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 However, studies have shown that large volumes of the gas leak into the atmosphere due to outdated infrastructure, where it can remain for up to 120 years and contribute significantly to global warming.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
Novo Nordisk Teams Up With OpenAI to Accelerate Drug Discovery Using AI
Danish pharmaceutical giant Novo Nordisk has announced a new partnership with OpenAI aimed at integrating artificial intelligence across its drug development and business operations.
The collaboration, revealed on Tuesday, is expected to help the company identify new treatments more quickly and improve how medicines are developed, produced and delivered to patients. Novo Nordisk said the use of advanced AI tools will allow it to analyse vast and complex datasets, uncover patterns that were previously difficult to detect, and shorten the timeline from research to patient access.
Chief executive Mike Doustdar said the agreement marks an important step in positioning the company for the future of healthcare. He noted that millions of people living with chronic conditions such as obesity and diabetes still require better treatment options, adding that new therapies remain to be discovered.
Novo Nordisk is widely known for its leading treatments in these areas, including Ozempic and Wegovy, which have seen strong global demand in recent years. The company said integrating AI into daily workflows will allow its teams to test ideas more rapidly and bring innovations to market at a faster pace.
The partnership will not be limited to research and development. Both companies plan to apply AI tools to manufacturing processes, supply chains and commercial operations, with pilot programmes already set to begin. Full integration is expected by the end of the year.
Sam Altman said artificial intelligence is transforming industries and has the potential to significantly improve outcomes in life sciences. He added that the collaboration would support faster scientific discovery and more efficient global operations, helping to shape the future of patient care.
The move comes as pharmaceutical companies increasingly turn to AI to gain an edge in drug discovery. Novo Nordisk has already invested in innovation through initiatives such as the Danish Centre for AI Innovation, developed in partnership with Nvidia and Denmark’s export and investment fund.
Competition in the sector is intensifying. US-based Eli Lilly, a key rival in the weight-loss drug market, recently announced its own AI-focused collaboration with Insilico Medicine to develop new treatments. The agreement, valued at up to $2.75 billion, highlights the growing role of AI in reshaping pharmaceutical research.
Industry analysts say such partnerships reflect a broader shift toward data-driven innovation in healthcare, where the ability to process and interpret large volumes of information is becoming increasingly important.
For Novo Nordisk, the partnership with OpenAI signals a commitment to staying at the forefront of this transformation, as companies race to harness technology in the search for new and more effective treatments.
Health
Study Finds AI Models Fall Short in Early Medical Diagnosis
A new study has found that artificial intelligence language models still struggle with one of the most critical aspects of medical care, raising concerns about their use without human oversight.
Researchers from Mass General Brigham reported that AI systems failed to produce an appropriate early diagnosis more than 80 per cent of the time. The findings, published in JAMA Network Open, highlight ongoing limitations in how these systems reason through complex clinical scenarios.
The study examined 21 large language models, including systems developed by OpenAI, Google and xAI. Among those tested were versions of GPT, Gemini, Claude, Grok and DeepSeek.
Researchers used a structured evaluation tool known as PrIME-LLM to assess how well the models handled different stages of clinical reasoning. These stages included forming an initial diagnosis, ordering tests, reaching a final diagnosis and planning treatment. The models were tested using 29 standardised clinical scenarios, with information introduced gradually to mirror real-life patient cases.
While the systems showed relatively strong performance when identifying a final diagnosis, their ability to generate a differential diagnosis — a key step in distinguishing between conditions with similar symptoms — remained limited. This early-stage reasoning is widely regarded as essential in medical decision-making.
Marc Succi, a co-author of the study, said current models are not ready for independent clinical use. He noted that differential diagnosis represents a core part of medical practice that AI has yet to replicate effectively.
Another researcher, Arya Rao, said the findings show that AI performs best when given complete information but struggles when cases are still developing. She explained that the models are less reliable in situations where doctors must make judgments based on limited or uncertain data.
Despite these shortcomings, the study identified a group of higher-performing systems, including advanced versions of GPT, Gemini, Claude and Grok. These models achieved final diagnosis success rates ranging from around 60 per cent to over 90 per cent when provided with detailed clinical data such as lab results and imaging.
Experts not involved in the research also stressed the importance of caution. Susana Manso García said the findings reinforce that AI should not replace professional medical judgement. She advised that patients continue to seek guidance from qualified healthcare providers when dealing with health concerns.
The study concludes that while AI has made progress, it still requires close human supervision in clinical settings. Researchers say the technology shows promise as a support tool, but its current limitations mean it cannot yet be trusted to make independent medical decisions.
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