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Rio de Janeiro, RJ, Brazil. 2Municipal Health Foundation of Niteroi, VIPAHE/FMS, Av Ernani do Amaral Peixoto, 171, Centro EP 24020-071. Niter , RJ, Brazil. 3Network of Environment and Sustainable Improvement (REMADS-UFF), University Federal Fluminense, Av. Gal. Milton Tavares de Souza, s/n. Praia Vermelha, CEP 24210-346. Niter , RJ, Brazil. Received: 20 January 2016 Accepted: 1 SeptemberReferences 1. Forastiere F, Badaloni C, Hoogh K, Kraus MK, Martuzzi M, Mitis F, Palkovicova L, Porta D, Preiss P, Ranzi A, et al. Wellness effect assessment of waste management facilities in three European countries. Environ Wellness. 2011;ten:53. 2. Pr s- t A, Rapiti E, Hutin Y. Estimation in the worldwide burden of illness attributable to contaminated sharps injuries amongst health-care workers. Am J Ind Med. 2005;48:482?0. 3. Saia M, Hofmann F, Sharman J, Abiteboul D, Campins M, Burkowitz J, Choe Y, Kavanagh S. Needlestick injuries: incidence and cost in the United states, United kingdom, MedChemExpress Lonafarnib Germany, France, Italy, and Spain. Biomedicine International. 2010;1(1):41?. 4. Chartier Y, Emmanuel J, Pieper U, Pr s A, Rushbrook P, Stringer R, Townend W, Wilburn S, Zghondi R. Safe management of wastes from health-care activities. title= pnas.1602641113 2nd ed. Geneva: World Wellness Organization; 2014. p. 329. 5. Nascimento TC, Januzzi WA, Leonel M, Silva VL, Diniz CG. Occurrence of clinically relevant bacteria in health service waste inside a Brazilian sanitary landfill and antimicrobial susceptibility profile. Rev Soc Bras Med Trop. 2009; 42(4):415?. 6. Fuerhacker M. EU Water Framework Directive and Stockholm Convention: can we reach the targets for priority substances and persistent organic pollutants? Environ Sci Pollut Res Int. 2009;16 Suppl 1:592?. 7. Koloutsou-Vakakis S, Chinta I. Multilateral environmental agreements for wastes and chemical substances: 40 years of global negotiations. Environ Sci Tech. 2011;45(1):ten?. eight. Singh S, Prakash V. Toxic Environmental Releases from Healthcare Waste Incineration: A Review. Eviron Monitor Assess. 2007;132(1?):67?1. 9. Porta D, Milani S, Lazzarino AI, Perucci CA, Forastiere F. Systematic assessment of epidemiological Galunisertib site studies on health effects related with management of strong waste. Environ Well being. 2009;8:60. 10. Hossain MS, Santhanam A, Nik Norulaini NA, Omar AK. Clinical solid waste management practices and title= fpsyg.2017.00007 its influence on human overall health and environment ?A assessment. Waste Manag. 2011;31(four):754?six. 11. Harhay MO, Halpern SD, Harhay JS, Olliaro PL. Overall health care waste management: a neglected and expanding public wellness difficulty worldwide. Trop Med Int Well being.N of your study, participated in the interpretation of your data, and critically revised the manuscript for intellectual content material. All of the authors read and approved the final manuscript. Competing interests The authors declare that they've no competing interests. Consent for publication Not applicable.Ethics approval and consent to participate The study was conducted together with the written permission from the WHO. The study protocol was approved (including the informed consent process) by the Investigation Ethics Committee on the Sergio Arouca National School of Public wellness, Oswaldo Cruz Foundation (ENSP/FIOCRUZ) beneath protocol number 0231.0.031.031-10. Written informed consent was obtained from each and every participant before any study process was initiated. Author facts 1 Sergio Arouca National School of Public Health, Oswaldo Cruz Foundation, ENSP/FIOCRUZ, Rua Leopoldo Bulh s 1480, Pr io Primeiro de Maio.