Carbon footprint impact of the choice of inhalers for asthma and COPD.

Janson, Christer; Henderson, Richard; Löfdahl, Magnus; Hedberg, Martin; Sharma, Raj; Wilkinson, Alexander J K · Thorax · 2020

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Abstract

In the 1990s, metered dose inhalers (MDIs) containing chlorofluorocarbons were replaced with dry-powder inhalers (DPIs) and MDIs containing hydrofluorocarbons (HFCs). While HFCs are not ozone depleting, they are potent greenhouse gases. Annual carbon footprint (CO<sub>2</sub>e), per patient were 17 kg for Relvar-Ellipta/Ventolin-Accuhaler; and 439 kg for Seretide-Evohaler/Ventolin-Evohaler. In 2017, 70% of all inhalers sold in England were MDI, versus 13% in Sweden. Applying the Swedish DPI and MDI distribution to England would result in an annual reduction of 550 kt CO<sub>2</sub>e. The lower carbon footprint of DPIs should be considered alongside other factors when choosing inhalation devices.

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