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The Challenge of Tokyo's Kahoku General Hospital - December 1997 In December 1997, Kahoku General Hospital in Suginami Ward, Tokyo, became the first medical institution to obtain ISO 14001 environmental certification. Confronting the reality of producing 150 tons of waste annually, 25% of which was infectious, the hospital ensured transparency through waste separation and the introduction of a tracking system. Furthermore, high-efficiency boilers and LED lighting reduced carbon dioxide emissions by 20% and kept annual electricity consumption at 650,000 kilowatt-hours. All staff participated in environmental conservation seminars, reducing paper usage by 15%. This commitment to walking alongside the community became a step toward pioneering the future of both the environment and healthcare.