["Carbon Net Zer0 2030" strategy of Canary Islands Health Service]. / Estrategia «Salud Zero Emisiones Netas 2030¼ del Servicio Canario de la Salud.

The Canary Islands Health Service is aware of the health risks arising from climate change. So health systems must be, with their action, part of the solution, not part of the problem. Currently, 4.4% of global carbon dioxide emissions come from activities related to the health field. To respond to this situation, the Canary Islands Health Service has launched the "Carbon Net Zer0 2030" strategy intending to achieve neutrality in net carbon emissions in the year 2030, applying measures direct and indirect, especially on the supply chain of the public health system. This is a ground-breaking project in Spain and is under continuous review, adding new specific actions to the strategy as the carbon footprint of the different procedures involved in the provision of health services is quantified.

Estrategia «Salud Zer0 Emisiones Netas 2030» del Servicio Canario de la Salud / “Carbon Net Zer0 2030” strategy of Canary Islands Health Service

El Servicio Canario de la Salud es consciente de los riesgos para la salud derivados del cambio climático y de que los sistemas de salud deben ser, con su acción, parte de la solución y no parte del problema. Actualmente, el 4,4% de las emisiones mundiales de dióxido de carbono provienen de actividades relacionadas con el ámbito sanitario. Para dar respuesta a esta situación, el Servicio Canario de la Salud ha puesto en marcha la estrategia «Salud Zer0 Emisiones Netas 2030», con la que se pretende alcanzar la neutralidad en emisiones netas de carbono en el año 2030 aplicando medidas tanto directas como indirectas, en especial sobre la cadena de suministro del sistema público de salud de Canarias. Este proyecto es pionero en España y está sujeto a revisión continua, sumándose nuevas acciones concretas a la estrategia conforme se vaya cuantificando la huella de carbono de los diferentes procedimientos implicados en la prestación de servicios sanitarios. (AU)

The Canary Islands Health Service is aware of the health risks arising from climate change. So health systems must be, with their action, part of the solution, not part of the problem. Currently, 4.4% of global carbon dioxide emissions come from activities related to the health field. To respond to this situation, the Canary Islands Health Service has launched the “Carbon Net Zer0 2030” strategy intending to achieve neutrality in net carbon emissions in the year 2030, applying measures direct and indirect, especially on the supply chain of the public health system. This is a ground-breaking project in Spain and is under continuous review, adding new specific actions to the strategy as the carbon footprint of the different procedures involved in the provision of health services is quantified. (AU)

Evaluation of Cost-Benefit and Measures During the COVID-19 Pandemic for Incoming Travelers Through Tests in Origin in Spain.

Background: The World Health Organization has promoted preventive measures for reducing the impact of the pandemic. One of these measures was tests in origin for travelers. Testing strategies for COVID-19 facilitate the overall public health response to the pandemic and contributes to minimize the infection among the population COVID-19. Goal: In this work, we assess the efficiency of diagnostic testing of incoming travelers in the Canary Islands, Spain, during a period of 4 months, with a focus on the economic impact for the regional government. We study the cost-benefit of this measure as well as the potential influence on the number of positive cases in the population. Methods: We processed the real data in the Canary Islands of pre-flight PCR and antigen tests that were required to the residents when traveling back to the Canaries from anywhere in Spain in a period of 4 months, from 14 December, 2020 to 4 April, 2021. As a result, we calculated the economic impact of doing those tests and compare them with the estimated costs of passengers under the hypothesis of entering the islands without testing. The cost-benefit was obtained for different scenarios, where the incoming passengers generated hospitalization and intensive care unit (ICU) costs directly and via transmissions. Results: The incoming testing funded by the government, if applied during the bad evolution of the pandemic with 1.2 ratio of transmission, clearly saved money to the public health system. In addition to the economic impact of this measure, we estimated the potential influence on the number of positive cases in the population according to different scenarios of the propagation of the pandemic. At the beginning of February 2021, the savings were about €130.551,47, with a 95% confidence interval (CI) of €24.677,94-236.425,00. By the end of April 2021, the savings were above €2,000,000 (€2.284.788,50 on average and 95% CI of €2.092.914,84-2.476.662,16) and the savings increased as the pandemic evolved. At the end of the period, the savings were twice the expenses. Conclusions: Testing in origin has proved to be a good measure that helped to mitigate COVID-19 spread among regions. Our results confirm that the free PCR or rapid antigen tests produce relevant savings to the public budget. We studied 61.990 reported data during 2020 and 2021 from the travelers from national flights, against 346.449 of total incoming travelers to the Canary Islands in this period. The measure pursued by the Government of the Canary Islands of providing free tests for residents showed a clear benefit for both, limiting the propagation of COVID-19 and reducing the costs of the hospitalizations and ICU admissions. It should be noted that the free testing measure in this period was before starting the vaccination campaigns. As measure of public health in the airports, testing helped to control and make the mobility of travelers secure.

SmartPort: A Platform for Sensor Data Monitoring in a Seaport Based on FIWARE.

Seaport monitoring and management is a significant research area, in which infrastructure automatically collects big data sets that lead the organization in its multiple activities. Thus, this problem is heavily related to the fields of data acquisition, transfer, storage, big data analysis and information visualization. Las Palmas de Gran Canaria port is a good example of how a seaport generates big data volumes through a network of sensors. They are placed on meteorological stations and maritime buoys, registering environmental parameters. Likewise, the Automatic Identification System (AIS) registers several dynamic parameters about the tracked vessels. However, such an amount of data is useless without a system that enables a meaningful visualization and helps make decisions. In this work, we present SmartPort, a platform that offers a distributed architecture for the collection of the port sensors' data and a rich Internet application that allows the user to explore the geolocated data. The presented SmartPort tool is a representative, promising and inspiring approach to manage and develop a smart system. It covers a demanding need for big data analysis and visualization utilities for managing complex infrastructures, such as a seaport.