Healthcare waste management in Asian developing countries: A mini review

Waste Manag Res. 2019 Sep;37(9):863-875. doi: 10.1177/0734242X19857470. Epub 2019 Jul 3.

Abstract

Healthcare waste encompasses a significant quantity of hazardous substances. Poor healthcare waste management can result in serious environmental and human health risks. Asian developing countries are densely populated, and some are highly resource constrained. These countries commonly fail to practice appropriate healthcare waste management. Moreover, facilities in these countries extensively lack proper waste segregation, collection, safe storage, transportation, and disposal. This mini-review recapitulates key issues of healthcare waste management confronting Asian developing countries. Regulations, legislation, and policies are found to be recent, and their implementation varies from one another. Variation in waste generation rate is common. Contradictory methods of waste measurement used by researchers leave these variations questionable. The absence of waste management training programmes roots ignorance among staff and handlers, which leads to unsafe waste handling and causes different health risks. Unsafe and illegal recycling of hazardous waste is a threat to human health, also landfilling is often confused with open dumping, causing environmental damage. Outdated incineration plants need to be replaced with autoclaving, steam sterilisation, and comparatively reasonable new practice of pyrolysis to avoid the emission of toxic gases. The significance of proper healthcare waste management cannot be ignored, especially in Asian developing countries; substantial improvements are required in order to protect the environment and human health from serious risks.

Keywords: Asia; Infectious waste; developing countries; healthcare waste; waste generation; waste management.

MeSH terms

  • Asia
  • Developing Countries
  • Hazardous Waste
  • Humans
  • Medical Waste Disposal*
  • Waste Management*

Substances

  • Hazardous Waste
  • Medical Waste Disposal