Worldwide, there is a growing concern about the negative effects of infectious medical waste produced during the COVID-19 pandemic and the contamination risks associated with waste management. Therefore, measures to ensure that medical waste is managed safely and in an environmentally sound manner will avoid negative health and environmental effects from such waste, thus protecting the health of patients, health workers and the public in general. Despite that infectious medical waste generation rate is important for management planning and policy development, there is a limitation on national data availability and its accuracy, particularly in developing economies. This study analyses the infectious healthcare waste generation rates and management patterns in Lebanon before and after the COVID-19 pandemic. The estimated average of COVID-19-related infectious healthcare waste generation in this study is 39,035 kg per month or 1.3 tonnes per day, which constitute between 5% and 20% of total infectious healthcare waste in Lebanon. This study illuminates on the impact of COVID-19 on the existing challenges of waste management in Lebanon. It highlights the need for proper management and disposal of the amounts of medical waste generated to reduce contamination risks or related environmental threats, particularly during the pandemic. It also shows that Lebanon has a defective system for monitoring of waste from healthcare institutions and gaps in waste statistics. Finally, the study summarizes recommendations related to medical waste management, which can provide valuable insight for policymakers.
Proper management and treatment of municipal solid waste (MSW) plays a central role towards the reduction or elimination of uncontrolled disposal and the achievement of United Nations (UN) Sustainable Development Goals (SDGs) with the reduction of its vast adverse environmental and health impacts. Despite that, till now, there has never been a quantitative analysis of the progress in waste management infrastructure delivery worldwide. In this paper, we provide valuable insights regarding the progress in new MSW infrastructure delivery based on a dataset of 1764 projects from 156 countries, for the period 2014–2019. We also estimate the magnitude of uncontrolled waste disposal practices worldwide by estimating the gap between the current MSW infrastructure delivery and actual changes in MSW generation. Our results show that the new capacity delivered during the six years period amounted to 243 million metric tonnes (Mt) (40 million Mt per year), out of which 45% was delivered in high-income countries, 37.5% in the People’s Republic of China and 17.5% in the rest of the world, mainly through thermal treatment (~57%) and landfilling (8%). The average allocated per capita budget of these projects during this period is about US$14, equivalent to US$ 2.33 (cap*year)−1. Our main conclusion is that the share of uncontrolled disposal will continue to rise at least until 2028, reaching almost 730 million Mt per year. Evidently, the global community continues to face a serious challenge towards the implementation of the UN SDG 12, target 12.4 by 2020. The analysis demonstrates that infrastructure delivery must increase by four folds to eliminate uncontrolled disposal practices.
This study contributes to estimate the total waste generated at global level. A few studies have provided an efficient and comprehensive global estimate. However, data reporting is globally inconsistent due to varying interpretation of terminology, lacking standardised categories and varying methodologies used to observe and measure waste amounts. This study employs regression analysis and material flow analysis approaches to ensure a cross-comparability of waste generation data. The result implies that total global waste arisings are around 20 billion tonnes in 2017. This corresponds to 2.63 tonnes of total waste per capita (cap) per year. The total global waste generated is expected to grow to 46 billion tonnes by 2050 under a business-as-usual scenario. Municipal solid waste (MSW) is a much smaller amount, ranging from 2.3 to 3.1 billion tonnes (average of 2.7 billion tonnes) in 2019. This figure reflects an increase of between 30% and 50% in MSW generated during the last 15 years (2004–2019). MSW generated is expected to grow to 2.89–4.54 billion tonnes by 2050, depending on which assumptions are used. This represents a 26%–45% increase compared to 2019. The overall assessment in this study reveals that almost one-third of the total MSW generated is not collected, and most of what is collected is not treated accordingly to current ideas of sound management. Moreover, almost 42% of MSW goes to open dumping or uncontrolled burning. The finding provides valuable insight for policymakers to design and assess circular economy policy instruments towards achieving sustainable development goals.
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