In Taiwan, one estimate suggested 8 million straws are used every single day and 8.3 billion plastic straws polluted the beaches globally. To decrease in straw consumption and reduce the plastic waste, Taiwan's ban on the use of single-use plastic straws goes into effect on July 2019 and the restriction apply to government departments, schools, shopping malls, and fast food chains except for healthcare institutions.

As an environmental friendly hospital, to have high quality of health care and do no harm is our aim. Under the climate emergency, we urge to promote health literacy in climate change among all staffs, patients and communities. The No Straw Campaign in hospital is a mission to against single-use plastic since March, 2019 ahead government ban. Firstly, under hospital leadership’s support, we set the policy and timeline for ban on plastic straw use, and persuaded all the outsourcers include café, convenience stores, shops not to provide plastic straw and provided the alternative solutions. Secondly, through the poster, video, scavenger hunt, social media (press release, YouTube, Facebook, Daai TV) and announcement which was designed with health literacy principles to help the patients and visitors are easy to access, understand appraise, and apply the information and corresponsive strategy of health impact and climate change. Lastly, we encourage the subjects could think and practice green behaviors in their daily life even to have influences on their families.

During the two years, we found that the No Straw Campaign in hospital could decrease 2/3 plastic single-use straw and didn’t give rise to complaints from the outsourcers and patients. On the contrary, most of them gave positive feedback and agreed with our environmental friendly ideas. Furthermore, the public could gain the health literacy in climate change and practiced environmental protection behaviors in their daily life.

The climate change is a leading public health issue currently and healthcare service system should not only do no harm to the earth but also have to heal the health of the planet. Next step is to phase out all disposable plastics and achieve net zero emissions by 2050.