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Cited by 8Environmental Impact and SustainabilityClimate Change and Health ImpactsHealthcare Facilities Design and Sustainability

Environmental Impact of Dermatology and Action Towards It: A Narrative Review

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Niebel, Dennis, Tso, Simon, Parker, Eva Rawlings, Rosenbach, Misha, Tan, Eugene, Thio, Hok Bing, Coates, Sarah J., Andersen, Louise Kronborg +3 more·2025·International Journal of Dermatology
DOI 10.1111/ijd.17810PMC PMC12256757
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Abstract

There is a dual interplay between the environment and healthcare, which is associated with around 6% of global greenhouse gas (GHG) emissions, high water consumption, and large volumes of waste. Dermatology encompasses peculiarities such as the extensive use of topicals and cosmeceuticals, specific procedural treatments, and a wide range of activities spanning from dermatopathology to the use of biologicals. Some of these aspects might bear a significant environmental footprint, which has been characterized insufficiently until this point. According to recent data, the greatest share of overall GHG emissions associated with outpatient dermatology is purchased goods and services, followed by patient travel and waste, paralleling the health sector overall. To address these topics, six working groups on climate change or sustainability exist within the following dermatology associations: the American Academy of Dermatology (AAD), the Australasian College of Dermatologists (ACD), the British Association of Dermatologists (BAD), the European Academy of Dermatology and Venerology (EADV), the German Society of Dermatology (DDG), and the International Society of Dermatology (ISD). Member activities include scientific projects (original research and review articles, symposia in national conferences), provision of educational materials for trainees and peers, and advocacy. Dermatologists should be familiar with the environmental and climate impact of daily practice and use available resources for more information. At this time, a significant gap exists between individual sustainability efforts and the integration of these practices into policy. We propose to strengthen international collaborations within the field to provide more sustainable dermatological care.

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  • Topical formulations, such as sunscreens, medical ointments, and cosmeceuticals, may introduce active compounds, synthetic polymers, and other poorly biodegradable ingredients into waste streams.

    “These are important considering that a unique aspect of the dermatologic field encompasses the considerable use of topical formulations, such as sunscreens, medical ointments, and cosmeceuticals, which may introduce active compounds, synthetic polymers, and other poorly biodegradable ingredients into waste streams [107].”

    From The Environmental Determinants of Skin Health: Linking Climate Change, Air Pollution, and the Dermatologic Disease Burden (2025) · cites this paper as [107]

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Authors
Niebel, D., Tso, S., Parker, E. R., Rosenbach, M., Tan, E., Thio, H. B., Coates, S. J., Andersen, L. K., Hecker, C., Saha, S., & de Berker, D.
Affiliations
  • University Hospital Regensburg (DE)
  • South Warwickshire NHS Foundation Trust (GB)
  • Vanderbilt University Medical Center (US)
  • University of Pennsylvania (US)
  • UNSW Sydney (AU)
  • Erasmus MC (NL)
  • University of California, San Francisco (US)
  • Department of Dermatology Aleris Privat Hospital Esbjerg Denmark
  • Stanford Medicine (US)
  • Arbeitsgemeinschaft Nachhaltigkeit in der Dermatologie (AGN) e.V Freiburg Germany
  • University Hospitals Bristol and Weston NHS Trust Bristol UK
Corresponding author
Niebel, Dennis
ORCID
Venue
International Journal of Dermatology
Publisher
Wiley
Published
2025-04-25
Volume
64
Issue
8
Pages
1388-1400
ISSN
  • 0011-9059 (ISSN-L)
  • 1365-4632
DOI
10.1111/ijd.17810
PMC
PMC12256757
OpenAlex
W4409811947
Cited by
8
References
5
Citations by year
2026: 5 · 2025: 3
FWCI
0.74
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Dermatology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
  • University of Regensburg Publication Server (University of Regensburg) (acceptedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, cc-by-nc)
  • University of Regensburg Publication Server (University of Regensburg)
Topics
  • Physical Sciences › Environmental Science › Environmental Engineering › Environmental Impact and Sustainability
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
  • Social Sciences › Urban Studies › Healthcare Facilities Design and Sustainability
Keywords
greenhouse gas emissions, health system sustainability, climate change, water consumption, sustainability policy, international cooperation
MeSH terms
Greenhouse Gases, Dermatology, Environment, Humans, Skin Diseases, Climate Change

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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