TABLE OF CONTENTS
IntroductionExecutive Summary
PART ONE:
THE PROBLEMMercury in the EnvironmentMercury in Health CareA Hazardous Industry: the Production of Mercury-based Medical Devices
PART TWO:
OVERCOMING THE OBSTACLESAccuracyAffordabilityDisposal
PART THREE:
MEETING THE MERCURY-FREE CHALLENGEMercury-Free Health Care in the United States and EuropeShifting Demand in the Global SouthSIX STORIES OF HOSPITALS MAKING A DIFFERENCEArgentina; Brazil; China; India; México; PhilippinesTHREE SETS OF POLICY SOLUTIONSLarge Cities - Buenos Aires; DelhiProvincial/State - Kwa Zulu Natal; ChacoNational-Philippines, CubaSHIFTING SUPPLY: Toward Production of Mercury-Free Health Care Devices
CONCLUSION:
Envisioning Mercury-Free Health Care
TEXT BOXES:
WHO Policy Paper on Mercury in Health CareDental Amalgam and Mercury WasteExport of Obsolete Devices to Developing CountriesMercury in VaccinesToward a Global Treaty on Mercury
THE GLOBAL MOVEMENT FORMERCURY-FREE HEALTH CARE
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Written by Joshua Karliner and Jamie Harvie, with contributions from members of the HCWH Global Mercury Team: Ravi Agarwal,Fernando Bejarano, Mabeth Burgos Hernandez, Gary Cohen, Maria Della Rodolfa MD, Jorge Emmanuel, Rico Euripidou, Faye Ferrer,Merci Ferrer, Anna Gilmore Hall, Rocio Gonzalez Mesa, Nomcebo Mvelase, Veronica Odriozola, Prashant Pastore, Peter Orris MD, MPH, Karoli-na Ruzickova, Fatou Souare, Ruth Stringer, Lisette Van Vliet, and Jack Weinberg.Special thanks to Kyle Saari, Stacy Peters and Nancy Sudak for their editorial assistance.Designed by El Fantasma de Heredia, ArgentinaPrinted by ArrowPrint, South AfricaThis document and much of the good work it reports on was made possible with generous support from, among others, the Skoll Foundation,theOak Foundation, the Marisla Foundation, the V. Kann Rasmussen Foundation, and the United Nations Environment Programme.A Health Care Without Harm PublicationHealth Care Without Harm is a global coalition of more than 440 organizations in 52 countries working to assure that that the health care sectoris no longer a source of harm to human health or the environment.www.noharm.orgOctober 15, 2007