A review of the medical waste management system at Covid-19 situation in Bangladesh.

Medical waste (MW) poses serious threats to environmental and public health. Throughout the world, existing challenges of medical waste management (MWM) have been heightened in the Covid-19 situation due to an increase in the massive amount of MW. Even before the pandemic, MWM has always been a concern in Bangladesh. The objectives of this research are to review the related national policy initiatives and guidelines in Bangladesh in comparison with the international guidelines, to evaluate the present scenario of the MWM system, and to explore the scope of Impact Assessment (IA) in improving the system. From the analysis, it has been found that several national guidelines have been formulated during this pandemic covering important issues related to the MWM system, which is commendable. Some of these guidelines comply with international guidelines, but there are inconsistencies among these. However, neither the previous MWM policy tools nor these guidelines are implemented accordingly. In this pandemic, an IA framework has also been published in Bangladesh, which is praiseworthy. Although no evidence could be found on its implementation either. Therefore, it is necessary to take initiative for the implementation of this IA framework. Thereby the policy makers will be able to identify the gaps prohibiting the implementation of the MWM policy tools and guidelines. This will enable them to take corrective actions accordingly to improve the MWM system by enhancing the preparedness and capacity against any possible future situations like pandemic overwhelming the MW situation in Bangladesh.