In many HCEs, employees were observed using unsuitable and unlabelled containers and plastic bags, without biohazard signs, contrary to the WHO Code of Practice (WHO, 2004). The HCEs authority frequently handled and disposed of hazardous medical waste, along with litter, into the general bins located outside the premises, drains, general sewerage systems or even in canals or
rivers. In each case, it was observed that this followed a period of temporary storage, sometimes in an open space within the HCE premises without any proper labelling or other precaution.