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Diagnostic waste: whose responsibility?

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Diagnostic waste is a growing concern in low- and middle-income countries (LMICs) due to increased testing. Safe disposal must be integrated into diagnostic access strategies, with manufacturers sharing responsibility.

Keywords:
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Area of Science:

  • Public Health
  • Environmental Health
  • Medical Diagnostics

Background:

  • Diagnostic waste is overlooked in LMIC access initiatives.
  • Single-use point-of-care tests increase diagnostic waste in LMICs.
  • Diagnostic waste poses significant human and environmental health risks.

Purpose of the Study:

  • To highlight the critical issue of diagnostic waste in LMICs.
  • To review the volume, impact, and management of diagnostic waste.
  • To advocate for integrated waste management policies in diagnostic access.

Main Methods:

  • Case study of diagnostic waste management in Sierra Leone.
  • Review of current evidence on diagnostic waste in LMICs.
  • Analysis of existing healthcare waste management policies.

Main Results:

  • Increased diagnostic testing leads to escalating diagnostic waste in LMICs.
  • Current healthcare waste management capacity in LMICs is often insufficient.
  • Existing policies inadequately address diagnostic waste disposal.

Conclusions:

  • Safe disposal of diagnostic waste requires proactive integration into access agendas.
  • Manufacturers must assume responsibility for the full life-cycle of diagnostic products.
  • Strengthening policy is crucial for effective diagnostic waste management in LMICs.