ORIGINAL RESEARCH article

How comprehensive and effective are waste management policies during the covid-19 pandemic perspectives from the philippines.

\nGeminn Louis Carace Apostol
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  • Center for Research and Innovation, Ateneo de Manila University–School of Medicine and Public Health, Pasig, Philippines

This study presents a comprehensive analysis on policies governing the management of COVID-19 waste in the Philippines, highlighting gaps in pre-existing policies and opportunities for further policy development and adaptation in the context of present and future public health emergencies. A hybrid search strategy and consultative process identified fifty (50) policy documents directly impacting the management of wastes (general domestic, healthcare, and household healthcare waste) released prior to and during the pandemic. Content analysis revealed comprehensive policy coverage on managing general domestic waste and healthcare waste. However, there remains a dearth in policies for managing household healthcare waste, an emerging category for waste generated by patients isolating at home or in isolation facilities. Applicable, pre-existing policies were neither adequate nor specific to this category, and may therefore be subjected to variable interpretation and mismanagement when applied to this novel waste category. Assessment using the modified Cradle-to-End-Of-Life (CTEOL) framework revealed adequate policy coverage across the waste lifecycle stages. However, policies on reducing waste generation were relatively minimal and outdated, and policy gaps in waste segregation led to downstream inefficiencies and introduction of environmental health risks in waste collection, treatment, and disposal. The internal validity of policies was also evaluated against eleven (11) criteria adapted from Rütten et al. and Cheung et al. The criteria analysis revealed strong fulfillment of ensuring policy accessibility, goal clarity, provision of human resources, and strength of policy background, but weak fulfillment of criteria on providing adequate financing, organizational capacity building, monitoring and evaluation, and encouragement of opportunities for public participation. We conclude that existing waste management policies in the Philippines leave much room for improvement to ensure effective management of COVID-19 waste from various settings and circumstances. Hence, these policies are expected to adapt and evolve over time, utilizing the best available technology and environmental practices. Integrated, region-wide waste management systems, involving both government and society, and strengthened by equitable provisional support are needed for effective waste management that is both inclusive and resilient in the face of present and future pandemics.

Introduction

The ongoing Coronavirus 2019 (COVID-19) has garnered over 554 million confirmed cases all over the world ( 1 ). The Philippines is one of the worst-hit nations globally ( 2 ) and in Southeast Asia ( 3 ) with more than 3.7 million recorded cases and counting ( 4 ). Consequently, the country has also observed a sharp rise in waste generated from both healthcare and domestic settings ( 5 ). In April 2020, early into the pandemic, the Asian Development Bank already projected Metro Manila would generate 280 tons of healthcare waste per day, amounting to roughly a 500% increase in solid waste generation from a pre-COVID baseline figure of 52 tons per day ( 6 , 7 ). In comparison, it was reported that in Wuhan, China, infectious medical solid waste had gone up daily by over 600% from 40 tons daily pre-COVID outbreak, to 270 tons daily during the outbreak ( 8 ). More than a year later, the country's Department of Environment and Natural Resources (DENR) reported that the Philippines had in fact generated 634,687.73 metric tons of healthcare waste between June 2020 and June 2021. This means that in a month, the country generates roughly 52,890 MT of healthcare waste alone, exceeding preliminary estimates ( 9 ). Specifically, the country is estimated to discard 41,202,485 face masks per day ( 10 ). With regards to general solid waste, the Philippines is estimated to generate 8,218,580.85 tons of plastic waste annually as the pandemic progresses ( 10 ), which is a dramatic increase from the 2.7 million tons of plastic waste produced in 2019 ( 11 ). This surge in “COVID-19 waste” threatens not only the public's health but also the sustainability of the country's already overburdened waste management chains.

In the context of a rapidly progressing pandemic, it is a given that medical waste will inevitably be multiplied as a result of the increased need for commodities and personal protective equipment (PPE) in healthcare settings. A waste audit report released by Health Care Without Harm-Southeast Asia (HCWH) conducted in five major hospitals in Metro Manila confirms this inevitable increase in infectious waste generation, but also highlighted the unnecessary and avoidable increase in the generation of single-use plastic wastes in healthcare facilities ( 12 ).

In parallel, the rise in domestic waste during the pandemic, predominantly single-use plastics, was also observed in the Philippines and globally ( 13 ). Such rise in domestic waste generation has been largely attributed to public demand for increased health protection, such as the mandatory use of PPEs in public, increased frequencies of home-based health screening and monitoring, and increased frequency of personal and environmental disinfection) ( 10 , 14 – 16 ). These have likewise been linked to changes in consumer behavior during the pandemic, specifically, the increase in food takeaways and e-commerce transactions among localities placed on lockdown and imposed with mobility restrictions ( 17 – 20 ).

The exponentiating generation of both healthcare and domestic during the pandemic poses a critical problem for both the public's public health and the environment. Mismanagement of infectious medical waste from healthcare facilities and improper segregation of potentially infectious waste from patients isolating at home may lead to further spread of infection ( 8 ). Furthermore, the disruption of the waste management system at the domestic level may lead to open burning and open dumping, with the marine and terrestrial ecosystems bearing the brunt of their environmental effects ( 21 , 22 ). As cases remain steady in number, with the possibility of subsequent COVID-19 surges, waste management chains soon risk collapse with compounded social, economic, and environmental consequences for the country.

Preserving the integrity of the waste management chain through legislation and policy-making is critical in both containing COVID-19 transmission and mitigating further environmental pollution ( 23 ). Even prior to the COVID-19 pandemic, the Philippines already had in place a number of national, subnational, and even local policies that govern the management of both general solid wastes and healthcare wastes. Notably, the country's Ecological Solid Waste Management Act of 2000 (RA 9003) was crafted to ensure the protection of public health and the environment through the utilization of environmentally sound methods for treating, handling, and disposing of solid wastes ( 24 ). For the management of healthcare waste, the Department of Health's (DOH) Revised Health Care Waste Management Manual (2005) consolidates and operationalizes a number of laws, notably the Hospital Licensure Act (RA 4226), the Code of Sanitation of the Philippines (PD 856) and the Toxic Substances, Hazardous, and Nuclear Waste Control Act of 1990 (RA 6969), to govern the management of various types of healthcare wastes–infectious waste, sharps, pharmaceutical wastes, genotoxic wastes, chemical, and radioactive wastes among other typologies ( 25 ). During the pandemic, the Philippine government also issued new policies and protocols to guide the management of additional waste generated ( 6 ), following guidelines and standards developed by international institutions such as the World Health Organization (WHO).

However, the mere existence of legislation does not necessarily translate to its comprehensiveness and adequacy, nor does it ensure effective enforcement and compliance ( 26 ). The rapid development, rollout, adaptation, and implementation of these policies may leave vulnerabilities in the waste management chain and even pose further risks to the public's health, especially in the absence of routine policy review and adaptation ( 27 ). Critically, the applicability of pre-existing waste management policies to the COVID-19 pandemic also remains an inquiry yet to be addressed.

There remains to be a dearth in public health literature assessing country-level, waste management policies as applied to the pandemic context. Existing studies have focused thus far on assessing the inventory impacts of medical waste management ( 28 ) and municipal solid waste management ( 29 ). Domingo and Manejar ( 30 ) conducted a recent analysis of regulatory policies on waste management in the Philippines; but only briefly discussed the applicability and effectiveness of these policies to the distinct waste management circumstances brought about by the pandemic.

This study is first of its kind in critically identifying policy gaps and potential implementation challenges for managing healthcare and domestic wastes, within the context of the Philippines' ongoing response to the COVID-19 pandemic. The contextually-relevant results generated by this research, and the criteria-based approach for policy analysis, stands to inform ongoing policy development and adaptation in the country, and importantly, should drive political decision-making and the mobilization of the necessary initiatives and resources for effective policy implementation. This research also provides policy insights and recommendations that may be adopted not only in the local context but prove useful in informing policy development initiatives undertaken by other developing countries faced with similar challenges. Stable legal and institutional bases are critical not only in managing the current waste challenges presented by the pandemic, but also in remaining resilient in the face of future waste crises resulting from public health emergencies ( 31 ).

We employed a mixed-methods, policy content analysis approach that involved two steps. First, categorical content analysis was done using the Cradle-to-End-of-Life (CTEOL) framework ( 32 ) to determine if the included policies for review accounted for all stages of the waste management cycle from production to end disposal, and for three categories of waste (i.e., hazardous healthcare waste, general domestic waste, and household healthcare waste). Step 2 of the content analysis involved utilizing a unified set of criteria adapted from frameworks developed by Rütten et al. ( 33 ) and Cheung et al. ( 34 ), which evaluated the included policies for sound formulation and potential for effective implementation. Further elaboration of the research methods used can be found in the succeeding subsections.

Identification of policies

In order to trigger the policy review, a consultative process was first employed to generate a comprehensive and current list of policy documents for inclusion in the study. A database search was coordinated and conducted jointly with internal key informants from the Department of Health (DOH), the Department of Environment and Natural Resources (DENR), and the Department of Interior and Local Government (DILG). Keywords used were: “COVID-19,” “waste,” “waste management,” “healthcare waste,” ”infectious waste” “hazardous waste” “household waste,” “municipal waste,” “solid waste”. We excluded documents that did not contain specific provisions on waste management and those that have already been superseded by Republic Act 9003 or the Ecological Solid Waste Management Act of 2000, and RA 6969 or the Toxic Substances, Hazardous, and Nuclear Waste Control Act of 1990. These core documents provide active policy guidance on the management of municipal waste (including household and community waste) and hazardous waste (such as those generated in healthcare settings), respectively. The policy list generated from the keyword search and screening process was validated and revised with a round of consultations from at least three key informants each from DOH, DENR, and DILG.

The final list included fifty (50) policy documents–both pre-existing and released during the COVID-19 pandemic–that directly influenced the management of COVID-19-related waste generated in the healthcare, household, and community settings. All included policies are national-level issuances that govern all territories in the country, and are thus applicable for implementation from the national, subnational, provincial and local levels.

Using conventions of the Philippine legal system, documents were initially and broadly classified based on level of enforceability ( 35 ): [1] laws, [2] implementing policies, and [3] technical guidelines. Laws pertain to the Constitution and legislative statutes such as Republic Acts ( Table 1 ). Implementing policies include executive orders (EO), implementing rules and regulations (IRRs), administrative orders (AO), department orders (DO), and memorandum circulars (MC). These implementing policies, which are founded on already existing laws, are those created to guide programs and administer offices. Technical guidelines include training guides, clinical practice guidelines, operations manuals, and best practice recommendations.

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Table 1 . Classification of policies analyzed in the study.

Policy analysis

A policy analysis team was organized, composed of four Filipino authors, an independent waste management expert, and an independent healthcare waste management expert. Included policies were equitably distributed between the policy analysis team for an initial round of individual content analysis to generate preliminary results. Intercoder reliability for the categorical content analysis (Step 1) was determined at an average of 89% (CI: 84–93) and interrater reliability for the criteria assessment (Step 2) was computed at an average of 84% (CI: 81–88). Inter-rater bias was further minimized by conducting weekly consensus-building meetings, until concurrences in ratings were reached. The findings of the content analyses were then validated through a series of four consultative sessions with relevant policy-making units in the DOH and DENR, and with experts in public health and waste management.

Content analysis of included policies involved two steps. First, the Cradle-to-End-of-Life (CTEOL) Framework by Vozzola ( 32 ) was used to assess the applicability of the policies and their underlying provisions to each stage of the waste management life cycle. CTEOL assessments have been extensively used in previous literature to understand the possible environmental impacts of healthcare products and processes during the life of the product ( 36 – 39 ). Applying a lifecycle approach to analysis of waste management policies therefore renders a perspective that considers whether these impacts are accounted for (and regulated) from the time a commodity is produced until it is finally disposed of as waste ( 32 ).

Figure 1 demonstrates the stages in the cycle considered in the CTEOL assessment of COVID-19 waste management policies, reflecting when the product is still a commodity (in green) and when it is considered waste (in blue).

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Figure 1 . Cradle-to-end-of-life (CTEOL) framework for analyzing COVID-19 waste management policies.

The fifty (50) policies included in the study, including the specific provisions in each policy, were sorted, and tabulated based on the stage(s) within the life cycle covered by the policy.

1. Production, packaging, and distribution of commodities covers policy provisions or guidelines that affect production or regulate packaging and distribution (e.g., guidelines on materials used for production, policies on the use of plastic packaging).

2. Utilization, reuse or extended use covers policy provisions or guidelines for using, reusing, or extending the utility of the product (e.g., guidelines for rational use and reuse of PPEs).

3. Immediate disposal, temporary storage and onsite treatment covers policy provisions or guidelines for waste segregation, storage, and treatment within facilities or settings (e.g., color-coded segregation, designating a specific area for infectious waste).

4. Collection and transport of waste covers policy provisions or guidelines for proper handling, management, and regulation of waste during collection and transport from the source to the treatment facility or permanent disposal site (e.g., collection and transport schedule, safety guidelines for waste handlers, separate trucks for infectious waste).

5. Treatment of waste covers policy provisions or guidelines for the regulation for treatment and disposal facilities, and proper and appropriate methods of treatment.

6. Permanent storage and disposal of waste covers policy provisions or guidelines for the regulation of permanent storage and disposal facilities, and proper and appropriate methods of disposal (e.g., incineration, landfill).

Secondly, the internal validity of waste management policies in terms of sound formulation and potential for effective implementation were then evaluated against a set of criteria adapted from the policy analysis frameworks developed by Rütten et al. ( 33 ) and Cheung et al. ( 34 ). Compared to other policy analysis frameworks, the criteria used by Ret al. and Cheung et al. focus on the goals, resources, obligations and opportunities that form the determinants of effective policy formulation and implementation, and have thus far demonstrated utility in other literature, especially for the assessment of health promotion policies ( 39 , 40 ).

Building on these criteria and supported by face validation with experts and policy makers (acknowledged at the end of this paper), and further literature review ( 40 – 42 ), the policy analysis team utilized 12 policy analysis criteria as follows: 1) Policy Accessibility, 2) Strength of Policy Background, 3) Clarity of Goals, 4) Provision of Financial Resources, 5) Provision of Human Resources, 6) Organizational Capacity-building, 8) Contingency and Sustainability, 9) Monitoring and Evaluation, 10) Public Opportunities, 11) Equity, and 12) Obligations. The underlying rubrics for each criteria are presented in Table 2 .

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Table 2 . Modified criteria for analyzing COVID-19 waste management policies.

Tabulations were made based on the extent to which the policy fulfills each criteria. Criteria were considered “Fulfilled/Strong” if all the mentioned criteria were addressed, “Room for improvement” if some of the needed aspects were unaddressed and “Not fulfilled/Weak” if none or nearly none of the criteria were addressed ( 35 ).

Results and discussion

Cradle-to-end-of-life analysis.

Content analysis using the Cradle-to-End-of-Life (CTEOL) framework demonstrated that every stage of the waste management life cycle is already covered by existing laws, government policies, and guidelines, as shown in Table 3 .

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Table 3 . Applicability of policies and provisions at each stage of waste management life cycle.

Further content analysis of the fifty (50) policies revealed comprehensive coverage on the management of hazardous healthcare waste and general solid waste across life cycle stages. However, there remains a dearth in laws regarding the management of household healthcare waste, a new and unique waste category that emerged during the pandemic. Broadly defined, household healthcare waste pertains to waste generated by individuals suspected or confirmed with COVID-19, who are currently isolating or quarantined at home, and may include “contaminated and non-contaminated personal protective equipment, expired and discarded medicines, injection needles and other sharps, and self-administered testing kits among others” ( 43 ). Given the novelty of this waste category, the included policies in this review have not yet provided any official policy definition or criteria for what constitutes “household healthcare waste” in the Philippine context. Though existing policies may seem to apply to this new category, they are prone to be subjected to different interpretations if left without specific definition or policy guidance.

The policy analysis and gaps identified across each lifecycle stage are discussed further in the succeeding subsections.

On production, packaging, and distribution

Policy provisions and guidelines included in this stage are those that affect production or regulate packaging and distribution (e.g., guidelines on materials used for production, regulations for distribution, etc.) For healthcare products that will eventually be converted to hazardous healthcare waste, twenty-three (23) policies (46%) gave emphasis to increasing production and procurement, especially for single-use commodities (including PPEs) and for dedicated transport vehicles required for managing infectious patients and healthcare waste. A circular from the Food and Drugs Administration (FDA Circular 2020-014) also provided manufacturing guidelines for local PPE production to ensure safety and quality, but provided no commentary on the deleterious impacts of utilizing single-use plastics (SUP) for commodity production and packaging. At the same time, it also did not provide any recommendation on the use of environmentally acceptable materials for production.

Four (4) policies (8%) were found applicable to the production and procurement of healthcare products used in household settings, instructing the acquisition of more PPEs and disinfectant supplies for proper handling of hazardous waste from the Department of Health and Department of Interior and Local Government. DOH DM 2020-0270-A and DOH-DILG Joint AO 2020-0001 ensure that waste facility personnel must be provided with appropriate PPE. DILG MC 2020-147 and DOH AO No. 2020-0015 mandated the availability of disinfectants and hand sanitizers in public establishments and all waste transport vehicles. However, the lack of policy guidance on a needs-based mechanism for equitable production and distribution of these commodities may lead to overproduction and over procurement. Ordinary citizens are most susceptible to indiscriminate use of PPEs, resulting not only in incorrect handling and disposal, but also supply shortages in healthcare facilities where these are most needed ( 44 , 45 ).

For general products that will eventually be converted to general solid waste, eleven (11) policies (22%) recommended increased production for necessary general supplies such as linens, bleach, towels, and raw materials, but there were no policies that covered or regulated the production and packaging of SUPs. The Ecological Solid Waste Management Act of 2000 (ESWMA) or RA 9003 stipulated that the government should promote recyclable products and discourage products that use non-environmentally acceptable products and packaging (NEAPP). Though passed into law over 20 years ago, progress on the NEAPP list remains to be slow and generally unenforced ( 46 ). Not a single product was listed until 2021, when plastic soft drink straws and coffee stirrers were recently added ( 47 ). Local civil society groups and non-government organizations (NGOs) have since advocated for the list's urgent expansion to include other SUPs that have been found to significantly contribute to the mounting plastic problem during the pandemic, including plastic bottles, cups, takeout containers, styrofoam food containers, sachet and other multi-layered plastic packaging ( 48 ).

Without policy regulations to promote the circular economy for SUPs, the drastic increase in its production and demand would inevitably lead to tremendous plastic pollution, a significant portion of which is flushed down into water ecosystems ( 49 ). Plastic waste and its degradation products (e.g., microplastics) are easily ingested by fish and other bio-marine organisms, which in turn re-enter the human food chain and cause chronic human health problems ( 49 , 50 ). The global, amplified concern for plastic pollution secondary to the use of PPEs, especially single-use face masks, has stimulated research for sustainable materials for production such as bio-based plastics ( 49 , 51 ), but has yet to be mainstreamed in resource-limited settings such as the Philippines.

On utilization, reuse, and extended use

Policy provisions or guidelines included in this stage pertain to those that govern the use, reuse, or extension of the utility of products. For products used in healthcare settings, twenty-nine (29) policies (60%) had provisions and guidelines on the rational use of PPEs (single-use PPEs, masks, and face shields) and home testing kits (including rapid antigen and antibody tests). Eleven (11) of these policies (22%) were found applicable to household settings, with three (3) of these specifically applied to persons isolating at home or placed on preventive quarantine. DOH Department Memorandum No. 2020-0105 instructs isolating or quarantined patients on proper mask usage and its discard after one-time use. DM 2020-0090 described how utensils and dishes must be thoroughly washed after use and may be reused thereafter. DOH-DILG Joint AO 2020-0001 recommended disposable paper towels to dry hands, use 60% alcohol-based sanitizers when soap and water are not available, and to clean frequently touched surfaces with bleach or detergent.

Unfortunately, there was a notable lack of unified guidelines on the rational use of home-testing kits and for the safe reuse of PPEs at the household level. The absence of such policy guidance may result in hoarding, unregulated use, and improper recycling of single use PPEs, eventually leading to excessive waste generation and improper waste management. This has been documented in the Philippines especially during COVID-19 surges, when there has been observed panicked marketplace behavior ( 52 ). Mandatory but unguided use of disposable facemasks for all people in public spaces was estimated to generate as much as 41 million pieces of masks (150,000 tons of plastic waste) in the Philippines daily ( 5 , 6 , 39 ).

For products that will eventually be converted to general solid waste, thirteen (13) policies (26%) provided guidelines for the use of disinfectants and other general supplies. DOH DM 2020-0157 mandated the timely disinfection of all public places, including public establishments, roads, and pavements, but lacks further guidance on the safe and proper application of such chemicals. Oxidative chemicals used in disinfection have their own environmental and public health ramifications. Chlorine (NaClO), the cheapest and most commonly used disinfectant, generates toxic by-products that are harmful to marine ecosystems and can persist in environments longer than chlorine ( 53 ). Regular use of other common disinfectants like ammonium and bleach are also known to have negative health impacts ( 54 ), with links to chronic pulmonary disease among healthcare workers ( 54 ) and asthma in young children with early exposure at home ( 55 ).

Immediate disposal, temporary storage, and on-site treatment

Policy provisions and guidelines included in this stage include those affecting disposal, waste segregation, storage, and treatment within facilities or settings. For hazardous healthcare waste, thirty-three (33) policies (66%) emphasized the segregation of waste, decontamination, disinfection, sterilization, and flow of patients in hospitals, vaccination centers, and quarantine centers. Four (4) policies specifically mentioned the use of on-site waste storage through concrete vaults or septic tanks (DOH DC 2020-0219, DC 2020-0191, DILG MC 2020-052, and the National Vaccination Plan). DC 2020-0191 and DOH-DILG Joint AO 2020-0001 encouraged on-site disinfection to allow healthcare facilities to have more control over their waste disposal processes and costs.

DOH DC 2020-0049 laid down the proper decontamination, disinfection, and sterilization practices for various types of healthcare items. It also listed the different methods of on-site treatment available for different levels of disinfection and the corresponding processes to be followed. During the pandemic, healthcare facilities were encouraged to use autoclaves and other technologies for large volume final disposal arrangements and environmental control (New Normal in All Health Facilities Policy Policies, DOH DM 2020-0208, National Vaccination Plan). Autoclaving remains a popular method for disposal in low-income countries due to scalability, applicability to up to ninety percent (90%) of hospital waste, and comparatively low capital costs ( 56 – 59 ).

Wastewater management was given further legislative guidance with detailed guidelines mandated by DC 2020-0191. Uncoupling hospital wastewater management from municipal wastewater is important in preventing the spread of antimicrobial-resistant bacteria, which can spread antibiotic-resistant disease and affect aquatic ecosystems when ejected into wastewater systems ( 60 , 61 ).

For general solid waste, twelve (12) policies (24%) guided the immediate disposal and segregation of domestic waste, recommending the use of color-coded bins, practice segregation at source, proper labeling, and safe handling of waste. The ESWMA or RA 9003 and technical guidelines from both DOH and DILG gave comprehensive guidelines on receiving and sorting waste for recyclable resource recovery to ensure it is in the most efficient, environmentally sound manner.

For household healthcare waste, seven (7) policies (14%) were found applicable to its immediate disposal and segregation but were non-specific, referring to all hazardous waste regardless of the setting where it is generated. Non-specific policy guidance and provisional support dedicated to the segregation of household healthcare waste at the source may lead to improper mixing with general solid waste, and public health risks from this category may inadvertently cascade down the succeeding waste life cycle stages, such as collection, transport, and permanent disposal ( 62 ).

Collection and transport

Policy provisions and guidelines analyzed in this stage pertain to the proper handling, management, and regulation of waste during collection and transport from the source to the treatment facility or permanent disposal site. When handling healthcare waste for collection and transport, twenty-six (26) policies (0.52%) instructed that great care must be given to prevent mixing of waste and exposure of staff during transport. Waste containers must be color coded and tightly sealed after collection. Waste receptacles should be emptied and collected at regular time intervals. Transport should also be done during off-hours and in the safest, most efficient way, ensuring the welfare of the healthcare workers, patients, and formal waste service providers.

For the collection and transport of household healthcare waste, two (2) policies (4%) were applicable but nonspecific to this waste category (DOH DM 2020-0270-A, DILG MC 2020-147). Both issuances indicated that hazardous waste must be kept in a separate container during collection and transport. However, the lack of specific implementing mechanisms for collecting and transporting household healthcare waste during the COVID-19 pandemic poses a problem of improper mixing with general domestic waste, which may result in further spread of disease amongst waste workers and collectors ( 45 , 59 ).

Notably, informal waste pickers, who are vital components of waste collection and resource recovery from household settings in the Philippines, were not mentioned in any of the policies reviewed. Exclusion of this sector from policies is a public health issue and without regulatory safeguards from occupational hazards, this sector is left highly vulnerable ( 63 – 65 ). Lack of legislative support for informal waste pickers is also a missed opportunity to not only protect the environment, but to also help reduce poverty in this sector ( 65 ). Payatas, Quezon City, the biggest landfill scavenging site in the Philippines, provides sustainable livelihoods to three thousand (3,000) informal waste pickers alone ( 64 ).

For general solid waste collection, seven (7) policies (14%) gave specific guidelines for vehicle permit requirements and collection materials (bags, carts, ramps) needed for easy collection and transport of domestic waste. The ESWM Act of 2000 was very detailed in its provisions for the collection and transport of domestic waste for optimal resource recovery. However, no further policy guidance has been executed for increasing frequency and capacity for waste collection, transport, and materials recovery to account for the substantial rise in general solid waste generation during the pandemic.

Policy provisions and guidelines in this stage regulate treatment and disposal facilities, and proper and appropriate methods of treatment. Seventeen (17) policies (34%) guided the treatment of hazardous healthcare waste in disposal facilities. In the Procedural Manual Title III of DAO 92-29 “Hazardous Waste Management” DENR AO 36 Series of 2004, treatments recognized by policy for this waste category include physicochemical transformation treatments (i.e., neutralization, oxidation, reduction of waste acid, waste alkali, or waste solution), thermal treatments (i.e. autoclave, microwave, and sterilization), decomposition, immobilization, encapsulation, polymerization, solidification, melting, thermal decomposition, rinsing, and reprocessing. A list of waste materials unacceptable for co-processing were also defined (Amendment on Some Provisions of DAO 2010-06). Additionally, a manifest system was created to ensure that the collected infectious wastes are properly recorded, treated, and disposed, as written in the Guidelines on the Management of COVID-19 Related Health Care Wastes (DILG MC 2020-147).

Interestingly, a policy contradiction was identified with a recent issuance (DILG MC 2020-147) allowing incineration of healthcare wastes as alternative modes of treatment and disposal, stating that COVID-19 related wastes must be “properly treated with available technologies (i.e., sterilization, thermal processing like pyrolysis and gasification, incineration, etc.).” This provision bypasses two landmark policies (Clean Air Act and Ecological Solid Waste Management Act) which disallow all forms of incineration even under emergency situations such as the COVID-19 pandemic.

For household healthcare waste, only DILG MC 2020-147 was found applicable but still non-specific to this category, mandating the treatment of all COVID-19 related waste using appropriate, available technology. However, without enforced guidelines for the segregation of household healthcare waste at source, this waste category would bypass appropriate waste treatment, be immediately sent to landfills and cause mixed contamination with general domestic waste, minimizing opportunities for resource recovery and increasing risks for disease transmission down the waste management chain ( 66 ).

For general solid waste, five (5) policies (10%) had provisions for the processing and treatment of domestic waste, but no specific technologies were indicated. New technologies for treatment were also neither explored nor incentivized, particularly in the interest of exploring best available technologies (BAT) to unburden sanitary landfills in the country which are currently operating beyond absorptive capacity.

Permanent storage and disposal

Policy provisions and guidelines in this stage pertain to the regulation of facilities designated for permanent storage and disposal, as well as the proper and appropriate methods of disposal. For hazardous healthcare waste, twenty-three (23) policies (46%) provided guidelines and proposed technologies for their separate end storage and disposal. Infectious waste was mandated to be sent to landfills with dedicated disposal spaces (DENR AO 1998-50, DOH DC 2020-0049, DOH DM 2021-0031, DM 2020-0170, and DC 2020-0191). Interestingly, a DENR report showed that only 29% of healthcare waste from April to July 2020 was properly treated and disposed of in landfills due to the lack of capacity to accommodate the sudden surge of healthcare waste ( 67 ). This may pose a significant public health risk as healthcare waste can be a major source of chemical pollution and cause illnesses such as liver diseases, cancer, and the further spread of COVID-19 especially among communities and livelihoods adjacent to disposal sites ( 68 ).

For household healthcare waste, five (5) policies (10%) were found applicable to this category, but still non-specific. This gap in policy poses a problem as unsegregated household waste cannot be co-processed and would be permanently disposed of in landfills, which cannot be open dumps. Unsanitary dumping of hazardous, untreated waste in landfills can cause possible viral transmission amongst informal waste pickers and the leaching of harmful chemicals into the environment ( 67 ). Space and logistic constraints from overcrowded landfills may also eventually lead to open dumps, threatening nearby aquatic and terrestrial biota ( 66 , 67 ).

For general solid waste, seven (7) policies (14%) gave provisional support for sanitary landfill sites and requirements. These policies include geographical and environmental considerations in choosing a site and building facilities. However, there is a scarcity of new landfill sites and limited logistics to accommodate increasing amounts of waste, especially in provincial areas ( 67 , 69 ). This has historically led to open dumping and incineration of as much as sixty percent (60%) of waste nationwide ( 67 , 69 ).

Criteria assessment for analyzing public health policy documents

In order to assess internal validity and potential effectiveness during policy implementation, the fifty (50) policies were also evaluated against a set of 11 criteria adapted from the policy analysis frameworks of Rütten et al. and Cheung et al. ( 34 , 35 ) and reflecting the Philippines' policy implementation context. Criteria were considered “Fulfilled/Strong” if all the mentioned criteria were addressed, “Room for improvement” if some of the needed aspects were unaddressed and “Not fulfilled/Weak” if none or nearly none of the criteria were addressed.

Table 4 summarizes the result of the criteria analysis.

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Table 4 . Criteria assessment on the internal validity of waste management policies.

The criteria assessment demonstrated that majority of the policies required further improvement across all criteria except for “Accessibility.” It is also noteworthy that a significant number of policies weakly fulfilled the criteria on provision of adequate financing, ensuring organizational capacity building, providing for contingencies and sustainability, conduct of monitoring and evaluation, encouraging opportunities for public participation, and promoting equity.

Relevant findings on the fulfillment of policies for each criterion are discussed in the succeeding subsections.

Accessibility

In this study, accessibility was assessed on the availability of the policy, either as an online or physical document in a platform that is accessible to policy implementers, end users and the public. All of the policies included in the study were found in the official databases of DOH and DENR and are publicly accessible online in official government websites. However, it also stands that online policy databases in government websites are not frequently accessed due to ineffective policy marketing and dissemination mechanisms ( 70 ), compounded by unreliable internet connectivity in many parts of the country ( 71 , 72 ). As such, the extent of actual accessibility, specifically to implementers and to the public in general, and particularly during the pandemic, remains unknown.

Moreover, a review of the posting of the policies revealed that the release of new or amended policies during the pandemic was staggered and fragmented, i.e., they were usually released reactively at different periods over the pandemic, and separately by different policy authorities. The absence of a single platform where policy updates may be accessed stands as a barrier to ensuring common policy understanding and harmonized implementation.

Policy background

A document that has a strong policy background is one where scientific, legal and authoritative grounds are clearly established. Sources must be explicitly cited and where deductions are made, premises must be founded on authority, technical expertise, or direct observation ( 34 ). Among the fifty (50) policies, twenty-three (23) of them (46%) were rated as either needing improvement or weakly fulfilled. While all of the policies provided supporting legal literature as foundation, very few of the policies made purposeful use of supporting statistics, findings from peer-reviewed scientific literature, or recommendations from expert consultations to form a “sound” basis for establishing the policy background. Among the policies found to have good policy background, statistics and sources were referenced from the World Health Organization, the US Center for Disease Control and Prevention, and from presentations of monitoring data provided by national government authorities.

Clarity of goals

For a policy to be properly implemented, its goals and objectives must be explicitly identified and mapped out ( 34 ). A majority of the policies (68%) evaluated had clearly stated and explicit goals, which enables such policies to have a precise direction. The goals presented were concrete enough to be evaluated objectively and were definite with their mechanisms and intended outcomes. Of the remaining 32% of policies needing further improvement on this criteria, the goals were found to have limited internal and external consistency in guaranteeing that larger health and environmental outcomes may be derived from policy goals and outcomes. For instance, policies proposing certain waste handling and storage methods failed to provide further evidence on the relative effectiveness of such options in reducing fomite transmission. Policies that laid out certain waste treatment methods also did not disclose the potential environmental impacts of these methods (e.g., incineration, chemical decontamination).

Financial resources

A total of 44 policies (88%) neglected to provide a breakdown of financial resources, or only did so in a vague, passing manner. For example, DILG MC 2020-147 mandated that at the municipality level, “as much as practicable,” households must be provided with temporary storage bags and bins. It also stated that all local units must use available technologies for monitoring and treating waste. On the other hand, DOH AO No. 2020-0015 mandated the “Provision of support for essential workforce (ex: financial, lodging, shuttle, food, etc.)” without much elucidation or obligation of financing sources and agents.

Furthermore, instead of recommending an increase in budget allocation for waste management, policies would call for the provision of financial resources only in a generic way. The National Vaccination Plan simply stated that authorities should “Facilitate the budget for the campaign's operations” and “Develop a budgeted cold and logistics plan.” AO2021-0005 also only mentioned that there is a need “To develop a cold chain and logistics plan and provide a budgetary plan to the COVID-19 vaccine clusters for cold chain and logistics management.”

These are illustrations of how policies merely state materials and processes needed without listing the budgetary and investment requirements needed to achieve them. In order for a policy to be truly effective, all costs and their allocations from start to end must be explicitly accounted for. This includes all means and resources to pay for each of the goals, actions, and outcomes ( 34 ).

Human resources

A policy must also account for and assign dedicated personnel for implementing and monitoring its proposed activities and mechanisms. This is to ensure that there is enough personnel and absorptive capacity to carry out the policy, and that specific roles and obligations are delineated ( 34 ). Twenty-eight (28) of the fifty (50) policies (which accounts for 56%) accounted for personnel needed and outlined specific roles these personnel are accountable for. The ESWM Act also delineated roles at the different levels from the national, regional, provincial, city/municipality, and individual levels. The city/municipal level is responsible for the collection and transport of wastes. The municipality level is responsible for recovery, recycling, and reuse of wastes. Cities and municipalities may form partnerships and arrange contracts with the private sector for supplementing these roles. The individual or the source is responsible for sorting and segregating wastes. Interestingly, none of the policies recommended the provision of additional human resources for waste management despite increasing and shifting workloads ushered in by the COVID-19 pandemic. However, one policy ensured that health facilities without service providers, particularly for waste transport or disposal, would be supported by relevant government agencies, but without specifying distinct roles and obligations.

Organizational capacity-building

Organizational capacity-building includes policy provisions for policy cascading, training and technical capacity-building, and provision of logistical and technical support for the ground implementation of waste management efforts. This criterion ensures that the implementing agencies and bodies have the awareness, readiness, absorptive capacity, and sufficient resources to bring the policy into fruition ( 34 ).

Thirteen policies (26%) strongly fulfilled this criterion while another 13 (26%) were unable to do so. A common theme across the policies was the provision of protective gear such as masks, gloves, face shields, and cleaning and disinfection for workers. NSWMC Resolution 1364-2020 also highlighted the need for waste disposal personnel to be informed about the waste they are handling and to be protected through precautionary measures such as wearing of PPEs and maintaining proper distance from the waste. Related guidelines were also found available for handling toxic chemicals and spill control. Many of the policies, while geared toward capacity-building, had nonspecific provisions on the implementation resources and technical capability building needed to ensure full absorptive capacity of waste management processes. As an example, none of the policies covered providing technical and logistical support for on-site storage and treatment of healthcare waste in lower level facilities who may not have existing facilities and capacities for such, especially those in the public sector.

Even more fundamental, none of the policies lacked guidelines as to how provisions, mandates, and responsibilities are to be cascaded to local implementers, especially in the context of the Philippines' devolved governance setup where the local governments have the mandate to implement waste management policies within their jurisdiction.

Contingency and sustainability

The Philippines experience made it apparent how public health emergencies such as extreme surges in the number of COVID-19 cases may coincide with other disease outbreaks (e.g., dengue and leptospirosis) and the occurrence of climate-related disasters (e.g., typhoons, earthquakes), which taken altogether, may synergistically overwhelm public health and waste management systems and easily derail the implementation of set mechanisms established by policies and guidelines. A policy that takes into consideration contingencies lists measures and mechanisms to deal with and adapt to foreseen and unforeseen circumstances with their aftermath. This includes disasters, co-existing disease outbreaks, and other emergencies ( 34 ). The policy must also be sustainable and feasible during short-term and long-term recovery periods, and render itself viable to mitigate and prevent future environmental and public health risks under different contexts ( 34 ). Even the WHO, in their Guidance for Contingency Planning ( 73 ), underscores the need to develop mechanisms for conceivable threats. This is to minimize potential risks and public health consequences, to prepare plans of action and to ensure provision of adequate resources accounting for these risks. WHO further states that “All plans must be regularly updated based on the evolving risks and environment.”

Only eleven (11) of the fifty (50) policies (22%) satisfied this rubric. The rest of the policies provided no plans on how provisions and implementing mechanisms may be applied or adapted during emergencies, or for situations out of the ordinary. Older waste management policies do consider factors such as managing wastes during rain and leakages, but there was little attention toward the possibility of major calamities and flooding disasters–not uncommon in the Philippines–that may completely derail established mechanisms for waste segregation, collection, storage, and disposal. The idea of contingency plans was mentioned briefly in new policies released during the pandemic, but provided very little detail on the implementing mechanisms of these contingency plans. Protocols for managing malfunctioning equipment, accidents and emergencies were often mentioned as a requirement, but no specific instructions or guidelines were provided in doing so.

There was also little to no mention of mechanisms for the safe continuation of recycling efforts during the COVID-19 pandemic. This would stand to delimit efforts at preventing end disposal facilities from being overwhelmed due to the additional amount of wastes generated during the pandemic. In other countries, recycling network models using a reverse logistics design have since been developed and proposed based on case studies in China ( 74 , 75 ) and Iran ( 76 , 77 ), but have yet to be seen in effective practice.

Monitoring and evaluation

A policy implementation review is useful to ascertain the effectiveness of policies in terms of its implementation. The policy itself must provide clear, comprehensive, specific, and understandable criteria for its own monitoring and evaluation. Specifically, the following must be stated in the policy: outcome measures per objective, the independent body that will perform the evaluation, and the timeline of evaluation data collection ( 34 ). The timeline, which includes follow-ups, must include factors outside of the policy that could have produced changes in the implementation. It is even recommended that waste management plans are analyzed per region, province, city, or municipality, given the devolved nature of the Philippines' public health and waste management systems.

Nearly half or 24 of the policies (48%) analyzed had absent provisions for policy monitoring and evaluation. Only a few policies would designate persons to conduct checks and balances or identify a system of penalties to be imposed. However, the specific indicators, monitoring mechanisms and activities for follow-ups were not indicated.

Public opportunities

A policy that is strong in its public opportunities is one that strengthens the public's level of awareness of the policy as well as their participation and engagement in the policy development process ( 34 ). Only 14 policies (28%) were able to strongly satisfy this criterion. Most of the policies acknowledge multiple stakeholders to the policy, yet do not make mention of mechanisms to build their awareness nor to consult their perspectives during policy formulation, implementation, and evaluation, signifying a top-down approach. A few policies take into consideration the signs of times surrounding the policy (i.e., needs arising from the pandemic), but fail to account for the context of the stakeholders and affected sectors themselves. Effective policy implementation and assurance of policy compliance is challenging without inclusive public engagement.

Majority of the policies analyzed failed to acknowledge how provisions may differentially affect various sectors. An effective public health policy is grounded on the reality that certain populations may be more impacted–or at least affected differently–by policies than others. They fall under different contexts and may thus have different forms of adapting or ways of applying policies. Therefore, the policy must have mechanisms to address the unequal drivers and impacts that its implementation will bring. It must be feasible and applicable to the contexts of marginalized sectors, and its mechanisms must also be accessible to them. Policies should not pose disproportionate risks to certain sectors while affording disproportionate benefits to others. Key populations identified were ( 1 ) low-income classes and those unemployed, ( 2 ) women and the LGBT+, ( 3 ) indigenous peoples, internally displaced persons, and other geographically isolated persons, ( 4 ) persons with disabilities, ( 5 ) prisoners, ( 6 ) persons in areas of conflict, and ( 7 ) children.

With only 8% or four (4) out of fifty (50) policies strongly fulfilling this criterion, equity is the criterion that had the lowest number of policies ranked as “Strongly Fulfilled.” Most of the policies reviewed had no provisions that specifically considered the social vulnerabilities faced by Filipinos today and their lack of alternatives, especially in low-income communities and those in remote, rural areas.

Obligations

The final criterion for analyzing public health policy documents is its ability to become obligatory. The policy must be compelling enough to ensure compliance of the implementers, stakeholders, and target populations. This may be done through the provision of rewards and imposition of penalties and sanctions. Twenty-one (21) of the fifty (50) policies (42%) stated penalties for improper or inadequate implementation, and also provided guidelines for their imposition. The policy documents analyzed also indicated that performance metrics were to be reported by groups responsible for monitoring and evaluation, to be later on used as basis for the provision of incentives and/or disincentives. Without such monitoring systems in place, penalties and sanctions are likely to be disregarded and mandates and responsibilities may be foregone.

Actionable recommendations

On effective and dedicated management of “household healthcare waste”.

The COVID-19 pandemic ushered in a new category of waste: household healthcare wastes. As there was no official definition or criteria for what constitutes “household healthcare waste,” this category was vaguely and nonspecifically accounted for in the policies analyzed. With neither an explicit definition nor policy guidance, managing this new category of waste may be subject to different interpretations. Thus, we recommend that this category be officially recognized during policy formulation to avoid mishandling of hazardous waste from domestic and other non-healthcare settings.

As a next step, policy-backed strategies can be developed to ensure capacity-building programs and adequate public opportunities for individuals, households, and waste handlers dealing with household healthcare waste, so as to minimize occupational health risks and environmental impacts. To ensure enforceability in the context of the Philippines devolved governance system, local government should be mandated by national policy to develop local policies that enable and incentivize household-level segregation and disinfection. These may include local guidelines on specific schedules for collection of household healthcare wastes, and provision of dedicated, color-coded waste receptacles for households with quarantined or isolated individuals as well as dedicated bins for mask waste disposal in public areas. A similar policy on the management of household healthcare wastes has since been executed in Indonesia in 2020, through its Circular Letter on Infectious Waste and Household Waste Management during the COVID-19 Pandemic, however, policy enforcement and compliance remains a challenge ( 78 ). To this end, policies that support and finance information campaigns on proper handling of household healthcare waste will not only ensure policy compliance, but also mitigate misinformation and build solidarity.

On intervening early in the waste life cycle

Strong mandates within pre-existing laws need to be strengthened or adjusted to ensure that waste management strategies during the COVID-19 pandemic do not further overwhelm the waste management chain. One such law is the Ecological Solid Waste Management Act, which already recognizes the relative advantage of strengthening waste reduction and recycling efforts over treatment and disposal in the waste management hierarchy. The observed rise in the production, utilization, and disposal of single-use plastics during the COVID-19 pandemic, in the absence of a suitable policy framework that supports early interventions in the waste management chain, challenges this directive.

To this end, the development and mainstreaming of policies and guidelines for the production and safe utilization of reusable PPEs stands to mitigate further generation of preventable plastic waste, both in healthcare and household settings. However, such issuances must balance cost-effectiveness with potential environmental impacts, since reusable PPEs and other commodities are not without environmental footprint. This may be further supported by guidelines on proper disinfection and extended use of these commodities. The same strategy may be applied for general household products that can be safely reused with proper disinfection. Critically, the list of single-use plastic products included in the Non-environmentally Acceptable Products and Packaging (NEAPP) must be expanded and updated to discourage the use of SUPs for production, packaging and use in both healthcare and household settings.

On ensuring continuity and adaptability of the waste management chain

The COVID-19 pandemic continues to present complex, dynamic, and evolving challenges to waste management systems and facilities in the Philippines, and as such, policies and guidelines are expected to rapidly and responsively adapt to these evolving challenges over time, if only to maintain service continuity. While the policy analysis identified policy adaptations made at certain stages of the waste management chain, the observed lack of adaptation in guidelines concerning recycling and waste collection presents opportunities for further policy development. In particular, the development of contingency policies and guidelines for the safe continuation of recycling efforts in the context of pandemics stands to significantly contribute to unburdening the waste management chain down the line. In California, for instance, guidelines for recycling and composting operations were adapted to ensure service continuity despite the pandemic, with the addition of a newly enacted mitigation measure of waiting for at least 3 days before recyclable wastes are physically sorted, so as to ensure the safety of waste management personnel ( 79 ).

Moreover, there is also a need for policies to ensure the strengthening and adaptation of waste collection efforts during the pandemic and other public health emergencies. Studies have shown that municipal waste collection systems improve in efficiency and costs when collection bins are reallocated, collection vehicles are optimized for the traffic congestion in the area, and collection routes are optimized to maximize delivery time and decrease collection distance ( 80 – 82 ). In Vietnam, adaptive policies mandated the sealing of waste bags for collection, increasing collection frequency during the pandemic (at least twice a day), and treatment of collected waste within a day in compliance to several technical standards. Robust and strong enforcement of these policies have been documented to result in a lower number of COVID-19 transmission among waste handlers, with no deaths thus far ( 82 ).

Recognizing that waste management chains in the Philippines are not only vulnerable to the impacts of the COVID-19 pandemic but also to other natural hazards and disasters that frequent the country, we also recommend releasing provisional guidelines that will ensure the continuation of waste management efforts during the latter circumstances. Specifically, contingency guidelines must be established for the safe continuation of waste collection during emergencies and disasters, and the adaptation of waste storage, treatment, and end disposal guidelines to account for climate impacts (e.g., warming temperatures and increased precipitation).

On strengthening accountability and transparency of waste management financing

Concrete policy directive for the strategic and responsive allocation of financial resources were found to be lacking in many of the policies reviewed. In the absence of a comprehensive financing strategy, the burden often falls disproportionately upon local governments to supply the resources needed for implementation–many of whom may not have these financial resources to begin with, particularly those in low-income and remote, rural locations. Contingency policies that provide for supplementary co-financing of waste management efforts by national government agencies, along with providing options for resource sharing between local governments and incentivizing public-private partnerships, may address the inherent constraints that delimit optimal financing and resource mobilization for waste management efforts during the pandemic.

Policy development may also be leveraged not only for increasing budgetary allocations and resource mobilization for waste management efforts but also in ensuring transparency and accountability–both of which are often set during public health emergencies such as the COVID-19 pandemic. By virtue of the 1987 Philippine constitution and the 1991 Local Government Code, government budgets are to be made publicly accessible, and the call for transparency in the public financial management of waste management efforts should be reinforced.

On capacity-building and implementation

The key to avoid the escalation and crippling of the waste management system is prompt government response with strict protocols and regulations on the national and local level especially at the early stages of any potential waste management crisis. Government support should also be increased at the municipality-level in order to adequately implement the policies (e.g., increased number of designated public waste bins, provision of color-coded plastic waste bags, involvement of homeowners in community-based practices to promote proactive participation within their own space).

To address the criteria of human resources and organizational capacity building, training for waste treatment and disposal facilities should also be given more focus to augment these stages, using more eco-friendly technology. Partnerships with the private sector can also be incentivized and the informal sector of waste management can be included in future policies to help the safe continuation of resource recovery (e.g., reusing, recycling, and composting activities). Lastly, the adoption of new technologies that will enable the extended use of resources (e.g., PPE's) should be explored to solve the scarcity in supply.

Conclusions

Developing countries like the Philippines continue to deal with weak regulatory governance structures and the absence of resources and infrastructures vital to effective policy grounding and implementation ( 83 , 84 ). These situate many countries in ASEAN at a disadvantage in the global progression of waste generation brought by rapid urbanization, and the ongoing COVID-19 pandemic.

Content analysis of the fifty (50) policy documents vis a vis the Cradle-to-End-of-Life framework revealed adequate provisional coverage across all life-cycle stages for hazardous healthcare waste and general solid wastes from domestic settings. However, the emerging category of household healthcare waste was poorly covered as it was neither defined nor specifically governed in any of the policies analyzed. Evaluation of the internal validity of the policies demonstrated weak fulfillment of criteria on adequate financing, organizational capacity building, monitoring and evaluation, and encouragement of opportunities and public participation. Rapid, adaptive policy generation is necessary in times of crises like the COVID-19 pandemic but has also resulted in gaps and inconsistencies that must be revisited and adapted to ensure that waste management policies deliver their intended goals and contribute to larger public health and environmental outcomes.

However, even with strong policies and provisional support, limited infrastructure and lack of absorptive capacities to manage exponential increases in healthcare waste will lead to gaps in implementation, especially in far-flung, low-income localities where availability and access to implementation resources widely vary. Ultimately, disregard of social vulnerabilities and lack of alternatives for low-income regions will result in the brunt of the impacts shouldered by poor communities and the informal economy.

A dedicated policy implementation review is needed to evaluate how these policies are carried out across LGUs in different provinces. We recommend the study of waste management campaigns and available technology at different levels of office per region, province, city, and municipality in order to identify weaknesses in practice, explore opportunities to optimize the process, and give more support to those that need it. This would also allow the crafting of future policies that would not only meet international standards but also ensure that the guidelines are tailor-fit and flexible enough to LGUs' capacities and needs.

Relying on the status quo, policy mechanisms to address waste management amidst current and future pandemics will not be viable in the long run; hence, these are expected to adapt and evolve over time, utilizing available technology and innovations. Effective solid waste management needs a whole of government, whole of society approach as both institutions and communities are affected and involved.

Data availability statement

The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.

Author contributions

All authors listed have made equally substantial, direct, and intellectual contribution to the work and share first authorship. All authors approved the work for publication.

This research was sponsored by the University Research Council grant of the Ateneo de Manila University (Control Number: COVID-URC18 2020).

Acknowledgments

The authors would like to express their gratitude to key informants from the Philippine Department of Health (DOH) and Department of Environment and Natural Resources (DENR), notably Mr. Geronimo Sañez, Engr. Maria Sonabel S. Anarna, Engr. June Philip O. Ruiz, and Ms. Maria Delia Cristina M. Valdez for their insightful comments and suggestions during the policy analysis and validation stages. The authors would also like to thank Ms. Maxine Abigale Bunao, Mr. Arvin Jose A. Simba, and Ms. Celine P. Villanueva for their helpful assistance during the data collection stages.

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

The handling editor XS declared a past co-authorship with the authors GA and SV.

Publisher's note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

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Keywords: policy analysis, COVID-19, waste management, solid waste, healthcare waste, pandemic, Philippines

Citation: Apostol GLC, Acolola AGA, Edillon MA and Valenzuela S (2022) How comprehensive and effective are waste management policies during the COVID-19 pandemic? Perspectives from the Philippines. Front. Public Health 10:958241. doi: 10.3389/fpubh.2022.958241

Received: 31 May 2022; Accepted: 21 July 2022; Published: 17 August 2022.

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Copyright © 2022 Apostol, Acolola, Edillon and Valenzuela. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Geminn Louis Carace Apostol, gapostol@ateneo.edu

† These authors have contributed equally to this work and share first authorship

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Strategy to improve the solid waste management of Barangay Matictic, Norzagaray, Bulacan

V de Paz 1 , R Domingo 1 and F M Roxas 1

Published under licence by IOP Publishing Ltd IOP Conference Series: Earth and Environmental Science , Volume 511 , International Conference Series on: Sustainability Outreach in Developing Countries 30-31 May 2020, Okinawa, Japan Citation V de Paz et al 2020 IOP Conf. Ser.: Earth Environ. Sci. 511 012004 DOI 10.1088/1755-1315/511/1/012004

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Solid Waste generation in the Philippine continues to be a national problem, and it is still increasing as the country's population grows. This study aims to recommend improvements in the Solid Waste Management program at the national level by implementing behavioral change initiatives and alternative disposal plans for solid waste starting with Barangay (Brgy.) Matictic in Norzagaray, Bulacan as a pilot test. The research focus is reducing waste at the source and implementing changes in the manner of mobilizing resources to minimize waste generation. Research methodology includes Focus Group Discussion, interviews, and research with both internal and external stakeholders to facilitate gathering of data. This study shows that improvements in Solid Waste Management can be accomplished by allocating sufficient funds and efforts into changing the behaviour of households. It is recommended further that funding for the usual solid waste management interventions such as landfill and recycling must be implemented only if waste generation is avoided via proper resource planning and if waste segregation is strictly implemented through incentive programs or awareness initiatives. While technology plays a great role in managing solid waste, reframing the problem will improve outcomes. The global issue of waste must be perceived and resolved as an adaptive challenge, and not just a technical problem.

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Municipal Solid Waste Management in Asia and the Pacific Islands pp 281–297 Cite as

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The Philippines like most developing countries in Asia and the Pacific Region faces more pronounced waste management challenges in urban metropolitan centres. As reported by World Bank in 2001, cities within Metro Manila generate almost 25 % of the country’s total waste generation.

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Asian Development Bank (2002–2003) Metro Manila solid waste management project (ADB TA 3848-PHI), Philippines

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DENR/EMB-CCO (2012) The Philippine second national communication to the United Nations framework convention on climate change, Philippines

Republic Act 9003. The ecological solid waste management Act of 2000 and its implementing rules and regulations, Philippines

National Climate Change Action Plan (2011–2028) Climate change commission, Philippines

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Magalang, A.A. (2014). Municipal Solid Waste Management in the Philippines. In: Pariatamby, A., Tanaka, M. (eds) Municipal Solid Waste Management in Asia and the Pacific Islands. Environmental Science and Engineering. Springer, Singapore. https://doi.org/10.1007/978-981-4451-73-4_14

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A Systematic Review of E-Waste Generation and Environmental Management of Asia Pacific Countries

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Due to the rapid increase in the use of electrical and electronic equipment (EEE) worldwide, e-waste has become a critical environmental issue for many governments around the world. Several studies have pointed out that failure to adopt appropriate recycling practices for e-waste may cause environmental disasters and health concerns to humans due to the presence of hazardous materials. This warrants the need for a review of the existing processes of e-waste management. In view of the growing e-waste generation in the Asia Pacific region and the importance of e-waste management, this study critically reviews previous research on e-waste generation and management practices of major e-waste producing nations (Australia, China, India, Indonesia, and Malaysia) in the Asia Pacific region, provides an overview of progress made and identifies areas for improvement. To fulfil the aims of this research, previous studies from 2005 to 2020 are collected from various databases. Accordingly, this study focuses on e-waste generation and environmental management of these countries. This study found that e-waste management practices of the selected countries need to be enhanced and recommends several best practices for effectively managing e-waste.

1. Introduction

The Asia Pacific region is highly populated and is considered one of the fastest developing regions in the world. In addition, many countries in this region underwent rapid industrialisation, driven by foreign direct investments [ 1 ] due to a relatively cheap labour force. One of the industries that benefited from these factors is the electrical and electronics industry, which has experienced a major transformation due to increased technological and market developments [ 2 ]. Today, electrical and electronic equipment (EEE) has become indispensable and enhance living standards, but often contain toxic chemicals that negatively impact human health and the environment and fuel the climate crisis [ 2 , 3 ]. The growth in demand and increased sales of EEE have consequently led to the rise in the volume of e-waste [ 3 , 4 , 5 ].

E-waste is one of the most urgent and pressing challenges of our time; however, it is routinely ignored. Across the world, the growing amount of e-waste threatens the environment and local communities, as incorrectly disposed e-waste results in life-endangering toxic chemicals released into the environment and the loss of precious metals [ 2 , 4 , 5 , 6 , 7 ]. Perkins et al. [ 8 ] point out that the amount of e-waste generated each year is increasing at an alarming rate. In 2019 alone, more than 50 million tons (Mt) of e-waste was generated globally. Of this total e-waste, 24.9 million tons were generated in the Asia Pacific region alone. The amount of e-waste generated worldwide increased three times faster than the world’s population. Forti et al. [ 2 ] estimate that the volume of e-waste generated globally will exceed 74 million tons (Mt) by 2030. However, the level of recycling is not keeping up the pace. In fact, less than 13 per cent of e-waste was recycled in the same year. Moreover, the majority of e-waste generated is being diverted for landfilling, which is a common approach to disposing of e-waste worldwide [ 9 ]. The major issue with the current e-waste management practices is: (a) lack of efficient collection and recycling systems and (b) lack of mechanisms to hold producers of EEE accountable for the end-of-life disposal [ 2 ]. Hence, failure to adopt appropriate e-waste recycling processes may lead to enormous environmental and health issues [ 3 , 10 , 11 , 12 , 13 ].

This study identified three research gaps. Firstly, although, literature presents results of various studies on e-waste generation [ 3 , 4 , 5 , 8 , 14 , 15 , 16 , 17 ], recycling [ 14 , 15 , 16 , 17 ], treatment [ 4 , 18 , 19 , 20 ], and environmental management [ 8 , 21 , 22 , 23 , 24 ]; however, few studies have focused on the impact of e-waste generated in the Asia Pacific countries selected and its consequential effects on human health and the environment. Secondly, Forti et al. [ 2 ] suggest that many countries, including countries in the Asia Pacific region, are not sufficiently managing e-waste generated, and greater effort is needed to ensure smarter and more sustainable global production, consumption, management, and disposal of e-waste. The authors also indicated that more e-waste is generated than is being safely recycled in many countries of the world, and more corporative efforts are needed to tackle the escalating e-waste problem through appropriate research and training. Forti et al. [ 2 ] and Balde et al. [ 3 ] noted that the issues emanating from e-waste management in today’s digitally connected world are primarily due to the way we produce, use, and dispose of electronic devices, which are currently unsustainable. Bhaskar and Kumar [ 25 ] added that implementing appropriate e-waste management strategies will contribute to the achievement of sustainable development goals and reduce the global climate crisis through developing the necessary, needed, and required e-waste policies. Thirdly, while investigations and discussions on e-waste generation and management have been ongoing for several decades. However, the problems and challenges on e-waste generation and management remain unabated [ 2 , 26 , 27 ].

The purpose of this study is to critically review the existing strategies and practices adopted by the major e-waste producing countries in the Asia Pacific region in managing and regulating e-waste to minimise the environmental and health impacts created as a result of inappropriate recycling and disposal practices.

A key initiative and motivation of this study is to identify the problems/challenges in managing e-waste in the selected Asia Pacific countries and recommend appropriate management strategies and policy approaches to handle and regulate e-waste to significantly reduce environmental and health concerns. Accordingly, this study reviews previous research on e-waste generation and environmental management of Australia, China, India, Indonesia, and Malaysia, identifies problems and challenges that negatively impact e-waste management in these countries, provides an overview of progress made, and identifies areas for future research.

The selected countries (Australia, China, India, Indonesia, and Malaysia) are among the largest producers of e-waste in the Asia Pacific region [ 2 , 13 , 18 , 28 ]. To fulfil the aims of this study, a comprehensive review of previous research articles on e-waste published from 2005 to 2020 was conducted. This study focuses on aspects such as the amount of e-waste generated, current recycling and disposal methods, environmental management of e-waste, individual/collective attitudes towards e-waste, current e-waste problems/challenges of selected countries. In addition, prior studies of the selected countries are categorised based on the type and scope of research, location of study, and e-waste categories analysed. This study uses the outcomes of previous studies, considers country-specific issues, and identifies future research areas to present best practices for e-waste generation and environmental management.

This paper is organised into five sections. The first section presents current literature on e-waste, the research problem, research gaps and research aim, and justification for this study. The second section outlines the chosen methodology and the justification for considering a systematic literature review. The third section details the e-waste management practices in the selected countries. The fourth section provides the results of this study and analyzes the results. The final section presents the findings of this study, limitations associated with the current study, policy recommendations for effective e-waste management, and future research opportunities.

2. Research Methods

In recent years, researchers have increasingly used quantitative and qualitative research (mixed methods) techniques to expand the scope and improve the analytic power of their studies [ 29 , 30 ]. Quantitative research method is a statistical and interpretive technique used to describe or explain the meaning and relationships of a phenomenon under investigation. Quantitative research typically involves probability sampling to allow statistical inferences to be made [ 29 , 31 ]. In contrast, qualitative research method is a non-numerical, precise count of some behaviour, attitudes, knowledge, or opinion for ascertaining and understanding the meaning and relationships of certain phenomena for generalisation. It typically involves purposeful sampling to improve understanding of the issues being examined [ 29 , 30 , 31 ].

This study adopts a qualitative research method to explore the issues relating to e-waste in the selected countries from existing research over the past years to guide future research in this area. To achieve the aim of this study, the five-phase approach of Wolfswinkel et al. [ 32 ] for conducting a systematic review and analysis of the literature is adopted. Adopting this five-phase approach enables the researchers to conduct a thorough search process and critically review and analyse the articles retrieved from the databases. The five-phase approach includes: (a) defining the scope of the review, (b) searching the literature, (c) selecting the final samples, (d) analysing the samples using content analysis, and (e) presenting the findings.

The first phase is to define the scope of the review. This includes the definition of specific criteria for the inclusion and exclusion of relevant sources and the criteria for identifying and retrieving those sources in the literature. In this study, four prominent databases are used to source literature, including ProQuest, Emerald, ScienceDirect, and Web of Science. The selection of these databases is due to their representativeness and coverage in the publication of top academic papers on e-waste in the selected countries. To ensure broad coverage of the studies in these databases, several keywords have been used for the search, which includes “electronic waste”, “e-waste”, “waste electrical and electronic equipment”, “e-waste management”, “e-waste recycling,” “e-waste disposal methods”, “e-waste problems and challenges” and “environmental management of e-waste”. Several criteria are used to set the limitation, including restricting the document type to scholarly journals, peer-reviewed conference papers, book chapters, and other institutional reports from United Nations (UN) and World Health Organization (WHO); the language in English, and the publication date from 2005 to 2020. These document types have been selected as they represent state-of-the-art research outputs with high impact [ 32 ].

The second phase is to run the search query within the selected databases for retrieving the search results. A total of 688 articles are returned using the above pre-defined search strings. This initial search enables us to gain a general understanding of the coverage of e-waste topics.

The third phase involves selecting the final samples for detailed analysis. The search is limited to the title and the abstract to focus on the search results. Titles and abstracts of all initial articles are screened for checking the relevance to e-waste. This leads to the identification of 235 relevant articles. Duplicate articles are removed. A total of 210 articles is assessed for eligibility, and after excluding those articles that did not meet eligibility criteria, a total of 185 articles is identified for further review.

The 185 articles have been read in full for coding and analysis. NVivo 12.0 is used for providing an overview of the general topics from all the abstracts of the included papers. An overview of the dispersion of the selected papers in terms of year of publication shows there is increased interest in e-waste from 2005 to 2020. Figure 1 below illustrates the search process using the PRISMA flow diagram.

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Object name is ijerph-18-09051-g001.jpg

PRISMA flow chart indicating the results of searches.

3. Overview of E-Waste

E-waste is defined as an electrical appliance that no longer satisfies the user for its intended purpose [ 33 ]. Meanwhile, StEP [ 34 ] defines e-waste as a term used to cover items of all types of EEE and its parts that have been discarded by the owner as waste without the intention of reuse.

Table 1 shows e-waste generated around the world and per continent in 2016. It is observed that the Asian continent generated the highest e-waste, followed by Europe and the Americas. Interestingly, the African continent produced one of the lowest e-waste even though it is the second most populated continent in the world [ 35 ]. Although the African continent produced the lowest amounts of e-waste due to slow technological growth and limited access to energy when compared to other continents, they suffer other kinds of pollution problems caused by traffic emissions, oil spills, heavy metals, refuse dumps, dust, and open burnings and incineration, which significantly contribute to environmental contamination in Africa [ 36 , 37 , 38 ]. Human exposure to toxic metals and environmental pollution has become a major health risk in Africa and is the subject of increasing attention to national and international researchers and environmentalists [ 37 , 38 ].

E-waste generated around the world and per continent in 2016 [ 4 ].

A further study was conducted in 2019 whereby the Asia Pacific region also generated the highest amount of e-waste in comparison to America, Europe, Africa, and Oceania regions. The Asia Pacific region generated around 25 Mt, followed by America at 13.1 Mt and Europe at 12.1 Mt. The study also showed that Africa generated 2.9 Mt and Oceania generated 0.7 Mt of e-waste [ 2 , 39 ]. This warrants the need to conduct a study on e-waste generation and environmental management of countries in the Asia Pacific region [ 14 , 15 , 40 ].

3.1. Constituents of E-Waste

Over the years, the use of electronic devices for domestic and commercial purposes has grown rapidly [ 8 ]. E-waste generally consists of a range of hazardous materials ( Table 2 ), including metals, pollutants, printed circuit boards, computer monitors, cables, plastics, and metal-plastic mixtures [ 2 ]. The composition and quantities of these materials vary in each electronic device depending on the manufacturer, the equipment type, model, and the age it was discarded. In comparison to household e-waste, the e-waste from the IT and telecommunication sector generally contains metals that are of high economic value [ 41 , 42 ]. These metals are generally categorised into precious and toxic metals. Precious metals include gold, silver, aluminium, iron, copper, platinum, etc. The value of precious metals in e-waste is estimated to be worth USD 14 billion. However, more than 50 per cent of these metals are not recovered [ 2 ]. Meanwhile, toxic metals in e-waste include mercury, cadmium, lead, and chromium [ 2 , 43 ].

The distinctive contents of e-waste.

3.2. E-Waste Generation and Management Practices

This study has selected five countries, including Australia, China, India, Indonesia, and Malaysia, from the Asia Pacific region because they are the major e-waste producers in the region. In line with the aim of this study, this section presents an in-depth analysis of waste generation, policies and management practices adopted by the selected countries in the Asia Pacific region. In addition, this section presents literature on e-waste generation and the opinions of scholars in this field. The following sub-sections explain e-waste management practices for the selected countries in the Asia Pacific region. Table 3 below presents e-waste key statistics for the selected countries.

E-waste key statistics 2019.

3.2.1. Australia

Australia is placed among the top 10 consumers of electronic products in the world. As a result, e-waste has become one of the fastest-growing waste streams in Australia [ 9 , 44 , 45 ]. The total and per capita e-waste generation in Australia has steadily increased in the last 10 years from 410 Kilotons (Kt) in 2010 to 554 Kt in 2019 as a result of an increase in sales of EEE [ 2 ]. Previously, due to the lack of an e-waste national regulatory framework, local government councils had difficulties in managing e-waste, and they had no strategies to address e-waste issues [ 46 , 47 ]. To resolve the nation’s escalating e-waste challenges, the Australian government established the National Waste Policy in 2019 to integrate existing policies and regulatory frameworks for e-waste management [ 9 , 45 , 48 ]. Thereafter, the Australian government introduced the National Product Stewardship Scheme in 2011 in collaboration with the State and Territory Governments and industries [ 9 , 26 , 45 ].

The introduction of the National Waste Policy in 2009 was designed to set the direction of Australia’s e-waste management and resource recovery for 10 years from 2010 to 2020. The policy was established to achieve several goals, including compliance to international obligations such as the Basel and Stockholm Conventions, reducing the generation of e-waste, and ensuring e-waste treatment, disposal, recovery, and reuse is safe and environmentally sound [ 44 , 47 ]. The Product Stewardship Act of 2011 was also designed to establish a framework by which the environmental, health, and safety impacts of electrical and electronic equipment and its recycling and disposal are adequately managed [ 44 , 45 ]. Currently, Australia’s e-waste system is in its evolving stages and while, progress has been made since the introduction of the National Waste Policy and the Product Stewardship Act, Australia’s e-waste is growing three times faster than other waste streams, and the capacity and sophistication of the nation’s systems need to grow and adapt [ 44 , 48 ].

3.2.2. China

China is one of the leading producers of EEE, and currently, the country is experiencing incredible growth in e-waste generation from both domestic and international sources [ 9 , 26 , 49 ]. Formal e-waste management in China is driven by government agencies designed to improve e-waste recycling and disposal and to encourage manufacturers to take back their products [ 21 , 49 ]. Thus, Chinese e-waste regulations are focused on extended producer responsibility (EPR), polluter pays, and 3Rs (reduce, reuse, recycle) principles [ 50 ].

Informal e-waste recycling in China is often carried out by individual recyclers and unauthorised dismantling companies. Informal recyclers purchase used items and often either dismantle or repair them for the second-hand market. This unregulated e-waste recycling method is currently flourishing in China. Informal recycling provides livelihoods for many Chinese citizens and is creating serious environmental and health concerns. Thus, e-waste generation and management in China has remained a major problem and are fuelled by China’s inexpensive labour and manufacturing abilities. Informal recyclers do the majority of e-waste collection and recycling in most cities throughout China [ 50 ].

3.2.3. India

The increasing average annual growth rate from 0.56% in 1991 to 1.62% in 2011 has contributed significantly to an alarming amount of e-waste generation in India. India is among the top 10 countries in the world in e-waste generation after the U.S. and China. It is estimated that three (3) million tons of e-waste were produced in 2018 and is expected to reach five (5) million tons by the end of 2020 [ 51 , 52 , 53 ]. According to the Confederation of Indian Industries, the Indian electronics industry has a market size of approximately USD 65 billion in 2013, and this is expected to reach USD 400 billion by the end of 2020 [ 52 , 54 ].

Today, e-waste in India is a significant waste stream both in terms of volume and toxicity [ 55 ]. Approximately 152 million units of computers will become obsolete in India by the end of 2021 [ 55 , 56 ], creating serious management challenges and environmental/health problems. Each year, India domestically produces approximately 400,000 tons of e-waste [ 24 ]. Thus, India’s e-waste recycling is a market-driven industry [ 55 ] and is dominated by a number of informal actors. About 90% of the e-waste in India is illegally recycled in the informal sector and involves different groups, including women and children [ 57 , 58 ].

The Ministry of Environment and Forests (MoEF) is the national regulator responsible for formulating legislation related to e-waste management and environmental protection. MoEF approves the guidelines for the identification of the various sources of e-waste in India and endorses the procedures for handling e-waste in an appropriate and environmentally friendly manner [ 59 ]. Those involving e-waste are the 2004 “Municipal Solid Waste Management Rules” and the 2008 “Hazardous and Waste Management Rules.” New regulations are classified as the 2010 “E-waste Management and Handling Rules”, which became effective in 2012 [ 60 ]. While there are regulations on e-waste management and disposal in India, no regulation has effectively addressed the e-waste problem in India [ 52 , 58 ]. Currently, the majority of the hazardous materials found in e-waste are covered under “The Hazardous and Waste Management Rules, 2011 and the 2016 E-waste Management and Handling Rules” [ 52 ].

Despite EPR being a major policy approach in both e-waste (Management and Handling) Rules 2011 and E-waste (Management and Handling) Rules 2016, they are not effectively implemented, and this can be attributed to certain peculiarities in India’s e-waste management system [ 51 , 61 ]. For example, due to some financial incentives involved, Indian consumers are willing to sell their obsolete e-waste to the “kawariwalas” (door-to-door scrap collectors). This behaviour is totally different from practices adopted by most developed countries whereby the producers and consumers have to pay “Recycling/Disposal Fee” [ 62 , 63 , 64 ].

3.2.4. Indonesia

Due to substantial growth in the economy coupled with rapid technological developments, e-waste generation in Indonesia has increased considerably [ 28 , 65 ]. In 2016, Indonesia generated 1274 kt of e-waste with a per capita generation of 4.9 kg [ 66 ]. Although e-waste appears as a global issue, it is not a common term for most people in Indonesia [ 67 , 68 ]. In Indonesia, e-waste management is dominated by the informal recycling sector, which is essentially made of unregulated and unregistered small businesses, groups, and individuals, while the formal sector consists of the country’s municipal agencies as the major actors [ 69 ].

Although the country has no presence of a specific regulation to manage its e-waste, the “Environmental Protection and Management Act No. 32/2009” and “Solid Waste Management Act No. 18/1999” are used in the regulation of e-waste produced in the country [ 70 , 71 ]. Since 2016, the Indonesian government has been in the process of formulating a unified e-waste regulation for the country, which would apply to all the 37 Indonesian provinces, but this is yet to be realised [ 28 , 72 ]. However, the absence of regulated licensed recycling companies in the country has encouraged inappropriate disposal of the majority of the EEE from households, businesses, and industries [ 71 ]. Currently, the informal sector illegally collects, treats, and disposes of discarded EEE triggering huge environmental and health concerns [ 65 , 72 ]. The difficulties/challenges in managing e-waste in Indonesia is primarily due to (a) the inability of the government to understand and deal with the interest of stakeholders involved, (b) the government regulations are beneficial to only a few parties, and (c) there is strong resistance between the government agencies [ 73 ].

3.2.5. Malaysia

In 2019, the International Monetary Fund (IMF), in its economic outlook, ranked Malaysia as the 3rd largest economy in Southeast Asia and the 37th largest economy in the world [ 74 ]. With a healthy economic indicator, e-waste generation in Malaysia is expected to increase in the coming years. The growth in e-waste generation is anticipated worldwide because there is a strong correlation between economic growth and e-waste generation [ 75 , 76 ].

Management of e-waste in Malaysia is still in its infancy and only began in 2005 [ 77 ]. In Malaysia, e-waste is classified as scheduled waste under the code SW 110, “Environmental Quality Regulations 2005” and managed by the Department of Environment (DOE) and the Ministry of Natural Resources and Environment (MNRE) [ 78 , 79 ]. The primary role of DOE and MNRE is pollution prevention and control through the enforcement of the “Environmental Quality Act 1974” (EQA 1974) [ 79 , 80 ]. Although there are strategies on e-waste management in place, they do not adequately guide the local consumers or the municipal authorities on how e-waste should be managed, reused, recycled, or disposed of [ 78 ]. Subsequent to the listing as e-waste under the “Environmental Quality Scheduled Waste Regulations (EQSWR) 2005”, e-waste in Malaysia was reported and managed as municipal solid waste through the Department of Solid Waste Management (DSWM) under the Ministry of Housing and Local Government [ 78 , 81 , 82 ].

3.3. A Review of Previous Studies

This study considered literature reviews to identify key issues associated with e-waste management and to conduct an extensive evaluation of e-waste management practices in the selected countries. We believe this knowledge will help the countries to overcome their challenges and develop appropriate strategies for recycling and disposing of e-waste. This section provides an overview of earlier studies in the selected countries. In particular, results from the literature review on e-waste generation and management practices adopted by the respective nations are presented. Furthermore, this section presents the scope and the context of earlier studies on e-waste management. Prior studies [ 83 , 84 , 85 , 86 ] offer valuable insights into e-waste management in the selected countries. They also highlight the challenges associated with e-waste management and the need for developing comprehensive e-waste management strategies. Table 4 presents previous research on e-waste conducted in the selected countries from 2005 to 2020.

Previous studies on e-waste conducted in the selected countries from 2005 to 2020.

4. Results and Discussion

This study adopts a qualitative approach for studying e-waste management practices of the selected countries in the Asia Pacific region. As per Wolfswinkel et al. [ 32 ], this study adopted a five-phase approach. In the first phase, secondary data from 2005 to 2020 has been considered for reviewing existing literature on e-waste management in the selected countries. Then, a total of eight (8) keywords are used to identify and analyse the relevant articles. Finally, challenges and practices associated with e-waste management are discussed to present the proposed policy approaches and recommendations.

E-waste management has become a contentious issue due to the presence of hazardous materials and the health hazards it may cause if not managed properly. In fact, for more than a decade, scholars have conducted studies on informal e-waste collection and disposal methods [ 87 , 88 ]. However, these studies were limited to e-waste generation, prevention, quantification, recycling, treatment, reuse, pollution control, legislation, and life-cycle assessment, as noted in recent studies [ 83 , 85 , 87 , 89 , 90 , 91 ]. Undoubtedly, these studies presented opportunities to address some of the challenges associated with e-waste management. However, there is a limited study in addressing the environmental and health implications associated with e-waste for achieving sustainable e-waste management. Moreover, prior studies on e-waste are centred on a small number of developed countries, which represent a “standard” or “benchmark” for developing e-waste management policies for emerging countries. Therefore, this study aims to address these gaps.

4.1. E-Waste Studies in Selected Countries

After a critical review of the pertinent literature and a content analysis of the e-waste articles related to the selected countries, the dispersion of e-waste research in the selected countries according to the keywords/themes, e-waste categories examined, and the study location are illustrated in Table 5 . Based on the information presented in Table 5 , it is evident that most of the e-waste studies in the selected countries were focused on e-waste generation, management and recycling. A number of e-waste studies focused on problems and challenges, environmental management, and health impacts indicating that further research is required in these areas in the countries examined.

Distribution of e-waste research in selected countries.

4.2. Analysis of Content Results

Given the background review and analysis in the previous sections, it is obvious that the problem and challenges of e-waste in the selected countries still persist. Our analysis shows that the e-waste management systems and infrastructure of the selected countries, particularly India, China, Malaysia, and Indonesia, are still in their infancy. Currently, e-waste scrap such as printed circuit boards, CRT monitors, and LCD screens have been, and are still being, recycled in China, India, Indonesia, and Malaysia, creating huge environmental and health issues. Informal e-waste collection, recycling, and its health implications on informal workers in these countries have become increasingly popular in the last 15 years [ 89 , 92 , 93 , 94 ]. Table 6 shows the findings from the analysis of the contents.

Findings from the analysis of the contents.

In China, several towns have remained as a dumping ground for e-waste. For example, Guiyu town is often referred to as “the e-waste capital of the world” and employs more than 150,000 locals from four villages. These local informal workers dismantle and recapture valuable metals and parts that can be reused or sold from old computers. In Guiyu, it is not uncommon to see computer parts, cables, and huge tangles of wires scattered around the streets and riverbanks [ 88 , 95 , 96 , 97 ]. Findings/outcomes indicate that various issues geared towards developing a sustainable recycling system still need to be addressed.

In India, obsolete computers from households and businesses are sold by auction to door-to-door collectors who engage in informal methods of recycling. According to a report by the Confederation of Indian Industries (CII), approximately 146,000 tons of obsolete EEE are generated in India annually [ 86 , 109 ]. The results of the analysis show that the recycling of e-waste in India is heavily dominated by the informal sector, and only a few approved e-waste recycling facilities are available. In the majority of urban slums of India, more than 95% of e-waste is treated and processed by untrained workers who carry out illegal and risky procedures. These illegal procedures are not only injurious to the health of the locals who work without personal protective equipment but also to the environment [ 55 , 86 ]. It is found that the formal process of e-waste recycling and treatment is still rather slow as the collection and recycling of most e-waste remains in the hands of the informal sector [ 86 , 109 ].

In Indonesia, large amounts of e-waste are imported from developed countries. E-waste in the form of scrap materials or second-hand devices is sent to Indonesian islands from the adjacent ports in Singapore and Malaysia. Findings indicate that, in Indonesia, infrastructure and workable systems to quantify, recycle, monitor, and handle e-waste is lacking [ 65 , 127 ]. Currently, the informal sector illegally collects, treats, and disposes of discarded EEE, causing huge environmental and health issues [ 65 , 71 ].

The management of e-waste in Malaysia is still developing and only began in 2005 [ 77 ]. Results indicate that although there are strategies to manage e-waste in Malaysia, challenges persist and the pressure to manage e-waste is now even more crucial. Malaysia has become one of the popular destinations of e-waste imported from developed countries [ 139 , 140 , 141 ]. Results of the analysis also indicate the country still faces significant issues in managing the ever-increasing amount of e-waste generated even though several material recovery facilities (MFR) have been established.

In Australia, several government policies have been developed. The key issues are identified in the e-waste management including: (a) the narrow scope of e-waste categories for recycling, (b) the lack of clarity on the roles of key stakeholders involved, (c) the recycling and material recovery targets, and (d) the lack of auditing and compliance. The results of the analysis show [ 47 , 142 , 143 ] minimal research has been undertaken to assess the effectiveness of e-waste policy management strategies [ 47 , 144 , 145 , 146 , 147 ].

It can be seen that the majority of the selected countries in this present study are faced with an increasing amount of e-waste. Although the per capita e-waste generated in the emerging countries is much lesser than in the developing countries, the volume generated is greater due to the growing population and market size in emerging countries such as India, China, and Indonesia. These countries are ranked among the top e-waste generators in the world.

The importance of selecting these countries such as Australia, India, China, Indonesia, and Malaysia in the Asia Pacific region in terms of environmental and market perspectives cannot be overemphasised. These selected countries have significant population, natural resources, and financial potentials [ 67 , 148 , 149 , 150 , 151 ]. Moreover, these countries have contributed substantially to the world’s GDP, landmass, and market share. This calls for a responsible e-waste management effort by these countries to effectively manage the growing amounts of e-waste generated for reducing environmental and health concerns.

Clearly, e-waste management processes in the majority of these countries examined still need improvement. Most of these countries studied have no well-established e-waste infrastructure for efficient collection, storage, transportation, recycling, and disposal of e-waste. In addition, the enforcement of codes of practice and regulations relating to hazardous e-waste management in these countries is minimal or non-existent.

Exposure to e-waste is harmful to public health. E-waste has been found to negatively impact public health because communities are exposed to a complex mixture of chemicals from multiple sources and through multiple exposure routes [ 152 ]. The results of this study indicate that the impact of e-waste is linked to a variety of health problems in the countries examined, such as birth defects, premature births, respiratory diseases, and cancer. Furthermore, people living in e-waste recycling towns or working in e-waste recycling sites showed evidence of greater DNA damage. A review of the literature also revealed an association between e-waste exposure and thyroid dysfunction, adverse behavioural changes, and damage to the lungs, heart, and spleen due to prolonged exposure [ 152 , 153 ].

Hence, e-waste has become one of the major challenges in these countries, and it is, therefore, crucial for these countries to investigate the development of a well-organised and inexpensive recycling scheme to extract valuable resources with inconsequential environmental impacts.

5. Conclusions

This study has evaluated the e-waste generation and management practices of the selected countries in the Asia Pacific region. Based on the review of past studies and results of the analysis, it is obvious that the majority of the selected countries are yet to find a workable e-waste management strategy that will provide a sustainable solution to their e-waste concerns.

Results of the analysis show that the volumes of e-waste generated are fast exceeding the available infrastructure and recycling facilities in the countries examined, thereby driving e-waste streams to flow into illegal and informal recovery. On top of that, the absence of an integrated framework that could support the monitoring and management of toxic and hazardous wastes has also created additional problems in managing e-waste in the selected countries and calls for a generic e-waste policy approach.

In addition, the increasing demand for second-hand EEE, particularly in developing countries (China, Indonesia, India, and Malaysia) due to poverty and the continuing technological modernisation, has made these countries dumping grounds for e-waste from developed countries. For example, China’s Guiyu town is well-known for the informal recycling of printed circuit boards. Specifically, “metal-contaminated sediments and elevated levels of dissolved metals have been reported in rivers around the town of Guiyu” [ 85 ].

Furthermore, sophisticated facilities and infrastructure required for formal recycling of e-waste using efficient technologies are minimal or non-existent in the selected countries. Formal recycling is widely accepted as the best way to manage e-waste, which reduces greenhouse gas emissions and helps lessen the climate crisis. Thus, recycling e-waste will reduce air and water pollution associated with the illegal dumping of e-waste. By recycling discarded, unwanted, or obsolete EEE for new products, nations can further reduce the enormous health risks and environmental pollution associated with improper disposal of e-waste.

Therefore, to effectively manage e-waste in the selected countries, there is a need to develop generic structured policy approaches to tackle the e-waste problem in the selected countries and indeed across the world is required. These structured policies are projected to put in place formal systems and infrastructure for the recycling, management, and disposal of e-waste, taking into account country-specific issues.

One of the shortcomings of this study is that the information and analysis of previous studies are seen to be reality. This study is also limited to countries in the Asia Pacific region and considers the time limitation by the year of the articles found. Although the accuracy of some of the analyses in the present study is inescapably subjective, this study is a starting point for further research into various aspects of e-waste generation and management practices of the selected countries.

6. Recommendations

This study has exposed the current situation of e-waste generation and management practices of the selected countries. The following recommendations are suggested based on the findings of this study:

  • E-waste regulations tailored to each country’s current situations should be enacted, recognising the lessons learned from more developed and experienced nations such as Japan, Switzerland, and South Korea;
  • Extended producer responsibility (EPR) and 3Rs strategy should be implemented in EEE manufacturing regulations in all countries to support the production of simple, lightweight products, planned for reuse rather than obsolescence so that recycled materials can become resources for new products, thereby reducing the request for raw materials;
  • Local government councils are key stakeholders in the management and recycling process and therefore incur major expenditures while handling e-waste. This, therefore, necessitates policymakers understanding of the determinants, drivers, and costs associated with e-waste collection and disposal;
  • International integrated organisations should be established for checking specific e-waste material generation across the globe. This initiative will restrain the transboundary movement of e-waste across international borders.

Policy Approaches

Although different countries have endorsed and passed their respective e-waste regulations in other to manage e-waste, implementing appropriate and structured policy approaches will support all efforts directed towards effectively managing e-waste across the globe. Firstly, it is critical to have stepwise, and well-thought-out policy approaches for effectively formulating and implementing e-waste regulations and guidelines. Such approaches have been found to be effective in more advanced countries such as Switzerland, South Korea, and Japan, as noted above. In view of the multidimensional socio-economic nature of emerging economies, it is vital to consistently assess and evaluate existing policies to identify gaps and areas for improvement. This technique has also been found to be effective in Australia. Secondly, when implementing e-waste policies, interdisciplinary research approaches need to be considered. This will allow policymakers to better understand and address the various health and environmental problems associated with e-waste management. Finally, we believe that the policy approaches of respective countries geared towards dealing with the persistent and challenging e-waste issues require a local and specific approach where inherent socio-cultural, economic, political, and environmental concerns of that country are taken into consideration.

7. Future Research

Future research should use a quantitative approach or other research methods and expand the number of selected countries to understand e-waste generation and management practices of countries in the Asia Pacific region. This will provide additional viewpoints in the management, recycling, and environmental management of e-waste in the regions.

Author Contributions

L.A.: Conceptualisation, Methodology, Formal analysis, Investigation, Resources, Writing—Original Draft; S.W.: Visualisation, Validation, Writing—Review and Editing, Supervision; S.G.: Visualisation, Validation, Writing—Review and Editing, Supervision. All authors have read and agreed to the published version of the manuscript.

This research received no external funding.

Institutional Review Board Statement

Informed consent statement, data availability statement, conflicts of interest.

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Preliminary assessment of solid waste in Philippine Fabrication Laboratories

  • Lemuel Clark Velasco 1 ,  ,  , 
  • Mary Jane Burden 1 , 
  • Marie Joy Satiniaman 1 , 
  • Rachelle Bea Uy 1 , 
  • Luchin Valrian Pueblos 1 , 
  • Reynald Gimena 2
  • 1. Mindanao State University-Iligan Institute of Technology, Philippines
  • 2. Mindanao State University-Marawi, Philippines
  • Received: 08 March 2021 Accepted: 10 June 2021 Published: 30 June 2021
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Solid waste management is seen as a response to the increase in waste generation due to the rising number of industrial facilities. This includes digital manufacturing facilities such as Fabrication Laboratories (FAB LAB) which acts as innovation centers that generates prototypes using a common set of digital fabrication equipment. Previous studies have tackled with the environmental impacts of FAB LABs in a macro-level scale; however, there has been a lack of research specifically assessing the solid waste of laboratories, more so on Philippine FAB LABs. A baseline assessment study on FAB LABs of the Philippines could be applicable in future implementations of solid waste management systems through the crafting of institutional policies and guidelines for environmental sustainability. Using data gathered from 11 respondent FAB LABs, this study quantified percentage compositions of the waste according to waste type as well as the relative waste generated by each respondent FAB LAB. Machine availability was seen as a factor in waste generation resulting in the high generation of wood and plastic waste. Moreover, it was observed that earlier established laboratories generally had more active makers than recently established ones, hence the older FAB LABs statistically produced more waste. Approximately 53% of the overall waste produced was considered recyclable by Philippine standards but the actual recyclability of the waste was still undetermined due to the ambiguous criteria for recyclables and the lack of feedback data from recycling facilities. The initial findings suggest that an implementation of continuous waste monitoring, sufficient in-laboratory protocols, and coordination between FAB LABs and recycling facilities could improve actual waste recyclability and—by extension—the environmental sustainability of Philippine FAB LABs.

  • Fabrication Laboratories ,
  • environmental sustainability ,
  • solid waste management ,
  • digital manufacturing ,
  • solid waste assessment

Citation: Lemuel Clark Velasco, Mary Jane Burden, Marie Joy Satiniaman, Rachelle Bea Uy, Luchin Valrian Pueblos, Reynald Gimena. Preliminary assessment of solid waste in Philippine Fabrication Laboratories[J]. AIMS Environmental Science, 2021, 8(3): 255-267. doi: 10.3934/environsci.2021017

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  • Figure 1. Composition of waste by-products produced by Philippine FAB LABs
  • Figure 2. Summary of available machines and equipment in different Philippine FAB LABs
  • Figure 3. Distribution of overall solid wastes from different Philippine FAB LABs
  • Figure 4. Recyclability of wastes generated by Philippine FAB LABs

Assessment of the performance of cruise ship waste management: Case study of the Rio de Janeiro port, Brazil

  • Sanches, Vânia Maria Lourenço
  • Gobbi, Clarice Neffa
  • Calderari, Mônica Regina da Costa Marques
  • Pacheco, Elen Beatriz Acordi Vasques

The significant growth of the cruise ship industry has resulted in economic benefits, but there are also waste management-related challenges. The aim of this case study was to contribute to the research of cruise ship waste management at the Port of Rio de Janeiro. A3 methodology, applied for the first time in this context, was used to create questionnaires to assess the stakeholders involved, revealing that institutional bureaucracy has a negative effect on waste management. In addition, secondary data on unloaded waste, obtained from the transport manifests, showed that 56 % contained reliable information. The main wastes were plastics (57 %), glass (17 %), metal (9 %), and others. With respect to destinations, 41 % were sent to landfills, 55 % recycled and 4 % thermally treated. Only 5 % of cruise ship moorings removed waste at the Port of Rio de Janeiro, attributed to factors such as high costs.

  • Solid waste management;
  • Cruise ships;
  • Rio de Janeiro port;
  • Waste unloaded

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    Center for Research and Innovation, Ateneo de Manila University-School of Medicine and Public Health, Pasig, Philippines; This study presents a comprehensive analysis on policies governing the management of COVID-19 waste in the Philippines, highlighting gaps in pre-existing policies and opportunities for further policy development and adaptation in the context of present and future public ...

  4. Sustainability

    Solid waste management issues continue to pose challenges in the Philippines. The increasing generation of waste, coupled with a foreseen lack of infrastructure for disposal, inevitably leads to overflowing sanitary landfills laced with environmental and health issues. As a result, the Philippine government is placing emphasis on Waste-to-Energy (WtE) technology as an ideal and immediate ...

  5. of the Waste Management System in the Philippines

    Like other developing countries, waste management has become a major problem in the Philippines for the past decades. This paper provides an overview of the waste management and recycling in the Philippines and the responses of the government to address various problems brought about by improper waste management. It reviews the policies related to waste management from 1938 to 2001, including ...

  6. Strategy to improve the solid waste management of Barangay Matictic

    The research focus is reducing waste at the source and implementing changes in the manner of mobilizing resources to minimize waste generation. ... Kaza S, Yao L, Bhada-Tata P and Woerden F V 2018 What a Waste 2.0: A Global Snapshot of Solid Waste Management to 2050 ... Republic of the Philippines 2012 National Solid Waste Management Commission ...

  7. How comprehensive and effective are waste management policies during

    Introduction. The ongoing Coronavirus 2019 (COVID-19) has garnered over 554 million confirmed cases all over the world ().The Philippines is one of the worst-hit nations globally and in Southeast Asia with more than 3.7 million recorded cases and counting ().Consequently, the country has also observed a sharp rise in waste generated from both healthcare and domestic settings ().

  8. PDF The Effectiveness of WWF-Philippines' Manual on Waste Management in

    of the Philippines' prevailing environmental problems (Premakumara et al., 2018), the organization, through these EE programs, continues to address plastic use and solid waste management among individuals and groups. WWF-Philippines' EE program for primary school students uses a learning material titled "Manual on Waste Management."

  9. Reducing Plastic Waste in the Philippines

    Studies have shown that the Philippines, together with China, Indonesia, Thailand, and Vietnam, accounts for 55 to 60 percent of plastic waste entering the ocean. Globally, the Philippines has one of the highest rates of mismanaged plastic waste recycling, with only about 28 percent of the key resins it consumed in 2019 being recycled.

  10. PDF Challenges in Governance and Implementation of the Philippines' Solid

    tons of plastic waste, needing a management solution. Plastic pollution has become a "public bad", and government now has the responsibility to render solutions to the problem. Globally, plastics compose 10 % of the total waste, but there is no data available for the Philippines. This paper discusses and analyzes the following:

  11. Status of Solid Waste Management in the Philippines

    The household is the major source of waste in the Philippines at 74%. Moreover, of the total solid waste generated from households, 95% can still be reused or recycled (43%), or turned into compost (52%). Only 5% is made up of residuals (4%) and special/hazardous waste (1%) that are no longer usable or biodegradable (JICA Waste Characterization ...

  12. PDF Chapter 5 Review of the Waste Management System in the Philippines

    Like other developing countries, waste management has become a major problem in the. Philippines for the past decades. This paper provides an overview of the waste management and. recycling in the Philippines and the responses of the government to address various problems. brought about by improper waste management.

  13. Municipal Solid Waste Management in the Philippines

    The only data available on waste composition are the results of the waste analysis and characterization survey (WACS) conducted by the Asian Development Bank for Metro Manila in 2003.The WACS was conducted through the technical assistance project of ADB (Asian Development Bank-Metro Manila Solid Waste Management Project, 2002-2003.) specifically for the cities of Makati, Muntinlupa, Pasig ...

  14. PDF Overview on Plastic Waste: The Philippine Perspective

    Waste Management Act (RA 9003) Email: [email protected] . 309. This is an updated version of the plenary paper that was presented at the 41. st. Annual Scientific Meeting (July 2019) of the National Academy of Science and Technology Philippines. Transactions National Academy of Science & Technology Philippines ISSN 0115-8848 (print) ISSN 2815 ...

  15. Waste Management in the Philippines

    Waste Management in the Philippines. Vella Atienza 1 • Institutions (1) 31 Dec 2019 - pp 270-286. TL;DR: In this paper, the authors provide a brief background of the country particularly on the issues related to waste management such as population, economic situation, urbanization, and modernization, among others. View 12 related papers.

  16. A Systematic Review of E-Waste Generation and Environmental Management

    In view of the growing e-waste generation in the Asia Pacific region and the importance of e-waste management, this study critically reviews previous research on e-waste generation and management practices of major e-waste producing nations (Australia, China, India, Indonesia, and Malaysia) in the Asia Pacific region, provides an overview of ...

  17. Waste Management Practices for Food and Agricultural By-Products ...

    This research examines waste management practices pertaining to food and agricultural by-products in public markets within Zamboanga City, Philippines. The study adopts a comprehensive approach to assess current strategies employed by local authorities and market vendors to manage waste generated from these sectors.

  18. Preliminary assessment of solid waste in Philippine Fabrication

    Atienza V (2011) Review of the Waste Management System in the Philippines: Initiatives to Promote Waste Segregation and Recycling through Good Governance, Chiba, Japan, Institute of Developing Economies, Japan External Trade Organization. ... Proceedings from the Fab14 'Fabricating Resilience' Research Papers Stream, Toulouse, France, Creating ...

  19. An analysis of consumer opinions on waste medicine management utilizing

    The management of post-consumer medicine waste has become increasingly important due to the high levels of consumer purchasing and stockpiling of drugs brought on by the pandemic. Environmental, social, and financial sustainability are directly influenced by the specifics of how pharmaceutical waste should be disposed of or recycled. Hence, this study provides a comprehensive approach that ...

  20. Assessment of the performance of cruise ship waste management: Case

    The significant growth of the cruise ship industry has resulted in economic benefits, but there are also waste management-related challenges. The aim of this case study was to contribute to the research of cruise ship waste management at the Port of Rio de Janeiro. A3 methodology, applied for the first time in this context, was used to create questionnaires to assess the stakeholders involved ...