Coronavirus disease 2019 (COVID-19) is not only a great matter of concern from a medical and health perspective, but it is a serious threat to the environment in terms of waste generated during the prevention and cure of COVID-19. The world has so far compromised more than 3 million human lives, and millions are being infected. Environmental threat is most serious because it can cause secondary complications. As per our knowledge, the amount of waste generated during the pandemic and its estimated quantity has not been assessed, thereby keeping the scientific community, Government authorities and public ignorant of its adverse effects. In this context, we have evaluated the waste generated by the Kingdom of Bahrain, estimated to be 35.480 kg/day (face masks), 1894 kg/day (PPEs) by the selected health facilities, 16,633.505 kg (vaccination-related) and 53,551.240 kg (related to tests conducted so far) in the Kingdom of Bahrain.

As a global concern, medical waste (MW) links public health, environmental pollution, and resource sustainability. This study aims to assess the two issues related to medical waste in Bahrain: the increasing generation rate of MW and its management. The integrated Environmental Assessment (IEA) methodology was adopted, including the DPSIR (Drivers, Pressures, State, Impact, Responses) framework, analysis of existing policies, and the outlook. Consequently, data were collected from official health statistics in Bahrain, and related policies for the last two decades (2001 to 2021) were also collected, in addition to interviews with Bahrain medical waste (BMW) treatment company. The results show a vast increase in medical waste during COVID-19. Moreover, most of the existing policies address the impact of the BMW issues, but the policies are lacking in tackling the drivers and pressures; there is also a policy gap related to the generation rate. Accordingly, a set of policies was proposed to overcome the two medical waste issues. Moreover, to overcome issues associated with MW, the study recommended reforming regulations aiming to reduce and manage medical waste efficiently in order to focus more on drivers and pressure causing an elevation in MW issues in Bahrain.

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