Tinjauan Sistematis Dampak Limbah Medis terhadap Kesehatan: Analisis Artikel Tahun 2016-2025
DOI:
https://doi.org/10.54259/sehatrakyat.v5i1.6278Keywords:
Medical Waste, Health Impact, Environmental HealthAbstract
Medical waste is one of the major public health concerns due to its potential direct impact on human health. One of the key factors contributing to the increased risk of disease transmission from medical waste is improper waste management, including the handling of sharp objects, infectious waste, and emissions from incineration processes that produce hazardous compounds. Studies have shown that exposure to medical waste can lead to infectious diseases such as Hepatitis B, Hepatitis C, as well as toxic effects caused by heavy metals and dioxin emissions from incinerators. This systematic review aims to examine the impact of medical waste exposure on human health based on studies published between 2016 and 2025. The research employed the Systematic Review method following the PRISMA guidelines. Articles were identified through databases including PubMed, Scopus, ScienceDirect, ProQuest, and SAGE Journals. A total of ten studies that met the inclusion criteria were analyzed in depth. The findings indicate that exposure to medical waste contributes to an increased risk of infectious diseases, Needlestick and Sharp Injuries (NSSI), respiratory disorders, and toxic effects on vital organs. Moreover, hazardous chemical compounds such as heavy metals, dioxins, furans, and volatile organic compounds (BTEX) were found to exert carcinogenic and cytotoxic effects on humans. Therefore, safe and sustainable medical waste management is essential to prevent long-term health impacts among healthcare workers, waste handlers, and communities living near healthcare facilities.
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Alay, H., Şahİner, M., Çelİk, N., & Kadioğlu, B. G. (2017). Evaluation of Injuries Involving Exposure to Blood and Body Fluids Among Hospital Healthcare Workers. Mediterr J Infect Microb Antimicrob, 6. https://doi.org/10.4274/mjima.2017.8
Alemayehu, T., Worku, A., & Assefa, N. (2016). Medical Waste Collectors in Eastern Ethiopia are Exposed to High Sharp Injury and Blood and Body Fluids Contamination. Journal of Prevention & Infection Control, 2, 1–10. https://doi.org/10.21767/2471-9668.100016
Alzaaqi, A. (2024). Incidence, Knowledge, Attitude and Practice of Healthcare Workers Regarding Needle Stick Injuries at a Tertiary Care Hospital in Riyadh, Saudi Arabia. Saudi Journal of Medical and Pharmaceutical Sciences. https://doi.org/10.36348/sjmps.2024.v10i06.006
Amlak, B. T., Tesfa, S., Tesfamichael, B., Abebe, H., et al. (2023). Needlestick and sharp injuries and its associated factors among healthcare workers in Southern Ethiopia. SAGE Open Medicine, 11. https://doi.org/10.1177/20503121221149536
Amsalu, A., Worku, M., Tadesse, E., & Shimelis, T. (2016). The exposure rate to hepatitis B and C viruses among medical waste handlers in three government hospitals , southern Ethiopia. Epidemiology and Health, 38, 1–8. /http://dx.doi.org/10.4178/epih/e2016001
Bahmani, Z., Yaghmaeian, K., Nabizadeh, R., & Yunesian, M. (2025). Health risk and toxicity assessment of exhaust air from non- incineration devices for hospital waste treatment in Tehran , Iran. Scientific Reports, 15(1), 1–13. https://doi.org/https://doi.org/10.1038/s41598-025-86817-y
Bubamo, F., Endale, T., & Yalew, M. (2025). Preventive practices and associated factors among healthcare workers handling medical waste in Ethiopia: A cross-sectional study. Environmental Health Insights, 19, 1–11. https://doi.org/10.1177/1178630225123456
Cook, E., Nartey, E. B., & Kpodo, K. E. (2022). Improper medical waste management practices and their effects on human health: Evidence from developing countries. International Journal of Environmental Health Research, 32(12), 2527–2538. https://doi.org/10.1080/09603123.2021.1931192
Domingo, J. L., Marquès, M., Mari, M., & Schuhmacher, M. (2020). Adverse health effects for populations living near waste incinerators with special attention to hazardous waste incinerators: A review of the scientific literature. Environmental Research, 187, 109631. https://doi.org/10.1016/j.envres.2020.109631
Gumus, F., Duman, N., & Koc, A. (2024). Knowledge and practices of primary healthcare nurses regarding medical waste management: A cross-sectional study in Turkey. Journal of Nursing Management, 32(3), 1124–1133. https://doi.org/10.1111/jonm.14120
Janik-Karpinska, D., Pawlowska, M., & Koc-Jurczyk, J. (2023). Occupational exposure and acute symptoms associated with cytotoxic medical waste: A global overview. International Journal of Environmental Research and Public Health, 20(3), 1852. https://doi.org/10.3390/ijerph20031852
Kadhem, N., Hussein, I. F., & Hussain, B. A. (2024). Health and Environmental Risk Assessment of Heavy Metals Contamination from Medical Wastes Ash of Baghdad Hospitals. Journal of Physics: Conference Series, 2857, 1–17. https://doi.org/10.1088/1742-6596/2857/1/012049
Li, L., Guo, H., Peng, H., Xu, J., & Song, W. (2021). Exposure to benzene, toluene, ethylbenzene, and xylene (BTEX) among healthcare waste management workers and hematological effects. Environmental Monitoring and Assessment, 193(10), 654. https://doi.org/10.1007/s10661-021-09377-8
Meleko, A., Tesfaye, T., Henok, A., & Tadele, G. (2018). Assessment of healthcare waste generation rate and management practice in health centers of Bench Maji Zone. Ethiopian Journal of Health Sciences, 28(2), 125–134. https://doi.org/10.4314/ejhs.v28i2.2
Mengiste, D. A., Dirbsa, A. T., Ayele, B. H., & Hailegiyorgis, T. T. (2021). Hepatitis B virus infection and its associated factors among medical waste collectors at public health facilities in eastern Ethiopia : a facility-based cross- sectional study. BMC Infectious Disease, 21, 1–8. https://doi.org/https://doi.org/10.1186/s12879-021-05918-x
Mohamud, S., Yusuf, M., & Musa, A. (2023). Needlestick and sharp injuries and associated factors among healthcare workers in Mogadishu, Somalia: A cross-sectional study. Infection and Drug Resistance, 16, 2047–2056. https://doi.org/10.2147/IDR.S403222
Mol, M. P. G., Gonçalves, J. P., Silva, E. A., Scarponi, C. F., Greco, D. B., Cairncross, S., & Heller, L. (2016). Seroprevalence of hepatitis B and C among domestic and healthcare waste handlers in Belo Horizonte , Brazil. Waste Management & Research, 1–9. https://doi.org/10.1177/0734242X16649686
Rafiei, A., Mansouri, N., & Jafari, A. J. (2018). Occupational exposure to BTEX compounds and their urinary metabolites among autoclave operators in healthcare waste treatment facilities. Human and Ecological Risk Assessment: An International Journal, 24(5), 1274–1285. https://doi.org/10.1080/10807039.2017.1417185
Rahman, M. M., Khan, I. T., & Ahmed, S. (2020). Medical waste management and its impact on human health and environment: A review. Environmental Science and Pollution Research, 27(25), 30630–30643. https://doi.org/10.1007/s11356-020-09470-9
Saadeh, R., Khairallah, K., Abozeid, H., Al Rashdan, L., Alfaqih, M., & Alkhatatbeh, O. (2020). Needle Stick and Sharp Injuries Among Healthcare Workers A retrospective six-year study. Sultan Qaboos University Med J, 20(February), 54–62. https://doi.org/10.18295/squmj.2020.20.01.008
Santoro, M., Minichilli, F., Linzalone, N., & Coi, A. (2016). Adverse reproductive outcomes associated with exposure to a municipal solid waste incinerator. 52(4), 576–581. https://doi.org/10.4415/ANN
Sofia, R., Permana, A., & Nugroho, T. (2021). Effect of educational intervention on knowledge, attitude, and practices regarding solid medical waste management among healthcare workers. Global Journal of Health Science, 13(7), 85–94. https://doi.org/10.5539/gjhs.v13n7p85
Padmanabhan, K. K., & Barik, D. (2019). Health hazards of medical waste and its disposal. Energy from Toxic Organic Waste for Heat and Power Generation (pp. 99–118). Elsevier. https://doi.org/10.1016/B978-0-08-102528-4.00007-3
Titto, R. E., et al. (2019). Health implications of emissions from medical waste incineration: a review. Environmental Science and Pollution Research.
Udofia, E. A., Gulis, G., & Fobil, J. (2017). Solid medical waste : a cross sectional study of household disposal practices and reported harm in Southern Ghana. BMC Public Health, 17, 1–12. https://doi.org/10.1186/s12889-017-4366-9
World Health Organization. (2024). Health-Care Waste [Web page]. WHO Southeast Asia. Retrieved November 13, 2025, from https://www.who.int/news-room/fact-sheets/detail/health-care-waste
Yazie, T. D., Chufa, K. A., & Tebeje, M. G. (2019). Healthcare waste management current status and potential challenges in Ethiopia: A systematic review. BMC Research Notes, 12(1), 285. https://doi.org/10.1186/s13104-019-4329-7
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