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The objective of this Short Communication is to promulgate an inventory of 87 papers pertaining to health care waste management practices and challenges in 40 low and middle income countries worldwide amassed through a multi-language systematic review. Herein, we discuss the major gaps, failures, and frequently reported themes by geographic region. Following this we outline a proposed research agenda moving forward, and conclude that greater research and attention towards these unintended consequences of technologic progress in medical care delivery is needed to address and understand this growing public health threat around the world.

Original publication




Journal article


Tropical medicine & international health : TM & IH

Publication Date





1414 - 1417


University of Pennsylvania School of Medicine, Philadelphia, USA.


Humans, Cross Infection, Risk Factors, Public Health, Medical Waste Disposal, Developing Countries, Health Facilities