ligabue, G., Martínez Cadenas, R., Gerritsen, K., Fehintola, A., Donati, G., Duane, B.
BackgroundHemodialysis generates a warm effluent stream (25°C) that is discarded, representing a continuous loss of low-grade thermal energy while clinics expend significant energy for water heating,…
AbstractRationale & ObjectiveHemodialysis is the most common form of kidney replacement therapy and has a significant environmental footprint, raising sustainability concerns as demand increases. This…
Published date
July 2025
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Martínez-Cadenas, R., Audije-Gil, J., Dolores Arenas, M., Vaquero, N., Portillo, J., Larkin, J., Fehintola, A., Ortiz, A., Duane, B.
CSH Kidney Care Sustainability Network April EventHear from Jan Tsai on reducing energy and consumable use in dialysate production, with insights from his research on circular medical device…
Green nephrology has often focussed on dialysis, with its intensive use of water and energy. In comparison, non-dialysis outpatient care of chronic kidney disease (CKD) has received less attention.…
Published date
March 2026
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Berman-Parks, N., Rho, E., Stoneman, S., Woywodt, A., Torreggiani, M.
Worldwide, the number of people who need lifesaving kidney replacement therapy (KRT) steadily increases, but approximately two thirds of them lack access to KRT and therefore die. Access to KRT…
Published date
February 2025
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Wieringa, FP., Suran, s., Søndergaard, H., Ash, S., Cummins, C., Chaudhuri, AR., Irmak, T., Gerritsen, K., Vollenbroek, J.
To date, the environmental impact of kidney transplantation has received much less attention than that of dialysis. Facilitating a pre-emptive transplant is probably one of the most environmentally…
Published date
March 2026
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by
Welberry Smith, M., Wrigley, A., Kojro, A., Emmanouilidou, A., O’Callaghan, J., Woywodt, A.
This editorial argues that regional citrate anticoagulation is a greener and clinically preferable alternative to heparin in haemodialysis. Heparin is extracted from pig intestinal mucosa, with one…
