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.

Providing good solid waste management (SWM) services while also ensuring financial sustainability of the system continues to be a major challenge in cities of developing countries. Bahir Dar in northwestern Ethiopia outsourced municipal waste services to a private waste company in 2008. While this institutional change has led to substantial improvement in the cleanliness of the city, its financial sustainability remains unclear. Is the private company able to generate sufficient revenues from their activities to offset the costs and generate some profit? This paper presents a cost-revenue analysis, based on data from July 2009 to June 2011. The analysis reveals that overall costs in Bahir Dar's SWM system increased significantly during this period, mainly due to rising costs related to waste transportation. On the other hand, there is only one major revenue stream in place: the waste collection fee from households, commercial enterprises and institutions. As the efficiency of fee collection from households is only around 50%, the total amount of revenues are not sufficient to cover the running costs. This results in a substantial yearly deficit. The results of the research therefore show that a more detailed cost structure and cost-revenue analysis of this waste management service is important with appropriate measures, either by the privates sector itself or with the support of the local authorities, in order to enhance cost efficiency and balance the cost-revenues towards cost recovery. Delays in mitigating the evident financial deficit could else endanger the public-private partnership (PPP) and lead to failure of this setup in the medium to long term, thus also endangering the now existing improved and currently reliable service. We present four options on how financial sustainability of the SWM system in Bahir Dar might be enhanced: (i) improved fee collection efficiency by linking the fees of solid waste collection to water supply; (ii) increasing the value chain by sales of organic waste recycling products; (iii) diversifying revenue streams and financing mechanisms (polluter-pays-, cross-subsidy- and business-principles); and (iv) cost reduction and improved cost-effectiveness. We argue that in a PPP setup such as in Bahir Dar, a strong alliance between the municipality and private enterprise is important so that appropriate solutions for improved financial sustainability of a SWM system can be sought and implemented.

Waste management service is inefficient in peri-urban and rural areas where biowaste is a major component of the household waste produced. Biowaste recycling using black soldier fly larvae (BSFL) at source can reduce the burden on the authorities and add economic value to a yet underutilized resource. This study evaluated the practicability of BSFL bin use at the household level to handle kitchen biowaste by placing three bins per house after 15 days interval of larval feeding. It was found that 50% of the households contacted cooperated well to continue the experiment. A set of instructions for handling BSFL bins based on reasons of agreement and disagreement was developed and shared. Key parameters to evaluate waste treatment performance and larval development were waste dry matter weight reduction (89.66%, SD 6.77%), volumetric reduction (81.3%, SD 4.8), final prepupal dry weight (69 mg/larvae, SD 7.1), biomass conversion rate (12.9%, SD 1.7), metabolism (77.3%, SD 6.0) and residue (10.4%, SD 6.8). On average, 87.7% (SD 9.1) of waste was actually digested, with 16.6% (SD 2.2) efficiently converted into biomass. Initial moisture content of waste was found to be more significant for achieving greater waste dry weight reduction as compared with the feeding rate. Source separation of biowaste and cooperation between households and authorities may lead to successful implementation of BSFL-assisted biowaste bins.

Black soldier fly larvae composting is an emerging treatment option with potential to improve biowaste valorization in cities of low-income countries. This study surveyed the current generation and management status of food industry biowaste and their availability and suitability as potential feedstock for black soldier fly larvae (BSFL) composting treatment in three Tanzania cities, Dar es Salaam, Mwanza, and Dodoma. Biowaste-generating food industry companies (n = 29) in the three cities were found to produce banana peels, mango seeds, sunflower press cake, brewery waste, and coffee husks in large quantities (~100,000-1,000,000 kg y^-1). Around 50 % of these companies (16/29), primarily vegetable oil companies (10/11), either sold or gave away their waste as animal feed, while most companies (9/11) with unutilized food industry waste landfilled the generated biowaste. Multi-criteria analysis based on substrate availability criteria identified banana peels, mango seeds, and coffee husks with total score points of ≥10/12 as the most suitable feedstock for BSFL composting. However, multi-criteria analysis based on physical-chemical criteria identified brewery waste and sunflower press cake with total score points of ≥11/15 as the most suitable feedstock. Combined availability and physical-chemical properties of individual biowastes showed that all identified types of food industry biowaste can be suitable feedstock for producing BSFL biomass for protein production, but certain waste streams needed to be mixed with other waste streams prior to BSFL-composting to ensure sufficient availability and provide a balanced nutritional profile compared with the single-source biowastes. This study concluded that large volumes of food industry waste are being generated from food industry companies in Tanzania and there is need to establish new biowaste management interventions for resource recovery. Furthermore, for interested stakeholders in the waste management business, multi-stream BSFL-composting can be a suitable solution for managing and closing nutrient loops of the unutilized food industry biowaste in Tanzania and in other similar settings globally.