During the eighties, citizens from around the country became more educated and active regarding hazardous and solid waste issues. While the more prominent trouble spots such as Times Beach made the evening news, residents began looking into environmental problems closer to home. With alarming regularity, citizens in the South and Appalachia found themselves having to deal with wasterelated issu...

If the guiding ethos of health systems throughout the world were ‘live for the day,’ two pillars of quality would suffice. Effective use of finite resources, measured by evidence-based outcomes relating to patient health, safety and experience is, without question, the predominant pillar. Next to effectiveness is its close ally, efficiency. Efficient use of resources minimises waste, thus maxim...