Sustainable Approaches to Medical Waste Management for Better Public Health Outcomes

  • Mahadi Hasan Shahid Humanitarian Professional, Dhaka, Bangladesh
  • Saddam Hossain Department of Management Sciences and Quantitative Methods, Gannon University, Erie, USA
  • Md. Hasan Chowdhury Independent Researcher, Dhaka, Bangladesh
  • Md Mehedi Hasan Department of Narcotics Control, Ministry of Home Affairs, Dhaka, Bangladesh
  • Mohammad Rezaul Karim Department of Business Administration, Shanto-Mariam University of Creative Technology, Dhaka, Bangladesh
Keywords: Medical Waste, Sustainability, Non-burn Technologies, Recycling, Public Health

Abstract

Purpose: Medical waste disposal has become a significant issue worldwide, driven by public health concern, environmental safety and healthcare continuum. This work investigates sustainable management of infectious waste by examining technologies, governance models and stakeholder perceptions in different country context and opportunities for its circular economy. Methodology/approach: This research applied the mixed methods to analyses sustainable medical waste management practices and its health impacts. Results/findings: Results show that more advanced non-burn techniques, autoclaving and microwaving, are prevalent in high income countries and result in relatively good concomitant compliance of low emissions at the three cost types. Methods including incineration, open burning and burials are employed in middle and low-income countries that provide poor infection control with high degree of threats to the environment and public health. Comparisons between subsystem circularities, autoclaving, chemical disinfection and the rate of reuse are also discovered to be more effective in terms of reducing infection risk during health crises as well as environmental impact. Lack of enforcement, inadequate training and financial limitations still remain the major deficiencies in most parts. The necessity to incorporate non-burn technologies and strengthen governance and enforcement, incentivize circular economy innovations, establish surge capacity for future crises. Limitations: The findings are constrained by a narrow focus on technological and economic factors and a cross-sectional design that precludes long-term impact assessment. Contribution: Sustainable medical waste disposal is thus extremely critical in order to minimize environmental pollution and also to protect human health, while ensuring the sustainability of the healthcare system.

References

Adam, A., Anyiam, F., Shube, M., Mohamed, H., Ahmed, H., & Osman, N. (2025). Assessment of Medical Waste Segregation, Disposal Practices for Infectious and Sharps Waste in Healthcare Facilities in Somalia: Implications for Infection Prevention and Control. Infection and Drug Resistance, Volume 18, 3605–3615. https://doi.org/10.2147/IDR.S525134

Alharbi, K. M. S., & Aloyuni, S. A. S. (2023). The importance of training and development of employees in improving the quality of health services. International Journal of Health Sciences, 7(S1), 2190–2201. https://doi.org/10.53730/ijhs.v7nS1.14473

Alshagrawi, S., & Alahmari, M. H. (2025). Barriers and facilitators of biomedical waste management among healthcare professionals in Saudi Arabia: A qualitative study. Journal of Health, Population and Nutrition, 44(1), 88. https://doi.org/10.1186/s41043-025-00766-w

Alshemari, A., Breen, L., Quinn, G., & Sivarajah, U. (2025). Towards a Sustainable Solution: The Barriers and Enablers in Adopting Circular Economy Principles for Medicines Waste Management in UK and Kuwaiti Hospitals. Circular Economy and Sustainability, 5(3), 2495–2525. https://doi.org/10.1007/s43615-024-00498-9

Alvim-Ferraz, M. (2003). Incineration of different types of medical wastes: Emission factors for gaseous emissions. Atmospheric Environment, 37(38), 5415–5422. https://doi.org/10.1016/S1352-2310(03)00572-7

Baaki, T. K., Baharum, M. R., Pitt, M., & Davies, S. (2022). Associated factors of medical waste management practices in developing countries: A review. International Journal of Environment and Waste Management, 30(1), 104. https://doi.org/10.1504/IJEWM.2022.128106

Barua, U., & Hossain, D. (2021). A review of the medical waste management system at Covid-19 situation in Bangladesh. Journal of Material Cycles and Waste Management, 23(6), 2087–2100. https://doi.org/10.1007/s10163-021-01291-8

Blenkharn, J. I. (2009). Sharps management and the disposal of clinical waste. British Journal of Nursing, 18(14), 860–864. https://doi.org/10.12968/bjon.2009.18.14.43353

Caniato, M., Tudor, T., & Vaccari, M. (2015). International governance structures for health-care waste management: A systematic review of scientific literature. Journal of Environmental Management, 153, 93–107. https://doi.org/10.1016/j.jenvman.2015.01.039

Çelik, S., Peker, İ., Gök-Kısa, A. C., & Büyüközkan, G. (2023). Multi-criteria evaluation of medical waste management process under intuitionistic fuzzy environment: A case study on hospitals in Turkey. Socio-Economic Planning Sciences, 86, 101499. https://doi.org/10.1016/j.seps.2022.101499

Emilia, A. U., Julius, N. F., & Gabriel, G. (2015). Solid medical waste management in Africa. African Journal of Environmental Science and Technology, 9(3), 244–254. https://doi.org/10.5897/AJEST2014.1851

Ferdous, Most. Z., Islam, Md. S., Sikder, Md. T., Mosaddek, A. S. Md., Zegarra-Valdivia, J. A., & Gozal, D. (2020). Knowledge, attitude, and practice regarding COVID-19 outbreak in Bangladesh: An online-based cross-sectional study. PLOS ONE, 15(10), e0239254. https://doi.org/10.1371/journal.pone.0239254

Ferdowsi, A., Ferdosi, M., & Mehrani, M. (2013). Incineration or Autoclave? A Comparative Study in Isfahan Hospitals Waste Management System (2010). Materia Socio Medica, 25(1), 48. https://doi.org/10.5455/msm.2013.25.48-51

Ferronato, N., & Torretta, V. (2019). Waste Mismanagement in Developing Countries: A Review of Global Issues. International Journal of Environmental Research and Public Health, 16(6), 1060. https://doi.org/10.3390/ijerph16061060

George, G., & Schillebeeckx, S. J. D. (2022). Digital transformation, sustainability, and purpose in the multinational enterprise. Journal of World Business, 57(3), 101326. https://doi.org/10.1016/j.jwb.2022.101326

Gutberlet, J., & Uddin, S. M. N. (2017). Household waste and health risks affecting waste pickers and the environment in low- and middle-income countries. International Journal of Occupational and Environmental Health, 23(4), 299–310. https://doi.org/10.1080/10773525.2018.1484996

Hajam, Y. A., Kumar, R., & Kumar, A. (2023). Environmental waste management strategies and vermi transformation for sustainable development. Environmental Challenges, 13, 100747. https://doi.org/10.1016/j.envc.2023.100747

Halimuzzaman, M., Sharma, J., Hossain, M. I., Akand, F., Islam, M. N., Ikram, M. M., & Khan, N. N. (2024). Healthcare Service Quality Digitization with Enterprise Resource Planning. Journal of Angiotherapy, 8(5). https://doi.org/10.25163/angiotherapy.859716

Hasibuan, G. C. R., Al Fath, M. T., Yusof, N., Dewi, R. A., Syafridon, G. G. A., Jaya, I., Anas, M. R., & Syahrizal. (2025). Integrating circular economy into construction and demolition waste management: A bibliometric review of sustainable engineering practices in the built environment. Case Studies in Chemical and Environmental Engineering, 11, 101159. https://doi.org/10.1016/j.cscee.2025.101159

Hoveling, T., Svindland Nijdam, A., Monincx, M., Faludi, J., & Bakker, C. (2024). Circular economy for medical devices: Barriers, opportunities and best practices from a design perspective. Resources, Conservation and Recycling, 208, 107719. https://doi.org/10.1016/j.resconrec.2024.107719

Husaini, D. C., Bernardez, V., Zetina, N., & Mphuthi, D. D. (2024). Healthcare industry waste and public health: A systematic review. Arab Gulf Journal of Scientific Research, 42(4), 1624–1642. https://doi.org/10.1108/AGJSR-01-2023-0026

Hussein Emad, Khaled Ramzy, & Tamer M. Ismail. (2023). Environmental Impact of Medical Waste Incineration—Literature Review. International Journal of Scientific Research in Science, Engineering and Technology, 103–125. https://doi.org/10.32628/IJSRSET2310526

Ibrahim, M., Kebede, M., & Mengiste, B. (2023). Healthcare Waste Segregation Practice and Associated Factors among Healthcare Professionals Working in Public and Private Hospitals, Dire Dawa, Eastern Ethiopia. Journal of Environmental and Public Health, 2023, 1–7. https://doi.org/10.1155/2023/8015856

Islam, M. S. H., Rubel, M. R. B., Hossain, M. I., Kamruzzaman, Md., Akter, S., Halimuzzaman, Md., & Karim, M. R. (2024). Impact of financial and internet support on SME performance: Moderating effect of technology adoption during COVID-19 pandemic. World Journal of Advanced Engineering Technology and Sciences, 13(2), 105–118. https://doi.org/10.30574/wjaets.2024.13.2.0533

Janik-Karpinska, E., Brancaleoni, R., Niemcewicz, M., Wojtas, W., Foco, M., Podogrocki, M., & Bijak, M. (2023). Healthcare Waste—A Serious Problem for Global Health. Healthcare, 11(2), 242. https://doi.org/10.3390/healthcare11020242

Khan, B. A., Khan, A. A., Ahmed, H., Shaikh, S. S., Peng, Z., & Cheng, L. (2019). A Study on Small Clinics Waste Management Practice, Rules, Staff Knowledge, and Motivating Factor in a Rapidly Urbanizing Area. International Journal of Environmental Research and Public Health, 16(20), 4044. https://doi.org/10.3390/ijerph16204044

Kitole, F. A., Ojo, T. O., Emenike, C. U., Khumalo, N. Z., Elhindi, K. M., & Kassem, H. S. (2024). The Impact of Poor Waste Management on Public Health Initiatives in Shanty Towns in Tanzania. Sustainability, 16(24), 10873. https://doi.org/10.3390/su162410873

Klemeš, J. J., Fan, Y. V., Tan, R. R., & Jiang, P. (2020). Minimising the present and future plastic waste, energy and environmental footprints related to COVID-19. Renewable and Sustainable Energy Reviews, 127, 109883. https://doi.org/10.1016/j.rser.2020.109883

Krecl, P., De Lima, C. H., Dal Bosco, T. C., Targino, A. C., Hashimoto, E. M., & Oukawa, G. Y. (2021). Open waste burning causes fast and sharp changes in particulate concentrations in peripheral neighborhoods. Science of The Total Environment, 765, 142736. https://doi.org/10.1016/j.scitotenv.2020.142736

Kumar, M., Kumar, S., & Singh, S. K. (2020). PLASMA TECHNOLOGY AS WASTE TO ENERGY: A REVIEW. International Journal of Advanced Research, 8(12), 464–473. https://doi.org/10.21474/IJAR01/12171

Manga, V. E., Forton, O. T., Mofor, L. A., & Woodard, R. (2011). Health care waste management in Cameroon: A case study from the Southwestern Region. Resources, Conservation and Recycling, 57, 108–116. https://doi.org/10.1016/j.resconrec.2011.10.002

Martin, H., Chebrolu, D., Chadee, A., & Brooks, T. (2024). Too good to waste: Examining circular economy opportunities, barriers, and indicators for sustainable construction and demolition waste management. Sustainable Production and Consumption, 48, 460–480. https://doi.org/10.1016/j.spc.2024.05.026

Mazzei, H. G., & Specchia, S. (2023). Latest insights on technologies for the treatment of solid medical waste: A review. Journal of Environmental Chemical Engineering, 11(2), 109309. https://doi.org/10.1016/j.jece.2023.109309

Mmereki, D., David, V. E., & Wreh Brownell, A. H. (2024). The management and prevention of food losses and waste in low- and middle-income countries: A mini-review in the Africa region. Waste Management & Research: The Journal for a Sustainable Circular Economy, 42(4), 287–307. https://doi.org/10.1177/0734242X231184444

Obaideen, K., Shehata, N., Sayed, E. T., Abdelkareem, M. A., Mahmoud, M. S., & Olabi, A. G. (2022). The role of wastewater treatment in achieving sustainable development goals (SDGs) and sustainability guideline. Energy Nexus, 7, 100112. https://doi.org/10.1016/j.nexus.2022.100112

Oluwagbayide, S. D., Abulude, F. O., Akinnusotu, A., & Arifalo, K. M. (2024). The Relationship between Waste Management Practices and Human Health: New Perspective and Consequences. Indonesian Journal of Innovation and Applied Sciences (IJIAS), 4(1), 19–34. https://doi.org/10.47540/ijias.v4i1.1080

Parvin, F., & Tareq, S. M. (2021). Impact of landfill leachate contamination on surface and groundwater of Bangladesh: A systematic review and possible public health risks assessment. Applied Water Science, 11(6), 100. https://doi.org/10.1007/s13201-021-01431-3

Patwary, M. A., O’Hare, W. T., & Sarker, M. H. (2011). Assessment of occupational and environmental safety associated with medical waste disposal in developing countries: A qualitative approach. Safety Science, 49(8–9), 1200–1207. https://doi.org/10.1016/j.ssci.2011.04.001

Prüss, A., Emmanuel, J., Stringer, R., Pieper, U., Townend, W., Wilburn, S., Chantier, Y., & World Health Organization. (2014). Safe management of wastes from health-care activities / edited by A. Prüss …[et al] (2nd ed.). World Health Organization. https://iris.who.int/handle/10665/85349

Puchalski Ritchie, L. M., Khan, S., Moore, J. E., Timmings, C., Van Lettow, M., Vogel, J. P., Khan, D. N., Mbaruku, G., Mrisho, M., Mugerwa, K., Uka, S., Gülmezoglu, A. M., & Straus, S. E. (2016). Low- and middle-income countries face many common barriers to implementation of maternal health evidence products. Journal of Clinical Epidemiology, 76, 229–237. https://doi.org/10.1016/j.jclinepi.2016.02.017

Quttainah, M. A., & Singh, P. (2024). Barriers to Sustainable Healthcare Waste Management: A Grey Method Approach for Barrier Ranking. Sustainability, 16(24), 11285. https://doi.org/10.3390/su162411285

Rahaman, M. A., Kalam, A., & Al-Mamun, Md. (2023). Unplanned urbanization and health risks of Dhaka City in Bangladesh: Uncovering the associations between urban environment and public health. Frontiers in Public Health, 11, 1269362. https://doi.org/10.3389/fpubh.2023.1269362

Rutala, W. A., & Weber, D. J. (2015). Disinfection, Sterilization, and Control of Hospital Waste. In Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases (pp. 3294-3309.e4). Elsevier. https://doi.org/10.1016/B978-1-4557-4801-3.00301-5

Sapkota, B., Gupta, G. K., & Mainali, D. (2014). Impact of intervention on healthcare waste management practices in a tertiary care governmental hospital of Nepal. BMC Public Health, 14(1), 1005. https://doi.org/10.1186/1471-2458-14-1005

Sharifi, S., Yaghmaeian, K., Golbaz, S., Nabizadeh, R., & Baghani, A. N. (2024). Economic evaluation of hazardous healthcare waste treatment systems. Scientific Reports, 14(1), 21764. https://doi.org/10.1038/s41598-024-69940-0

Shozib, S. H., Islam, A. R. M. T., Patwary, M. A., Mamun, M. A., Rahman, Md. N., & Lo, K. (2025). Current state of medical waste management in an emerging city of Bangladesh. Green Technologies and Sustainability, 3(3), 100223. https://doi.org/10.1016/j.grets.2025.100223

Syed, E. H., Mutahara, M., & Rahman, M. (2012). Medical Waste Management (MWM) in Dhaka, Bangladesh: It’s a Review. Home Health Care Management & Practice, 24(3), 140–145. https://doi.org/10.1177/1084822311425235

Talukdar, A., Bhattacharya, S., Pal, S., Pal, P., & Chowdhury, S. (2024). Positive and negative impacts of COVID-19 on the environment: A critical review with sustainability approaches. Hygiene and Environmental Health Advances, 12, 100107. https://doi.org/10.1016/j.heha.2024.100107

Tazzie, Y. D., Adugna, D., & Woldetensae, B. (2025). Sustainable transport strategies and their implementation barriers in Addis Ababa, Ethiopia. Frontiers in Sustainable Cities, 7, 1524020. https://doi.org/10.3389/frsc.2025.1524020

Thiagarajan, C., Yuvarajan, D., Channappagoudra, M., Bhanot, D., Upadhye, V. J., Choudhury, S., & Shukla, K. K. (2025). Advancing sustainable medical waste management: The role of pyrolysis in resource recovery and environmental protection. Results in Chemistry, 17, 102639. https://doi.org/10.1016/j.rechem.2025.102639

Tulchinsky, T. H., & Varavikova, E. A. (2014). Environmental and Occupational Health. In The New Public Health (pp. 471–533). Elsevier. https://doi.org/10.1016/B978-0-12-415766-8.00009-4

WHO/UNICEF. (2024). Data update on WASH in health care facilities for 2023. World Health Organization. https://washdata.org/reports

Windfeld, E. S., & Brooks, M. S.-L. (2015). Medical waste management – A review. Journal of Environmental Management, 163, 98–108. https://doi.org/10.1016/j.jenvman.2015.08.013

Witkowska, D., Słowik, J., & Chilicka, K. (2021). Heavy Metals and Human Health: Possible Exposure Pathways and the Competition for Protein Binding Sites. Molecules, 26(19), 6060. https://doi.org/10.3390/molecules26196060

Zimmermann, K. (2017). Microwave as an emerging technology for the treatment of biohazardous waste: A mini-review. Waste Management & Research: The Journal for a Sustainable Circular Economy, 35(5), 471–479. https://doi.org/10.1177/0734242X16684385

Published
2025-12-30
How to Cite
Shahid, M., Hossain, S., Chowdhury, M. H., Hasan, M. M., & Karim, M. (2025). Sustainable Approaches to Medical Waste Management for Better Public Health Outcomes. International Journal of Social Science Research and Review, 9(1), 46-62. https://doi.org/10.47814/ijssrr.v9i1.3080