Stewardship approaches to reducing healthcare contaminants

    Research output: Chapter in Book/Report/Conference proceedingChapter (peer-reviewed)peer-review


    This chapter explores the role of stewardship in the reduction of environmental and human health risks from healthcare-specific contaminants in the environment, focusing in particular on pharmaceuticals. In the absence of a full understanding of environmental effects, stewardship approaches have much to offer and can be applied along the entire life cycle of a drug, from design to its release into the environment. Whilst ‘green pharmacy’ appears a worthwhile pursuit in the long term and advanced wastewater treatment technologies are increasingly being considered, it is in particular in the healthcare domain that stewardship – both as stewardship towards one’s own health and through discerning use of pharmaceuticals – has the potential to deliver positive environmental, health and financial outcomes. Whilst environmental stewardship of pharmaceuticals can be driven by policy, education, and facilitation, a re-examination of our attitude to health and our relationship with pharmaceuticals is required to curb the trend of ever-increasing use of medicines.

    Original languageEnglish
    Title of host publicationHealth Care and Environmental Contamination: A Volume in Environmental Contaminants
    EditorsAlistair B.A. Boxall, Rai S. Kookana
    Place of PublicationOxford
    Number of pages25
    ISBN (Electronic)9780444638571
    Publication statusPublished - Oct 2018

    Publication series

    NameEnvironmental Contaminants
    ISSN (Electronic)2405-5654


    • pharmaceutical micropollutants
    • stewardship
    • health care management

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