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Open AccessReview

Municipal Solid Waste Management and Adverse Health Outcomes: A Systematic Review

Department of Civil Environmental, Architectural Engineering and Mathematics, University of Brescia, 25123 Brescia, Italy
Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
Department of Public Health, Environment and Social Determinants of Health, World Health Organization, 1211 Geneva, Switzerland
SusConnect Ltd. Weedon Bec, Northamptonshire NN7 4PS, UK
Department of Sanitation, Water and Solid Waste for Development (Sandec), Eawag—Swiss Federal Institute of Aquatic Science and Technology, Überlandstrasse 133, 8600 Dübendorf, Switzerland
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(8), 4331;
Received: 5 March 2021 / Revised: 8 April 2021 / Accepted: 16 April 2021 / Published: 19 April 2021
Municipal solid waste (MSW) can pose a threat to public health if it is not safely managed. Despite prior research, uncertainties remain and refurbished evidence is needed along with new approaches. We conducted a systematic review of recently published literature to update and expand the epidemiological evidence on the association between MSW management practices and resident populations’ health risks. Studies published from January 2005 to January 2020 were searched and reviewed following PRISMA guidelines. Eligible MSW treatment or disposal sites were defined as landfills, dumpsites, incinerators, waste open burning, transfer stations, recycling sites, composting plants, and anaerobic digesters. Occupational risks were not assessed. Health effects investigated included mortality, adverse birth and neonatal outcomes, cancer, respiratory conditions, gastroenteritis, vector-borne diseases, mental health conditions, and cardiovascular diseases. Studies reporting on human biomonitoring for exposure were eligible as well. Twenty-nine studies were identified that met the inclusion criteria of our protocol, assessing health effects only associated with proximity to landfills, incinerators, and dumpsites/open burning sites. There was some evidence of an increased risk of adverse birth and neonatal outcomes for residents near each type of MSW site. There was also some evidence of an increased risk of mortality, respiratory diseases, and negative mental health effects associated with residing near landfills. Additionally, there was some evidence of increased risk of mortality associated with residing near incinerators. However, in many cases, the evidence was inadequate to establish a strong relationship between a specific exposure and outcomes, and the studies rarely assessed new generation technologies. Evidence gaps remain, and recommendations for future research are discussed. View Full-Text
Keywords: MSW; public health; epidemiology; PRISMA guidelines MSW; public health; epidemiology; PRISMA guidelines
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MDPI and ACS Style

Vinti, G.; Bauza, V.; Clasen, T.; Medlicott, K.; Tudor, T.; Zurbrügg, C.; Vaccari, M. Municipal Solid Waste Management and Adverse Health Outcomes: A Systematic Review. Int. J. Environ. Res. Public Health 2021, 18, 4331.

AMA Style

Vinti G, Bauza V, Clasen T, Medlicott K, Tudor T, Zurbrügg C, Vaccari M. Municipal Solid Waste Management and Adverse Health Outcomes: A Systematic Review. International Journal of Environmental Research and Public Health. 2021; 18(8):4331.

Chicago/Turabian Style

Vinti, Giovanni; Bauza, Valerie; Clasen, Thomas; Medlicott, Kate; Tudor, Terry; Zurbrügg, Christian; Vaccari, Mentore. 2021. "Municipal Solid Waste Management and Adverse Health Outcomes: A Systematic Review" Int. J. Environ. Res. Public Health 18, no. 8: 4331.

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