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埃及私立牙科诊所的碳足迹:一项横断面研究。

Carbon footprint of private dental clinics in Egypt: a cross-sectional study.

作者信息

Elwan Amira H, Tantawi Maha El, Fouda Ahmed Mahmoud

机构信息

Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.

Afrone Network, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.

出版信息

BMC Oral Health. 2025 Jan 17;25(1):93. doi: 10.1186/s12903-024-05413-0.

Abstract

BACKGROUND

Climate change is a global challenge, caused by increasing greenhouse gas (GHG) emissions. Dental clinical practice contributes to these emissions through patient and staff travel, waste, energy and water consumption and procurement. Carbon footprinting quantifies GHG emissions. This study assessed the Carbon Footprint (CFP) of private dental clinics in Egypt.

MATERIALS AND METHODS

Data were collected from private dental clinics in Alexandria and Elbeheira, in Northwestern Egypt from July to August 2024 through interview questionnaires. A CFP calculator was used to estimate carbon emissions from patient and staff travel, waste, energy and water consumption, and procurement. To determine the average CFP per clinic and per patient visit, the CFP of all clinics was averaged, both with and without considering the depreciation of dental equipment.

RESULTS

Data from 27 dental clinics were collected. The average CFP of an Egyptian private dental clinic, which, per year, received 3,322 patient visits, and where 5 personnel worked 279 days was 14,426.8 kg COe, or 4.3 kg COe per patient visit. The largest contributor to the CFP was patient travel (45.6%), followed by staff travel (19.6%), energy consumption (18%), procurement (12.4%), waste (4.2%), and water consumption (0.3%). After considering the yearly depreciation of dental equipment, the CFP per clinic in a year increased by 12.2%.

CONCLUSION

Private dental clinics in Egypt produce substantial carbon emissions. Patient travel was the major contributor to the CFP. While there was a high CFP of electricity consumption, the CFP of gas was zero. The high CFP of waste was likely due to improper segregation and the lack of recycling. Country-specific CFP calculators are needed to accurately measure the carbon emissions of dental clinics in various settings. Preventing oral diseases, raising public awareness to sustainable practices, promoting walking and cycling, improving public transportation, implementing waste recycling, shifting to renewable sources of energy, and local manufacturing of dental products are important to reduce carbon emissions in dental clinics.

摘要

背景

气候变化是一项全球挑战,由温室气体(GHG)排放增加所致。牙科临床实践通过患者和工作人员的出行、废物、能源和水的消耗以及采购等活动导致了这些排放。碳足迹量化了温室气体排放。本研究评估了埃及私立牙科诊所的碳足迹(CFP)。

材料与方法

2024年7月至8月期间,通过访谈问卷从埃及西北部亚历山大港和贝赫拉省的私立牙科诊所收集数据。使用碳足迹计算器来估算患者和工作人员出行、废物、能源和水的消耗以及采购所产生的碳排放。为确定每家诊所和每次患者就诊的平均碳足迹,对所有诊所的碳足迹进行了平均计算,计算时分别考虑和未考虑牙科设备的折旧情况。

结果

收集了27家牙科诊所的数据。一家埃及私立牙科诊所平均每年接待3322人次患者就诊,有5名工作人员工作279天,其碳足迹为每年14426.8千克二氧化碳当量,即每次患者就诊4.3千克二氧化碳当量。碳足迹的最大贡献者是患者出行(45.6%),其次是工作人员出行(19.6%)、能源消耗(18%)、采购(12.4%)、废物(4.2%)和水消耗(0.3%)。考虑牙科设备的年度折旧后,每家诊所每年的碳足迹增加了12.2%。

结论

埃及的私立牙科诊所产生大量碳排放。患者出行是碳足迹的主要贡献因素。虽然电力消耗的碳足迹较高,但天然气的碳足迹为零。废物的高碳足迹可能是由于分类不当和缺乏回收利用所致。需要针对特定国家的碳足迹计算器来准确测量不同环境下牙科诊所的碳排放。预防口腔疾病、提高公众对可持续做法的认识、推广步行和骑自行车、改善公共交通、实施废物回收利用、转向可再生能源以及牙科产品的本地制造对于减少牙科诊所的碳排放很重要。

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