Tons Of CO2e Research Articles

Assessing blue carbon in mangrove ecosystems of Seychelles.

Mangrove forests play an important role in climate change mitigation and adaptation, globally recognized as natural climate solution. The protection and restoration of mangrove ecosystems are especially important to Small Island Developing States, like Seychelles, due to their vulnerability to the impacts of climate change, such as sea level rise and tropical cyclones. Therefore, it is crucial for countries like Seychelles to develop baseline information on the status of their mangrove forests to guide conservation and management actions. In this study, we conducted a field campaign to collect local data on plant (i.e., aboveground and belowground) and soil carbon from representative mangrove forests in the inner and outer islands of Seychelles. We used this data to develop, for the first time, a blue carbon assessment for Seychelles' mangrove ecosystems. Seychelles holds 2195ha of mangrove forests, with ∼80% of them found on the outer island of Aldabra Atoll. Seychelles mangrove ecosystems store 688,091±18,353 tonnes of organic carbon (or 2.5 million tonnes CO2e) and an average of 477.0±16.2 tonnes of carbon per hectare, with 70% of their total carbon stocks stored in their soils. Aldabra Atoll holds the highest total carbon stocks, accounting for 67% of Seychelles' mangrove stocks, despite having a relatively shallow soil organic layer (∼40cm) due to the dominance of limestone and 'coral champignon' below 40cm depth. Seychelles currently protects ∼85% of its mangrove extent including the Aldabra Atoll, a UNESCO World Heritage and Ramsar site, and Port Launay, a Ramsar site. Overall, field data from this study demonstrates the important climate mitigation potential of Seychelles' mangrove forests and the important role they play in supporting Seychelles in achieving its Nationally Determined Contributions (NDCs) commitments.

The potential for reducing greenhouse gas emissions through disease prevention: a secondary analysis of data from the CREDENCE trial.

The health-care sector is responsible for 5·2% of global emissions, however, little data exist regarding the environmental impact of disease management strategies. SGLT2 inhibitors are now widely used to reduce the risk of hospital admission and kidney failure in people with type 2 diabetes and chronic kidney disease. This study aimed to estimate the impact of SGLT2 inhibitors on greenhouse gas emissions using data from the CREDENCE trial. For this modelling analysis, we used data from the randomised, double-blind, placebo-controlled, CREDENCE trial, which compared the effect of canagliflozin versus placebo on kidney and cardiovascular outcomes in patients with type 2 diabetes and albuminuric chronic kidney disease. For this secondary analysis, we included all participants randomly assigned to canagliflozin or placebo at baseline in the CREDENCE trial. Data on greenhouse gas emissions resulting from hospital inpatient days, maintenance dialysis therapy, and SGLT2 inhibitor tablet production were derived from published reports and used to model greenhouse gas emissions from total number of hospital inpatient days, total number of days of maintenance dialysis therapy, and from SGLT2 inhibitor treatment over the course of the CREDENCE trial. We compared greenhouse gas emission estimates for participants in the canagliflozin group and placebo group of the CREDENCE trial. We used bootstrapping analyses to calculate uncertainty estimates and permutation tests to generate p values for the difference in number of days on dialysis and inpatient bed days between treatment groups. 4401 participants who were randomly assigned to the canagliflozin (n=2202) or placebo group (n=2199) were included in the secondary analyses. During a median follow-up of 2·62 years (IQR 0·02 to 4·53), SGLT2 inhibitor production for 2202 participants resulted in greenhouse gas emissions of 63 tonnes of CO2 equivalent (CO2e; 95% CI 62 to 64). The total number of inpatient bed days was 17 002 days in the placebo group versus 13 672 days in the canagliflozin group; the 3330 fewer inpatient days (95% CI 1037 to 5686; p=0·042) with SGLT2 inhibitor treatment equated to a reduction of approximately 126 tonnes of CO2e (95% CI 39 to 216). Participants in the placebo group required 24 877 days of maintenance dialysis compared with 16 605 days in the treatment group; 8272 fewer days of dialysis ( -168 to 16 755; p=0·16), equated to a reduction of 161 tonnes of CO2e (-3 to 327). Overall, mean greenhouse gas emissions per-participant-year were reduced from 196 kg of CO2e per-participant-year to 157 kg of CO2e per-participant-year. The addition of an SGLT2 inhibitor to routine therapy for people with type 2 diabetes and chronic kidney disease has the potential to reduce greenhouse gas emissions through the prevention of hospital admissions and need for dialysis. None.

Implementation of WISE (Wonderful Indonesia Sustainable Tourism) Trips – A Journey Towards Low Carbon Geotourism Activities in Raja Ampat Geopark

Abstract Tourism is a sector that significantly impacts the Indonesian economy and contributing 8% of carbon emissions in the atmosphere. Raja Ampat, renowned as one of the best diving destinations in the world, faces a serious threat due to the occurrence of coral bleaching events at several diving sites. As the UNESCO Global Geopark, the Encouraging the Implementation of the Manokwari Declaration program aims to implement national policies, including WISE (Wonderful Indonesia Sustainable Experience) Trips, which focus on low-carbon practices in tourism activities. In collaboration with CarbonEthics, carbon emissions related to geotourism are calculated by considering factors such as transportation, accommodation, food and beverage, and energy and plastic waste from activities. Geotourism activities packaged in the Raja Ampat UGGp geotrail are part of the Authentic Experience of Southwest Papua activity package. The calculation results indicate that the Geotrail Cruising the Sea of The Legend carbon emissions of 0.098 tons of CO2e per person, and tourists are encouraged to plant at least one mangrove trees in areas managed by BUMDES (Village-Owned Enterprises). Through this initiative, local communities not only benefit economically but also become educated and directly involved in climate change mitigation and conservation of their villages, in accordance with the principles of the SDG’s where this program fulfills 10 of the 17 Sustainable Development Goals.

Systematic assessment of the achieved emission reductions of carbon crediting projects

Carbon markets play an important role in firms’ and governments’ climate strategies. Carbon crediting mechanisms allow project developers to earn carbon credits through mitigation projects. Several studies have raised concerns about environmental integrity, though a systematic evaluation is missing. We synthesized studies relying on experimental or rigorous observational methods, covering 14 studies on 2346 carbon mitigation projects and 51 studies investigating similar field interventions implemented without issuing carbon credits. The analysis covers one-fifth of the credit volume issued to date, almost 1 billion tons of CO2e. We estimate that less than 16% of the carbon credits issued to the investigated projects constitute real emission reductions, with 11% for cookstoves, 16% for SF6 destruction, 25% for avoided deforestation, 68% for HFC-23 abatement, and no statistically significant emission reductions from wind power and improved forest management projects. Carbon crediting mechanisms need to be reformed fundamentally to meaningfully contribute to climate change mitigation.

An assessment of China’s methane mitigation potential and costs and uncertainties through 2060

China, the world’s largest methane emitter, is increasingly focused on methane mitigation in support of its climate goals, but gaps exist in the understanding of key methane sources, as well as mitigation opportunities and their associated uncertainties. We use a bottom-up modeling approach with updated methane emission projections and abatement cost analysis to account for additional sources, uncertainties, and mitigation measures in China’s energy and agricultural sectors. Here we show the significant cost-effective potential for reducing methane emissions in China by 2030, with 660 million tonnes of carbon dioxide equivalent possible with average negative abatement costs of US$6.40 per tonne CO2e. Most of this potential exists in the energy sector, particularly coal mining, but the greater potential will shift towards agriculture by 2060. Aquaculture and biochar applications in rice cultivation have net economic benefits but need greater support for deployment, while new mitigation measures will be needed for remaining emissions from enteric fermentation, rice cultivation, and wastewater.

Effect of alternative dosing strategies of pembrolizumab and nivolumab on health-care emissions in the Netherlands: a carbon footprint analysis

Hospitals contribute substantially to greenhouse gas emissions and face a moral obligation to prioritise emission reduction. Drugs constitute an important component of the greenhouse gas emissions of hospitals. Alternative dosing strategies (ADS) have been implemented to improve the cost-effectiveness of pembrolizumab and nivolumab. However, the impact of these ADS on greenhouse gas emissions remains unknown. Therefore, we aimed to analyse the effect of ADS implementation on the carbon emissions of treatment with pembrolizumab and nivolumab. We used a process-based lifecycle assessment to quantify the environmental impact of pembrolizumab and nivolumab, focused on equivalent carbon dioxide emissions (CO2e). Lifecycle inventory and impact data from Erasmus University Medical Center (Rotterdam, Netherlands) were used to calculate the CO2e for pembrolizumab and nivolumab, their dosing intervals, and the impact of ADS on CO2e. The functional unit of the study was the administration of a single dose of pembrolizumab or nivolumab. In 2022, the annual carbon emissions related to pembrolizumab and nivolumab treatment in the Erasmus University Medical Center were 445 tons of CO2e, averaging 94 kg of CO2e per dose. Pharmaceutical production was the main driver of treatment-related carbon emissions (mean 92·9% of total emissions). Applying ADS resulted in 21-26% and 9-11% CO2e reductions for pembrolizumab and nivolumab, respectively. This study shows the environmental impact of pembrolizumab and nivolumab treatment and calls for further implementation of ADS for pembrolizumab, nivolumab, and other anti-PD-(L)1 monoclonal antibodies, and more sustainable pharmaceutical production processes. Our findings create environmental awareness and contribute to the promotion and understanding of health-care practices with lower carbon emissions. None.

The balance of carbon emissions versus burial in fish ponds: The role of primary producers and management practices

In the global carbon cycle, ponds can play a dual role: they have the capacity to store carbon through sedimentation, but also to be important greenhouse gas emitters. Of all the pond landscapes in Europe, many are managed by Humans for fish production and little is known today about their role as carbon sinks or sources. We monitored 20 fish ponds from the Dombes region (France) during a production season in 2022. We measured both sedimentation rates, the diffusion of CO2, CH4 and N2O and ebullition of CH4 over three different seasons (spring, summer and autumn) in order to provide an estimate of the carbon balance for each pond. Five were dried-out in 2023 as part of the management cycle, and were monitored for dry flux emissions during this period. On average, our measurements suggest that fish ponds were carbon sinks (6 fish ponds as sources and 14 as sinks). There was on average a net sequestration of 4.16 (+/- 10.00) tonnes of CO2e per hectare over 6 months. Measurements from the dry year, indicate that the ponds were carbon sources (mean value of 23.89 tonnes of CO2eq emitted). However, whilst the drying out phase directly increases emissions, it also encourages the development of macrophytes in the subsequent years which improves carbon storage through sedimentation, and appears to be an important driver of the observed balances. These data are consistent with the fact that fish ponds have the capacity to be either sources or sinks of carbon for the atmosphere. Moreover, by promoting good levels of primary productivity, the presence of aquatic plants and by improving carbon storage, management practices appear to have the capacity to turn fish ponds into carbon sinks. These agroecosystems could thus play an important role in the context of climate change mitigation.

Development of Allometric Model for Estimating Biomass and Carbon Storage of Hybrid Eucalyptus (E. grandis x E. urophylla) in Industrial Plantation Forests of North Sumatra Province

Hybrid eucalyptus (E. grandis × E. urophylla) plays an important role in the global carbon cycle because it grows so fast that it is necessary to know how much biomass and carbon are produced. This study aims to develop an allometric equation for estimating the biomass and carbon content stored in Eucalyptus stands. Data were obtained through destructive sampling of 75 trees, then dried in an oven and analyzed to get the most appropriate biomass value and allometric model. The study results showed that the developed polynomial model correlated well with DBH to predict biomass with an R-squared of 97.50. Age 1 with an average diameter of 3.23 cm = 2.50 tons C/ha or 9.17 tons of CO2e, age 2 with an average diameter of 9.33 = 21.30 tons C/ha or 78.16 tons CO2e, age 3 with an average diameter of 9.49 cm = 22.50 tons C/ha or 82.57 tons CO2e, age 4 with an average diameter of 11.62 cm = 38.61 tons C/ha or 141.68 tons CO2e, age 5 with an average diameter of 12.63 cm = 46.42 tons C/ha or 170.37 tons CO2e. The carbon stock results show that as the age of the stand increases, the carbon reserves stored also increase. Keywords: allometric model, biomass, carbon stock, hybrid eucalyptus

Towards net-zero operating in neurosurgery

Background The climate crisis is one of the greatest threats to public health and surgery is a significant contributor to carbon emissions generated by the NHS. In this paper, we describe our experience of sustainable operating by using evidence-based methods to reduce our carbon footprint across three neurosurgical theatres during our ‘Green operating day’. Methods The Green operating day was run at a single site over a 12-hour operative day and included 10 neurosurgical cases. Following discussions with the theatre, anaesthetic and sustainability team, each operative case was reviewed and changes in the consumables, surgical instruments and utilities recorded. Carbon footprint was calculated using an environmentally extended input-output model for baseline and Green operating day. Qualitative data was collected on the participants of the Green operating day to assess attitudes and behaviours towards sustainability in neurosurgery. Results There was a total reduction of carbon emissions by 31%, equivalent to 1.04 tonnes CO2e. Reductions were seen across different aspects of surgery including anaesthetics, surgical instruments, waste and utilities. Discussion This study demonstrates the feasibility of carbon footprint reduction within neurosurgical theatres which was not associated with increases in operative duration or adverse patient outcomes. This study advocates for environmentally conscious decision making in neurosurgical procedures.

Clearing the air: microcosting the carbon impact of drug-susceptible pulmonary TB treatment.

<sec><title>BACKGROUND</title>More than 10 million individuals develop active TB each year. The diagnosis and treatment of TB create greenhouse gas emissions, contributing to climate change. This study estimates the carbon footprint (CF) of successfully treating one person with drug-susceptible pulmonary TB (DS-PTB) in India.</sec><sec><title>METHODS</title>We defined the cascade of care for DS-PTB using national guidelines, interviews, and direct observation. We estimated the inputs for TB diagnosis and treatment in United States dollars, kilowatts per hour, and kilometres travelled; we converted them into carbon dioxide emissions equivalents (CO₂e) using an appropriate calculator.</sec><sec><title>RESULTS</title>The CF of diagnosing and treating one person with DS-PTB in India is 103.8 kg CO₂e: 31.9% attributable to diagnosis and 68.1% to treatment. Emissions came primarily from first-line drugs (21.2%), hospitalisations (17.4%), and laboratory processes.</sec><sec><title>CONCLUSION</title>We conservatively estimate that treating all persons with TB in India would produce at least 290,640 metric tonnes of CO₂e per year, approximately the same emissions as 63,182 passenger cars in the United States. It is evident that one of India's leading public health challenges also contributes meaningfully to climate change.</sec>.

What is the carbon footprint of academic clinical trials? A study of hotspots in 10 trials

BackgroundClinical trials are fundamental to healthcare, however, they also contribute to anthropogenic climate change. Following previous work to develop and test a method and guidance to calculate the carbon footprint...

MCF classifier: Estimating, standardizing, and stratifying medicine carbon footprints, at scale.

Healthcare accounts for 5% of global greenhouse gas emissions, with medicines making a sizeable contribution. Product-level medicine emission data is limited, hindering mitigation efforts. To address this, we created Medicine Carbon Footprint (MCF) Classifier, to estimate, standardize, stratify and visualize medicine carbon footprints. We used molecular weight and chemical structure to estimate the process mass intensity and global warming potential of the active pharmaceutical ingredient in small molecule medicines. This allowed us to estimate medicine carbon footprints per dose, which we categorized into MCF Ratings, accessible via a searchable web application, MCF Formulary. We performed comparison and sensitivity analyses to validate the ratings, and stratification analyses by therapeutic indication to identify priority areas for emission reduction interventions. We generated standardized medicine carbon footprints for 2214 products, with 38% rated LOW, 35% MEDIUM, 25% HIGH and 2% VERY HIGH. These products represented 2.2 billion NHS England prescribed doses in January 2023, with a total footprint of 140 000 tonnes CO2e, equivalent to the monthly emissions of 940 000 cars. Notably, three antibiotics-amoxicillin, flucloxacillin and penicillin V-contributed 15% of emissions. We estimate that implementing the recommended 20% antibiotic prescription reduction could save 4200 tonnes CO2e per month, equivalent to removing 29 000 cars. Standardized medicine carbon footprints have utility in assessing and addressing the carbon emissions of medicines, and the potential to inform and catalyse changes needed to align better healthcare and net zero commitments.

Decomposing high uncertainty in greenhouse gas mitigation pathways in emerging regions: An approach to evaluate risks toward carbon neutrality

In the context of ambitious greenhouse gas (GHG) mitigation strategies in emerging regions, addressing the prevailing uncertainty and its key influential factors is crucial. While uncertainty analysis of GHG mitigation pathways has been extensively explored, the systematic identification and quantification of pivotal factors has been notably absent. This study introduces a novel methodology that combines Quasi-Monte Carlo simulation with Sobol variance decomposition, which identifies key influential factors and traces the flow of uncertainties. Applied in Anhui Province, a rapidly developing region in China, our findings indicate an uncertain GHG emission proportion of 6.2 % by 2030, escalating to 68.6 % by 2060, with a 95 % confidence interval. This uncertainty results in a cumulative projection error of 2.1 billion tons of CO2e from 2020 to 2070. The per capita GDP factor emerges as the predominant influence, alongside the increasing impact of renewable energy factor and UHV import electricity factor. In our uncertainty flow analysis, the energy transformation sector is identified as the principal contributor to total uncertainty, driven significantly by economic and energy-related factors. These results underscore the critical need for policymakers in emerging regions to incorporate uncertainty decomposition analysis into their strategic planning to mitigate risks in GHG reduction efforts.

Greenhouse gas emissions in US beef production can be reduced by up to 30% with the adoption of selected mitigation measures

Greenhouse gas (GHG) emissions from beef production in the United States are unevenly distributed across the supply chain and production regions, complicating where and how to reduce emissions most effectively. Using spatially explicit life cycle assessment methods, we quantify the baseline GHG emissions and mitigation opportunities of 42 practices spanning the supply chain from crop and livestock production to processing. We find that the potential to reduce GHGs across the beef sector ranges up to 30% (20 million tonnes CO2e reduced and 58 million tonnes CO2 sequestered each year relative to the baseline) under ubiquitous adoption assumptions, largely driven by opportunities in the grazing stage. Opportunities to reduce GHGs in the feed, grazing and feedlot stages vary across regions, yet large-scale adoption across the entire beef supply chain is important. These findings reveal promising locations and practices to invest in to advance mitigation goals and an upper-end theoretical potential for mitigation in the beef industry.

Battersea power station – regeneration of an icon

Since decommissioning in 1983 Battersea Power Station was untouched: the iconic structure proved challenging to repurpose and, exposed to the elements with degrading condition, it quickly evolved into London's most notorious ruin. The restoration of the structure started in 2012, with the completed building opening in 2022. The engineering and construction challenges of the project were vast. Often referred to “The Everest of Real Estate”, reflecting its scale and complexity, the engineering and construction challenges revolved around preserving the existing fabric and installing a new structure within the existing shell to facilitate the new mix-used development. The approach to the redevelopment has been to adopt a ‘light touch’ and sympathetic approach, with a drive to reuse as much structure as possible. Consequently, reuse of the existing structures, including internal structures and refurbishment of the existing brickwork have led to a reuse of more than 44,000 tons of CO2e of legacy carbon, equivalent to around 20% of the total embodied carbon in the completed structure. The completed project has led the way for the social, economic, and environmental transformation to the Vauxhall and Nine Elms area, creating a new town centre for Wandsworth with a community of homes, shops, cafes, offices and over 19 acres of public space.

Climate impacts of critical mineral supply chain bottlenecks for electric vehicle deployment

New tailpipe emissions standards aim to increase electric vehicle (EV) sales in the United States. Here, we analyze the associated critical mineral supply chain constraints and enumerate the climate consequences of these constraints. Our work yields five findings. First, the proposed standard necessitates replacing at least 10.21 million new internal combustion engine vehicles with EVs between 2027 and 2032. Second, based on economically viable and geologically available mineral reserves, manufacturing sufficient EVs is plausible and reduces up to 457.3 million tons of CO2e. Third, mineral production capacities in the United States and amongst allies support the deployment of 5.09 million vehicles between 2027 and 2032, well short of compliance target. Fourth, this shortfall produces at least 59.54 million tons of CO2e in lost lifecycle emissions benefits. Fifth, limited production of battery-grade graphite and cobalt may represent particularly profound constraints. Pathways that afford comparable emission reductions are subsequently explored.

Emission characterisation of motorcycles and the potential of co-benefits from selected development scenarios in the urban ecosystem of Hanoi, Vietnam

Abstract Motorcycles are the largest proportion of transport in Hanoi. This study focuses on the emission characteristics and initially evaluates the potential co-benefits of low emission zones (LEZ) applied to motorcycles in Hanoi. The International Vehicle Emissions (IVE) model was designed by the U.S. EPA to calculate emissions from motor vehicles and was used to find the emission factor, the important index for emission characteristics of motorcycle activities, in Hanoi. This study surveyed motorcycle technologies and activities in Hanoi with questionnaires, collected data from GPS devices, and counted traffic flow through video cameras and collaborators teams from 2021 to 2023. EFs for the typical pollutants and GHGs of motorcycles in Hanoi were determined. During running, EFruning is 0.053g/km with PM, 4.8 g/km for CO, 0.006 g/km for SO2, 0.13 g/km NOx, CO2 is 72.55 g/km and CH4 is 0.24 g/km, respectively. When starting, EFstart-up is 0.12 g/time with PM, CO is 12.24 g/time, SO2 is 0.0007 g/time, NOx is 1.05 g/time, CO2 is 6.96 g/time, CH4 is 0.53 g/time and N2O is 0.0009 g/time, respectively. Using the EMISENS model, inventory emissions were calculated at tier 3 for this source via the Bottom-up approach. The EMISENS model calculates emissions resulting from traffic, developed by Bang Ho et al in 2010 uses input data related to traffic activities and three emission factors found from the IVE model to calculate the emissions. The total emissions from motorcycle operations in Hanoi are approximately 5.3 thousand tons of PM and 4.6 million tons of CO2e. The proposed LEZ solution for motorcycles brings climate co-benefits of reducing 1.62 million tons CO2e in scenario 1 - limiting all day and 563.2 thousand tons CO2e in scenario 2 – limit operations from 3:00 p.m. to 8:00 p.m. in 2025. Co-benefits on the environment corresponding to the two scenarios with PM are 1990 and 692 tons. Reducing motorcycle operations during 5 peak hours at LEZ can reduce total emissions from motorcycles in Hanoi by 12%. Meanwhile, the proposed 24-hour LEZ for motorcycles in the area has the potential to reduce GHGs by 35%. These results show that reducing emissions from motorcycles brings climate and environmental co-benefits.

PERHITUNGAN EMISI GAS RUMAH KACA DALAM KAWASAN PERTAMBANGAN

Carbon emissions are one of the components of greenhouse gas (GHG) emissions in the form of carbon dioxide (CO2) which mainly comes from the use of fossil fuels and various human activities. Based on fossil fuel and industrial emissions data, in 2022 Indonesia ranked as the 6th largest carbon emitting country in the world after China, the United States, India, Russia and Japan, with 728.88 million tons of CO2e total emissions. The Ministry of Industry reported that total GHG emissions from Indonesia's industrial sector reached 238.1 million tons of CO2e in 2022. In the mining industry, GHG emissions originate from deforestation, energy use, processing, and refining, with non-renewable energy use being the largest emitter. GHG emissions from primary mineral and metal production contribute approximately 10% of global GHG emissions related to energy. Each mining industry may have varying primary sources of GHG emissions depending on the type of mine and the final product. Mining industries, as one of the major emitters, must conduct GHG inventories to understand emission sources and develop effective reduction strategies. GHG inventory activities are conducted based on guidelines provided by the Ministry of Environment and Forestry's National Greenhouse Gas Inventory Management Handbook (2012), Book II Volumes 1-4. Efforts to reduce GHG emissions can be undertaken through planting plants that have high carbon absorption and storage capabilities in mine reclamation activities, as well as using New and Renewable Energy (NRE) as an alternative to replace fossil energy.

Visualization of Carbon Footprint Value Calculation from Residential Activities In The Energy and Transportation Sector In Jombang District Community

This study aims to visualize the calculation of carbon footprint value generated from settlement activities in the energy and transportation sectors in the Jombang Sub-district community. The method used is quantitative with primary data collection through questionnaires and direct surveys and secondary data from related agencies. The analysis was conducted to calculate carbon emissions from using electricity, LPG, and motor vehicle fuel (gasoline and diesel). The results show that household energy consumption produces carbon emissions of 1,200 tons of CO2e per year, while the transportation sector contributes 800 tons of CO2e per year. Total carbon emissions from both sectors reached 2,000 tons of CO2e per year in Jombang Subdistrict. Data visualization was conducted using graphical software to facilitate public understanding of the impact of daily activities on the environment. The findings are expected to serve as a basis for developing more sustainable local policies and encouraging community participation in carbon emission reduction efforts. With this visualization, the community will be more aware of the importance of reducing carbon footprints to achieve a healthier and more sustainable environment.

662 A Sustainable Laparoscopic Cholecystectomy Tray

Abstract Aim The aim was to develop and trial a systematic methodology in order to streamline laparoscopic cholecystectomy trays across all sub-specialties in Leeds Teaching Hospitals Trust (LTHT), and to inform rationalisation principles nationally in partnership with NHS England’s sustainability team. Method 70 laparoscopic cholecystectomies across all sub-specialties were independently observed and audited for instrument usage at LTHT from January to March 2023. The findings were summarised and a usage heatmap was developed. A subsequent ‘hackathon’ event was held in the form of a consensus session with key stakeholders from each sub-specialty to agree a proposed single instrument tray. Carbon and financial savings calculations were then undertaken to measure the impact of the changes. Results Audit results demonstrated an average of 112 instruments across four separate trays opened. The heat map demonstrated 42% of items were used from 0-5% of procedures. The hackathon event agreed a consolidated single tray of 65 items. With over 800 laparoscopic cholecystectomies taking place in LTHT per year predicted financial savings in sterilisation costs were over £22,000 and over 3 tonnes of CO2e annually. Conclusions Tray rationalisation and standardisation has significant financial and carbon savings and can be extrapolated to many types of procedures. Sustainable change is vital to meet NHS net zero targets and requires urgent attention. Stakeholder engagement was crucial to ensure changes were agreeable and would be sustained. Following the successfully trialled methodology and implementation NHS England have produced a guide for other trusts to implement similar changes.