A Review on Biohazards Removal in Ethiopia: Efficacy of Existing Treatment Systems and Challenges

Background: Wastewater treatment is crucial to protecting public health and the environment by removing Biohazards. In Ethiopia, however, significant research gaps limit progress, especially regarding the efficiency of Biohazard removal in existing treatment facilities. This review evaluates the eff...

Full description

Saved in:
Bibliographic Details
Main Authors: Chalachew Yenew, Muluken Azage Yenesew, Argaw Ambelu, Gashaw Melkie Bayeh, Almaw Genet Yeshiwas
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Environmental Health Insights
Online Access:https://doi.org/10.1177/11786302241312770
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841553289014935552
author Chalachew Yenew
Muluken Azage Yenesew
Argaw Ambelu
Gashaw Melkie Bayeh
Almaw Genet Yeshiwas
author_facet Chalachew Yenew
Muluken Azage Yenesew
Argaw Ambelu
Gashaw Melkie Bayeh
Almaw Genet Yeshiwas
author_sort Chalachew Yenew
collection DOAJ
description Background: Wastewater treatment is crucial to protecting public health and the environment by removing Biohazards. In Ethiopia, however, significant research gaps limit progress, especially regarding the efficiency of Biohazard removal in existing treatment facilities. This review evaluates the effectiveness of current treatment methods for Biohazard removal, highlights key challenges, and offers recommendations. Methods: This scoping review followed PRISMA guidelines, systematically searching databases like NLM. Science Direct, HINARI and Scopus for Biohazard removal studies in Ethiopia, with independent reviewers screening and analyzing relevant data to identify key challenges. Results: Out of 1218 studies initially recorded by title and abstract, only 11 articles were selected for analysis. The Activated Sludge Process emerged as a highly effective system, achieving 85% to 95% removal of antimicrobial resistance (AMR) and total coliforms. Other methods, such as the Conventional Activated Sludge, and Anaerobic-Aerobic Reactors, demonstrated promising results but were found only in select locations. However, the widely adopted Oxidation Ponds, Ethiopia’s most common wastewater treatment system, showed the lowest AMR removal efficiency, at just 30% to 50%. Significant challenges, including inadequate infrastructure, high operational costs, and weak regulatory enforcement. Conclusions and recommendations: The review underscores the need for affordable wastewater treatment in Ethiopia, highlighting challenges such as inadequate infrastructure and high costs. To enhance effectiveness and reduce public health risks from Biohazards like AMR, recommendations include adopting cost-effective treatment technologies, strengthening regulatory frameworks, increasing public awareness, promoting corporate responsibility, and investing in infrastructure for sustainable wastewater management.
format Article
id doaj-art-815f879267ac486b83923ad46702efa1
institution Kabale University
issn 1178-6302
language English
publishDate 2025-01-01
publisher SAGE Publishing
record_format Article
series Environmental Health Insights
spelling doaj-art-815f879267ac486b83923ad46702efa12025-01-09T11:03:20ZengSAGE PublishingEnvironmental Health Insights1178-63022025-01-011910.1177/11786302241312770A Review on Biohazards Removal in Ethiopia: Efficacy of Existing Treatment Systems and ChallengesChalachew Yenew0Muluken Azage Yenesew1Argaw Ambelu2Gashaw Melkie Bayeh3Almaw Genet Yeshiwas4College of Health Sciences, Debre Tabor University, Debre Tabor, EthiopiaDepartment of Environmental Health, Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, EthiopiaDivision of Water and Health at Ethiopian Institute of Resources, Addis Ababa University, Addis Ababa, EthiopiaCollege of Health Sciences, Debre Tabor University, Debre Tabor, EthiopiaDepartment of Environmental Health, College of Medicine and Health Sciences, Injibara University, Injibara, EthiopiaBackground: Wastewater treatment is crucial to protecting public health and the environment by removing Biohazards. In Ethiopia, however, significant research gaps limit progress, especially regarding the efficiency of Biohazard removal in existing treatment facilities. This review evaluates the effectiveness of current treatment methods for Biohazard removal, highlights key challenges, and offers recommendations. Methods: This scoping review followed PRISMA guidelines, systematically searching databases like NLM. Science Direct, HINARI and Scopus for Biohazard removal studies in Ethiopia, with independent reviewers screening and analyzing relevant data to identify key challenges. Results: Out of 1218 studies initially recorded by title and abstract, only 11 articles were selected for analysis. The Activated Sludge Process emerged as a highly effective system, achieving 85% to 95% removal of antimicrobial resistance (AMR) and total coliforms. Other methods, such as the Conventional Activated Sludge, and Anaerobic-Aerobic Reactors, demonstrated promising results but were found only in select locations. However, the widely adopted Oxidation Ponds, Ethiopia’s most common wastewater treatment system, showed the lowest AMR removal efficiency, at just 30% to 50%. Significant challenges, including inadequate infrastructure, high operational costs, and weak regulatory enforcement. Conclusions and recommendations: The review underscores the need for affordable wastewater treatment in Ethiopia, highlighting challenges such as inadequate infrastructure and high costs. To enhance effectiveness and reduce public health risks from Biohazards like AMR, recommendations include adopting cost-effective treatment technologies, strengthening regulatory frameworks, increasing public awareness, promoting corporate responsibility, and investing in infrastructure for sustainable wastewater management.https://doi.org/10.1177/11786302241312770
spellingShingle Chalachew Yenew
Muluken Azage Yenesew
Argaw Ambelu
Gashaw Melkie Bayeh
Almaw Genet Yeshiwas
A Review on Biohazards Removal in Ethiopia: Efficacy of Existing Treatment Systems and Challenges
Environmental Health Insights
title A Review on Biohazards Removal in Ethiopia: Efficacy of Existing Treatment Systems and Challenges
title_full A Review on Biohazards Removal in Ethiopia: Efficacy of Existing Treatment Systems and Challenges
title_fullStr A Review on Biohazards Removal in Ethiopia: Efficacy of Existing Treatment Systems and Challenges
title_full_unstemmed A Review on Biohazards Removal in Ethiopia: Efficacy of Existing Treatment Systems and Challenges
title_short A Review on Biohazards Removal in Ethiopia: Efficacy of Existing Treatment Systems and Challenges
title_sort review on biohazards removal in ethiopia efficacy of existing treatment systems and challenges
url https://doi.org/10.1177/11786302241312770
work_keys_str_mv AT chalachewyenew areviewonbiohazardsremovalinethiopiaefficacyofexistingtreatmentsystemsandchallenges
AT mulukenazageyenesew areviewonbiohazardsremovalinethiopiaefficacyofexistingtreatmentsystemsandchallenges
AT argawambelu areviewonbiohazardsremovalinethiopiaefficacyofexistingtreatmentsystemsandchallenges
AT gashawmelkiebayeh areviewonbiohazardsremovalinethiopiaefficacyofexistingtreatmentsystemsandchallenges
AT almawgenetyeshiwas areviewonbiohazardsremovalinethiopiaefficacyofexistingtreatmentsystemsandchallenges
AT chalachewyenew reviewonbiohazardsremovalinethiopiaefficacyofexistingtreatmentsystemsandchallenges
AT mulukenazageyenesew reviewonbiohazardsremovalinethiopiaefficacyofexistingtreatmentsystemsandchallenges
AT argawambelu reviewonbiohazardsremovalinethiopiaefficacyofexistingtreatmentsystemsandchallenges
AT gashawmelkiebayeh reviewonbiohazardsremovalinethiopiaefficacyofexistingtreatmentsystemsandchallenges
AT almawgenetyeshiwas reviewonbiohazardsremovalinethiopiaefficacyofexistingtreatmentsystemsandchallenges