Outbreak of Infectious Diseases and Their Implications for Environmental Health; Lessons from the COVID-19 Pandemic

Background: Towards the end of 2019, communities in Wuhan City, China, began noticing the spread of a mysterious disease with pneumonia-like symptoms. Many of those infected had visited the Wuhan food market, which was later linked to the early outbreak of the COVID-19 pandemic. The disease initially spread rapidly among market stall owners, shoppers, and workers. However, as individuals without any travel history to the market began showing symptoms, it became evident that community transmission had begun. This research investigates the environmental implications of the COVID-19 outbreak.
Materials and Methods: To achieve the research objective, a mixed method approach was adopted using a questionnaire survey with 36 participants drawn from five states affected by the COVID-19 outbreak. The sample was purposively selected to include only participants at the forefront of managing COVID-19 waste. Participants were drawn from various fields and organizations. The breakdown of participants (n = 36) included 24 workers and managers of waste management companies, 7 senior staff members of ministries and waste management agencies, 3 environmental health officers working in hospitals and 2 laboratory scientists.
Results: The research found that outbreaks of infectious diseases act as a catalyst for increased waste generation. The study showed that COVID-19 waste is generated in three phases: home treatment and observation phase, diagnostic phase, and hospital treatment phase. The study revealed that waste management practices varied across these phases. For instance, waste generated in laboratories during diagnosis and treatment are often autoclaved and disposed of in landfills, incinerated, or subjected to open burning, while waste generated during home observation are collected and managed as domestic waste.
Conclusion: The study concluded that the current infectious waste management process in Nigeria have a negative implication for the environment with the potential to degrade overall environmental quality.

COVID-19, Environmental Health Officers

1. Abah, S. O., & Ohimain, E. I. (2011). Healthcare waste management in Nigeria: A case study. Journal of Public Health Epidemiology, 3(3), 99-110. [Google Scholar] [Crossref]

2. Africa CDC. (2021). Coronavirus disease 2019 (COVID-19) weekly epidemiological update - 22 December 2020. [Google Scholar] [Crossref]

3. Alhassan, A., & Daniel, D. (2020). Apprehension in Abuja as pallbearer dumps COVID-19. [Google Scholar] [Crossref]

4. Amasuomo, E., & Baird, J. (2016). The concept of waste and waste management. Journal of Management and Sustainability, 6(4). Canadian Center of Science and Education. [Google Scholar] [Crossref]

5. Amzat, J., Aminu, K., Kolo, V. I., Akinyele, A. A., Ogundairo, J. A., & Danjibo, M. C. (2020). Coronavirus outbreak in Nigeria: Burden and socio-medical response during the first 100 days. International Journal of Infectious Diseases, 98, 218-224. https://doi.org/10.1016/j.ijid.2020.06.067 [Google Scholar] [Crossref]

6. Calma, J. (2020). The COVID-19 pandemic is generating tons of medical waste. The Verge. [Google Scholar] [Crossref]

7. Chinenyenwa, O., Bakarey, A. S., & Ahmad, T. (2020). COVID-19 and Nigeria: Putting the realities in context. International Journal of Infectious Diseases, 95, 279-281. https://doi.org/10.1016/j.biopha.2020.110493 [Google Scholar] [Crossref]

8. Dos Santos, W. G. (2020). Natural history of COVID-19 and current knowledge on treatment therapeutic options. Biomedicine & Pharmacotherapy. https://doi.org/10.1016/j.biopha.2020.110493 [Google Scholar] [Crossref]

9. Manyele, S. V., & Mujuni, C. M. (2010). Current status of sharps waste management in lower-level health facilities in Tanzania. Tanzania Health Research Journal, 12, 257-264. http://dx.doi.org/10.4314/thrb.v12i4.53362 [Google Scholar] [Crossref]

10. Mogaji, E. (2020). Impact of COVID-19 on transportation in Lagos, Nigeria. Transportation Research Interdisciplinary Perspectives, 6, 100154. [Google Scholar] [Crossref]

11. National Research Council. (2000). Waste incineration and public health. Washington, DC: The National Academies Press. https://doi.org/10.17226/5803 [Google Scholar] [Crossref]

12. NCDC. (2020). COVID-19 situation report: Weekly epidemiological report 10: Epi week 51: 14th December – 20th December 2020. https://ncdc.gov.ng/diseases/sitreps/?cat=14&name=An%20update%20of%20COVID-19%20outbreak%20in%20Nigeria [Google Scholar] [Crossref]

13. Nwachukwu, N. C., Orji, F. A., & Ugbogu, O. C. (2013). Health care waste management – Public health benefits, and the need for effective environmental regulatory surveillance in the Federal Republic of Nigeria. IntechOpen. [Google Scholar] [Crossref]

14. Nzeadibe, T. C., & Ejike-Alieji, A. U. P. (2020). Solid waste management during COVID-19 pandemic: Policy gaps and prospects for inclusive waste governance in Nigeria. Local Environment, 25(7), 527-535. https://doi.org/10.1080/13549839.2020.1782357 [Google Scholar] [Crossref]

15. Oli, et al. (2015). Healthcare waste management in selected government and private hospitals in Southeast Nigeria. Asian Pacific Journal of Tropical Biomedicine, 6(1), 84-89. http://dx.doi.org/10.1016/j.apjtb.2015.09.019 [Google Scholar] [Crossref]

16. Oruonye, & Ahmed. (2020). COVID-19 and challenges of management of infectious medical waste in Nigeria: A case of Taraba State. Research, 10(3). [Google Scholar] [Crossref]

17. Oosterhoff, B., et al. (2020). Adolescents' motivations to engage in social distancing during the COVID-19 pandemic: Associations with mental and social health. Journal of Adolescent Health, 67(2), 179-185. [Google Scholar] [Crossref]

18. Oyekale, A. S., & Oyekale, T. O. (2017). Healthcare waste management practices and safety indicators in Nigeria. BMC Public Health, 17, 740. https://doi.org/10.1186/s12889-017-4794-6 [Google Scholar] [Crossref]

19. Rodriguez-Morales, A. J. (2013). Current topics in public health. InTech. [Google Scholar] [Crossref]

20. Suleiman, A. A. (2021). Estimation of the case fatality rate of COVID-19 epidemiological data in Nigeria using statistical regression analysis. Biosafety and Health, 3(1), 4–7. https://doi.org/10.1016/j.bsheal.2020.09.003 [Google Scholar] [Crossref]

21. World Health Organization. (2020). Coronavirus disease 2019 (COVID-19) situation report – 94. [Google Scholar] [Crossref]

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