As a global player in the health care sector, our responsibility extends beyond our business operations. We are committed to achieving environmental improvements throughout the entire life cycle of our products and to reducing the impact of our operations on the environment.
In Europe, Middle East and Africa, environmental management is part of Fresenius Medical Care’s Integrated Management System (IMS). Its aim is to systematically reduce and control risks associated with environmental protection, comply with applicable legislation and meet the expectations of our customers and patients. Since our environmental certification strategy is focused on but not limited to production sites with high consumption levels, eight of our largest production sites in Europe, Middle East and Africa are certified according to ISO 14001. Two of these production sites are also certified according to ISO 50001. Compliance with ISO standards is regularly reviewed by internal and external experts.
In North America, environmental management is established at regional level. As part of this approach, we constantly monitor national and international regulations relating to environmental, chemical and occupational health and safety issues so that our internal policies, guidelines and standard operating procedures are up-to-date. For the purpose of compliance with applicable laws and internal guidelines, manufacturing sites, distribution centers and laboratories are subject to regular audits by our Corporate Audit team. Furthermore, we regularly analyze energy, water and waste and review them to reduce consumption and improve efficiency in all our facilities.
In Latin America, we have implemented an environmental management program to control and improve our environmental performance in terms of energy, water and waste in our dialysis clinics.