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Health care and climate change: The road ahead

On November 13 the Lancet Countdown on health and climate change released its 2019 report, which analyzes how a changing climate will affect the life of every child born today if actions are not taken to limit global average temperature.


Climate change affects the food every child today and in the future will eat, the communities they will live in, and the air they will breathe. If global temperatures continue to rise, communities are looking at a future with an increase in the incidence of climate-sensitive infectious diseases, a reduction in food availability, and an increase in heart and lung damage as a consequence of increasing air pollution.

This year’s Lancet Countdown report also recognizes that health care, in addition to needing to step up and address the health impacts of climate change, also makes a significant contribution to the problem. The report finds that 4.6% of global emissions are attributable to healthcare, a finding that corroborates the findings of Health Care Without Harm and Arup’s in depth study on Health Care’s Climate Footprint released in September which found that health care emissions stood at 4.4%. For context, if the health sector was a country it would be the fifth largest emitter of the world. 

“With multiple studies pointing to the same problem, it is increasingly clear that the health care sector needs to take urgent action to stop its own climate pollution” says Josh Karliner, International Director for Program and Strategy at Health Care Without Harm. “Health care needs to do its part to decarbonize the global economy, while providing access to quality care and advocating for healthy people on a healthy planet.” 

Many health care institutions are beginning to step up and take action. The Lancet Countdown report highlights the impact of Health Care Without Harm’s Health Care Climate Challenge

By September of 2019, 200 institutions representing the interests of 18,000 hospitals and health centers have achieved so far a reduction of 6.8 million metric tons of CO2e emissions, and collectively reported commitments to reduce them by more than 34 million metric tons– nearly 2 percent of global health care emissions.

This translates in U.S. $3.2 billion saved in health costs related to air pollution, and U.S. $394 million saved through energy efficiency and renewable energy generation.



Air pollution and health

Children are the most vulnerable to the effects of air pollution, which is driven by fossil fuels and made worse by climate change. According to the Lancet Countdown report, more than 90% of children worldwide are exposed to fine particulate matter levels that are above WHO guidelines, which can severely affect their lungs and their health throughout life.

“The combustion of fossil fuels is the main contributor to air pollution in most of the world. It’s also the main driver of climate change,” says Jennifer Wang, Director of Health Care Without Harm’s Healthy Energy Initiative. “We need to transition to clean, renewable energy in order to save lives from both air pollution and climate change.”

November 13, 2019


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Over 100 representatives of hospitals, health care systems, and government agencies convened on November 7 and 8 in Durban, South Africa, for the first GGHH & SHiPP Africa Conference.


Hosted by groundWork and Health Care Without Harm, the conference brought together members of the Global Green and Healthy Hospitals (GGHH) network, health care leaders, and experts from across the continent to discuss, innovate, and collaborate on strategies to foster climate-smart and sustainable health care practices.

The conference showcased innovative solutions and effective practices implemented in African health care institutions and organizations working on projects related to green building design, renewable energy, and sustainable procurement.

Several low-tech, low-cost and easily to adopt practices were presented during the meeting. “We heard of great results obtained from actions such as empowering cleaners to turn off lights, and savings of 78% of water from turning off the tap in the middle of handwashing, to high-tech solutions with renewable energy and heat pumps to capture and reuse water from autoclaves,” says Susan Wilburn, HCWH’s International Sustainability Director and who leads the organization’s work in the Sustainable Health in Procurement Project (SHiPP).


Lusanda Majola, member of groundWork, and Susan Wilburn

 Lusanda Majola, from groundWork, and Susan Wilburn 


Collaborative network

The GGHH global Network has 1,256 members in 61 countries that represent the interests of over 36,000 hospitals and health centres. In Africa, the network has grown steadily to 95 members, representing over 1,700 hospitals and health centres in the continent.

“GroundWork, in collaboration with HCWH and its GGHH network, responds to climate change as a major health care challenge by identifying and supporting health sector members around the continent in the replication of models that foster low carbon, sustainable healthcare solutions,” says Luqman Yesufu, Coordinator of the GGHH Network in Africa, and Environmental Health Campaigner at groundWork.


During the conference, 24 awards were granted to hospitals involved in the Green Health Challenges: Climate and Health, Energy and Health Care Waste Management. 

 “These solutions aim at enhancing health care delivery and the quality of care to patients and at the same time be financially viable and increasingly resilient to extreme weather events,” Yesufu adds.

For Nick Thorp, Network Director of GGHH, the conference was a great opportunity to learn from another, build relationships, and develop collaborations to support the collective movement in Africa towards sustainable health care.

“It was fantastic to see members from around the region come together at the first GGHH Africa conference. It was a great moment to celebrate the growth of our network, the accomplishments of members” and their dedication to protect and improve public and environmental health,” he highlights.

November 11, 2019


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