{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T05:02:01Z","timestamp":1780030921033,"version":"3.53.1"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Healthcare contributes 4.4% of global emissions. Climate change contributes to vector\u2010borne diseases, food insecurity and morbidity and mortality associated with extreme weather. Ear, nose and throat (ENT) outpatient clinics are particularly resource intensive, yet their environmental impact has not been quantified. The aim of this study was to quantify waste generation in an ENT outpatient clinic and estimate associated carbon equivalent emissions produced.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Disposable waste from 20 consecutive ENT outpatient clinics at a tertiary Australian hospital was collected, counted and weighed in November 2024. Plastic packaging was also collected from 10 of these clinics and weighed. Published lifecycle assessments (LCA) were used to calculate global warming potential (GWP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Across 20 clinics, 292 patients were seen and 128 nasendoscopes used. Annually, 244.56\u2009kg of clinical waste was estimated to be generated, associated with 10\u2009606 pieces of plastic packaging (19.54\u2009kg). The GWP associated with this was 996.154\u2009kg of carbon dioxide equivalent emissions (kgCO\n                      <jats:sub>2<\/jats:sub>\n                      \u2010e). In the clinic, re\u2010usable rhinolaryngoscopes generated 477.26\u2009kgCO\n                      <jats:sub>2<\/jats:sub>\n                      \u2010e annually. In total, the clinical waste, plastic packaging and use of re\u2010usable scopes equated to 1015.75\u2009kgCO\n                      <jats:sub>2<\/jats:sub>\n                      \u2010e annually, or 0.26\u2009kgCO\n                      <jats:sub>2<\/jats:sub>\n                      \u2010e per patient.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      ENT outpatient clinics generate considerable waste and emissions from disposables and packaging. Sustainable practice requires collaboration between clinicians, manufacturers and infection control, with transparent LCA data and local assessments to inform procurement and align healthcare with sustainability goals. A potential saving equivalent of up to 1\u2009t of carbon dioxide CO\n                      <jats:sub>2<\/jats:sub>\n                      \u2010e was identified from a single tertiary ENT unit.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70526","type":"journal-article","created":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T12:57:32Z","timestamp":1770814652000},"page":"1148-1156","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["What's in the Bin? 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