Management of Sars-Cov-2 Medical Waste Against a Covid19 Pandemic in Indonesia: A Literature Review

Abstract

Introduction: SARS-CoV-2 RNA transmission in wastewater has a risk of fecal transmission ofSARS-CoV-2 to humans and the environment. Despite the increasing number of cases in almostall areas in Indonesia, the study to review and evaluate waste management resulted from medicalfacilities is still limited and less explored. This literature review aims to analyze the applicabilityof WHO guidelines on wastewater management to be implemented in Indonesia. Scientific paperswere collected from several electronic databases such as PubMed, PLoS, Researchgate, WHO,Elsevier, Science, SARS-CoV-2, Covid19, and wastewater. The articles were selected based on theinclusion criteria that use SARS-CoV-2, Covid19, and wastewater as the main variables observed.The articles published before 2013 were excluded from this review. Discussion: Wastewatermonitoring of SARS-CoV-2 within medical and health facilities is implemented to identify thevirus’s presence as the causative agent of Covid19 disease, which contaminated the environmentand society. The results of the analysis in wastewater can be used to determine the infectioncontrol in health facilities while also beneficial in formulating the monitoring of environmentalimpacts caused by the waste. These efforts would support policies or interventions based on publichealth by applying social distances, locking, quarantine areas that aim to break the Covid19transmission. Conclusion: Briefly, by considering the urgency of Covid19 pandemic containmentand control measures of transmission in health facilities, population and environment. It is a wastemanagement guideline that is highly required to be implemented based on public health aspects.

Keywords

• sars-cov-2, waste, public health, health facilties, indonesia