Healthcare Waste Management Practices in Hospitals—A Review

Odangowei Inetiminebi Ogidi ORCID ,  Ebiere Chizitere Zikenah ORCID ,  Peter Omietimi Etele ORCID ,  Ebifanimi Okara ORCID ,  Blessing Seritoru Johnson ORCID
    Received: 13 August 2025; Revised: 17 November 2025; Accepted: 23 November 2025; Published: 19 December 2025

    Abstract

    The healthcare sector is witnessing a period of explosive growth due to technological innovations in treatments, diagnostics, and services in the healthcare industry. Although this development brings positive changes in the quality of care provided to patients, it is responsible for an exponential increase in Healthcare waste (HCW) production. Improper handling, processing, and disposal of such waste present environmental and public health risks, especially when hazardous HCW accumulates in the environment. HCW refers to infectious agents, pathological waste, sharps, pharmaceuticals, chemicals, and radioactive waste that require specific management techniques to ensure safety. In this review, various techniques employed in HCW disposal, such as incineration, chemical treatment, autoclaving, recycling, and landfill disposal, will be reviewed for their effectiveness and impacts on the environment and human health. This paper highlights major phases of waste management in hospitals, which include waste generation, waste segregation, waste collection, waste storage, waste transportation, waste treatment, and waste disposal. Segregation and proper handling have been highlighted as important practices to be employed to lower the risks and improve operations within healthcare facilities. This paper further examines different frameworks, policies, and awareness programs for effective healthcare waste management practices. Moreover, it evaluates the main challenges encountered by health care providers in managing waste effectively and sustainably, and the potential opportunities for improvement within this industry.

    Keywords

    References

    1. 1. Campra, M.; Riva, P.; Oricchio, G.; et al. Bibliometrix analysis of medical tourism. Health Serv. Manage. Res. 2022, 35, 172–188. DOI: https://doi.org/10.1177/09514848211011738
    2. 2. World Health Organization. Global Spending on Health: A World in Transition; WHO: Geneva, Switzerland, 2019.
    3. 3. Ogidi, O.I.; Ajoko, I.T.; Tawariowei, A.M. Sustainable application of genetic ecotoxicological techniques. In Biomonitoring of Pollutants in the Global South; Springer: Singapore, 2024.
    4. 4. Tran, P.B.; Kazibwe, J.; Nikolaidis, G.F.; et al. Costs of multimorbidity: A systematic review and meta-analyses. BMC Med. 2022, 20, 234. DOI: https://doi.org/10.1186/s12916-022-02427-9
    5. 5. Bleotu, C.; Matei, L.; Dragu, L.D.; et al. Viruses in Wastewater—A Concern for Public Health and the Environment. Microorganisms 2024, 12, 1430. DOI: https://doi.org/10.3390/microorganisms12071430
    6. 6. Peng, J.; Wu, X.; Wang, R.; et al. Medical waste management practice during the 2019–2020 novel coronavirus pandemic: Experience in a general hospital. Am. J. Infect. Control 2020, 48, 918–921.
    7. 7. Tallam, K.; White Jr., E. The role of diseases in unifying the health of global estuaries. Front. Mar. Sci. 2023, 10, 1185662. DOI: https://doi.org/10.3389/fmars.2023.1185662
    8. 8. Abubakar, I.R.; Maniruzzaman, K.M.; Dano, U.L.; et al. Environmental sustainability impacts of solid waste management practices in the Global South. Int. J. Environ. Res. Public Health 2022, 19, 12717. DOI: https://doi.org/10.3390/ijerph191912717
    9. 9. Kenny, C.; Priyadarshini, A. Review of current healthcare waste management methods and their effect on global health. Healthcare 2021, 9, 284. DOI: https://doi.org/10.3390/healthcare9030284
    10. 10. Vlachokostas, C.; Michailidou, A.V.; Achillas, C. Multi-criteria decision analysis towards promoting waste-to-energy management strategies: A critical review. Renew. Sustain. Energy Rev. 2020, 138, 110563.
    11. 11. World Health Organization. Management of Solid Health-Care Waste at Primary Healthcare Centres: A Decision-Making Guide, 1st ed.; WHO: Geneva, Switzerland, 2005.
    12. 12. World Health Organization. Health-Care Waste; WHO: Geneva, Switzerland, 2020. Available online: https://www.who.int/news-room/fact-sheets/detail/health-care-waste
    13. 13. Ogidi, O.I.; Akpan, U.M. Aquatic biodiversity loss: Impacts of pollution and anthropogenic activities and strategies for conservation. In Biodiversity in Africa: Potentials, Threats and Conservation; Springer: Singapore, 2022. DOI: https://doi.org/10.1007/978-981-19-3326-4_16
    14. 14. Jang, Y.-C.; Lee, C.; Yoon, O.-S.; et al. Medical waste management in Korea. J. Environ. Manag. 2006, 80, 107–115.
    15. 15. Khobragade, D.S. Health care waste: Avoiding hazards to living and non-living environment by efficient management. Fortune J. Health Sci. 2019, 2, 14–29.
    16. 16. Sharma, R.; Sharma, M.; Sharma, R.; et al. The impact of incinerators on human health and environment. Rev. Environ. Health 2013, 28, 67–72.
    17. 17. Darbre, P. Overview of air pollution and endocrine disorders. Int. J. Gen. Med. 2018, 11, 191–207.
    18. 18. Tudor, T.L.; Noonan, C.L.; Jenkin, L.E.T. Healthcare waste management: A case study from the National Health Service in Cornwall, United Kingdom. Waste Manag. 2005, 25, 606–615.
    19. 19. Bashaar, M.; Thawani, V.; Hassali, M.A.; et al. Disposal practices of unused and expired pharmaceuticals among general public in Kabul. BMC Public Health 2017, 17, 45.
    20. 20. Ogidi, O.I. Impact of pharmaceutical compounds on the microbial ecology of surface water resources. In Biodiversity in Africa: Potentials, Threats and Conservation; Springer: Singapore, 2022. DOI: https://doi.org/10.1007/978-981-19-3326-4_12
    21. 21. Azmal, M.; Kalhor, R.; Dehcheshmeh, N.F.; et al. Going toward green hospital by sustainable healthcare waste management: Segregation, treatment and safe disposal. Health 2014, 6, 2632–2640.
    22. 22. Hossain, M.; Balakrishnan, V.; Rahman, N.N.N.A.; et al. Treatment of clinical solid waste using a steam autoclave as a possible alternative technology to incineration. Int. J. Environ. Res. Public Health 2012, 9, 855–867.
    23. 23. Padmanabhan, K.; Barik, D. Health hazards of medical waste and its disposal. In Energy from Toxic Organic Waste for Heat and Power Generation; Elsevier: Amsterdam, The Netherlands, 2019; pp. 99–118.
    24. 24. Lee, B.K.; Ellenbecker, M.J.; Moure-Eraso, R. Alternatives for treatment and disposal cost reduction of regulated medical waste. Waste Manag. 2004, 24, 143–151.
    25. 25. Bendjoudi, Z.; Taleb, F.; Abdelmalek, F.; et al. Healthcare waste management in Algeria and Mostaganem department. Waste Manag. 2009, 29, 1383–1387.
    26. 26. Hagen, D.L.; Al-Humaidi, F.; Blake, M. Infectious waste surveys in a Saudi Arabian hospital: An important quality improvement tool. Am. J. Infect. Control 2001, 29, 198–202.
    27. 27. Marincovic, N.; Vitale, K.; Holcer, N.; et al. Management of hazardous medical waste in Croatia. Waste Manag. 2008, 28, 1049–1056.
    28. 28. World Health Organization. Safe Management of Health Care Wastes from Health-Care Activities, 2nd ed.; WHO: Geneva, Switzerland, 2014.
    29. 29. Afolabi, A.S.; Agbabiaka, H.I.; Afon, A.O.; et al. Solid waste management practice in Obafemi Awolowo University Teaching Hospital Complex (OAUTHC), Ile-Ife Nigeria. Manag. Environ. Qual. 2017, 29, 547–571.
    30. 30. Idowu, I.; Alo, B.; Atherton, W.; et al. Profile of medical waste management in two healthcare facilities in Lagos, Nigeria: A case study. Waste Manag. Res. 2013, 31, 494–501.
    31. 31. Ugwu, E.I.; Ekeleme, A.C.; Okolie, S.T.A.; et al. Characterization of medical wastes from selected hospitals in Umuahia, Nigeria. J. Phys. Conf. Ser. 2019, 1378, 042058.
    32. 32. Coker, A.O.; Sangodoyin, A.; Sridhar, M.; et al. Medical waste management in Ibadan, Nigeria: Obstacles and prospects. Waste Manag. 2009, 29, 804–811.
    33. 33. Coker, A.O.; Sikiru, K.A.; Sridhar, M.K.C. Characterization and management of solid hospital wastes. In Proceedings of the 25th WEDC Conference: Integrated Development for Water Supply and Sanitation, Addis Ababa, Ethiopia, 1999.
    34. 34. Odewumi, S.G.; Onyemkpa, C.S. Characterization and management of solid hospital waste: Comparative analysis of private and public institutions. Eur. J. Sci. Res. 2013, 104, 30–52.
    35. 35. De Titto, E.; Savino, A.; Townend, W.K. Healthcare waste management: The current issues in developing countries. Waste Manag. Res. 2012, 30, 559–561.
    36. 36. Etim, M.A.; Academe, S.; Emenike, P.; et al. Applications of multi-criteria decision approach in the assessment of medical waste management systems in Nigeria. Sustainability 2021, 13, 10914.
    37. 37. Oli, A.N.; Ekejindu, C.C.; Adje, D.U.; et al. Healthcare waste management in selected government and private hospitals in Southeast Nigeria. Asian Pac. J. Trop. Biomed. 2015, 6, 84–89.
    38. 38. Ali, M.; Wang, W.; Chaudhry, N.; et al. Hospital waste management in developing countries: A mini review. Waste Manag. Res. 2017, 35, 581–592.
    39. 39. World Health Organization. Health Care Waste-Fact Sheet; WHO: Geneva, Switzerland, 2018.
    40. 40. Gupta, S.; Boojh, R. Report: Biomedical waste management practices at Balrampur Hospital, Lucknow, India. Waste Manag. Res. 2006, 24, 584–591.
    41. 41. International Committee of the Red Cross. Medical Waste Management; ICRC: Geneva, Switzerland, 2011. Available online: https://www.icrc.org/en/doc/assets/files/publications/icrc-002-4032.pdf
    42. 42. Chima, G.N.; Ezekwe, I.C.; Digha, N.O. An assessment of medical waste management in health institutions in Yenagoa, South-South Nigeria. World Rev. Sci. Technol. Sustain. Dev. 2011, 8, 224–233.
    43. 43. Adedigba, M.A.; Nwhator, S.O.; Afon, A.; et al. Assessment of dental waste management in a Nigerian tertiary hospital. Waste Manag. Res. 2010, 28, 769–777.
    44. 44. Umegbolu, E.I.; Ozoejike, I.N. Management of solid healthcare wastes in some government healthcare facilities in Enugu State, Southeast Nigeria: A cross-sectional study. Int. J. Community Med. Public Health 2017, 4, 4031–4041.
    45. 45. Ezirim, I.; Agbo, F. Role of national policy in improving healthcare waste management in Nigeria. J. Health Pollut. 2018, 8, 180913.
    46. 46. Nwankwo, C. Knowledge and practice of waste management among hospital cleaners. Occup. Med. 2018, 68, 360–363.
    47. 47. Macaulay, B.M.; Odiase, F.M. Medical waste management practices in developing countries: A case study of health facilities in Akure, Nigeria. Int. J. Environ. Waste Manag. 2016, 17, 103–127.
    48. 48. Uwa, C.U. Assessment of healthcare waste management practices in Enugu Metropolis, Nigeria. Int. J. Environ. Sci. Dev. 2014, 5, 370–374.
    49. 49. Nwachukwu, A.N.; Anonye, D. The effect of atmospheric pressure on CH4 and CO2 emission from a closed landfill site in Manchester, UK. Environ. Monit. Assess. 2013, 185, 5729–5735.
    50. 50. Anozie, O.B.; Lawani, L.O.; Eze, J.N.; et al. Knowledge, attitude and practice of healthcare managers to medical waste management and occupational safety practices: Findings from southeast Nigeria. J. Clin. Diagn. Res. 2017, 11, IC01–IC04.
    51. 51. World Health Organization. Safe Management of Waste from Healthcare Activities: A Summary; WHO: Geneva, Switzerland, 2017. Available online: https://apps.who.int/iris/bitstream/handle/10665/259491/WHO-FWC-WSH-17.05-eng.pdf
    52. 52. Ogidi, O.I.; Ebitimitula, O.; Ijere, N.D. Biotechnology in waste treatment and recycling. In Green Chemistry, Sustainable Processes, and Technologies; Hirech, K., El Massaoudi, M., Eds.; IGI Global Scientific Publishing: Hershey, PA, USA, 2025; pp. 265–300.
    53. 53. Prüss, A.; Townend, W.K. Management of Waste from Healthcare Activities; World Health Organization: Geneva, Switzerland, 1998; p. 58.
    54. 54. Longe, E.O.; Williams, A. A preliminary study of medical waste management in Lagos metropolis, Nigeria. Iran. J. Environ. Health Sci. Eng. 2006, 3, 133–139.
    55. 55. Baaki, T.K.; Baharum, M.R.; Akashah, F.W. Critical success factors of medical waste management in healthcare facilities in Nigeria: A case study. J. Des. Built Environ. 2017, 17, 18–35.
    56. 56. Awodele, O.; Adewoye, A.A.; Oparah, A.C. Assessment of medical waste management in seven hospitals in Lagos, Nigeria. BMC Public Health 2016, 16, 269–281.
    57. 57. Ogidi, O.I.; Ebitimitula, O.; Adamma, N.C. Bioplastics and their environmental implications. In Green Chemistry, Sustainable Processes, and Technologies; Hirech, K., El Massaoudi, M., Eds.; IGI Global Scientific Publishing: Hershey, PA, USA, 2025; pp. 201–234. DOI: https://doi.org/10.4018/979-8-3693-9826-5.ch009
    58. 58. Chauhan, A.; Singh, A. Healthcare waste management: A state-of-the-art literature review. Int. J. Environ. Waste Manag. 2016, 18, 120–144.
    59. 59. Tudor, T.L.; Townend, W.K.; Cheeseman, C.R.; et al. An overview of arisings and large-scale treatment technologies for healthcare waste in the United Kingdom. Waste Manag. Res. 2009, 27, 374–383.
    60. 60. Zimmermann, K. Microwave as an emerging technology for the treatment of biohazardous waste: A mini-review. Waste Manag. Res. 2017, 35, 471–479.
    61. 61. Department of Health. Health Technical Memorandum 07-01: Safe Management of Healthcare Waste; Department of Health: London, UK, 2020. Available online: https://data.parliament.uk/DepositedPapers/Files/DEP2008-2426/DEP2008-2426.pdf
    62. 62. Estates Returns Information Collection. Estates Returns Information Collection 2018/19: Data Quality Report 2019; Department of Health: London, UK, 2019.
    63. 63. Ferraz, M.C.; Cardoso, J.I.; Pontes, S.L. Concentration of atmospheric pollutants in the gaseous emissions of medical waste incinerators. J. Air Waste Manag. Assoc. 2000, 50, 131–136.
    64. 64. Hoyos, A.; Cobo, M.; Aristizábal, B.; et al. Total suspended particulate (TSP), polychlorinated dibenzodioxin (PCDD) and polychlorinated dibenzofuran (PCDF) emissions from medical waste incinerators in Antioquia, Colombia. Chemosphere 2008, 73, S137–S142.
    65. 65. Njagi, N.A.; Oloo, M.A.; Kithinji, J.; et al. Health-care waste incineration and related dangers to public health: Case study of the two teaching and referral hospitals in Kenya. J. Community Health 2012, 37, 1168–1171.
    66. 66. Salkin, I.F. Conventional and alternative technologies for the treatment of infectious waste. J. Mater. Cycles Waste Manag. 2003, 5, 9–12.
    67. 67. Al-Khatib, I.A.; Sato, C. Solid health care waste management status at health care centers in the West Bank–Palestinian Territory. Waste Manag. 2009, 29, 2398–2403.
    68. 68. Sartaj, M.; Arabgol, R. Assessment of healthcare waste management practices and associated problems in Isfahan Province (Iran). J. Mater. Cycles Waste Manag. 2015, 17, 99–106.
    69. 69. Okechukwu, E.; Onyenwenyi, A. P170: Evaluation of knowledge and practices of hospital waste management in Nigeria: Implications for the control of healthcare associated infections. Antimicrob. Resist. Infect. Control 2013, 2, P170.
    70. 70. Ghasemi, M.K.; Yusuff, R.M. Advantages and disadvantages of healthcare waste treatment and disposal alternatives: Malaysian scenario. Pol. J. Environ. Stud. 2016, 25, 17–25.
    71. 71. Klinghoffer, N.B.; Castaldi, M.J. Gasification and Pyrolysis of Municipal Solid Waste (MSW). In Waste to Energy Conversion Technology; Woodhead Publishing: Boston, MA, USA, 2013; pp. 146–176.
    72. 72. Christenson, T. Solid Waste Technology and Management, 1st ed.; Wiley-Blackwell: London, UK, 2010.
    73. 73. Oke, A.O. Management of immunization solid wastes in Kano State. Waste Manag. 2008, 28, 2512–2521.
    74. 74. Messerle, V.E.; Mosse, A.L.; Ustimenko, A.B. Processing of biomedical waste in plasma gasifier. Waste Manag. 2018, 79, 791–799.
    75. 75. Cai, X.; Du, C. Thermal plasma treatment of medical waste. Plasma Chem. Plasma Process. 2020, 41, 1–46.
    76. 76. Diaz, L.F.; Savage, G.M.; Eggerth, L.L. Alternatives for the treatment and disposal of healthcare wastes in developing countries. Waste Manag. 2005, 25, 626–637.
    77. 77. Tsukamoto, A.; Ishiwata, S.; Kajimoto, A.; et al. Application of ozone gas for decontamination of nucleoside anticancer drugs. J. Pharm. Health Care Sci. 2016, 2, 26.
    78. 78. Coronel, B.; Duroselle, P.; Behr, H.; et al. In situ decontamination of medical wastes using oxidative agents: A 16-month study in a polyvalent intensive care unit. J. Hosp. Infect. 2002, 50, 207–212.
    79. 79. Ogidi, O.I.; Onwuagba, C.G.; Richard-Nwachukwu, N. Biomonitoring tools, techniques and approaches for environmental assessments. In Biomonitoring of Pollutants in the Global South; Springer: Singapore, 2024.
    80. 80. LaKind, J.S.; Richardson, S.D.; Blount, B.C. The good, the bad, and the volatile: Can we have both healthy pools and healthy people? Environ. Sci. Technol. 2010, 44, 3205–3210.
    81. 81. Wang, J.; Shen, J.; Ye, D.; et al. Disinfection technology of hospital wastes and wastewater: Suggestions for disinfection strategy during coronavirus disease 2019 (COVID-19) pandemic in China. Environ. Pollut. 2020, 262, 114665.
    82. 82. Ravanat, J.L.; Douki, T.; Cadet, J. Direct and indirect effects of UV radiation on DNA and its components. J. Photochem. Photobiol. B Biol. 2001, 63, 88–102.
    83. 83. Ogidi, O.I.; Tawariowei, A.M. Endocrine disrupting chemicals and their role in cancer—A review. Mol. Sci. Appl. 2023, 3, 5–14. DOI: https://doi.org/10.37394/232023.2023.3.2
    84. 84. Rabenau, H.F.; Kampf, G.; Cinatl, J.; et al. Efficacy of various disinfectants against SARS coronavirus. J. Hosp. Infect. 2005, 61, 107–111.
    85. 85. Kozmenko, V.; Gonzales, R.; Riopelle, J.; et al. Disinfection Agents and Antiseptics. In Essentials of Pharmacology for Anesthesia, Pain Medicine, and Critical Care; Springer: New York, NY, USA, 2014; pp. 573–580.
    86. 86. Mochungong, P.I.K.; Gulis, G.; Sodemann, M. Clinical waste incinerators in Cameroon—A case study. Int. J. Health Care Qual. Assur. 2012, 25, 6–18.
    87. 87. DeBo, R.J.; Lees, C.J.; Dugan, G.O.; et al. Late effects of total-body gamma irradiation on cardiac structure and function in male rhesus macaques. Radiat. Res. 2016, 186, 55–64.
    88. 88. Padder, A.H. Healthcare waste management. Int. J. Trend Sci. Res. Dev. 2019, 3, 908–911.
    89. 89. Ogidi, O.I.; Izah, S.C. Water contamination by municipal solid wastes and sustainable management strategies. In Water Crises and Sustainable Management in the Global South; Izah, S.C., Ogwu, M.C., Loukas, A., et al., Eds.; Springer: Singapore, 2024; pp. 313–339. DOI: https://doi.org/10.1007/978-981-97-4966-9_10
    90. 90. Wang, D.; Wu, J. Reprocessing and reuse of single-use medical devices in China: A pilot survey. BMC Public Health 2019, 19, 461.
    91. 91. Luijt, D. Risk of infection by reprocessed and resterilized virus-contaminated catheters: An in-vitro study. Eur. Heart J. 2001, 22, 378–384.
    92. 92. Lakhouit, A.; Schirmer, W.N.; Johnson, T.R.; et al. Evaluation of the efficiency of an experimental biocover to reduce BTEX emissions from landfill biogas. Chemosphere 2014, 97, 98–101.
    93. 93. Xu, Y.; Xue, X.; Dong, L.; et al. Long-term dynamics of leachate production, leakage from hazardous waste landfill sites and the impact on groundwater quality and human health. Waste Manag. 2018, 82, 156–166.
    94. 94. Ogidi, O.I.; Ijere, N.D.; Felagha, I. Ecotoxicity and human health risks of improper e-waste handling. In Integrated Approaches for Sustainable E-Waste Management; Güngör, A., Polat, O., Eds.; IGI Global Scientific Publishing: Hershey, PA, USA, 2025; pp. 243–282.
    95. 95. Nock, W.J.; Walker, M.; Kapoor, R.; et al. Modeling the water scrubbing process and energy requirements for CO₂ capture to upgrade biogas to biomethane. Ind. Eng. Chem. Res. 2014, 53, 12783–12792.
    96. 96. Windfeld, E.S.; Brooks, M.S. Medical waste management—A review. J. Environ. Manag. 2015, 163, 98–108.
    97. 97. Evangelisti, S.; Lettieri, P.; Borello, D.; et al. Life cycle assessment of energy from waste via anaerobic digestion: A UK case study. Waste Manag. 2014, 34, 226–237.
    98. 98. Li, H.; Li, J.; Zhang, Z.; et al. Establishing an interval-valued fuzzy decision-making method for sustainable selection of healthcare waste treatment technologies in emerging economies. J. Mater. Cycles Waste Manag. 2020, 22, 501–514.
    99. 99. Abdelhafeez, A.; Mohamed, H.K.; Khalil, N.A. Rank and analysis several solutions of healthcare waste to achieve cost effectiveness and sustainability using neutrosophic MCDM model. Neutrosophic Syst. With Appl. 2023, 2, 3. DOI: https://doi.org/10.61356/j.nswa.2023.8
    100. 100. Mishra, A.R.; Rani, P. Multi-criteria healthcare waste disposal location selection based on Fermatean fuzzy WASPAS method. Complex Intell. Syst. 2021, 7, 2469–2484. DOI: https://doi.org/10.1007/s40747-021-00407-9
    101. 101. Al-Barakati, A.; Rani, P. Assessment of healthcare waste treatment methods using an interval-valued intuitionistic fuzzy double normalization-based multiple aggregation approach. Environ. Dev. Sustain. 2023, 26, 19397–19424. DOI: https://doi.org/10.1007/s10668-023-03154-8
    102. 102. Sharifi, S.; Yaghmaeian, K.; Golbaz, S.; et al. Economic evaluation of hazardous healthcare waste treatment systems. Sci. Rep. 2024, 14, 21764. DOI: https://doi.org/10.1038/s41598-024-69940-0
    103. 103. Raeisi, D.; Jafarzadeh Ghoushchi, S. A robust fuzzy multi-objective location-routing problem for hazardous waste under uncertain conditions. Appl. Intell. 2022, 52, 13435–13455. DOI: https://doi.org/10.1007/s10489-022-03334-5
    104. 104. Wang, F.; Xiang, L.; Leung, K.S.-Y.; et al. Emerging contaminants: A One Health perspective. Innovation (Camb.) 2024, 5, 100612. DOI: https://doi.org/10.1016/j.xinn.2024.100612
    105. 105. World Health Organization. Global Analysis of Healthcare Waste in the Context of COVID-19; World Health Organization: Geneva, Switzerland, 2022.
    106. 106. Bendavid, Y.; Boeck, H.; Philippe, R. RFID-enabled traceability system for consignment and high value products: A case study in the healthcare sector. J. Med. Syst. 2012, 36, 3473–3489. DOI: https://doi.org/10.1007/s10916-011-9804-0
    107. 107. Sharma, V.; Jamwal, A.; Agrawal, R.; et al. A review on digital transformation in healthcare waste management: Applications, research trends and implications. Waste Manag. Res. 2025, 43, 828–849. DOI: https://doi.org/10.1177/0734242X241285420
    108. 108. Frumkin, H. Health Care Waste and Climate Change. Am. J. Public Health 2021, 111, e15. DOI: https://doi.org/10.2105/AJPH.2020.306142
    109. 109. Ullah, Z.; Nasir, A.R.; Alqahtani, F.K.; et al. Life Cycle Sustainability Assessment of Healthcare Buildings: A Policy Framework. Buildings 2023, 13, 2143. DOI: https://doi.org/10.3390/buildings13092143
    110. 110. NHS England. Delivering a Net Zero National Health Service; NHS England: London, UK, 2022.
    111. 111. Adusei-Gyamfi, J.; Boateng, K.S.; Sulemana, A.; et al. Post COVID-19 recovery: Challenges and opportunities for solid waste management in Africa. Environ. Chall. (Amst.) 2022, 6, 100442. DOI: https://doi.org/10.1016/j.envc.2022.100442
    112. 112. Selvaraj, S.; Prasadh, S.; Fuloria, S.; et al. COVID-19 Biomedical Plastics Wastes—Challenges and Strategies for Curbing the Environmental Disaster. Sustainability 2022, 14, 6466. DOI: https://doi.org/10.3390/su14116466
    113. 113. 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, e0259207. DOI: https://doi.org/10.1371/journal.pone.0259207
    114. 114. Kwon, Y.; Lee, S.; Bae, J.; et al. Evaluation of Incinerator Performance and Policy Framework for Effective Waste Management and Energy Recovery: A Case Study of South Korea. Sustainability 2024, 16, 448. DOI: https://doi.org/10.3390/su16010448
    115. 115. Ogidi, O.I.; Okara, E.; Izah, S.C. Medical and pharmaceuticals from biological resources in the Global South. In Sustainable Bioeconomy Development in the Global South; Ogwu, M.C., Izah, S.C., Merritt, H., et al., Eds.; Springer: Singapore, 2025. DOI: https://doi.org/10.1007/978-981-96-0640-5_4
    116. 116. de Sousa, A.T.R.; Pataca, L.C.M.; Maia, C.C.; et al. A case study on healthcare waste management in clinical laboratories in Belo Horizonte city, Brazil. Waste Manag. Res. 2025, 43, 1448–1459. DOI: https://doi.org/10.1177/0734242X251371392
    117. 117. United Nations Environment Programme. Municipal Solid Waste: Is It Garbage or Gold; UNEP: Nairobi, Kenya, 2013.
    118. 118. Vinti, G.; Vaccari, M. Solid Waste Management in Rural Communities of Developing Countries: An Overview of Challenges and Opportunities. Clean Technol. 2022, 4, 1138–1151. DOI: https://doi.org/10.3390/cleantechnol4040069
    119. 119. de Lima, M.S.; Farina, A.G.; Kadel Jr., N.; et al. Alternatives and Benchmarking for Implementations of Waste-to-Energy from Municipal Solid Waste: A Systematic Review. Resources 2025, 14, 185. DOI: https://doi.org/10.3390/resources14120185
    120. 120. Ezeudu, O.B.; Ezeudu, T.S.; Ugochukwu, U.C.; et al. Healthcare Waste Management in Nigeria: A Review. Recycling 2022, 7, 87. DOI: https://doi.org/10.3390/recycling7060087
    ×