3.5.2Active indicatorHealth community efforts towards decarbonisation

Indicator 3.5.2 · Mitigation

Health community efforts towards decarbonisation

Health systems exist to protect and improve health, yet their greenhouse gas emissions contribute to climate change and its associated health harms. Decarbonising healthcare requires action from three key actors: national governments and health systems, the scientific community, and the healthcare industry. Their efforts to measure emissions and set policy direction, strengthen the evidence base for informed decision-making, and deliver credible corporate climate commitments will determine the pace and scale of emissions reduction across the healthcare sector. This indicator tracks progress across these three areas.

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Headline finding

Compared with almost no activity in 2016, by May 2026, 7% of national governments had published high-quality health-system footprint assessments, decision-ready carbon footprint data were available for 31% of health-related products, and 23% of the world’s largest suppliers of these products had credible emissions reporting and commitments.

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Figure 1

Progress in healthcare emissions measurement and commitments

Proportion of assessments classified as “Established”, “Progressing”, or “Limited” across the three healthcare decarbonisation sub-indicators for national governments, the scientific community, and the healthcare industry, comparing 2016 and 2025. “Established” indicates that all quality criteria are met, “Progressing” that some criteria are met or relevant work has been announced but not yet published, and “Limited” that there is limited or no evidence of quality measurement or action.

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Figure 2

National health system footprinting by HDI group

Number of countries by Human Development Index (HDI) group and national health system carbon footprint assessment status (Established, Progressing, or Limited), in 2025.

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About this indicator

Description

This indicator contains three sub-components which complement indicator 3.5.1 by assessing the extent to which three key actors in the health community are working to measure, disclose, and manage health sector emissions. These sub-components act as proxy measures for "effort" from the key enablers of health system decarbonisation: from governments, this focuses on the presence of a credible national baseline assessment; from the scientific community, it examines the proportion of pharmaceuticals and medical devices for which decision-ready carbon data is available; and from industry, the indicator assesses the presence of credible corporate commitments and transparent reporting. Across all sub-components, effort is classified as: "Established" when all quality criteria are met, "Progressing" when only some criteria are met or relevant work has been announced but not yet published, and "Limited" when there is limited or no evidence of quality measurement or effort.

Caveats

This indicator measures progress in the healthcare community’s ability to quantify emissions, rather than emissions reductions themselves. Quality measurement and reporting are needed for effective decarbonisation, but their existence does not guarantee that mitigation actions will be implemented or that emissions will fall over time. As such, this indicator reflects effort to develop the measurement capability required for decarbonisation, rather than the outcomes of those efforts. The indicator relies on publicly available information, meaning that undisclosed decarbonisation activity cannot be tracked. Transparency is a critical component of action: public disclosure and commitments enable accountability, benchmarking, and knowledge sharing. Even if published, there is no objective way to measure the substance of public commitments. It is possible for governments and corporations to produce long and detailed sustainability documents without corresponding action to reduce emissions. To counteract this, the criteria used in this indicator are deliberately focused on transparency, data quality, and the presence of time-bound targets. Over time, any absence of meaningful action will become visible in the publications this indicator monitors.

Data sources

  1. Watts N, Andrew T, Bagenal J, Eckelman MJ, Fry J, Henson A, Horton R, Isaranuwatchai W, Jankin S, Kc S, Lee JTE, McAlister S, McGain F, Nansai K, O'Shea C, Tang L, Tan MHB, Rizan C. The Lancet MedZero: carbon analytics for health care, by health care, at scale. The Lancet. 2026 Jan 17;407(10525):205-207. doi: 10.1016/S0140-6736(25)02280-9
  2. United Nations Standard Products and Services Code (UNSPSC) commodity codes for medical products and pharmaceuticals
  3. National health ministry climate and sustainability reports from: WHO Alliance for Transformative Action on Climate and Health (ATACH), PubMed, and Scopus databases
  4. Corporate sustainability reports, financial accounts, and climate disclosure documents published by healthcare companies in the 2025 Forbes Global 2000 list.