Aims:The ultimate aim of this review was to summarise the epidemiological evidence on the association between municipal solid waste management operations and health risks to populations residing near landfills and incinerators, waste workers and recyclers. To accomplish this, the sub-aims of this review article were to (1) examine the health risks posed by municipal solid waste management activities, (2) determine the strengths and gaps of available literature on health risks from municipal waste management operations and (3) suggest possible research needs for future studies. Methods:The article reviewed epidemiological literature on public health concerns of municipal solid waste handling published in the period 1995-2014. The PubMed and MEDLINE computerised literature searches were employed to identify the relevant papers using the keywords solid waste, waste management, health risks, recycling, landfills and incinerators. Additionally, all references of potential papers were examined to determine more articles that met the inclusion criteria. Results:A total of 379 papers were identified, but after intensive screening only 72 met the inclusion criteria and were reviewed. Of these studies, 33 were on adverse health effects in communities living near waste dumpsites or incinerators, 24 on municipal solid waste workers and 15 on informal waste recyclers. Reviewed studies were unable to demonstrate a causal or non-causal relationship due to various limitations. Conclusion:In light of the above findings, our review concludes that overall epidemiological evidence in reviewed articles is inadequate mainly due to methodological limitations and future research needs to develop tools capable of demonstrating causal or non-causal relationships between specific waste management operations and adverse health endpoints.

Few studies have investigated the occupational hazards of municipal solid waste workers, particularly in developing countries. Resultantly these workers are currently exposed to unknown and unabated occupational hazards that may endanger their health. We determined municipal solid waste workers' work related hazards and associated adverse health endpoints. A multifaceted approach was utilised comprising bioaerosols sampling, occupational noise, thermal conditions measurement, and field based waste compositional analysis. Results from our current study showed highest exposure concentrations for Gram-negative bacteria (6.8 × 103 cfu/m3) and fungi (12.8 × 103 cfu/m3), in the truck cabins. Significant proportions of toxic, infectious, and surgical waste were observed. Conclusively, municipal solid waste workers are exposed to diverse work related risks requiring urgent sound interventions. A framework for assessing occupational risks of these workers must prioritize performance of exposure assessment with regard to the physical, biological, and chemical hazards of the job.

This article addresses three key issues. First, the commonalities, differences, strengths, and limitations of existing occupational safety and health (OSH) legislation of low- and middle-income countries were determined. Second, required revisions were identified and discussed to strengthen the laws in accordance with the best international practice. Finally, proposals for additional OSH laws and interventions were suggested. A literature search of OSH laws of 10 selected low- and middle-income countries was carried out. The laws were subjected to uniform review criteria. Although the agricultural sector employs more than 70% of the population, most of the reviewed countries lack OSH legislation on the sector. Existing OSH laws are gender insensitive, fragmented among various government departments, insufficient, outdated, and nondeterrent to perpetrators and lack incentives for compliance. Conclusively, the legal frameworks require reformation and harmonization for the collective benefit to employees, employers, and regulatory authorities. New OSH legislation for the agricultural sector is required.

Background: Municipal solid waste handlers perform various work activities which may contribute to the onset of work-related musculoskeletal disorders (WRMDs). This study conducted a postural analysis of these workers and a reference group of hospital general hands in order to identify unsafe working postures requiring correction. Methods:The Rapid Upper Limb Assessment (RULA) methodology was used for postural analysis to 30 municipal solid waste handlers (MSWHs) and a reference group of 30 hospital general hands (HGHs) involved in similar work activities. Field observations and photography were used to collect data. Collected data was analysed using STATA version 13. Results:The Mann-Whitney test was used to compare the two groups. Results showed significant differences (p < 0.05) for lifting, carrying and emptying activities. For both groups, the mean postural scores for pushing, pulling and standing activities were mainly in the low risk category and not statistically significant (p > 0.05). Conclusion:Results of the present study show unsafe RULA postural scores to MSWHs with regard to lifting, carrying and emptying of refuse bins. Such scores are suggestive of an elevated risk to developing WRMDs in these workers compared to the reference group.

Limited information is available on trace element-water contamination and health risk assessment of small-scale intensive fish farming in low-income settings. Such information creates awareness among fish consumers, policy makers and the scientific community, regarding dietary exposure and health risks for not well-reported settings. The concentrations of potentially toxic trace elements in water, sediment and fish (T. rendalli, O. nitloticus and M. salmoides) were determined by spectrometry. The ecological and potential human health risks were assessed for Magobo dam, NE Zimbabwe, using the Hakanson ecological approach and the United States Environmental Protection Agency risk-assessment model, respectively. Concentrations in water and sediment appeared to increase in the order: cadmium < arsenic < lead. They restricted water use for irrigation and human consumption. The potential ecological risk factors for individual trace elements were below the index range for low risk. The potential ecological risk index for the dam (7.20) did not constitute ecological risk. The concentrations of trace elements in fish significantly varied with species, length and tissue (p < 0.05). The concentrations of arsenic and lead in gills, liver and muscle for O. niloticus and arsenic in M. salmoides were greater than international maximum permissible limits for fish. The target cancer risk due to dietary exposure to arsenic in the three fish species was in the range 10-6. There is no obvious cancer risk to the exposed population.