Environment change has been called as the greatest 21st century public health threat. In addition to warming temperatures on the planet, increasing scale and frequency of natural disasters, there has been an increasing erosion of biodiversity. All of these have implications on health and healthcare delivery, with the greatest impact on the disadvantaged populations. Health systems also contribute to environmental degradation. Sustainable healthcare requires a whole of society approach to adaptation and mitigation mechanisms.
John Agar and Katherine Barraclough have produced a fantastic review looking at the impacts of environmental change on kidney health as well as the environmental damage caused by kidney services (especially dialysis) and strategies to mitigate this.