COVID-19 and medical waste management: challenges and the urgency for systemic change
DOI:
https://doi.org/10.12775/EQ.2026.035Keywords
COVID-19, medical waste, personal protective equipment, environmental pollutionAbstract
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
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Copyright (c) 2026 Anita Maria Faltus, Karolina Pawłuszkiewicz, Emilia Kucharczyk, Marcel Jasiek, Zuzanna Cisowska, Martyna Zdych, Dagmara Gaweł-Dąbrowska

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