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Sustainable Health Care

  • Academy of Medical Sciences; National Academy of Medicine. Environmentally Sustainable Health Research: Recommendations for Good Practice in the UK and the US. London, UK, and Washington, DC: Academy of Medical Sciences and National Academy of Medicine; September 2025. https://drive.google.com/file/d/1cBHGfJRTy7jgL7aLDrrM4Rlkb8Lypb48/view
  •  Ahdoot S, Baum CR, Cataletto MB, et al: Climate Change and Children's Health: Building a Healthy Future for Every Child. Pediatrics 153, 2024
  • ​​Angell SY. Health and Extreme Weather Events: Reframing Around Resilience. JAMA. Published online August 6, 2025. doi:10.1001/jama.2025.12470 
  • Baniel CC, Lichter KE, Frick MA, et al; Lichter GreenHealth Lab 2025. The NorCal brachytherapy waste audit: A simple, validated, toolkit for clinician led waste reduction. Brachytherapy. Published online March 1, 2025. doi:10.1016/j.brachy.2025.01.002
  • Baniel CC, Sabol RA, Nieto R, Lichter KE, et al.  Green Horizons in Oncology: a blueprint for environmentally stable, radiation therapy facilities.   Oncology. 2024;34(4):426-432. doi:10.1016/j.semradonc.2024.07.004
  • Baniel CC, Lichter KE, Frick MA, et al; Lichter GreenHealth Lab 2025. The NorCal brachytherapy waste audit: A simple, validated, toolkit for clinician led waste reduction. Brachytherapy. Published online March 1, 2025. doi:10.1016/j.brachy.2025.01.002
  • Briggs S: Building climate resilient and low carbon health systems. BMJ 383:2856, 2023​
  •  Briggs S, Cavet J, Lamb C, et al: Cancer and climate change: the environmental impact of cancer care. Lancet Oncol 2021;22(2):e38, 2021
  •  Chan K, Palis BE, Cotler JH, et al: Quality of Cancer Recurrence Data in the National Cancer Database: A Reappraisal of Reporting Readiness. Ann Surg Oncol 32:1553-1564, 2025
  • Chuter R, Stanford-Edwards C, Cummings J, et al: Towards estimating the carbon footprint of external beam radiotherapy. Physica Medica 112:102652, 2023Harm HCW: Health Care’s Climate Footprint: How the Health Sector Contributes to the Global Climate Crisis and Opportunities for Action, 2019
  • European Society for Medical Oncology (ESMO). Reinventing ESMO after the COVID-19 pandemic: moving towards a sustainable academic society. ESMO Open. 2024;9(5):1-3. doi:10.1016/j.esmoop.2024.102531, 2024
  • Flynn CR, de Guzman R, Ayodele O, et al; Lichter GreenHealth Lab 2025. Climate change and cancer care: impacts and implications for patients and healthcare professionals. Ecancermedicalscience. 2025;19:1973. doi:10.3332/ecancer.2025.1973
  • Harm HCW: A navigational tool for achieving zero emissions with climate resilience and health equity; green paper Number Two, Climate-Smart Health Care Series, 2021
  • Harm HCW: Global Road Map for Health Care Decarbonization: A navigational tool for achieving zero emissions with climate resilience and health equity, Climate-Smart Health Care Series, 2021​
  • Kaas J, Verbeek M, Wan Lung Li W, et al. Climate impact of early-stage NSCLC treatment: A comparison between radiotherapy and surgery using Life Cycle Assessment. Radiother Oncol. October 2024. doi:10.1016/j.radonc.2024.110601
  • Kobayaski K; Schiller, JH. The National HIghway Traffic Safety Administration has a profound, albeit not immediately obvious effect on cancer. The Cancer Letter.  Vol 52; no 05; February 6, 2026   
  • Leddin D, Galts C, McRobert E, et al: The Carbon Cost of Travel to a Medical Conference: Modelling the Annual Meeting of the Canadian Association of Gastroenterology. J Can Assoc Gastroenterol 5:52-58, 2022
  • Leddin D, Omary MB, Metz G, et al: Climate change: a survey of global gastroenterology society leadership. Gut, 2022
  • Lichter KE, Weinstein HNW, Husain M, et al: National Cancer Institute Centers With Environmental Sustainability Plans for Climate Change. JAMA Netw Open. 6:e2317206. , 2023
  • Lichter KE, Bloom JR, Sheu R-D, et al: Tracking and Reducing SF6 Usage in Radiation Oncology: A Step Towards Net-Zero Health Care Emissions. Practical Radiation Oncology, 2023
  • Lichter KE, Sabbagh A, Demeulenaere S, et al. Reducing the environmental impact of health care conferences: A study of emissions and practical solutions. JCO Glob Oncol.
  • Lichter KE, Asaro A, Qureshi M, et al.. Radiotherapy and Oncology. 2025. The climate and health impact of U.S. radiation therapy: estimating greenhouse gas emissions, DALYs, and potential of hypofractionation 2024;10:e2300209. doi:10.1200/GO.23.00209, 2024
  • Lichter KE, Asaro A, Qureshi MM, et al; Lichter GreenHealth Lab 2025. The climate and health impact of U.S. radiation therapy: estimating greenhouse gas emissions, DALYs, and potential of hypofractionation. Radiotherapy and Oncology. 2026;214:111161. doi:10.1016/j.radonc.2025.111161
  • McGushin A, et al; Interventions to reduce greenhouse gas emissions from health-system solid waste: a systematic review. The Lancet Planetary Health, 2026. doi:10.1016/j.lanplh.2025.101418
  • Medicine NAo: Action Collaborative on Decarbonizing the US Health Care Sector, in NAM Grand Challenge on Climate Change HHaE (ed), 2023
  • Meyer M: US Healthcare Sector Can Decarbonize, Reduce Waste, And Improve Public Health With Thoughtful Regulation. Health Affairs Forefront, 2023​
  • Munger DP, Lichter KE; Lichter GreenHealth Lab 2025. Response to “The Hidden Impact of Radiography and Fluoroscopy—An Environmental Life Cycle Assessment.” Journal of the American College of Radiology. Published online December 10, 2025. doi:10.1016/j.jacr.2025.12.007
  • Northrup B, Hanneman K, Lichter K, et al Embedding Sustainability into the Imaging and Care of Patients with Cancer.  Radiological Society of North America. 2025
  • Rabin AS, Pinsky EG: Reducing Health Care's Climate Impact - Mission Critical or Extra Credit? N Engl J Med 389:583-585, 2023 
  • Romanello M, Napoli CD, Green C, et al: The 2023 report of the Lancet Countdown on health and climate change: the imperative for a health-centred response in a world facing irreversible harms. Lancet, 2023​
  • Samuel G, MacFarlane M, Briggs S. UK Public Focus Groups on Healthcare’s Environmental Impacts: A Critical Analysis of Co‐Benefits Approaches. Sociology Health & Illness. 2025 Jun;47(5):e70058. https://doi.org/10.1111/1467-9566.70058
  • Samuel G, MacFarlane M, Briggs S. Can care ethics help healthcare systems address their environmental harms? Findings from focus groups with members of the UK public. Social Science & Medicine. 2025 Jul;376:118113. https://doi.org/10.1016/j.socscimed.2025.118113
  • Sarfaty, M. “How Physicians Should Respond to Climate Change," Journal of the American Board of Family Medicine., 2024
  • Samuel G, Briggs S, Hardcastle F, Lyle K, Parker E, Lucassen A. Focussing attention on physicians’ climate-related duties risks missing the bigger picture: towards a systems approach to health and climate. Journal of Medical Ethics 2024;50:380-381 https://doi.org/10.1136/jme-2024-109953
  • Silverwood SM, Lichter KE, Kleiner HS, Katsumoto TR; Lichter GreenHealth Lab 2025. PERSPECTIVE: A unified strategy for addressing climate change, improving public health, and mitigating environmental degradation. Agriculture Communications. Published online June 7, 2025:100090. doi:10.1016/j.agrcom.2025.100090
  • Silverwood S, Asaro A, Shahi P, et al; Lichter GreenHealth Lab 2025. Less Is More: Hypofractionation for Equitable and Sustainable Cancer Care. JCO Glob Oncol. 2025;(11):e2500153. doi:10.1200/GO-25-00153
  •  Smolen KA, Streeter SS, Silva GS, et al; Lichter GreenHealth Lab 2025. Rideshare Intervention to Promote Access to Care and Environmental Sustainability Within Oncology. JCO Oncology Advances. Published online December 2025. Accessed December 19, 2025. https://ascopubs.org/doi/10.1200/OA-25-00104 
  • Thurston GD, Andersen ZJ, Belesova K, et al: Transitioning from climate ambitions to climate actions through public health policy initiatives. Environ Epidemiol 9:e373, 2025
  • US Department of Health and Human Services: Health sector commitments to emissions reduction and resilience. . Updated April 28, 2023. , 2023
  •  Woolen S, Lichter KE, Schoen JH; Lichter GreenHealth Lab 2025. Shaping a Greener Future: The Role of Education in Sustainability—AJR Podcast Series on Sustainability, Episode 6. AJR 2025 May 7 Accepted manuscript. doi:10.2214/AJR.25.
  • Yates EF, Bowder AN, Roa L, et al: Empowering Surgeons, Anesthesiologists, and Obstetricians to Incorporate Environmental Sustainability in the Operating Room. Ann Surg 273:1108-1114, 2021
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  • Why OUCH-Int'l?
  • Open Letter to Policy Makers
  • About OUCH-Int'l
    • What We've Done >
      • Publications and Press Releases
      • Podcasts/video presentations
      • Talks/Presentations
      • Testimonials and Advocacy
    • What we do
    • Leadership
  • Facts
  • Resource Library (slides, papers, etc)
    • Slide Sets
    • Climate Change & Health
    • Air Pollution
    • Cancer >
      • Climate Change and Cancer
      • Lung Cancer
      • Breast Cancer
      • Tipping points
      • Other cancers
    • Wildfires
    • Extreme Weather & Access to Care
    • Sustainable Health Care
    • Underserved Populations
    • Links/Agencies/Other Orgs etc
    • Presentations & Videos
  • News/Press Releases/Blogs
  • Donate
  • Contact