Professional Documents
Culture Documents
Health Effects
Skin Disorders fungal infection, allergic dermatitis, pruritis and skin cancer
Respiratory Abnormalities bacterial upper respiratory tract infections
(pharyngitis, laryngitis and rhinitis), chronic bronchitis and asthma
Abdominal and Intestinal Problems bacterial enteritis, helminthiasis,
amoebiasis, liver cancer, kidney and renal failure
Dental Disorders dental carries and dental pain
Ear Infections otitis media and bacterial infections
Skeletal Muscular Systems back pain
Central Nervous System impairment of neurological development,
peripheral nerve damage and headaches
Eye Infections allergic conjunctivitis, bacterial eye infections
Blood Disorders Iron deficiency anemia
Others malaria, chicken pox, septic wounds and congenital abnormalities,
cardiovascular diseases and lung cancer
Regarding the definition of waste management there were always more of an
explanation to the answer. Often the explanation included some examples of
how waste could be managed; burnt, placed in the ground, re-used, recycled
or composted (figure 8, Appendix 4). The following quote is from one of the
participants and highlights the definition.
The community members had lots of ideas about hazardous waste. The word
needed a bit of explanation and then several diverse answers were given.
They mentioned batteries, used bottles for kerosene, pesticides and
herbicides, plastic bottles, broken glass bottles and sharp metallic waste. One
participant thought industrial waste might be the most dangerous.
A lot of concern for children health was raised during all interviews, with an
explanation that children play around in dump sites and injure themselves on
the waste. Worries about animal health were also brought up during the
interviews, due to the plastic bags that are consumed by cattle and animals
in the streets
Asking about health effects that could occur through improper disposal
resulted in mostly similar answers. Every participant mentioned cholera,
malaria and physical effects. Some of the participants also mentioned other
health effects like dysentery and respiratory disease. One participant
mentioned the danger of walking around barefooted, as many children do and
also some adults, this because of all broken glass and the risk of catching
parasites on the feet.
and use of productsas well as the disposal of the resulting wasteall result
in emissions of atmos- pheric gases called greenhouse gases that affect the
Earths climate. When organic waste decomposes in landfills and uncontrolled
dumps, it produces methane, one of the
major greenhouse gases contributing to climate change. Waste generation
increases with population expansion and industrialization. Countries in
Asia, Latin America, and Africa account for nearly 40 percent of annual
methane emissions from landfills, which is equal to 37 million metric tons of carbon dioxide equivalent (MTCO2e) or the amount of air emissions
from more than 102 million automobiles. You can
reduce greenhouse gas emissions, however, through proper solid waste
management (for a more detailed explanation of
the relationship between climate change and solid waste
Solid waste should be managed through a number of activitieswaste
prevention, recycling, composting, controlled burning, or landfilling. Using a
combination of these activities together in a way that best protects
your community and the local environment is referred to as integrated solid
waste management (ISWM). An ISWM program can help reduce greenhouse
gas emissions and slow the effects of climate change. This folder and its
accompanying fact sheets are designed for government officials, nongovernmental organizations, and others involved in
planning and communicating the benefits of
ISWM programs. The fact sheets will introduce you to impor- tant issues you
will need to address in planning a successful
ISWM program. These fact sheets also assist you in planning an ISWM
program by providing guidelines for recycling and composting,
waste collection and transport, and waste disposal (landfilling and
combustion).
WASTE PREVENTION Waste preventionoften called source reduction
means reducing waste by not producing it. Examples of waste prevention
would include purchasing durable, long-lasting goods and seeking products
and packaging that are as free of toxic substances as possible. It can be as
simple as switch- ing from disposable to reusable products, or as complex as
redesigning a product to use fewer raw materials or to last longer. Because
waste prevention actually avoids waste generation, it is the preferred waste
Disposal of hospital and other medical waste requires special attention since
this can create major health hazards. This waste generated from the
hospitals, health care centers, medical laboratories, and research centers
such as discarded syringe needles, bandages, swabs, plasters, and other
types of infectious waste are often disposed with the regular non-infectious
waste.
Waste treatment and disposal sites can also create health hazards for the
neighborhood. Improperly operated incineration plants cause air pollution and
improperly managed and designed landfills attract all types of insects and
rodents that spread disease. Ideally these sites should be located at a safe
distance from all human settlement. Landfill sites should be well lined and
walled to ensure that there is no leakage into the nearby ground water
sources.
Recycling too carries health risks if proper precautions are not taken. Workers
working with waste containing chemical and metals may experience toxic
exposure. Disposal of health-care wastes require special attention since it can
create major health hazards, such as Hepatitis B and C, through wounds
caused by discarded syringes. Rag pickers and others who are involved in
scavenging in the waste dumps for items that can be recycled, may sustain
injuries and come into direct contact with these infectious items.
Municipal Solid Waste (MSW)
Three terms are often used to describe municipal solid wastes:
Garbage usually consists of highly decomposable products, such as food
waste products.
Trash comprises various bulky waste items, such as a tree stump or
branches, discarded mattresses, and old or nonworking appliances.
Rubbish is nonputrefying or slowly decomposable or combustible items,
such as paper, glass, metal cans, wooden products.
Municipal solid wastes include everyday trash items, such as packaging, yard
wastes, glass, paper, food scraps, appliances, and batteries. It should be
noted too that this category of waste refers to trash from both urban and
rural areas and city and county jurisdictions. MSW does not include debris
from construction or demolition, wastewater treatment sludge, or
nonhazardous industrial wastes.
Many solid waste management practices in the United States are changing.
Technical requirements for operating MSW facilities and their placement have
increasingly stringent mandates. Simply placing solid waste products in
selected areas to fill voids, e.g., using the out of sight - out of mind
approach, or burying items are no longer environmentally or socially
acceptable. Guidelines stressing that governments (federal, state, local) buy
and use products made from recycled materials have stimulated progressive
communities to find ways to reduce landfill loads and to offset certain
expenses of waste management programs. Other methods are under
consideration as attention is drawn to the issue and municipalities address
solid waste management challenges.
Landfill OperationsLandfill Hazards
Nonhazardous solid waste landfills provide for the environmentally sound
disposal of waste that cannot be reduced, recycled, composted, combusted,
or processed in some other manner. Even with the practices mentioned
above, a landfill is needed to dispose of the residues of those processes. The
federal government sets minimum national standards applicable to municipal
solid waste landfills, and these federal regulations are then implemented by
the states. For board of health members, the guidelines may vary at county
and/or municipal levels but should always meet or exceed federal mandates.
It should be stressed that good design and operation will also limit the effort
and cost necessary for maintaining the landfill after final site closure.
Building a landfill requires large sums of money and long periods of time, so
careful planning by the developers of new or expanding landfills is important.
Some of the cost elements and time periods include siting, design, and
construction, operation, monitoring, and administration, and eventually
closing and the post- closure maintenance for a minimum of 30 years with
possible remedial actions.
But the problem is not simply one of institutional and financial constraints. As
in other parts of the country, the lifestyle and consumption patterns of
Abbottabads residents have changed dramatically in recent years. More
Inequity
There is a marked inequity in Pakistan with regard to budget allocations for
municipal services. In remote rural areas, there is no system of waste
collection. There is a general and dangerous misconception that rural areas
require few or no waste collection and disposal facilities because open spaces
exist where garbage can be dumped. Although organic waste can certainly be
disposed of by composting, non- biodegradable materials remain in the
countryside, with long-term detrimental effects on rural ecosystems.
The situation in densely populated urban localities is no different, where
garbage collection is abysmal. In prosperous neighbourhoods, meanwhile,
collection can be as high as 90% (Government of Pakistan 2005).
As with most environmental issues and development concerns, it is always
the poor who are the most severely affected. In the case of solid waste
management, they suffer from the effects of living in squalid conditions. The
threat of disease is ever-present, robbing workers of their productivity and
keeping children out of school. Chronic disease, repeated bouts of illness,
lowered resistance and malaise are common in poor households, putting such
families under severe financial strain and depriving them of opportunities to
improve their standard of living.
Community perceptions
A survey was conducted of 455 households in selected areas of the district.
The results show that while large segments of the population are not served
by solid waste management agencies, most communities are acutely aware
of the issues associated with the improper disposal of solid waste.
Only 12% of the overall sample is served by door-to- door solid waste
collection services. Just 47% of urban households and 3% of rural households
report that municipal workers collect garbage in their areas. As a result, 59%
of urban households dispose of their garbage in open spaces or on the street,
and 12% dump refuse outside their houses. There is no door-to- door
collection in rural areas, where 67% of sampled households dump waste in
empty plots of land, 19% in garbage dumps and 11% just outside their door.
Equally troubling is the risk that is posed to children, given that 39% of rural
households participating in the survey and 35% of urban families report that
their children play in or around garbage dumps.
What is perhaps surprising is that the survey did not identify a difference in
behaviour between poor and non-poor households in terms of the manner in
which they dispose of domestic waste. Relatively well-off households use
more or less the same methods as low-income groups. The only significant
difference is that poorer households tend to dump their waste closer to their
places of residence.
Overall, 78% of surveyed households are aware of the issues related to poor
waste management, with similar figures in both urban (80.5%) and rural
(73.4%) households. But awareness is higher among the non- poor (67.9%),
compared to poor families (9.9%). There is, however, a high degree of
awareness regarding the risks of disease, with 86% of those surveyed
indicating an understanding of the link between poor health and improper
garbage disposal.
What is encouraging is that communities are willing to pay for improved solid
waste disposal services, although there is a dramatic difference between the
responses of urban and rural households. The survey revealed that 82% of
respondents in urban areas are willing to pay a fee of 50 rupees a month for
garbage collection services, while only 28% in rural areas respond positively
to this option.
Understandably, the variations in responses between poor and non-poor
households are even more dramatic, with 90% of the non-poor willing to pay
a 50 rupee fee, and only 10% of poor households similarly inclined. Fewer
households overall are willing to pay a higher rate of 100 rupees monthly
(49% urban, 32% rural) but the responses are not discouraging, since 95.8%
of the non-poor are willing to pay the higher rate of 100 rupees.
References:
Selin, E. (2013). Solid waste management and health effects. Retrieved from
Umea University: http://umu.divaportal.org/smash/get/diva2:607360/FULLTEXT02.pdf