The management of clinical solid waste (CSW) continues to be a major challenge, particularly, in most
healthcare facilities of the developing world. Poor conduct and inappropriate disposal methods exercised
during handling and disposal of CSW is increasing significant health hazards and environmental pollution
due to the infectious nature of the waste. This article summarises a literature review into existing CSW
management practices in the healthcare centers. The information gathered in this paper has been derived
from the desk study of open literature survey. Numerous researches have been conducted on the management
of CSW. Although, significant steps have been taken on matters related to safe handling and disposal
of the clinical waste, but improper management practice is evident from the point of initial
collection to the final disposal. In most cases, the main reasons of the mismanagement of CSW are the
lack of appropriate legislation, lack of specialized clinical staffs, lack of awareness and effective control.
Furthermore, most of the healthcare centers of the developing world have faced financial difficulties and
therefore looking for cost effective disposal methods of clinical waste. This paper emphasizes to continue
the recycle-reuse program of CSW materials after sterilization by using supercritical fluid carbon dioxide
(SF-CO2) sterilization technology at the point of initial collection. Emphasis is on the priority to inactivate
the infectious micro-organisms in CSW. In that case, waste would not pose any threat to healthcare workers.
The recycling-reuse program would be carried out successfully with the non-specialized clinical
staffs. Therefore, the adoption of SF-CO2 sterilization technology in management of clinical solid waste
can reduce exposure to infectious waste, decrease labor, lower costs, and yield better compliance with
regulatory. Thus healthcare facilities can both save money and provide a safe environment for patients,
healthcare staffs and clinical staffs.