Evidence map›Paper›PMID 41427422›Full record

ArticleThe journal of climate change and health

Smart greening initiatives for healthcare facilities: A caribbean case study on environmental sustainability and disaster resilience.

Judith Harvey, Dana van Alphen, Shalini Jagnarine Azan, Roger Camacho, Clemens Buter, Ciro Ugarte, Lealou Reballos, Alex Camacho-Vasconez, Juan S Izquierdo-Condoy, Jorge Vasconez-Gonzalez and 1 more

Abstract read
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Article in The journal of climate change and health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Judith HarveyPAHO/WHO International Consultant, United States.
Dana van AlphenPAHO/WHO International Consultant, United States.
Shalini Jagnarine AzanPAHO/WHO International Consultant, United States.
Roger CamachoPAHO/WHO International Consultant, United States.
Clemens ButerPAHO/WHO International Consultant, United States.
Ciro UgarteHealth Emergencies Department, PAHO/WHO, Washington D.C, United States.
Lealou ReballosHealth Emergencies Department, PAHO/WHO, Washington D.C, United States.
Alex Camacho-VasconezHealth Emergencies Department, PAHO/WHO, Washington D.C, United States.
Juan S Izquierdo-CondoyOne Health Research Group, Universidad de las Americas, Quito, Ecuador.
Jorge Vasconez-GonzalezOne Health Research Group, Universidad de las Americas, Quito, Ecuador.
Esteban Ortiz-PradoOne Health Research Group, Universidad de las Americas, Quito, Ecuador.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Smart Hospitals Program was implemented in seven Caribbean countries to enhance disaster resilience and environmental sustainability in small- to medium-sized healthcare facilities. The initiative focused on improving energy efficiency, water conservation, and overall environmental performance while ensuring uninterrupted healthcare service delivery in disaster-prone regions. Methods: Facility assessments were conducted using the Green Checklist, a tool tailored for Caribbean healthcare facilities based on LEED standards. Pre- and post-retrofit evaluations targeted water and energy conservation, air quality, and waste management. Interventions included infrastructure upgrades-such as photovoltaic systems, energy-efficient equipment, and rainwater harvesting systems-and staff training on resource conservation. Results: Energy consumption at the Vieux Fort Healthcare Facility decreased by 47.7 %, with a mean monthly reduction of -5773 kWh (95 % CI:6175 to -5371; Conclusions: The Smart Hospitals Program achieved significant reductions in water and energy consumption, demonstrating the potential of targeted retrofitting interventions to enhance sustainability and resilience in healthcare facilities. While the results highlight the program's effectiveness, maintenance challenges and variability in usage patterns underscore the need for ongoing monitoring and tailored strategies to sustain these gains. This model provides valuable insights for similar initiatives in resource-constrained and disaster-prone regions.

Indexed as

Disaster ResilienceEnergy EfficiencyEnvironmental sustainabilityGreen healthcare, smart hospitalsSmart hospitals

Identifiers

PMID41427422
PMCPMC12713160

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.