Reservering van Zeeuwse glorie voor vogels?

Het zwarte goud, de Zeeuwse roem. Wie kent ze niet? De smakelijke tweekleppige weekdieren die in het najaar weer volop te verkrijgen zijn in restaurants. Mosselen zijn dan ook niet zomaar voedsel, maar ze zijn een onderdeel van de Zeeuwse cultuur. Yerseke is de plaats waar de meeste mosselen van Europa worden verhandeld. Het dorpje bruist door de rijke mossel- en oestercultuur. De Zeeuwse afkomst van mosselen is onlangs zelfs een onderwerp van een rechtzaak geweest. Zeeuwse producten van mosselen vinden dat een mossel pas `Zeeuws¿ genoemd mag worden als de mossel in kwestie ook daadwerkelijk in Zeeuws water heeft geleefd. Productenen van importmosselen mogen dus niet zomaar met de Zeeuwse identiteit aan de haal gaan. Helaas zijn er ook andere, ecologische problemen rond de productie van dit weekdier aan de orde. Over die problemen gaat dit artike

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries