Several review studies have addressed the implications of improper waste management on urban livability conditions at large, but we still do not have an overall picture of the link between poor waste management in Sub-Saharan countries and short- and long-term health impacts. Considering that Sub-Saharan Africa is the location of 19 of the 50 biggest dumpsites in the world, it is important to better understand what we do and do not know so far about this public health–waste management link. This study, therefore, provides an overall understanding of health risks associated with improper waste disposal in Sub-Saharan Africa, with a focus on air, water and soil pollution. Employing a systematic review approach, this study utilized academic databases, including PubMed, ScienceDirect, and Google Scholar, to identify and analyze 27 relevant articles, covering eight Sub-Saharan countries. The review was undertaken by categorizing trends and characteristics under themes of solid waste disposal practices, pollution consequences, and reported health problems. The results showed that air pollution, which was the most widely studied in Sub-Saharan Africa, accounted for 155 deaths/100,000 people. Water pollution has led to outbreaks of cholera, typhoid, and diarrhea, especially in communities near waste sites, while contaminated soil poses long-term risks, including for cancer and developmental harm. The findings also revealed that children, waste workers, and communities living near dumpsites are the most vulnerable. Despite growing evidence of harm, gaps remain in our understanding of chronic and long-term effects due to a lack of longitudinal data and inconsistent methodologies to measure health effects. The study also identified inconsistency in distance-based exposure metrics, as studies used varying distances of residents from waste sites to measure health outcomes. Finally, it highlights the urgent need for improved waste infrastructure, clear landfill siting guidelines, and long-term epidemiological studies to inform health-focused waste policies in Sub-Saharan Africa.
Angwah et al. (Fri,) studied this question.