Evidence map›Paper›PMID 42022636›Full record

ReviewHealth science reports2026

Occupational Hazard Among Biomedical Waste Handlers in Low-Resource Settings: A Systematic Review and Meta-Analysis.

Prakasini Satapathy, Abhay M Gaidhane, Nasir Vadia, Soumya V Menon, Kattela Chennakesavulu, Rajashree Panigrahi, Sanjit Sah, Kajal Samantaray, S Govinda Rao, Khang Wen Goh and 5 more

Abstract readReview
In one paragraph

Review in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Prakasini SatapathyCenter for Global Health Research, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences Saveetha University Chennai Tamil Nadu India.
Abhay M GaidhaneJawaharlal Nehru Medical College, and Global Health Academy, School of Epidemiology and Public Health Datta Meghe Institute of Higher Education Wardha India.
Nasir VadiaMarwadi University Research Center, Department of Pharmaceutical Sciences, Faculty of Health Sciences Marwadi University Rajkot Gujarat India.
Soumya V MenonDepartment of Chemistry and Biochemistry, School of Sciences JAIN (Deemed to be University) Bangalore Karnataka India.
Kattela ChennakesavuluDepartment of Chemistry Sathyabama Institute of Science and Technology Chennai Tamil Nadu India.
Rajashree PanigrahiDepartment of Microbiology, IMS and SUM Hospital Siksha 'O' Anusandhan (Deemed to be University) Bhubaneswar Odisha India.
Sanjit SahDepartment of Paediatrics, Dr. D. Y. Patil Medical College Hospital and Research Centre Dr. D. Y. Patil Vidyapeeth (Deemed-to-be-University), Pimpri Pune Maharashtra India.ORCID https://orcid.org/0009-0008-5017-083X
Kajal SamantarayCentre for Research Impact and Outcome, Chitkara University Institute of Engineering and Technology Chitkara University Rajpura Punjab India.
S Govinda RaoDepartment of Data Science Gokaraju Rangaraju Institute of Engineering and Technology, Bachupally Hyderabad Telangana India.
Khang Wen GohFaculty of Data Science and Information Technology INTI International University Nilai Malaysia.
Rachana MehtaClinical Microbiology, RDC, Manav Rachna International Institute of Research and Studies Faridabad Haryana India.
Muhammed ShabilUniversity Center for Research and Development Chandigarh University Mohali Punjab India.
Mahendra SinghDepartment of Biotechnology Graphic Era (Deemed to be University) Clement Town Dehradun India.
Edward MawejjeSchool of Public Health Makerere University College of Health Sciences Mulago Hill Kampala Uganda.ORCID https://orcid.org/0000-0003-2782-554X
Ganesh BushiSchool of Pharmaceutical Sciences Lovely Professional University Phagwara India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Managing biomedical waste (BMW) effectively is a pressing public health challenge, particularly in low-resource settings in accordance with the World Bank classification of low- and middle-income countries (LMICs), where deficiencies in waste management infrastructure exacerbate health risks. BMW handlers face elevated occupational hazards due to inadequate safety measures, lack of training, and inconsistent use of personal protective equipment (PPE). Understanding these risks is crucial for improving health outcomes and ensuring the safety of these essential workers. Methods: This systematic review and meta-analysis was conducted in accordance with PRISMA guidelines and registered with PROSPERO (CRD42024615074). We searched PubMed, Embase, and Scopus for peer-reviewed articles published between January 2000 and October 2024, focusing on occupational hazards experienced by biomedical waste handlers in resource-limited settings. Random-effects models were used to estimate the pooled prevalence of needle and sharp injuries, hepatitis B and C infections, and the utilization rates of PPE. Heterogeneity among studies was quantified using the Results: Fourteen studies met the inclusion criteria. The pooled prevalence of needle and sharp injuries was 26.4%. The prevalence of hepatitis B and C among BMW handlers was 5.8% and 2.4%, respectively. PPE usage rates were as follows: masks at 76.9%, gloves at 84.9%, boots at 19.0%, and gowns at 55.4%. Only 15.3% of handlers were immunized against hepatitis B, and 57.4% had received training in BMW management. Significant heterogeneity across studies indicates variable risk exposures and safety practices. Conclusion: The inconsistent use of PPE, along with low hepatitis B immunization and inadequate BMW training, highlights critical gaps in worker protection. Strengthening safety protocols, expanding training, and improving access to PPE are essential to reduce these risks. Given the substantial heterogeneity across studies, these findings should be interpreted with caution.

Indexed as

biomedical wasteBMW traininghepatitislow‐resource settingsmeta‐analysisoccupational hazardspersonal protective equipmentsystematic review

Identifiers

PMID42022636
PMCPMC13098068

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.