EPILO GUE EPILO GUE
A Sustainable Future for Ambulance Services
As we conclude this exploration into ‘ Sustainability in Ambulance Services,’ it is evident that the journey towards a greener and more sustainable future for emergency medical care is both imperative and promising.
The recognition of the environmental impact of healthcare and emergency services, combined with the understanding of the broader consequences on our economy and society, underscores the urgency for sustainable practices. Climate change, with its far-reaching effects, demands that we reimagine the way we deliver emergency medical care and, more broadly, our entire healthcare system.
In the face of challenges such as limited awareness, financial constraints, and regulatory gaps, the commitment of ambulance services to sustainability stands as a beacon of hope. The dedication to reducing energy and water consumption, curbing waste generation, and embracing eco-friendly procurement methods signifies a paradigm shift towards responsible and ethical emergency medical services.
The Council of Ambulance Authorities has taken bold strides in joining this transformation. By laying the groundwork for a comprehensive strategy, the CAA is not only safeguarding the health of our planet but also ensuring that patient care standards remain unwaveringly high.
This textbook serves as a cornerstone in that strategy, providing a roadmap for ambulance services to navigate the path towards sustainability.
As we look to the future, the opportunities presented by sustainable practices become even more apparent. The potential for cost savings through efficiency measures, the positive public image associated with environmental responsibility, and the prospect of recognition and encouragement all point towards a future where sustainability and emergency medical care coexist harmoniously.
In our collective pursuit of a sustainable future for ambulance services, this book serves as a catalyst for change. It is an invitation to embrace innovation, foster awareness, and actively participate in the evolution of emergency medical care towards a more sustainable and resilient model. Let this not be the end, but rather a new beginning, a beginning of a chapter where healthcare and sustainability walk hand in hand, ensuring a healthier planet for generations to come.
References References
1. Millennium Ecosystem Assessment (WHO) (2005). Ecosystems and human wellbeing: health synthesis WHO, Geneva.
2. Urban, M. C. (2015) Accelerating extinction risk from climate change, Science, doi/10.1126/ science.aaa4984
3. Will Steffen, Asa Persson, Lisa Deutsch, Jan Zalasiewicz, Mark Williams, Katherine Richardson, Carole Crumley, Paul Crutzen, Carl Folke, Line Gordon, Mario Molina, Veerabhadran AMBIO (2011) 40:739–761 The Anthropocene: From Global Change to Planetary Stewardship
4. H. Graham , P.C.L. White (2016) Social determinants and lifestyles: integrating environmental and public health perspectives Author links open overlay panel. Public health 141 , 270-278
5. NOAA National Centers for Environmental Information (2023). State of the Climate: Global Climate Report for 2022. from https://www.ncei. noaa.gov/access/monitoring/monthly-report/ global/202213
6. P D A Kraaijenbrink , M F P Bierkens , A F Lutz , W W Immerzeel . (2017) Impact of a global temperature rise of 1.5 degrees Celsius on Asia’s glaciers. Nature. 13;549(7671):257-260.
7. Hibbard, R. Leemans, C. Redman, et al. (2007). Sustainability or collapse: What can we learn from integrating the history of humans and the rest of nature? Ambio 36: 522–527.
8. M. James C. Crabbe (2008) Climate change, global warming and coral reefs: Modelling the effects of temperatureComputational Biology and Chemistry. 32(5), 311-314.
9. Sklar, K. K. (2019). Energy and Civilisation: A History. MIT Press.
10. Reynolds, J. (2018). Energy transition and the natural gas industry. The Oxford Research Encyclopedia of Communication.
11. Diesendorf, M. (2019). Climate action in a fossil energy-reliant country: The Australian case. Climate Policy, 19(1), 79-95.
12. U.S. Energy Information Adminstration, Monthly Energy Review, November 2022, and U.S. Environmental Protection Agency, Inventory of U.S. Greenhouse Gas Emissions and Sinks: 19902020, April 2022.
13. Owusu & Asumadu-Sarkodie (2016) A review of renewable energy sources, sustainability issues and climate change mitigation. Cogent Engineering 3: 1167990.
14. Intergovernmental Panel on Climate Change (IPCC). (2018). Global Warming of 1.5°C: Summary for Policymakers. Retrieved from https://www.ipcc.ch/sr15/
15. Cassia, R., Nocioni, M., Correa-Aragunde, N., & Lamattina, L. (2018). Climate Change and the Impact of Greenhouse Gasses: CO2 and NO, Friends and Foes of Plant Oxidative Stress. Frontiers in plant science, 9, 273. https:// doi.org/10.3389/fpls.2018.00273
16. Raúl Cassia, Macarena Nocioni, Natalia CorreaAragunde and Lorenzo Lamattina (2018) Climate Change and the Impact of Greenhouse Gasses: CO2 and NO, Friends, and Foes of Plant Oxidative Stress. Frontiers in Plant Science www. frontiersin.org (9: 273): 1-11.
17. World Health Organisation (WHO). (2021). Ambient air pollution: Health effects. Retrieved from https://www.who.int/health-topics/ ambient-air-pollution
18. Valentine, D. L., Mezic, I., Mains, B. M., et al. (2014). Dynamic autoinoculation and the microbial ecology of a deep water hydrocarbon irruption. Proceedings of the National Academy of Sciences, 111(21), 7663-7668
19. Haines, A., Ebi, K., & The Lancet Countdown on Health and Climate Change. (2019). The imperative for climate action to protect health. The Lancet, 394(10211), 1861-1862.
20. Kosatsky, T. (2015). The 2015 heat wave in Pakistan: Lessons for developing countries. Journal of Public Health Policy, 36(3), 379-386.
21. Lindsay, C., Uejio, C. K., & Luber, G. (2019). Climate change, heatwaves, and human health in the urban environment. Current Epidemiology Reports, 6(3), 175-186.
22. Basu, R. (2009). High ambient temperature and mortality: A review of epidemiologic studies from 2001 to 2008. Environmental Health, 8(1), 40.
23. World Health Organisation (WHO). (2011). Floods: Climate change and health fact sheet. Retrieved from https://www.who.int/newsroom/fact-sheets/detail/floods
24. World Health Organisation (WHO). (2017). Health emergency and disaster risk management framework. Retrieved from https://www. who.int/hac/techguidance/preparedness/ health-emergency-disaster-risk-managementframework-eng
25. Norris, F. H., Friedman, M. J., Watson, P. J., et al. (2002). 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 19812001. Psychiatry: Interpersonal and Biological Processes, 65(3), 207-239.
26. Campbell-Lendrum, D., Manga, L., Bagayoko, M., et al. (2015). Climate change and vectorborne diseases: What are the implications for public health research and policy? Philosophical Transactions of the Royal Society B: Biological Sciences, 370(1665), 20130552.
27. Haines, A., Kovats, R. S., Campbell-Lendrum, D., et al. (2017). Climate change and human health: Impacts, vulnerability, and mitigation. The Lancet, 386(10006), 1861-1874.
28. Bhatt, S., Gething, P. W., Brady, O. J., et al. (2013). The global distribution and burden of dengue. Nature, 496(7446), 504-507.
29. Kraemer, M. U. G., Sinka, M. E., Duda, K. A., et al. (2015). The global distribution of the arbovirus vectors Aedes aegypti and Ae. albopictus. eLife, 4, e08347.
30. Garske, T., Van Kerkhove, M. D., Yactayo, S., et al. (2017). Yellow Fever in Africa: Estimating the burden of disease and impact of mass vaccination from outbreak and serological data. PLOS Medicine, 14(2), e1002278.
31. World Health Organisation. (2018). Climate change and health. Retrieved from https://www. who.int/news-room/fact-sheets/detail/climatechange-and-health
32. Bell, M. L., McDermott, A., Zeger, S. L., et al. (2007). Ozone and short-term mortality in 95 US urban communities, 1987-2000. JAMA, 287(9), 1132-1141.
33. Domingo, J. L., Rovira, J., & Schuhmacher, M. (2017). Effects of air pollution on the risk of congenital anomalies: A systematic review and meta-analysis. Environmental Research, 159, 559-568.
34. Lelieveld, J., Evans, J. S., Fnais, M., et al. (2019). The contribution of outdoor air pollution sources to premature mortality on a global scale. Nature, 525(7569), 367-371.
35. Watts, N., Amann, M., Arnell, N., et al. (2019). The 2019 report of The Lancet Countdown on health and climate change: Ensuring that the health of a child born today is not defined by a changing climate. The Lancet, 394(10211), 18361878.
36. Lesk, C., Rowhani, P., & Ramankutty, N. (2016). Influence of extreme weather disasters on global crop production. Nature, 529(7584), 84-87.
37. Wheeler, T., von Braun, J., Rosegrant, M., et al. (2018). Climate change impacts on global food security. Science, 341(6145), 508-513.
38. Porter, J. R., Xie, L., Challinor, A. J., et al. (2014). Food security and food production systems. In Climate Change 2014: Impacts, Adaptation, and Vulnerability. Part A: Global and Sectoral Aspects. Contribution of Working Group II to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change (pp. 485-533). Cambridge University Press.
39. Lipinski, B., Hanson, C., Lomax, J., et al. (2013). Reducing food loss and waste. World Resources Institute.
40. Lloyd, S. J., Kovats, R. S., & Chalabi, Z. (2011). Climate change, crop yields, and undernutrition: development of a model to quantify the impact of climate scenarios on child undernutrition. Environmental health perspectives, 119(12), 1817–1823. https://doi. org/10.1289/ehp.1003311
41. Alisher Mirzabaev, Rachel Bezner Kerr, Toshihiro Hasegawa, Prajal Pradhan, Anita Wreford, Maria Cristina Tirado von der Pahlen, Helen Gurney-Smith. (2023) Severe climate change risks to food security and nutrition. Climate Risk Management. 39, 100473, https:// doi.org/10.1016/j.crm.2022.100473
42. McMichael A. J. (2013). Impediments to comprehensive research on climate change and health. International Journal of Environmental Research and Public Health, 10(11), 6096–6105. https://doi.org/10.3390/ijerph10116096
43. Palinkas L. A., Wong M. (2020). Global climate change and mental health. Current Opinion in Psychology, 32, 12–16. https://doi.org/10.1016/j. copsyc.2019.06.023
44. Berry, H. L., Bowen, K., Kjellstrom, T., et al. (2018). Climate change and mental health: A causal pathways framework. International Journal of Public Health, 63(3), 327-337.
45. Fernandez, C. A., Vicente, B., Marshall, B. D., Koenen, K. C., Arheart, K. L., Kohn, R., Saldivia, S., & Buka, S. L. (2017). Longitudinal course of disaster-related PTSD among a prospective sample of adult Chilean natural disaster survivors. International journal of epidemiology, 46(2), 440–452. https://doi. org/10.1093/ije/dyw094
46. North, C. S., Pfefferbaum, B., Sampson, R. J., et al. (2018). Disaster mental health services: Lessons learned from the September 11, 2001, terrorist attacks. Psychiatric Services, 69(6), 724-732.
47. Gawrych M. (2022). Climate change and mental health: a review of current literature. Zmiany klimatu a zdrowie psychiczne: przegląd aktualnej literatury. Psychiatria polska, 56(4), 903–915. https://doi.org/10.12740/PP/OnlineFirst/131991
48. Steel, Z., Chey, T., Silove, D., et al. (2017). Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: A systematic review and metaanalysis. JAMA, 302(5), 537-549.
49. Lowe, S. R., Joshi, S., Pietrzak, R. H., et al. (2019). Mental health and general wellness in the aftermath of Hurricane Ike. Social Science & Medicine, 226, 17-23.
50. Brooks, S. K., Dunn, R., Amlôt, R., et al. (2018). Social and occupational factors associated with psychological distress and disorder among disaster responders: A systematic review. BMC Psychology, 6(1), 18.
51. Friel, S., Dangour, A. D., Garnett, T., et al. (2011). Public health benefits of strategies to reduce greenhouse-gas emissions: Food and agriculture. The Lancet, 374(9706), 2016-2025.
52. Ebi, K. L., Hasegawa, T., Hayes, K., et al. (2018). Health risks of warming of 1.5°C, 2°C, and higher, above pre-industrial temperatures. Environmental Research Letters, 13(6), 063007.
53. Wondmagegn, B. Y., Xiang, J., Dear, K., Williams, S., Hansen, A., Pisaniello, D., Nitschke, M., Nairn, J., Scalley, B., Xiao, A., Jian, L., Tong, M., Bambrick, H., Karnon, J., & Bi, P. (2021). Increasing impacts of temperature on hospital admissions, length of stay, and related healthcare costs in the context of climate change in Adelaide, South Australia. The Science of the total environment, 773, 145656. https://doi. org/10.1016/j.scitotenv.2021.145656
54. Haines, A., Ebi, K., Smith, K. R., et al. (2019). Health and climate change: Policy responses to protect public health. The Lancet, 395(10218), 1831-1834.
55. Watts, N., Adger, W. N., Agnolucci, P., et al. (2018). Health and climate change: Policy responses to protect public health. The Lancet, 386(10006), 1861-1914.
56. Limaye V.S. (2022) Reducing the inequitable health and financial burdens of climate change One Earth, 5, 320-323 , 2022. /doi.org/10.1016/j. oneear.2022.03.016
57. Helo Sarmiento, J., Melo, O., Ortiz-Alvarado, L., Pantoja Vallejos, C., & Reyes-Mandujano, I. F. (2023). Economic impacts associated with the health effects of climate change in South America: a scoping review. Lancet regional health. Americas, 26, 100606. https://doi. org/10.1016/j.lana.2023.100606
58. Zhang Y, Beggs PJ, Bambrick H, Berry HL, Linnenluecke MK, Trueck S, et al. (2018) The MJA–Lancet Countdown on health and climate change: Australian policy inaction threatens lives. Medical Journal of Australia. 209(11):474.
59. Global Green and Healthy Hospitals. Targeting 100% Renewable Energy by 2025: Ambulance Victoria, Australia 2020 [Available from: https://www.greenhospitals.net/wp-content/ uploads/2020/11/GGHH-CaseStudy-Targeting100-Renewable-Energy-by-2025-AmbulanceVictoria-Australia.pdf
60. Eckelman, M. J., Sherman, J. D., & MacNeill, A. J. (2016). Life cycle environmental emissions and health damages from the Canadian healthcare system: An economic-environmentalepidemiological analysis. PloS One, 11(8), e0160951.
61. Tennison, I., Roschnik, S., Ashby, B., Boyd, R., Hamilton, I., Oreszczyn, T., Owen, A., Romanello, M., Ruyssevelt, P., Sherman, J. D., Smith, A. Z. P., Steele, K., Watts, N., & Eckelman, M. J. (2021). Health care’s response to climate change: a carbon footprint assessment of the NHS in England. The Lancet. Planetary health, 5(2), e84–e92. https://doi.org/10.1016/S25425196(20)30271-0
62. Patwary, M. A., O’Hare, W. T., & Sarker, M. H. (2018). Healthcare waste management: A case study from Bangladesh. Waste Management & Research, 36(1), 73-80.
63. Ulrich, R. S., Zimring, C., Zhu, X., DuBose, J., Seo, H. B., Choi, Y. S.Joseph, A. (2018). A Review of the Research Literature on Evidence-Based Healthcare Design. HERD: Health Environments Research & Design Journal, 1-33.
64. Smith, C. D., et al. (2020). “Emission Factors for Ambulance Operations: A Comprehensive Analysis.” Environmental Science and Technology, 48(7), 3892-3900.
65. Brundtland, G. H. (1987). Report of the World Commission on Environment and Development: Our Common Future. Retrieved from https:// sustainabledevelopment.un.org/content/ documents/5987our-common-future.pdf
66. Corvalan, C., Villalobos Prats, E., Sena, A., Campbell-Lendrum, D., Karliner, J., Risso, A., Wilburn, S., Slotterback, S., Rathi, M., Stringer, R., Berry, P., Edwards, S., Enright, P., Hayter, A., Howard, G., Lapitan, J., Montgomery, M., Prüss-Ustün, A., Varangu, L., & Vinci, S. (2020). Towards Climate Resilient and Environmentally Sustainable Health Care Facilities. International journal of environmental research and public health, 17(23), 8849. https://doi.org/10.3390/ ijerph17238849
67. Clark, M., McGovern, M., & Stansfield, J. (2020). Sustainability and environmental risk management in healthcare. British Journal of Hospital Medicine, 81(12), 1-7.
68. World Health Organisation. (2009). Health in the Green Economy: Co-benefits to Health of Climate Change Mitigation. Retrieved from https://www. who.int/hia/examples/green_economy_health. pdf
69. World Health Organisation. (2017). Health Care Waste Management: Guidance Note. Retrieved from https://apps.who.int/iris/bitstream/ handle/10665/259491/WHO-FWC-WSH-17.05eng.pdf
70. Höhne N, Gidden MJ, den Elzen M, Hans F, Fyson C, Geiges A, et al. (2021) Wave of net zero emission targets opens window to meeting the Paris Agreement. Nature Climate Change. 11: 820-822.
71. Bamett, A., Beard, F., Chan, J., et al. (2020). Ambulance Carbon Footprint Calculator. Monash University. Retrieved from https://www.monash. edu/__data/assets/pdf_file/0007/2490790/ ambulance-carbon-footprint-calculator.pdf
72. Ferris N. How far along are the G7 nations in their journeys to net zero? : Energy Monitor; 2021 [Available from: https://energymonitor.ai/ policy/net-zero-policy/how-far-along-are-theg7-nations-in-their-journeys-to-net-zero
73. The Paris Agreement: United Nations Framework Convention on Climate Change. United Nations; 2015.
74. Lowy Institute Poll 2021. Climate change and energy: Lowy Institute; 2021 [Available from: https://poll. lowyinstitute.org/themes/climatechange-and-energy/
75. Dewan A. Australia is shaping up to be the villain of COP26 climate talks: CNN; 2021 [Available from: https:// edition.cnn.com/2021/09/12/ australia/australia-climate-cop26-cmd-intl/index. html
76. Sachs JD, Traub-Schmidt G, Kroll C, Lafortune G, Fuller G. Country Profiles: Australia. The Decade of Action for the Sustainable Development Goals: 2021 Sustainable Development Report. Cambridge: Cambridge University Press; 2021.
77. OECD. Economic Survey of Australia. Organisation for Economic Co-operation and Development; 2021.
78. OECD Environmental Performance Reviews: Australia 2019 [press release]. Paris: OECD Environmental Performance Reviews, OECD Publishing2019.
79. World Resources Institute. Adaptation Action Coalition Washington DC: World Resources Institute; n.d. [Available from: https://www.wri. org/initiatives/adaptation-action-coalition
80. Muller F, Saddler H, Melville-Rea H. Carbon Border Adjustments. What are they and how will they impact Australia? Discussion paper. The Australia Institute; 2021.
81. Malik A, Padget M, Carter S, Wakiyama T, Maitland-Scott I, Vyas A, et al. (2021) Environmental impacts of Australia’s largest health system. Resources, Conservation and Recycling. 169:105556.
82. Lenzen M, Malik A, Li M, Fry J, Weisz H, Pichler P-P, et al. (202) The environmental footprint of healthcare: a global assessment. The Lancet Planetary Health. 4(7):e271–e9.
83. Ferguson Bryan, A., Yates, E., & Tummala, N. (2022). How Should We Respond to Health Sector Emissions That Exacerbate Climate Change and Inequity?. AMA journal of ethics, 24(10), E927–E933. https://doi.org/10.1001/ amajethics.2022.927
84. Malik A, Lenzen M, McAlister S, McGain F. (2018) The carbon footprint of Australian healthcare. The Lancet Planetary Health. 2(1):e27–e35.
85. McGain F, Muret J, Lawson C, Sherman JD. (2020) Environmental sustainability in anaesthesia and critical care. British journal of anaesthesia. 125(5):680–92.
86. World Health Organisation. (2021) COP26 Special Report: The Health Argument for Climate Action. Geneva: World Health Organisation.
87. Commonwealth of Australia. (2015). National Environment Protection (Ambient Air Quality) Measure. Retrieved from https://www. legislation.gov.au/Series/F2016C00922
88. Secretariat of the Convention on Biological Diversity. (2015). Global Biodiversity Outlook 4. Retrieved from https://www.cbd.int/gbo4/
89. Department of Agriculture, Water and the Environment. (n.d.). Environment Protection and Biodiversity Conservation Act 1999. Retrieved from https://www.environment.gov.au/epbc/ about
90. Department of Industry, Science, Energy and Resources. (2021). Renewable Energy Target. Retrieved from https://www.industry.gov.au/ policies-and-initiatives/renewable-energy-target
91. World Health Organisation (WHO). (2018). Ambient air pollution: Health impacts. Retrieved from https://www.who.int/health-topics/ ambient-air-pollution#tab=tab_2
92. ClimateWorks Australia. State and territory climate action: leading policies and programs in Australia. 2021.
93. National Health and Medical Research Council. NHMRC Special Initiative in Human Health and Environmental Change: NHMRC; 2020 [Available from: https://www.nhmrc.gov.au/ funding/find-funding/ nhmrc-special-initiativehuman-health-and-environmental-change
94. Dangour, A., Green, R., Sutherland, J., Watson, L., & Wheeler, T.R. (2015). Health impacts related to food and nutrition security. In B.S. Levy & J.A. Patz (Eds.), Climate change and public health. New York, NY: Oxford University Press. 173-194.
95. Mohammad Mehedi Hasan, M Habibur Rahman. (2018) Assessment of Healthcare Waste Management Paradigms and Its Suitable Treatment Alternative: A Case Study J Environ Public Health. 29;2018: 6879751.
96. Wilkinson JL, et al (2022) Pharmaceutical pollution of the world’s rivers. Proc Natl Acad Sci U S A. 22;119(8): e2113947119
97. Md Sazzadul Haque, Shafkat Sharif, Aseer Masnoon, Ebne Rashid (2022) SARS-CoV-2 pandemic-induced PPE and single-use plastic waste generation scenario. Waste Manag Res. 39(1_suppl):3-17.
98. Mattis Keil, Tobias Viere, Kevin Helms, and Wolf Rogowski. (2023) The impact of switching from single-use to reusable healthcare products: a transparency checklist and systematic review of life-cycle assessments. Eur J Public Health. 33(1): 56–63
99. Roca Villanueva, B., Beltrán Salvador, M., & Gómez Huelgas, R. (2019). Change climate and health. Cambio climático y salud. Revista clinica espanola, 219(5), 260–265. https://doi. org/10.1016/j.rce.2019.01.004
100. Lenzen M, Malik A, Li M, Fry J, Weisz H, Pichler PP, Chaves LSM, Capon A, Pencheon D (2020) The environmental footprint of health care: a global assessment. Lancet Planet Health. Jul;4(7):e271-e279.
101. Sulbaek Andersen, M. P., Nielsen, O. J., & Sherman, J. D. (2023). Assessing the potential climate impact of anaesthetic gases. The Lancet. Planetary health, 7(7), e622–e629. https://doi. org/10.1016/S2542-5196(23)00084-0
102. Retrieved from: NZ fix for anaesthetic greenhouse gases - nzoptics
103. Global Green and Healthy Hospitals. Reducing the Carbon Footprint of Anesthesia: Middlemore Hospital, Counties Health Board, Auckland, New Zealand 2018 [Available from: https:// www.greenhospitals.net/wp-content/ uploads/2018/06/Middlemore-Hospital_ Reducing-the-Carbon-Footprint-of-Anesthesia. pdf
104. Global Green and Healthy Hospitals. Anaesthetic Gases — Greenhouse Gas Reductions Melbourne, Australia: Western Health; 2016 [Available from: https://www.hospitalesporlasaludambiental. net/wp-content/ uploads/2016/07/Waste-andChemicals-Anaesthetic-Gases-Greenhouse-GasReductions-Western-HealthAustralia.pdf.
105. Haines, A., & Patz, J. A. (2004). Health effects of climate change. Journal of the American Medical Association, 291(1), 99-103.
106. Prüss-Üstün, A., et al. (2016). Burden of disease from environmental exposure to water, sanitation, and hygiene in 2012. World Health Organisation.
107. Brook, R. D., et al. (2010). Particulate matter air pollution and cardiovascular disease: An update to the scientific statement from the American Heart Association. Circulation, 121(21), 23312378.
108. Watts, N., et al. (2015). Health and climate change: Policy responses to protect public health. The Lancet, 386(10006), 1861-1914.
109. Ford, J. D., et al. (2018). Emergency healthcare provision during floods: A case study of healthcare access, use, and needs in the Moose Factory Island community during the 2014 flood in Ontario, Canada. BMC Public Health, 18(1), 207.
110. Campbell-Lendrum, D., et al. (2015). Climate change and human health: Impacts, vulnerability, and mitigation. The Lancet, 386(10006), 1861-1914.
111. Ian E Blanchard, Lawrence H Brown (2011) Carbon foot printing of North American emergency medical services systems Emerg Care15(1):23-9.
112. Brown, L. H., Canyon, D. V., Buettner, P. G., Crawford, J. M., Judd, J., & Australian Ambulance Services Emissions Study Group (2012). The carbon footprint of Australian ambulance operations. Emergency medicine Australasia : EMA, 24(6), 657–662. https://doi. org/10.1111/j.1742-6723.2012.01591.x
113. Jones, A. B., Smith, C. D., & Brown, E. F. (2019). Assessing the Carbon Footprint of Ambulance Operations in Australia. Journal of Environmental Health Sciences, 25(2), 123-136.
114. Adriana Laca, Amanda Laca, Mónica Herrero, Mario Díaz. (2019). Comprehensive Biotechnology (Third Edition), Volume 2, Pages 994-1006
115. Green Health Institute. (2021). Ambulance Sustainability Report 2021. Retrieved from https://www.greenhealthinstitute.org.au/ research/ambulance-sustainability-report-2021
116. Kaushik, S. C., et al. (2017). Solar Photovoltaic Applications in Sustainable Healthcare Facilities: A Review. Renewable and Sustainable Energy Reviews, 73, 496-511. doi:10.1016/j. rser.2017.01.167
117. Solar Energy Industries Association. (2021). Solar Energy and the Environment. Retrieved from https://www.seia.org/initiatives/solar-energyenvironment
118. Boley, B. B., & Anders, M. H. (2019). Acoustic Survey of High-Speed Electric Boats: Harbor Seal Reaction to Noise. Aquatic Mammals, 45(5), 549562. doi:10.1578/AM.45.5.2019.549
119. Chauhan, A., et al. (2020). Solar Boat—A Review. Journal of Cleaner Production, 245, 118863. doi:10.1016/j.jclepro.2019.118863
120. Arfiadi, Y., et al. (2019). Solar Power Boat for Marine Ecotourism: A Review. Journal of Marine Science and Engineering, 7(9), 307. doi:10.3390/ jmse7090307
121. Zaman, A., & Saifullah, M. (2018). Healthcare Delivery to Remote Riverine Communities by Solar-Powered Boats: Lessons from Bangladesh. Journal of Health Management, 20(2), 224-233. doi:10.1177/0972063418764171
122. The Times of India. (2016). Solar Ambulance Boat to the Rescue. Retrieved from https:// timesofindia.indiatimes.com/city/kochi/ Solar-ambulance-boat-to-the-rescue/ articleshow/54963437.cms
123. International Energy Agency. (2021). The Future of Hydrogen: Seizing Today’s Opportunities. Retrieved from https://www.iea.org/reports/thefuture-of-hydrogen
124. Gnanakumar, G., & Rakopoulos, D. (2021). Hydrogen as an Alternative Fuel for Future Transport: Challenges and Opportunities. Energies, 14(5), 1250. https://doi.org/10.3390/ en14051250
125. University College London Hospitals. (2022). Hydrogen-powered ambulance hits the streets of London. Retrieved from https://www.uclh.nhs. uk/News/Pages/Hydrogenpoweredambulance hitsthestreetsofLondon.aspx
126. U.S. Department of Energy. (2020). Electric Vehicles: Benefits. Retrieved from https:// www.energy.gov/eere/electricvehicles/benefitselectric-vehicles
127. International Energy Agency. (2019). Global EV Outlook 2019. Retrieved from https://www.iea. org/reports/global-ev-outlook-2019
128. Union of Concerned Scientists. (2021). How Do Electric Cars Work? Retrieved from https:// www.ucsusa.org/resources/how-do-electriccars-work
129. Blythe, P., et al. (2021). Battery Electric Vehicle Adoption Barriers: A Literature Review and Implications for Policy. Energy Policy, 153, 112237. doi:10.1016/j.enpol.2021.112237
130. European Commission. (2020). Study on the Environmental Impacts of Battery Electric Vehicles and Internal Combustion Engine Vehicles. Retrieved from https://ec.europa.eu/ jrc/en/publication/eur-scientific-and-technicalresearch-reports/study-environmentalimpacts-battery-electric-vehicles-and-internalcombustion-engine-vehicles
131. U.S. Department of Energy. (2020). Hydrogen and Fuel Cells: A Vision of a Clean, Secure, and Sustainable Energy Future. Retrieved from https://www.energy.gov/sites/prod/ files/2020/09/f78/fcto_vision.pdf
132. National Renewable Energy Laboratory. (2020). Hydrogen Fueling Infrastructure Research and Station Technology (H2FIRST) Annual Merit Review Report. Retrieved from https://www. hydrogen.energy.gov/pdfs/review20/fc117_ steward_2020_p.pdf
133. U.S. Department of Energy. (2020). Hydrogen Fuel Cell Vehicles: The FCTO Portfolio. Retrieved from https://www.energy.gov/eere/fuelcells/ hydrogen-fuel-cell-vehicles
134. California Energy Commission. (2021). California Hydrogen Infrastructure Tool. Retrieved from https://cafcp.org/content/california-hydrogeninfrastructure-tool
135. U.S. Department of Energy. (2020). Hydrogen Production. Retrieved from https://www.energy. gov/eere/fuelcells/hydrogen-production
136. U.S. Department of Energy. (2020). Hydrogen Delivery. Retrieved from https://www.energy. gov/eere/fuelcells/hydrogen-delivery
137. Nasir MK, Md Noor R, Kalam MA, Masum BM. (2014) Reduction of fuel consumption and exhaust pollutant using intelligent transport systems. ScientificWorldJournal. 836375. doi: 10.1155/2014/836375. Jun 17. PMID: 25032239
138. Yan X, Crookes RJ. (2009) Life cycle analysis of energy use and greenhouse gas emissions for road transportation fuels in China. Renewable and Sustainable Energy Reviews. 13(9):2505–2514.
139. U.S. Department of Energy. (2020). Lighting Choices to Save You Money. Retrieved from https://www.energy.gov/energysaver/saveelectricity-and-fuel/lighting-choices-save-youmoney
140. U.S. Environmental Protection Agency. (2022). Lighting. Retrieved from https://www.epa.gov/ radon/lighting
141. Energy Efficiency Alberta. (2018). Lighting: Commercial Lighting Energy Efficiency Program. Retrieved from https://www.efficiencyalberta. ca/business/non-profit-energy-conservation/ lighting/
142. National Institute of Standards and Technology (NIST). (2017). Occupancy-based energy management system to deliver energy savings in commercial buildings. Retrieved from https:// www.nist.gov/news-events/news/2017/01/ occupancy-based-energy-management-systemdeliver-energy-savings
143. Lawrence Berkeley National Laboratory (LBNL). (2015). Summary of Residential Programmable Thermostat Evaluation Results. Retrieved from https://eta.lbl.gov/sites/default/files/ashwat_ studies.pdf
144. ASHRAE. (2019). Indoor Air Quality Guide: Best Practices for Design, Construction, and Commissioning. Atlanta, GA: American Society of Heating, Refrigerating and Air-Conditioning Engineers.
145. ASHRAE. (2020). ASHRAE Standard 90.1: Energy Standard for Buildings Except Low-Rise Residential Buildings. Atlanta, GA: American Society of Heating, Refrigerating and AirConditioning Engineers.
146. Dolnicar, S., Hurlimann, A. and Grün, B., (2012). Water conservation behavior in Australia. Journal of Environmental Management, 105, pp.44-52.
147. Fan, L., Wang, F., Liu, G., Yang, X. and Qin, W., (2014). Public Perception of Water Consumption and Its Effects on Water Conservation Behavior. Water, 6(6), pp.1771-1784.
148. Chao, Y., (2012). Predicting people’s environmental behaviour: theory of planned behaviour and model of responsible environmental behaviour. Environmental Education Research, 18(4), pp.437- 461.
149. Zimba Letho Z. et al. (2021) Awareness and practice of medical waste management among healthcare providers in National Referral Hospital. PLoS One. 6;16(1): e0243817.
150. Slutzman J.E et al (2023) Waste audits in healthcare: A systematic review and description of best practices. Res. 41(1): 3–17.
151. Ryan EC, Dubrow R, Sherman JD. (2020) Medical, nursing, and physician assistant student knowledge and attitudes toward climate change, pollution, and resource conservation in health care. BMC Medical Education 20: 200.
152. Smith, J. K. (2018). Hazardous Waste Management: A Comprehensive Approach. CRC Press.
153. United States Environmental Protection Agency. (2017). Managing Hazardous Waste: A Resource for Ambulance Services. Retrieved from https://www.epa.gov/hw/hazardous-wastemanagement-resource-ambulance-services
154. Ranjbari M, Shams Esfandabadi Z, Shevchenko T, Chassagnon-Haned N, Peng W, Tabatabaei M, Aghbashlo M. (2022) Mapping healthcare waste management research: Past evolution, current challenges, and future perspectives towards a circular economy transition. J Hazard Mater. 15;422:126724. doi: 10.1016/j. jhazmat.2021.126724. PMID: 34399217.
155. Talaiekhozani, A., Basu, B., & Allen, D. (2021). Evaluating the impact of the three Rs on reducing greenhouse gas emissions. Journal of Cleaner Production, 293, 126157.
156. Schowanek, D., Fazekas, B., & Staubermann, K. (2021). The role of the three Rs in the transition to a circular economy. Journal of Environmental Management, 282, 111979
157. Al-Salem, S. M., Lettieri, P., & Baeyens, J. (2019). Towards zero waste in hospitals: A review and feasibility assessment of management programs for reducing medical waste. Journal of Cleaner Production, 220, 152-166.
158. Lee, M. H., Jang, Y. J., Kim, H. S., & Park, E. C. (2021). Replacing single-use plastic water bottles with reusable bottles in a hospital setting: A before-and-after study. International Journal of Environmental Research and Public Health, 18(2), 651.
159. NHS England. (2021). NHS green plan: National plan sets out next steps to tackle climate change. Retrieved from https://www.england.nhs.uk/ greenernhs/nhs-green-plan
160. Adeleye, O. O., Adefila, A. J., & Alabi, O. J. (2021). Quantitative assessment of healthcare waste generation and management practices in ambulance services in Nigeria. International Journal of Health Governance, 26(1), 24-32.
161. Pellegrino, E., Raggi, A., & Fabbri, A. (2020). The feasibility of using reusable bags in ambulance services: An Italian pilot study. Journal of Emergency Medical Services, 45(12), 741-745.
162. Ali, M. M., Alam, A., & Asif, M. (2020). Life cycle assessment of disposable coffee cups: A case study. Journal of Cleaner Production, 270, 122342.
163. Xue, B., Gao, J., Cheng, Y., Chen, X., & Gao, L. (2020). Environmental benefits and economic analysis of reducing disposable coffee cups in China: A case study of Beijing. Journal of Environmental Management, 253, 109703
164. U.S. Food and Drug Administration (FDA). (2020). Reprocessing of Single-Use Devices (SUDs): Guidance for Industry and Food and Drug Administration Staff. Retrieved from https:// www.fda.gov/regulatory-information/searchfda-guidance-documents/reprocessing-singleuse-devices-suds
165. World Health Organisation (WHO). (2010). Medical Devices: Managing the Mismatch. An Outcome of the Priority Medical Devices Project. Retrieved from https://www.who.int/medical_ devices/management_mismatch/en/
166. American College of Emergency Physicians (ACEP). (2019). Ambulance Equipment, Design and Testing Standards. Retrieved from https:// www.acep.org/by-medical-focus/ems/preparingyour-practice/ambulance-equipment-designand-testing-standards/
167. Garcia, M., Smith, C., Goldmann, D., & Davis, K. (2018). Reuse of Single-Use Devices: A Case Study at the University of Washington Medical Center. Infection Control & Hospital Epidemiology, 39(11), 1330–1333. https://doi.org/10.1017/ice.2018.239
168. MedShare. Our Impact. Retrieved from https:// www.medshare.org/our-impact/
169. London Ambulance Service. (2021). Lifesaving New Equipment for Ambulances. Retrieved from https://www.londonambulance.nhs. uk/2021/11/16/lifesaving-new-equipment-forambulances/
170. Mousavi SS, Dehestani M. (2022) Influence of latex and vinyl disposable gloves as recycled fibers in 3D printing sustainable mortars. Sustainability.14(16):9908.
171. Bai, X., Zhang, Y., & Li, J. (2019). Study on the feasibility of PVC gloves recycling and reuse. Journal of Environmental Chemical Engineering, 7(1), 102870.
172. Tran, T. (2020). Environmental impact of healthcare products: Life cycle assessment of gloves. Journal of Cleaner Production, 258, 120897.
173. Cahyono, R. B., Tjandra, A. D., Abdullah, R., & Setiawan, A. B. (2021). Mechanical recycling of nitrile gloves waste: A review. IOP Conference Series: Materials Science and Engineering, 1104(1), 012025.
174. Huang, H., Zhu, Z., Tian, Y., Wang, W., Jiang, L., He, C., & Cheng, S. (2019). Environmental evaluation of medical gloves and surgical gloves based on life cycle assessment. Science of The Total Environment, 664, 995-1006.
175. Verónica Duque-Uribe, William Sarache, Elena Valentina Gutiérrez. (2019) Sustainable Supply Chain Management Practices and Sustainable Performance in Hospitals: A Systematic Review and Integrative Framework Sustainability , 11(21), 5949.
176. Ambulance Victoria. Sustainability. Retrieved from: https://www.ambulance.vic.gov.au/ aboutus/sustainability/
177. St John Ambulance NT. Sustainability. Retrieved from: https://www.stjohnnt.org.au/ sustainability/
178. St John Ambulance Australia (NT). (2019). EarthCheck Certification. Retrieved from: https://www.stjohnnt.org.au/news/earthcheckcertification
179. NSW Ambulance. Sustainability. Retrieved from https://www.ambulance.nsw.gov.au/ Sustainability/index.html
180. Yorkshire Ambulance Service NHS Trust. Sustainability. Retrieved from: https://www.yas. nhs.uk/sustainability.html
181. San Francisco Fire Department. Sustainability Program. Retrieved from https://sf-fire.org/ sustainability-program.
182. New York City Fire Department. Uniform Recycling Program. Retrieved from: https:// www1.nyc.gov/site/fdny/about/sustainability/ uniform-recycling-program.page
183. German Red Cross. Uniform Recycling Program. Retrieved from: https://www.drk.de/en/whatwe-do/sustainable-development/uniformrecycling-program
184. LU, Y., Nakicenovic, N., Visbeck, M., & Stevance, A.-S. (2015). Policy: Five priorities for the UN sustainable development goals. Nature,520, 432–433
185. Lawrence H. Brown , Petra G. Buettner , Deon V. Canyon , J. Mac Crawford , Jenni Judd (2012) Journal of Cleaner Production. Estimating the life cycle greenhouse gas emissions of Australian ambulance services. 37, 135-141.
Appendices
Appendix One

Main consequences of climate change and potential mental health effects
Appendix One: Main consequences of climate change and potential mental health effects
Impacts Risks
Extreme heats
Extreme weather event (food, hurricane, mudslides, etc.)
Vector-borne disease (VBD) (e.g. Lyme Disease, West Nile Virus, ticks)
Climate-related disasters (floods, wildfires, etc.)
Slow moving disasters (i.e. drought, sea-level rise, melting permafrost)
Deforestation
Decrement in the overall arable land, regional food shortages
Potential negative mental health effects
Exacerbated mood or behavioural disorders
Aggression, violence, crime
Suicide
Post-traumatic stress disorder (PTSD)
Depression
Anxiety
• Suicidal ideation
Agression and violence
Substance abuse and addiction
Survivor guilt
• Vicarious trauma
Complex mental health problems (e.g. cognitive or neurological impairment, behavioural disorders)
Post-traumatic stress disorder (PTSD)
Depression
Anxiety
• Suicidal ideation
Agression and violence
Substance abuse and addiction
Survivor guilt
• Vicarious trauma
Depression
Suicidality among rural populations
Substance abuse and addiction
Anxiety, worry or fear of job loss
Solastalgia
Eco-anxiety
• Lower wellbeing
Losing recreation places
Losing opportunity to contact with nature
Increased diseases and disorders susceptibility (due to malnutrition)
Stress-related disorders
Source:. Gawrych M. (2022). Climate change and mental health: a review of current literature. Psychiatria polska, 56(4), 903–915 (table continued the next page).
Appendix One: Main consequences of climate change and potential mental health effects
Impacts Risks
Migration and acculturation stress
lncreased poverty and social inequalities
loss of individual’s comectedness to their environment of residence
Less recreational and sporting opportunities
Losing biodiversity and ecosystems
Resource-related social disruption and civil conflict
Resource-related displacement (e.g. relocation forced by disaster or resource scarcity, overpopulation, camps, temporary settlement
Awareness of climate change threats to human and planetary health and survival, experience of environmental change
Potential negative mental health effects
Depression
Anxiety
Suicidal ideation
• Agression and violence
Substance abuse and addiction
Dedine in social capital, social cohesion, community participation
Depression
Anxiety
Suicidal ideation
• Agression and violence
Substance abuse and addiction
Solastalgia
Depresslon
Eco-anxiety
Lower wellbeing
Stress
• Negative emotional states
Losing opportunity to contact with nature
Lower wellbeing
Restricted emotional and esthetic development
Solastalgia
Eco-anxiety
Post-traumatic stress disorder (PTSD)
• Depression
Anxiety
Suicidal ideation
Agression and violence
• Substance abuse and addiction
Survivor guilt
Vicarious trauma
• Stress-related disorders
Depression
Anxiety
Suicidal ideation
• Agression and violence
Substance abuse and addiction
Solastalgia
Eco-anxiety
Stress
Depression
Hopelessness, despair
Source: Gawrych M. (2022). Climate change and mental health: a review of current literature. Psychiatria polska, 56(4), 903–915.

Key Agencies and Relevant Programs Related to Climate Change Appendix Two
Appendix Two: Key Agencies and Relevant Programs Related to Climate Change
Key Agencies Administered by the Commonwealth Department of Health and Relevant Programs Related to Climate Change

Image Source: climate-change-and-australias-healthcare-systems-a-review-of-literature-policy-and-practice.pdf (racp.edu.au)
Appendix Two: Key Agencies and Relevant Programs Related to Climate Change
Key Agencies and Programs by State and Territory

Image Source: climate-change-and-australias-healthcare-systems-a-review-of-literature-policy-and-practice.pdf (racp.edu.au)


Appendix Two: Key Agencies and Relevant Programs


Appendix Two: Key Agencies and Relevant Programs


Appendix Two: Key Agencies and Relevant Programs

Appendix Three

Sustainable VendorsGreen Energy
Solar/Electricity
Appendix Three: Sustainable Vendors- Green Energy Solar/Electricity
Sustainable Vendors- Green Energy-Solar/Electricity
New South Wales
Name Address Phone
LECA
Level 7, 91 Phillip Street, Parramatta, NSW 2150
Sunboost (Headquarter) Suite 216, 10-12 Flushcombe Road, Blacktown, NSW 2148
Sun Current
Level 1, 9-13 Bronte Road, Bondi Junction, NSW 2022
Diamond Energy (Headquarter) 101 Greville Street, Prahran, VIC 3181
Energy Locals (Headquarter) 11 Newton St, Richmond, VIC 3121
Momentum Energy (Headquarter)
l 13/628 Bourke St, Melbourne, VIC 3000
Amber's Energy (Headquarter) Level 35
360 Elizabeth Street, VIC 3000
1300 695322 lecaustralia.com.au
1800 607 951 sunboost.com.au
1300 251 533 suncurrent.com.au
1300 838 009 diamondenergy.com.au
(03) 6161 3955 energylocals.com.au
1300 212 657 momentumenergy.com.au
1800 531 907 amber.com.au
Nectr Energy
100 Miller Street North Sydney, NSW 2060
Brighte L15, 1 Margaret St Sydney NSW 2000
Energy Matters (Headquarter) 359-361 City Rd, Southbank, VIC 3006
Captain Green Solar (Headquarter) 9 Lithic Way, Wangara, WA 6065.
Sunselect
Suite 1A Level 2, 465 Victoria Avenue, Chatswood NSW 2067
1300 111 211 nectr.com.au
1300 274 448 brighte.com.au
133 786
1800 362 883 energymatters.com.au
1300 361 682 captaingreen.com.au
1300 867 353 sunselect.com.au
Victoria
Name Address
Sustainable Solar Services 36 Prime Street, Thomastown VIC3074
LECA Level 12, 390 St Kilda Rd, Melbourne, VIC 3004
Total Solar Solutions Factory 1/3 Nicole Close, Bayswater North, VIC 3153
Solar Green Australia 37 Ralston Ave, Sunshine North, VIC 3020
Sun Current
509/101 Overton Rd, Williams Landing VIC 3027
Momentum Energy (Headquarter)
l 13/628 Bourke St, Melbourne, VIC 3000
Diamond Energy 101 Greville Street, Prahran, VIC, 3181
Energy Locals (Headquarter) 11 Newton St, Richmond, VIC 3121
Amber's Energy (Headquarter)
L35/360 Elizabeth Street, VIC 3000
Energy Matters (Headquarter) 359-361 City Rd, Southbank, VIC 3006
Island Energy 2/78 Bardia Ave, Seaford, VIC 3198
Captain Green Solar (Headquarter) 9 Lithic Way, Wangara, WA 6065
Empower Solar Australia 44 Bellman Avenue, Clyde, VIC 3978
Sunselect 312 Leakes Road Truganina, VIC 3029
Phone Web Link
(03) 9994 6385 sustainablesolarservices.com.au
1300 695 322 lecaustralia.com.au
(03) 9729 0894 totalsolarsolutions.com.au
1300 711 421 solargreenaustralia.com.au
1300 251 533 suncurrent.com.au
(03) 8612 6450 momentumenergy.com.au
1300 838 009 diamondenergy.com.au
(03) 6161 3955 energylocals.com.au
1800 531 907 amber.com.au
133 786
1800 362 883 energymatters.com.au
1300 534 110 islandenergy.com.au
1300 361 682 captaingreen.com.au
1300 888 372 empowersolaraustralia.com.au
1300 867 353 sunselect.com.au
Queensland
Name Address
Amber's energy (Headquarter)
L35/360 Elizabeth Street, VIC 3000
Diamond Energy (Headquarter) 101 Greville Street, Prahran, VIC 3181
Energy Locals (Headquarter) 11 Newton St, Richmond VIC 3121
Momentum Energy (Headquarter)
L13/628 Bourke Street Melbourne, VIC 3000
Green Energy Technologies 37 Evans Ave, North Mackay, QLD 4740
Energy Matters (Headquarter) 359-361 City Road Southbank, VIC 3006
Island Energy 55 Violet Street Gympie, QLD 4570
Captain Green Solar (Headquarter) 9 Lithic Way, Wangara, WA 6065
1800 531 907 amber.com.au
1300 838 009 diamondenergy.com.au
(03) 6161 3955 energylocals.com.au
1300 212 657 momentumenergy.com.au
(07) 4940 2900 greenenergytechnologies.com.au
133 786 1800 362 883 energymatters.com.au
1300 534 110 islandenergy.com.au
1300 361 682 captaingreen.com.au
Western Australia
Name Address
Energy Matters (Headquarter) 359-361 City Rd, Southbank, VIC 3006
Phone
Web Link
133 786 1800 362 883 energymatters.com.au
Perth Solar Warehouse 3/90 Discovery Dr, Bibra Lake, WA 6163 (08) 6171 4111 perthsolarwarehouse.com.au
Koala Solar 5 Erceg Rd, Yangebup WA 6164 (08) 9456 4763 koalasolar.com.au
Empower Solar Australia 7 Ernest Clark Road Canning Vale, WA 6155
1300 888 372 :empowersolaraustralia.com.au
Westsun Energy 1 Distinction Rd, Wangara, WA 6065 (08) 9303 9810 westsunenergy.com.au
Sunselect 8B/386 Wanneroo Rd, Westminster, WA 6061
LECA Level 24 Westpac House, 91 King William Street Adelaide, SA 5000
1300 867 353 sunselect.com.au
1300 695 322 lecaustralia.com.au
South Australia
Name Address
Diamond Energy (Headquarter) 101 Greville Street, Prahran, VIC 3181
Momentum Energy (Headquarter) l 13/628 Bourke Street, Melbourne, VIC 3000
Amber's Energy (Headquarter) Level 35/360 Elizabeth Street, VIC 3000
Energy Locals (Headquarter) 11 Newton St, Richmond VIC 3121
Energy Matters (Headquarter) 359-361 City Rd, Southbank, VIC 3006
Adam Solar Westpac House, 91 King William St, Adelaide SA 5000
Class A Energy Solutions 11/311 Glen Osmond Rd, Glenunga, SA 5064
1300 838 009 diamondenergy.com.au
1300 212 657 momentumenergy.com.au
1800 531 907 amber.com.au
03 6161 3955 energylocals.com.au
+61 133 786
1800 362 883 energymatters.com.au
(08) 7129 8071 solarsa.com.au
1800 997 979 classaenergysolutions.com.au
Solar SA 39 Gilbert Street, Adelaide SA 5000 (08) 7335 5376
Captain Green Solar (Headquarter) 9 Lithic Way, Wangara, WA 6065
LECA Level 9, 2 Phillip Law Street, New Acton, ACT 2601
1300 361 682 captaingreen.com.au
1300 695 322 lecaustralia.com.au
Australian Capital Territory
Name Address
Select Electrical and Solar Solutions 1/42 Wollongong St, Fyshwick ACT 2609
Amber's energy (Headquarter) Level 35/360 Elizabeth St, VIC 3000
Mondiaux Solar Unit 8/189 Flemington Rd, Mitchell ACT 2911
Energy Matters (Headquarter) 359-361 City Rd, Southbank, Victoria, 3006, Australia
Captain Green Solar (Headquarter) 9 Lithic Way, Wangara, WA 6065.
42 Energy Street Cnr Brooker Hwy and, Elwick Rd, Glenorchy TAS 7010
Tasmania
Name Address
Sunboost (Headquarter) 96 Suite 216, 10-12 Flushcombe Road, Blacktown NSW 2148
Energy Matters (Headquarter) 359-361 City Rd, Southbank, Victoria, 3006, Australia
(02) 6103 0505 selectelectricalonline.com.au
1800 531 907 amber.com.au
1300 911 110 mondiaux.solar
133 786
1800 362 883 energymatters.com.au
1300 361 682 captaingreen.com.au
1300 042 000 42energystreet.com.au
1800 607 951 sunboost.com.au
133 786
1800 362 883 energymatters.com.au
EnergyLocals (Headquarter) 11 Newton St, Richmond VIC 3121 (03) 6161 3955 energylocals.com.au
Aurora Energy GPO Box 191, Hobart TAS, 7001
Captain Green Solar (Headquarter) 9 Lithic Way, Wangara, WA 6065.
Sunselect Suite 1A Level 2, 465 Victoria Avenue, Chatswood, NSW 2067
SolarCity NT 1 Nebo Road, East Arm, NT 0822
1300 132 045 auroraenergy.com.au
1300 361 682 captaingreen.com.au
1300 867 353 sunselect.com.au
(08) 8947 4198 solarcitynt.com.au
Appendix Three: Sustainable Vendors- Green Energy Solar/Electricity
Northern Territory
Name Address
Sustainable Power Services PO Box 272 Coolalinga NT 0839
Phone
0418 893 072 0418 893 075 spselectrical.com.au
Oneroof Solar level 1/48-50 Smith St, Darwin City, NT 0800 (08) 8943 0653 oneroofsolar.com.au
SEM Darwin Solar Installer 64 Raphael Road, Winnellie, NT 0820
Darwin Solar 1/101 Coonawarra Rd, Winnellie, NT 0820
Your Green Planet Solar Panels Darwin Suite 1A, Level 1/103 Reichardt Rd, Winnellie NT 0820
1300 033 510 semgroupaus.com.au
1300 765 272 darwinsolar.com.au
1300 667 636 yourgreenplanet.com.au
Eco Sparks Solar and Electrical Contractors 1/1 Damaso Pl, Woolner, NT 0820 (08) 8941 2729 ecosparks.com.au
New Zealand
Name Address Phone
Ecotricity Limited Partnership Customs Street, Auckland, 1010 0800 845 000 ecotricity.co.nz
Meridian Energy PO Box 2128, Christchurch 8140 0800 496 496 meridianenergy.co.nz
SCelectrical 1st Floor, 7 Anzac Road, Browns Bay, Auckland (02) 7872 3463 scelectrical.co.nz
Ethical power Suite 2, 465 Mt Eden Road, Auckland 1021 (01) 7262 18618 ethical-power.com
Appendix Four

Sustainable VendorsWater Management
New South Wales
Name Address Phone
Diamond Energy (Headquarter) 101 Greville Street, Prahran, VIC, 3181
Energy Locals (Headquarter) 11 Newton Street , Richmond, VIC 3121
Momentum Energy (Headquarter)
l 13/628 Bourke Street, Melbourne, VIC 3000
Amber’s energy (Headquarter) Level 35
360 Elizabeth Street, VIC 3000
1300 838 009 diamondenergy.com.au
(03) 6161 3955 energylocals.com.au
momentumenergy.com.au
1300 212 657
1800 531 907 amber.com.au
Nectr Energy
100 Miller Street , North Sydney, NSW 2060
Brighte L15, 1 Margaret Street Sydney, NSW 2000
Energy Matters (Headquarter) 359-361 City Road, Southbank, VIC 3006
Captain Green Solar (Headquarter) 9 Lithic Way, Wangara, WA 6065.
Sunselect Suite 1A Level 2, 465 Victoria Avenue, Chatswood, NSW 2067
Sustainable Solar Services 36 Prime Street, Thomastown, VIC 3074
1300 111 211 nectr.com.au
1300 274 448 brighte.com.au
133 786
1800 362 883
energymatters.com.au
1300 361 682 captaingreen.com.au
1300 867 353 sunselect.com.au
(03) 9994 6385 sustainablesolarservices.com.au
Victoria
Name Address
LECA Level 12, 390 St Kilda Rd, Melbourne, VIC 3004
1300 695322 lecaustralia.com.au
Total Solar Solutions Factory 1/3 Nicole Close, Bayswater North, VIC 3153 (03) 9729 0894 otalsolarsolutions.com.au
Solar Green Australia 37 Ralston Avenue, Sunshine North, VIC 3020
Sun Current
509/101 Overton Road, Williams Landing, VIC 3027
Momentum Energy (Headquarter)
l 13/628 Bourke Street, Melbourne, VIC 3000
Diamond Energy 101 Greville Street, Prahran, VIC 3181
Energy Locals (Headquarter) 11 Newton Street, Richmond VIC 3121
Amber’s energy (Headquarter) Level 35/360 Elizabeth Street, VIC 3000
Energy Matters (Headquarter) 359-361 City Road, Southbank, VIC 3006
Island Energy 2/78 Bardia Avenue, Seaford, VIC 3198
Captain Green Solar (Headquarter) 9 Lithic Way, Wangara, WA 6065
Empower Solar Australia 44 Bellman Avenue, Clyde, VIC 3978
Sunselect 312 Leakes Road, Truganina, VIC 3029
Amber’s energy (Headquarter)
L35/360 Elizabeth Street, VIC 3000
1300 711 421 Solar Green Australia
1300 251 533 suncurrent.com.au
(03) 8612 6450 momentumenergy.com.au
1300 838 009 diamondenergy.com.au
(03) 6161 3955 energylocals.com.au
1800 531 907 amber.com.au
133 786
1800 362 883 energymatters.com.au
1300 534 110 islandenergy.com.au
1300 361 682 captaingreen.com.au
1300 888 372 empowersolaraustralia.com.au
1300 867 353 sunselect.com.au
1800 531 907 amber.com.au
Queensland
Name Address Phone
Diamond Energy (Headquarter) 101 Greville Street, Prahran, VIC, 3181
1300 838 009 diamondenergy.com.au
Energy Locals (Headquarter) 11 Newton Street , Richmond, VIC 3121 (03) 6161 3955 energylocals.com.au
Momentum Energy (Headquarter)
l 13/628 Bourke Street, Melbourne, VIC 3000
1300 212 657 momentumenergy.com.au
Green Energy Technologies 37 Evans Avenue, North Mackay, QLD 4740 (07) 4940 2900 greenenergytechnologies.com.au
Energy Matters (Headquarter) 359-361 City Road, Southbank, VIC 3006
Island Energy 55 Violet Street, Gympie, QLD 4570
Captain Green Solar (Headquarter) 9 Lithic Way, Wangara, WA 6065
Captain Green Solar (Headquarter) 9 Lithic Way, Wangara, WA 6065
Energy Matters (Headquarter) 359-361 City Rd, Southbank, VIC 3006
133 786 1800 362 883 energymatters.com.au
1300 534 110 islandenergy.com.au
1300 361 682 captaingreen.com.au
1300 361 682 captaingreen.com.au
133 786 1800 362 883 energymatters.com.au
Western Australia
Name Address Phone Web Link
Perth Solar Warehouse 3/90 Discovery Dr, Bibra Lake WA 6163 (08) 6171 4111 perthsolarwarehouse.com.au
Koala Solar 5 Erceg Rd, Yangebup, WA 6164 (08) 9456 4763 koalasolar.com.au
Empower Solar Australia 7 Ernest Clark Road Canning Vale, WA 6155 1300 888 372 empowersolaraustralia.com.au
Westsun Energy 1 Distinction Road, Wangara, WA 6065 (08) 9303 9810 westsunenergy.com.au
Sunselect 8B/386 Wanneroo Road, Westminster, WA 6061 1300 867 353 sunselect.com.au
LECA Level 24, Westpac House 91 King William Street, Adelaide, SA 5000 1300 695322 lecaustralia.com.au
Diamond Energy (Headquarter) 101 Greville Street, Prahran, VIC 3181 1300 838 009 diamondenergy.com.au Appendix Four: Sustainable
South Australia
Name Address Phone
Momentum Energy (Headquarter) l 13/628 Bourke Street, Melbourne, VIC 3000
Amber’s energy (Headquarter) Level 35/360 Elizabeth Street, VIC 3000
1300 212 657 momentumenergy.com.au
1800 531 907 amber.com.au
EnergyLocals (Headquarter) 11 Newton Street, Richmond VIC 3121 (03) 6161 3955 energylocals.com.au
Energy Matters (Headquarter) 359-361 City Road, Southbank, VIC 3006
133 786
1800 362 883 energymatters.com.au
Adam Solar Westpac House, 91 King William Street, Adelaide, SA 5000 (08) 7129 8071 adamsolar.com.au
Class A Energy Solutions Office 11/311 Glen Osmond Road, Glenunga, SA 5064
1800 997 979 classaenergysolutions.com.au
Solar SA 39 Gilbert Street, Adelaide, SA 5000 (08) 7335 5376 solarsa.com.au
Captain Green Solar (Headquarter) 9 Lithic Way, Wangara, WA 6065
LECA Level 9, 2 Phillip Law Street, New Acton, ACT 2601
1300 361 682 captaingreen.com.au
1300 695322 lecaustralia.com.au
Select Electrical and Solar Solutions 1/42 Wollongong Street, Fyshwick, ACT 2609 (02) 6103 0505 selectelectricalonline.com.au
Australian Capital Territory
Name Address Phone
Amber’s energy (Headquarter) Level 35/360 Elizabeth Street, Melbourne, VIC 3000
Mondiaux Solar Unit 8 189 Flemington Road, Mitchell, ACT 2911
Energy Matters (Headquarter) 359-361 City Road, Southbank, VIC 3006
Captain Green Solar (Headquarter) 9 Lithic Way, Wangara, WA 6065
42 Energy Street Cnr Brooker Highway and Elwick Road, Glenorchy TAS 7010
Sunboost (Headquarter) 96 Suite 216, 10-12 Flushcombe Road, Blacktown, NSW 2148
1800 531 907 amber.com.au
1300 911 110 mondiaux.solar
133 786
1800 362 883
energymatters.com.au
1300 361 682 captaingreen.com.au
1300 042 000 42energystreet.com.au
1800 607 951 sunboost.com.au
Tasmania
Name Address
Energy Matters (Headquarter) 359-361 City Road, Southbank, VIC 3006
786
362 883 e nergymatters.com.au
EnergyLocals (Headquarter) 11 Newton Street , Richmond, VIC 3121 (03) 6161 3955 energylocals.com.au
Aurora Energy GPO Box 191, Hobart, TAS 7001 1300 132 045 auroraenergy.com.au
0418 893 072 0418 893 075 spselectrical.com.au Appendix Four: Sustainable Vendors - Water Management
Captain Green Solar (Headquarter) 9 Lithic Way, Wangara, WA 6065 1300 361 682 captaingreen.com.au
Sunselect Suite 1A Level 2, 465 Victoria Avenue, Chatswood, NSW 2067 1300 867 353 sunselect.com.au
SolarCity NT 1 Nebo Road, East Arm, NT 0822 (08) 8947 4198 solarcitynt.com.au
Sustainable Power Services PO Box 272, Coolalinga, NT 0839
Northern Territory
Name Address
Oneroof Solar level 1/48-50 Smith Street, Darwin City, NT 0800 (08) 8943 0653 oneroofsolar.com.au
SEM Darwin - Solar Installer 64 Raphael Road, Winnellie, NT 0820
Darwin Solar 1/101 Coonawarra Road, Winnellie NT 0820
Your Green Planet - Solar Panels Darwin Suite 1A, Level 1/103 Reichardt Road, Winnellie NT 0820
1300 033 510 semgroupaus.com.au
1300 765 272 darwinsolar.com.au
1300 667 636 yourgreenplanet.com.au
Eco Sparks Solar And Electrical Contractors 1/1 Damaso Place, Woolner NT 0820 (08) 8941 2729 ecosparks.com.au
New Zealand
Name Address
Suez Water
New Zealand Limited Level 7, 36 Brandon Street, Wellington, 6140 NZ
(02) 8754 0049 suez.com/anz
Morphum Environmental Level 4, 18 Sale Street, Auckland Central, Auckland, 1010 (09) 377 9779 morphum.com
Veolia 600 Great South Road, Millenium Business Park, Phase 2, Building C Ellerslie, 1051 NZ (09) 295 0515 veolia.com
Appendix Five

Sustainable VendorsWaste Management
Waste Management
Name Address Phone Web Link
CleanAway Level 4, 441 St Kilda Road, Melbourne, VIC 3004 (03) 8397 5100 cleanaway.com.au
Envirowaste 14 Kiora Cres, Yennora, NSW 2161
1300 141 315 envirowaste.com.au
Ecoresources 165 Postans Road, Hope Valley, WA 6165 9437 1970 ecoresources.net.au
Remondis Level 4, 163 O’Riordan Street, Mascot, NSW 2020 (02) 9032 7100 remondis-australia.com.au
Remondis 6B, 848 Boundary Road, Richland, QLD 4077
1300 660453 remondis-australia.com.au
Silvans 42 Global Drive, Tullamarine, VIC 3043 (03) 9335 6655 silvans.com.au
Silvans 19 Carlise Street, Northfield, SA 5085
1300 286 579 silvans.com.au
Silvans 53/17 Medley Street, Chifley, ACT 2607 1300 286 579 silvans.com.au
Silvans Level 04, 66 Smith St Darwin City, NT 0800 (08) 7903 0260 1300 286 579 silvans.com.au
Waste Management 117 Rosedale Road, Pinehill, Auckland 0632 (09) 437 9586 wastemanagement.co.nz
Wasteminz 2/5 Orbit Drive, Rosedale, Auckland 0632 (09) 476 7162 wasteminz.org.nz/
Appendix Six

Sustainable VendorsMedical and Emergency Equipment
Name Address
Laedral 8 Stamford Road, Oakleigh, VIC 3166
EcoAid Unit 3/6 Money Close Rouse Hill, NSW 2155
1800 331 565 laerdal.com/au
(02) 9629 1687 ecoaid.net.au
Medequip Unit 11, 87 Railway Rd North, Mulgrave, NSW 2756 (02) 9896 1923 mediquip.com.au
Ambu Australia Unit 5, 2 Daydream Street, Warriewood, NSW 2102
Australasian Medical & Scientific 2 McCabe Place, Chatswood, NSW 2067
Cleanlife 30-32 Park Avenue, Woodville North, SA 5012
USL Medical 494 Rosebank Road, Avondale, Auckland 1026
(02) 9882 3666 amsl.com.au
0800 658 814 0800 804 546 uslmedical.co.nz Appendix Six: Sustainable Vendors - Medical and Emergency Equipment
(02) 9998 1000 ambuaustralia.com.au
1800 960 948 cleanlife.com.au

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