Health
Irish Hospital Leads Charge to Cut Nitrous Oxide Waste Amid Climate Concerns
St John’s Hospital in Limerick has become one of the first medical facilities in Ireland to take decisive action against the environmental impact of nitrous oxide emissions by deactivating its central pipeline system for the gas, long used as an anaesthetic. The move is part of a growing effort in the healthcare sector to reduce its carbon footprint and curb avoidable waste.
Nitrous oxide, commonly known as laughing gas, has been used in hospitals for decades to relieve pain and anxiety during procedures. However, studies have shown that large volumes of the gas leak into the atmosphere due to outdated infrastructure, where it can remain for up to 120 years and contribute significantly to global warming.
Dr Hugh O’Callaghan, a consultant anaesthetist at St John’s, explained that while nitrous oxide remains safe and effective for clinical use, its delivery through centralised piping systems leads to “inevitable waste.” Instead, the hospital will now use portable canisters brought directly into operating rooms, a method that reduces gas leakage and emissions.
This initiative aligns with Ireland’s national plan to cut carbon emissions from anaesthetic gases by 50% by 2030. Other hospitals across the country are expected to follow St John’s lead in the coming months, according to the Health Service Executive (HSE).
Similar steps have already been taken in parts of the United Kingdom and the Netherlands. In England, hospitals that replaced central gas systems with mobile units saw a 55% drop in monthly nitrous oxide emissions, according to the NHS. In Manchester, the switch reportedly lowered the local health trust’s overall carbon footprint by up to 5%.
“It’s not about limiting clinical care—it’s about smarter, more sustainable delivery,” said Dr Cliff Shelton, a UK anaesthetist and co-chair of the environmental committee at the Association of Anaesthetists. The group has recommended decommissioning hospital nitrous oxide pipelines across the UK and Ireland by 2027.
Healthcare professionals increasingly acknowledge their sector’s role in climate change. Globally, the health sector accounts for about 4.4% of total emissions, with the European Union responsible for 248 million metric tons of carbon dioxide annually—trailing only the United States and China.
Although nitrous oxide and other anaesthetic gases contribute significantly to this footprint, experts stress that the bulk of emissions stem from the healthcare supply chain, including pharmaceuticals and medical equipment.
Still, efforts like those at St John’s Hospital are seen as important first steps. “When we looked into this, we found we were buying 100 times more nitrous oxide than we were actually using,” said Dr Shelton. “It’s a moral imperative to address that kind of waste.”
Health
Global Mental Health Cases Near 1.2 Billion as Anxiety and Depression Drive Sharp Worldwide Rise
A major global analysis has found that mental health conditions have surged to an estimated 1.2 billion people worldwide, driven largely by steep increases in anxiety and depression over the past three decades.
The findings, published in The Lancet as part of the Global Burden of Disease Study 2023, show that the number of people living with mental disorders has almost doubled since 1990, marking a 95% rise. Researchers say major depressive disorder and anxiety disorders have seen even sharper growth, increasing by 131% and 158% respectively, making them the most prevalent mental health conditions globally.
The report describes mental illnesses as widespread conditions that create long-term disability and significant human suffering. It also highlights broader consequences for economies and public services, including reduced productivity, lower workforce participation and increasing pressure on health and welfare systems.
Researchers estimate that in 2023 alone, around 620 million females and 552 million males were affected by mental health conditions. While the overall burden is rising across both sexes, the study points to notable differences in the types and prevalence of disorders.
Among women, depression and anxiety were the most commonly reported conditions, alongside higher rates of eating disorders such as anorexia nervosa and bulimia nervosa. The report links this disparity to a mix of biological, social and structural factors, including exposure to domestic violence, sexual abuse, gender inequality and reproductive health-related changes.
In contrast, neurodevelopmental and behavioural disorders, including attention deficit hyperactivity disorder (ADHD), conduct disorder and autism spectrum conditions, were more frequently diagnosed in men.
Teenagers aged 15 to 19 were identified as the group experiencing the highest mental health burden globally, raising concerns about early onset of conditions and insufficient preventive care for young people.
The study identifies several key risk factors associated with mental illness, including childhood sexual violence, bullying and intimate partner violence. These factors are strongly linked to conditions such as depression, schizophrenia, bipolar disorder and anxiety disorders. However, researchers note that such exposures have remained relatively stable over time and account for only a portion of the overall rise.
According to the authors, broader drivers are likely contributing to the increasing prevalence of mental disorders. These include genetic and biological influences, poverty, inequality, and the growing impact of global crises such as armed conflict, pandemics, natural disasters and climate-related stress.
While mental health conditions have long been a leading cause of disability worldwide, the report warns that the situation is worsening. At the same time, health systems have not expanded services at a pace matching demand.
The authors caution that the gap between rising need and limited access to care is becoming more pronounced, leaving millions without adequate treatment or support.
Health
Europe Records Sharp Rise in Sexually Transmitted Infections, ECDC Warns
Health
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