Skip to main content Skip to main navigation menu Skip to site footer
  • Register
  • Login
  • Menu
  • Home
  • Current
  • Archives
  • Announcements
  • About
    • About the Journal
    • Submissions
    • Editorial Team
    • Privacy Statement
    • Contact
  • Register
  • Login

Ecological Questions

COVID-19 and medical waste management: challenges and the urgency for systemic change
  • Home
  • /
  • COVID-19 and medical waste management: challenges and the urgency for systemic change
  1. Home /
  2. Archives /
  3. Vol. 37 No. 3 (2026): Forthcoming /
  4. Articles

COVID-19 and medical waste management: challenges and the urgency for systemic change

Authors

  • Anita Maria Faltus Faculty of Medicine, Wroclaw Medical University https://orcid.org/0009-0007-2881-6553
  • Karolina Pawłuszkiewicz Faculty of Medicine, Wroclaw Medical University https://orcid.org/0009-0006-1297-5958
  • Emilia Kucharczyk Faculty of Medicine, Wroclaw Medical University https://orcid.org/0009-0008-9100-9321
  • Marcel Jasiek Faculty of Medicine, Wroclaw Medical University https://orcid.org/0009-0009-4197-768X
  • Zuzanna Cisowska Faculty of Medicine, Wroclaw Medical University https://orcid.org/0009-0006-8856-168X
  • Martyna Zdych Faculty of Medicine, Wroclaw Medical University https://orcid.org/0009-0007-6686-5129
  • Dagmara Gaweł-Dąbrowska Division of Population Studies and Prevention of Civilization Diseases, Faculty of Health Sciences, Wroclaw Medical University https://orcid.org/0000-0001-9076-4247

DOI:

https://doi.org/10.12775/EQ.2026.035

Keywords

COVID-19, medical waste, personal protective equipment, environmental pollution

Abstract

The COVID-19 pandemic has not only caused a global health crisis but has also posed significant challenges to medical waste management. The rapid increase in waste generation, including used personal protective equipment (PPE), presents a serious threat to the environment and public health. Improper waste management leads to the accumulation of nonbiodegradable plastics and increases the risk of secondary infections, particularly in developing countries where infrastructure is limited. Our review aimed to analyze the impact of the COVID-19 pandemic on the scale of medical waste generation, its management, and to assess the environmental and health consequences. During the COVID-19 pandemic, waste generation increased by  18-425%, intensifying pollution and associated health risks. Inadequate disposal practices, including incineration without advanced technologies, release toxic compounds, such as dioxins and heavy metals, adversely affecting air, water, and soil quality. Systemic changes, including improved waste segregation, recycling, and the adoption of environmentally friendly technologies, are necessary to minimize the negative impacts of the pandemic on both the environment and public health and to prevent similar crises in the future. recycling, and the adoption of environmentally friendly technologies, to minimize the negative impacts of the pandemic on both the environment and public health. The COVID-19 pandemic has posed a significant challenge to public health in terms of developing new systems for medical waste management. These measures are crucial for mitigating the negative effects of the pandemic on the environment and public health and preventing similar crises in the future.

References

Ali SA, Parvin F. Examining challenges and multi-strategic approaches in waste management during the COVID-19 pandemic: A systematic review. Waste Management & Research. 2022;40(9):1356-1380. doi:10.1177/0734242X221079303

Behera BC. Environ Nanotechnol Monit Manag. 2021;15:100432. doi:10.1016/j.enmm.2021.100432

Capoor MR, Parida A. Biomedical Waste and Solid Waste Management in the Time of COVID-19: A Comprehensive Review of the National and International Scenario and Guidelines. J Lab Physicians. 2021;13(2):175-182. doi:10.1055/s-0041-1729132

Das AK, Islam MN, Billah MM, Sarker A. COVID-19 pandemic and healthcare solid waste management strategy – A mini-review. Sci Total Environ. 2021;778:146220. doi:10.1016/j.scitotenv.2021.146220

EFSA Panel on Contaminants in the Food Chain (CONTAM), Knutsen HK, Alexander J, et al. Risk for animal and human health related to the presence of dioxins and dioxin-like PCBs in feed and food. EFSA J. 2018;16(11):e05333. doi:10.2903/j.efsa.2018.5333

European Food Safety Authority. Update of the monitoring of levels of dioxins and PCBs in food and feed. EFSA J. 2012. doi:10.2903/j.efsa.2012.2832

Geng Y, Wang Y. Stability and transmissibility of SARS-CoV-2 in the environment. J Med Virol. 2023;95(1):e28103. doi:10.1002/jmv.28103

Haque MS, Uddin S, Sayem SM, et al. Coronavirus disease 2019 (COVID-19) induced waste scenario: A short overview. J Environ Chem Eng. 2021;9(1):104660. doi:10.1016/j.jece.2020.104660

Hanedar A, Çifçi Dİ, Zafer N et al. The impact of COVID-19 pandemic in medical waste amounts: a case study from a high-populated city of Turkey. J Mater Cycles Waste Manag. 2022;24(5):1760-1767. doi:10.1007/s10163-022-01428-3

Hantoko D, Li X, Pariatamby A, Yoshikawa K, Horttanainen M, Yan M. Challenges and practices on waste management and disposal during COVID-19 pandemic. J Environ Manag. 2021;286:112140. doi:10.1016/j.jenvman.2021.112140

Janik-Karpinska E, Brancaleoni R, Niemcewicz M, et al. Healthcare Waste-A Serious Problem for Global Health. Healthcare (Basel). 2023;11(2):242. doi:10.3390/healthcare11020242

Joseph B, James J, Kalarikkal N, Thomas S. Recycling of medical plastics. Adv Ind Eng Polym Res. 2021;4(3):199-208. doi:10.1016/j.aiepr.2021.06.002

Kenny C, Priyadarshini A. Review of Current Healthcare Waste Management Methods and Their Effect on Global Health. Healthcare (Basel). 2021;9(3):284. Published 2021 Mar 5. doi:10.3390/healthcare9030284

Khan MT, Shah IA, Hossain MF, et al. Personal protective equipment (PPE) disposal during COVID-19: An emerging source of microplastic and microfiber pollution in the environment. Sci Total Environ. 2023;860:160322. doi:10.1016/j.scitotenv.2022.160322

Liang Y, Song Q, Wu N, Li J, Zhong Y, Zeng W. Repercussions of COVID-19 pandemic on solid waste generation and management strategies. Front Environ Sci Eng. 2021;15(6):115. doi:10.1007/s11783-021-1407-5

Lin N, Zhang B, Shi R, et al. Decay pattern of SARS-CoV-2 RNA surface contamination in real residences. Sci Rep. 2024;14(1):6190. Published 2024 Mar 14. doi:10.1038/s41598-024-54445-7

Minister Klimatu i Główny Inspektor Sanitarny. Wytyczne Ministra Klimatu i Głównego Inspektora Sanitarnego w sprawie postępowania z odpadami wytwarzanymi w czasie występowania zakażeń koronawirusem SARS-CoV-2 i zachorowań na wywoływaną przez niego chorobę COVID-19 (w czasie trwania pandemii/epidemii); 2020. Available from: https://www.gov.pl/web/gis/wytyczne-ws-postepowania-z-odpadami-w-czasie-wystepowania-zakazen-koronawirusem-sars-cov-2 (Accessed: 2025.12.15)

Nzediegwu C, Chang SX. Improper solid waste management increases potential for COVID-19 spread in developing countries. Resour Conserv Recycl. 2020;161:104947. doi:10.1016/j.resconrec.2020.104947

Parashar N, Hait S. Plastics in the time of COVID-19 pandemic: Protector or polluter? Sci Total Environ. 2021;759:144274. doi:10.1016/j.scitotenv.2020.144274

Sabiha-Javied, Tufail M, Khalid S. Heavy metal pollution from medical waste incineration at Islamabad and Rawalpindi, Pakistan. Microchem J. 2008;90(1):77-81. doi:10.1016/j.microc.2008.03.010

Sangkham S. Face mask and medical waste disposal during the novel COVID-19 pandemic in Asia. Case Stud Chem Environ Eng. 2020;2:100052. doi:10.1016/j.cscee.2020.100052

Shams M, Alam I, Mahbub MS. Plastic pollution during COVID-19: Plastic waste directives and its long-term impact on the environment. Environ Adv. 2021;5:100119. doi:10.1016/j.envadv.2021.100119

Sharma R, Sharma M, Sharma R, et al. The impact of incinerators on human health and environment. Rev Environ Health. 2013;28(1):67-72. doi:10.1515/reveh-2012-0035

Silva ALP, Prata JC, Walker TR, et al. Rethinking and optimising plastic waste management under COVID-19 pandemic: Policy solutions based on redesign and reduction of single-use plastics and personal protective equipment. Sci Total Environ. 2020;742:140565. doi:10.1016/j.scitotenv.2020.140565

South African Government. National Environmental Management: Waste Act (59/2008) and associated regulations. Gov.za; 2013. Available from: https://www.gov.za/sites/default/files/gcis_document/201409/35405gen452.pdf (Accessed: 2025.12.15)

Statistics Canada. Health characteristics, annual estimates: Personal protective equipment demand and supply. Statistics Canada Online Early https://www150.statcan.gc.ca/t1/tbl1/en/tv.action?pid=1310078601 (Accessed: 2025.12.08)

UN Environment Programme. Healthcare waste: what to do with it? Available from: https://www.unep.org/news-and-stories/story/healthcare-waste-what-do-it (Accessed: 2025.12.15)

Valavanidis A, Iliopoulos N, Fiotakis K, et al. Metal leachability, heavy metals, polycyclic aromatic hydrocarbons, and polychlorinated biphenyls in fly and bottom ashes of a medical waste incineration facility. Waste Manag Res. 2008;26(3):247-255. doi:10.1177/0734242X07083345

Vnucec I, Pleadin J, Jůzl M, et al. Dioxins in livestock products: Sources, bioaccumulation, and health impacts. Meso. 2024;26:408-418. doi:10.31727/m.26.5.2

WaterAid. Technical guidance on healthcare waste management in primary healthcare facilities in low-resource settings. WaterAid; 2024. Available from: https://washmatters.wateraid.org/sites/g/files/jkxoof256/files/2024-06/Technical-guidance-healthcare-waste-management-primary-healthcare-facilities-low-resource-settings.pdf. (Accessed: 2025.12.15)

World Health Organization. Global analysis of health care waste in the context of COVID-19: Status, impacts and recommendations. WHO; 2022. Available from: https://www.who.int/publications/i/item/9789240039612 (Accessed: 2025.12.15)

World Health Organization. Health-care waste; 2024. WHO Online Early https://www.who.int/news-room/fact-sheets/detail/health-care-waste (Accessed: 2025.12.15)

World Health Organization. Safe management of wastes from health-care activities: A summary. WHO; 2017. Available from: https://iris.who.int/bitstream/handle/10665/259491/WHO-FWC-WSH-17.05-eng.pdf. (Accessed: 2025.12.15)

World Health Organization. Tonnes of COVID-19 health care waste expose urgent need to improve waste management systems. WHO Online Early https://www.who.int/news/item/01-02-2022-tonnes-of-covid-19-health-care-waste-expose-urgent-need-to-improve-waste-management-systems (Accessed: 2025.12.15)

World Health Organization. Water, sanitation, hygiene, and waste management for the COVID-19 virus: Interim guidance. WHO; 2020. Available from: https://iris.who.int/bitstream/handle/10665/333560/WHO-2019-nCoV-IPC_WASH-2020.4-eng.pdf?sequence=10 (Accessed: 2025.12.15)

Xie NN, Zhang WC, Chen J, et al. Clinical Characteristics, Diagnosis, and Therapeutics of COVID-19: A Review. Curr Med Sci. 2023;43(6):1066-1074. doi:10.1007/s11596-023-2797-3

Ye J, Song Y, Liu Y et al. Assessment of medical waste generation, associated environmental impact, and management issues after the outbreak of COVID-19: A case study of the Hubei Province in China. PLoS One. 2022;17(1):e0259207. doi:10.1371/journal.pone.0259207

Yousefi M, Oskoei V, Jonidi Jafari A, et al. Municipal solid waste management during COVID-19 pandemic: effects and repercussions. Environ Sci Pollut Res Int. Published online May 3, 2021. doi:10.1007/s11356-021-14214-9

Zakaria AM, Labib OA, Mohamed MG, et al. Assessment of combustion products of medical waste incinerators in Alexandria. J Egypt Public Health Assoc. 2005;80(3-4):405-431

Zand AD, Heir AV. Emerging challenges in urban waste management in Tehran, Iran during the COVID-19 pandemic. Resour Conserv Recycl. 2020;162:105051. doi:10.1016/j.resconrec.2020.105051

Zeeshan MF, Al Ibad A, Aziz A, et al. Practice and enforcement of national Hospital Waste Management 2005 rules in Pakistan. East Mediterr Health J. 2018;24(5):443-450. doi:10.26719/2018.24.5.443

Downloads

  • pdf

Published

2026-06-29

How to Cite

1.
FALTUS, Anita Maria, PAWŁUSZKIEWICZ, Karolina, KUCHARCZYK, Emilia, JASIEK, Marcel, CISOWSKA, Zuzanna, ZDYCH, Martyna and GAWEŁ-DĄBROWSKA, Dagmara. COVID-19 and medical waste management: challenges and the urgency for systemic change. Ecological Questions. Online. 29 June 2026. Vol. 37, no. 3, pp. 1-18. [Accessed 15 August 2026]. DOI 10.12775/EQ.2026.035.
  • ISO 690
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
Download Citation
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

Issue

Vol. 37 No. 3 (2026): Forthcoming

Section

Articles

License

Copyright (c) 2026 Anita Maria Faltus, Karolina Pawłuszkiewicz, Emilia Kucharczyk, Marcel Jasiek, Zuzanna Cisowska, Martyna Zdych, Dagmara Gaweł-Dąbrowska

Creative Commons License

This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

Stats

Number of views and downloads: 115
Number of citations: 0

Search

Search

Browse

  • Browse Author Index
  • Issue archive

User

User

Current Issue

  • Atom logo
  • RSS2 logo
  • RSS1 logo

Information

  • For Readers
  • For Authors
  • For Librarians

Newsletter

Subscribe Unsubscribe

Tags

Search using one of provided tags:

COVID-19, medical waste, personal protective equipment, environmental pollution
Up

Akademicka Platforma Czasopism

Najlepsze czasopisma naukowe i akademickie w jednym miejscu

apcz.umk.pl

Partners

  • Akademia Ignatianum w Krakowie
  • Akademickie Towarzystwo Andragogiczne
  • Fundacja Copernicus na rzecz Rozwoju Badań Naukowych
  • Instytut Historii im. Tadeusza Manteuffla Polskiej Akademii Nauk
  • Instytut Kultur Śródziemnomorskich i Orientalnych PAN
  • Instytut Tomistyczny
  • Karmelitański Instytut Duchowości w Krakowie
  • Ministerstwo Kultury i Dziedzictwa Narodowego
  • Państwowa Akademia Nauk Stosowanych w Krośnie
  • Państwowa Akademia Nauk Stosowanych we Włocławku
  • Państwowa Wyższa Szkoła Zawodowa im. Stanisława Pigonia w Krośnie
  • Polska Fundacja Przemysłu Kosmicznego
  • Polskie Towarzystwo Ekonomiczne
  • Polskie Towarzystwo Ludoznawcze
  • Towarzystwo Miłośników Torunia
  • Towarzystwo Naukowe w Toruniu
  • Uniwersytet im. Adama Mickiewicza w Poznaniu
  • Uniwersytet Komisji Edukacji Narodowej w Krakowie
  • Uniwersytet Mikołaja Kopernika
  • Uniwersytet w Białymstoku
  • Uniwersytet Warszawski
  • Wojewódzka Biblioteka Publiczna - Książnica Kopernikańska
  • Wyższe Seminarium Duchowne w Pelplinie / Wydawnictwo Diecezjalne „Bernardinum" w Pelplinie

© 2021- Nicolaus Copernicus University Accessibility statement Shop