Analysis of National and Local Policies for Medical Waste Treatment and Disposal in China
The escalating generation of medical waste, driven by healthcare expansion and frequent medical activities, poses significant environmental and public health risks. Under the framework of ecological civilization, China is developing a comprehensive policy system for medical waste treatment and disposal, yet the current framework remains nascent and exhibits inconsistencies between national and local policies. This study systematically analyzes the status of national and local policies from 2003 to 2024, collecting 413 policy documents (166 from national ministries and 247 from provincial governments). The analysis examines temporal evolution, regional distribution, and policy focus, alongside the influence of medical waste output, treatment technologies, facility infrastructure, and major epidemic responses. Findings reveal distinct policy phases: initial self-disposal, exploratory management, foundational system building, and rapid development. Regional disparities are pronounced, with eastern coastal areas showing more advanced policies due to greater technical and financial resources. The surge in medical waste, particularly during the COVID-19 pandemic, underscores the need for enhanced regulatory guidance. Non-incineration technologies are gaining traction for their environmental and cost benefits, and facility coverage has improved but remains uneven. The study proposes five policy principles to foster technological innovation and industrial upgrading, ensuring safe medical waste management and environmental protection.