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German Environment Agency
Sustainable Resource Use in the German Health Sector
Introduction – Quantitative results of the UBA research project:
Christopher Manstein
German Environment Agency
Section I 1.1 / Fundamental Aspects, Sustainability, Sustainable Resource Use
Project carried out on behalf of the German Environment Agency (6/2017– 8/2020)
by Fraunhofer ISI, K. Ostertag, T. Bratan, C. Gandenberger, B. Hüsing, M. Pfaff
UBA research project “Sustainable Resource Use in the German Health Sector”
Christopher Manstein, German Environment Agency (UBA), ERF 2020 2
ERF 2020 online - Parallel session 5: Sustainability, climate protection and resource efficiency in the health system
Consumption of raw materials causes environmental problems:
• global consumption of raw materials has more than tripled since
the 1970s
• already accounts for about 50 % of greenhouse gas emissions
• responsible for more than 90 % of biodiversity loss
• German per capita consumption of raw materials: 16.1 tonnes
(2014)
• 100 % above global average
• 10 % above European average
Starting point of the project: UBA Resource Report for Germany
2016
Health sector accounts for a significant share of total resource
consumption
The health sector's share of total raw material consumption has
been rising significantly for years
Health Sustainable
Resource Use
Synergies
AIM OF THE RESEARCH PROJECT:
FINDING SYNERGIES BETWEEN THE POLICY AREAS HEALTH AND SUSTAINABLE RESOURCE USESource: Fraunhofer ISI, Final Report 2020
Overview of the raw material consumption of the German health sector (2016)
3
The total raw material consumption (RMC) of the health sector in 2016 amounts to about 107 million tons (= about 1.3 tons per capita). This corresponds to about 5% of the total raw material consumption in Germany.
The health sector thus ranks fourth among the 200 sectors considered.
In total, 32 % of the raw material consumption of the health sector comes from domestic raw material extraction and 68 % from imports.34%
35%
34%
66%
100%
65%
66%
47 Mio. tons
5 Mio. tons
25 Mio. tons
30 Mio. tons
5 10 15 20 25 30 35 40 45 50
Non-metallic
minerals
Metal Ores
Fossil fuels
Biomass
Raw material consumption of the health sector in million tons
Domestic Imported
Christopher Manstein, German Environment Agency (UBA), ERF 2020
ERF 2020 online - Parallel session 5: Sustainability, climate protection and resource efficiency in the health system
Source: Fraunhofer ISI, Final Report 2020
Intermediate consumption of raw materials by the health sector (2016)
4
At 31 %, the largest use of raw materials in the health sector is through intermediate consumption in the form of chemical products.
The health care system also includes medical equipment, which accounts for about 6 % of its total raw material consumption.
In second place is the food and drink sector with about 29 %.
Construction work accounts for about 10 % of the total raw material consumption of the health sector, energy and fuelsfor 12 %.
Christopher Manstein, German Environment Agency (UBA), ERF 2020
ERF 2020 online - Parallel session 5: Sustainability, climate protection and resource efficiency in the health system
Source: Fraunhofer ISI, Final Report 2020
31,5
28,6
12,210,2 9,7
6,4
3,21,4 1,2 0,6 0,6 0,5 0,5 0,5 0,3 0,1
5
10
15
20
25
30
35
Intermediate inputs from the healthcare system
Intermediate Inputs from other sectors of economy
Not covered by indepth analyses
Raw material consumption of the German health sector in million tons
Time trend of raw material consumption in the health sector by raw material categories
5
In the period between 1995 and 2016, the consumption of raw materials in the German health sector increase from just under 60 to 107 million tonnes, i.e. by around 80 %, with the figures extrapolated linearly from 2011 onwards.
Among them, the consumption of biomass and metal ores has more than doubled, while the consumption of non-metallic minerals has increase by about 90 % and the use of fossil fuels by about 40 %.
In contrast to developments in the health sector, Germany's overall consumption of raw materials has tended to decrease slightly since 1995.
Christopher Manstein, German Environment Agency (UBA), ERF 2020
ERF 2020 online - Parallel session 5: Sustainability, climate protection and resource efficiency in the health system
20
40
60
80
100
120
Biomas Fossil fuels Non-metallic minerals Non-metallic minerals
Million tons
Source: Fraunhofer ISI, Final Report 2020
Country comparison of total raw material consumption (RMC) in the health sector
6
Compared to the other countries, Germany has the second lowest total raw material consumption per capita (23 t/cap.) after Japan, which puts it in a similar range to Austria and the USA.
The share of total raw material consumption in the health sector in Germany is in the middle range at 5.3 %.
Austria and US have lowershares.
Japan and Sweden have highershares.
Christopher Manstein, German Environment Agency (UBA), ERF 2020
ERF 2020 online - Parallel session 5: Sustainability, climate protection and resource efficiency in the health system
23
26
15
29
26
5,3%4,4%
13,4%
22,0%
3,3%0
0,05
0,1
0,15
0,2
0,25
0,3
0,35
0
5
10
15
20
25
30
35
DE AT JP SE US
RMC in t/cap ● Share of health sector in % of total RMC
Source: Fraunhofer ISI, Final Report 2020
Parallel session 5: Sustainability, climate protection
and resource efficiency in the health sector
Christopher Manstein, German Environment Agency (UBA)
→ Dr. Tanja Bratan, Fraunhofer Institute for System and Innovation Research
→ Dr. Ulli Weisz, Institute of Social Ecology
→ Dr. Nicole de Paula, Internat. Institute for Sustainable Development Potsdam
Many thanks for your attention !