Food Infrastructures
Summary / Key takeaways
Planetary health recognizes that human health depends on the health of Earth’s interconnected systems, including air, water, soil, climate, biodiversity, and the relationships that sustain them. Climate change and ecological degradation are now placing increasing pressure on these systems, with direct impacts on food security, health equity, and the resilience of healthcare services. At the same time, food systems are a major driver of environmental change, contributing significantly to greenhouse gas emissions, biodiversity loss, and resource depletion, while also shaping population health outcomes.
Food infrastructures in healthcare sit at the centre of this challenge and opportunity. Food is not only nutrition, but also care, culture, and healing. It influences patient recovery, staff well-being, and system sustainability. Reframing food as “food is medicine” and a core part of care delivery enables healthcare systems to act on multiple goals at once: improving health outcomes, reducing waste and emissions, supporting equity, and strengthening resilience.
A planetary health approach to food infrastructures emphasizes sustainable and Indigenous food systems, prioritizing reciprocity, cultural safety, and ecological stewardship. Practical approaches include planetary health menus, food waste reduction, circular nutrient systems, and integration of local and regenerative sourcing.
Change in this area requires aligning goals across patient health, population health, staff well-being, economic value, and ecological health, while embedding equity, Indigenous food sovereignty, and place-based decision-making. The resources associated with this work support healthcare teams in redesigning food infrastructures to deliver co-benefits across people, place, and planet.
Playbook: Food Infrastructures for Planetary Health
Suggested Citation:
Cutbill J, Lalande A, Paczka Giorgi L, Devitt K, Janousek S . Food Infrastructure for Planetary Health . Version 1.1. [Internet]. CASCADES; 2024 [cited DATE]. Available from: https://www.cascadescanada.ca/.
Supporting Resources
Key Actors for Achieving Sustainable Food Systems
The following table provides a general list of groups that need to be involved for the successful planning, design or delivery of food infrastructure for planetary health projects; it is offered as a working draft or a guide for you and your teams to upgrade together.
Worksheet
Sustainable food infographic
An informative poster on sustainable food in the health system.
Infographic
Local Food Procurement at Halton Healthcare, Halton Hills, Ontario
Hotspot: Food Sustainability Case Study: Local Food Procurement at Halton Healthcare, Halton Hills, Ontario
Case Study

Recipes for Change: Food Infrastructures for Planetary Health
This webinar explored how healthy food and food systems contributed to improvements in patient, public, and ecosystem health. It discussed aligning planning, design, and delivery of food infrastructures with planetary health values. The authors of the Food Infrastructures for Planetary Health playbook presented ways to integrate planetary health into decision-making, including opportunities across the facilities delivery lifecycle and approaches to driving system change. Speakers from across Canada shared efforts to transform health system food environments. The event was presented by CASCADES in partnership with Nourish and Green Care.
Webinar
Facility Lifecycle Key Considerations Worksheet
This worksheet is part of the Food Infrastructures for Planetary Health Playbook, which aims tosupport informed decision-making related to food infrastructures for planetary health throughout the planning, design, construction, ongoing operation retrofitting (and even decommissioning) of Canadian healthcare facilities. These sequential stages are known as the Facilities Delivery Lifecycle
Worksheet






