To accelerate the transition to net zero health systems, global healthcare leaders from the Sustainable Markets Initiative Health Systems Task Force are in advanced discussions with energy providers in China and India to scale renewable power across their supply chains. This is the first time that companies from across the global healthcare sector - including AstraZeneca, GSK, Novo Nordisk, Roche - have come together to pioneer such initiatives in these countries. China and India are key markets for pharmaceuticals manufacturing, estimated to account for up to 50% of materials for medicines.

In China, the power agreements would unlock renewable energy in Jiangsu, Guangdong, Shanghai and Beijing. The agreements are set to bring around 70 megawatts (MW) of renewable power annually to the grid from 2024 onwards. This would result in annual emissions savings of approximately 120,000 tonnes of carbon dioxide equivalents (CO2e), comparable to taking 25,000[ii] cars off the road. In India, the initiative aims to support suppliers in Gujarat, Karnataka, Madhya Pradesh, Maharashtra and Tamil Nadu. These collective efforts to progress renewable energy access demonstrate the power of collaboration at scale in these markets, and the convening power of the Sustainable Markets Initiative.

Pascal Soriot, CEO, AstraZeneca, and Chair of the Sustainable Markets Initiative Health Systems Task Force said: “The world has finally woken up to the reality that the climate crisis is also a health crisis. With this realisation must follow bold, scalable action if we are to secure a liveable and sustainable future. Today’s announcement sends a positive demand signal for green power, providing a blueprint for others to follow, and underlines the SMI’s commitment to leading the decarbonisation of the healthcare sector.”

“Globally, the health sector is responsible for approximately 5% of emissions, making it a significant contributor to climate change,” said Dr Tedros Adhanom Ghebreyesus, Director-General, World Health Organization. “This progress to accelerate the transition to renewable energy in pharmaceutical manufacturing in China and India is welcome news, and complements WHO’s work through the Alliance for Transformative Action on Climate and Health (ATACH), which brings together governments, the private sector and other partners to build climate-resilient and climate-friendly health systems in countries.”

The Health Systems Task Force is a public-private partnership launched at COP26. Today’s commitments ahead of COP28, which marks the first global climate conference to have an official focus on health, build on bold action already taken by the group to decarbonise healthcare. (

The climate crisis is contributing to a rise in non-communicable and infectious diseases due to climate change, with seven million people dying prematurely each year from air pollution alone.[iii] At the same time, the healthcare sector is responsible for approximately 5% of total greenhouse gas emissions (GHG)[iv]. This is equivalent to up to twice the emissions of global aviation. Over half of the sector’s emissions are created in manufacturing supply chains, and energy consumed in these supply chains accounts for around 25% of total healthcare emissions.[iv]

Earlier this year, Task Force members launched joint, minimum environmental targets for suppliers, calling on organisations to set science-based targets, and go beyond carbon emissions reductions to tackle water and waste. These targets have the potential to help address 3.5 million tonnes of CO2e per year across more than 100 of the members’ largest pharmaceutical suppliers alone.

Beyond supply chain decarbonisation, Sustainable Markets Initiative Health Systems Task Force members are spurring progress to reduce the environmental footprint of healthcare delivery, which accounts for nearly half of the sector’s global emissions.

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