For people with asthma, greenhouse gas emissions are 3x higher when their asthma is uncontrolled.1
For people who need to be hospitalized with a respiratory exacerbation, the carbon footprint of one overnight stay in the hospital is 125,000g CO2E.2
That’s nearly 48x higher than the average daily car trip.3
That's why we put the patient first, always.
Our mission is to help patients around the world breathe better so they can live fuller lives.
We know there's a direct link between respiratory health and air quality.4,5 That's why we're taking meaningful and measured actions to enable positive patient outcomes that significantly reduce our carbon emissions
Recipients of the Bronze EcoVadis Medal (2025) for sustainability management systems
Sustainability Resources
1. Wilkinson A. et al. Greenhouse gas emissions associated with asthma care in the UK: results from SABINA CARBON. Oral session presented at European Respiratory Society (ERS) International Congress, 2021 Sep 5-8.
2. Tennison et al. Health care’s response to climate change: a carbon footprint assessment of the NHS in England. Lancet Planet Health 2021; 5: e84–92.
3. Suggett J et al. Assessment of Metered Dose Inhaler (MDI) vs MDI and Spacer-Impact on patient, health care system, and the environment. Pharmacotherapeutics, Vol 164, Issue 4, Supplement A5208, Oct 2023.
4. Ambient (outdoor) air pollution. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/ambient-(outdoor)-air-…. 2024 Oct 16.
5. Household air pollution. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/household-air-pollutio…. 2024 Oct 16.
6. TMI internal data.
7. LCA Greenstop Solutions Technical report, Feb 2024.
8. Adapted from Svenningsen S, Paulin GA, Sheikh K, et al. Oscillatory Positive Expiratory Pressure in Chronic Obstructive Pulmonary Disease. COPD. 2016;13(1):66-74
9. Luo et al. Breath-Actuated Nebulizers for Asthma and Chronic Obstructive Pulmonary Disease Exacerbation: A Monte Carlo Simulation Demonstrating National Cost Savings and Length of Stay Reduction. Journal of the American College of Emergency Physicians. 2025;6:100112.
10. Ontario: Clean electricity snapshot. https://www.canada.ca/en/services/environment/weather/climatechange/cli…. 2022-2024.
11. Kaplan A et al. AERO CA 01 Survey: Benefits of Valved Holding Chamber Usage on Patients, Healthcare, and the Environment. Canadian Respiratory Conference 2025.