3.5.1Active indicatorHealthcare Sector Emissions and Damages

Indicator 3.5.1 · Mitigation

Healthcare Sector Emissions and Damages

The healthcare sector is essential for protecting health and responding to the growing health impacts of climate change. Yet delivering healthcare, from powering facilities and operating transport to producing medicines, equipment, and other goods across healthcare supply chains, also generates substantial greenhouse gas emissions, contributing to climate change and its associated health harms. Given the scale and reach of health systems and their supply chains, their emissions represent an important part of the global climate and health challenge. This indicator tracks greenhouse gas emissions from the healthcare sector.

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Headline finding

Since 2016, global healthcare greenhouse gas emissions have increased by 26% in total and 17% per capita, although absolute emissions fell in 41 countries.

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Figure 1

Healthcare Sector Greenhouse Gas Emissions

Total greenhouse gas emissions from the healthcare-sector (Mt CO₂e), healthcare-sector greenhouse gas emissions per person (kg CO₂e per capita), and total health burden from healthcare sector-derived PM₂.₅ and O₃ air pollution (DALYs), shown by country.

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Figure 2

Healthcare Sector Greenhouse Gas Emissions

Per capita greenhouse gas emissions from national healthcare systems (kg CO₂e per person), compared with the health burden from healthcare-sector PM₂.₅ and O₃ air pollution (DALYs) and healthy life expectancy at birth (years), from 2016 to 2023.

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About this indicator

Description

This indicator quantifies healthcare sector emissions of GHGs, ozone and PM2.5 using a top-down spend-based method employing the environmentally-extended multi-region input-output (EE-MRIO) model EXIOBASE and health expenditure data, alongside epidemiological models of air pollution-related health damages. For the first time, it also estimates emissions by GHG Protocol Scope 1 (direct on-site emissions); Scope 2 (purchased energy); and Scope 3 (value chain). It matches per-capita greenhouse gas emissions data with the United Nations Development Programme Human Development Index to report healthcare-associated greenhouse gas emissions per capita per year, including direct emissions from healthcare facilities as well as emissions from the consumption of goods and services supplied by other sectors.

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Caveats

As only total health expenditure data are available from WHO, all expenditures are assigned to Final Demand, with no separation for investment. MRIO models are built from aggregated top-down statistical data. Results do not reflect individual health care systems’ power purchase agreements for renewable energy or any offsetting activities. Results do not include direct emissions of waste anaesthetic gases from clinical operations nor emissions from metered dose inhalers, as these are not currently reported consistently in national emissions inventories.

Data sources

  1. Environmentally extended multi-region input-output tables: EXIOBASE v3.9.6 model for years 2016-2023.
  2. Consumer Price Indices from the World Bank
  3. Life Expectancy at Birth from the World Health Organization Global Health Observatory; the latest reporting year is 2021.
  4. Per capita health expenditure data is from the World Health Organization’s Global Health Expenditure Database; the latest reporting year is 2021.
  5. UN Sustainable Development Goal Indicator 3.8.1 Coverage of Essential Health Services from the World Health Organization’s Global Health Observatory; the latest reporting year is 2021.