Majority of the health care institutions do not practice safe waste handling, storage, treatment and disposal methods and rely on the respective municipality services. Concerned government authorities, most of the health care institutions and even few environment and public health professional considered incinerator as last and safe option for medical waste management despite of its multi-fold toxic air pollution and ash residues, capital burden to the host institution as well as local communities. Moreover, the uncontrolled import and manufacturing of incinerators disregard of its working efficiencies and violating of legal provisions in presence of inefficient government mechanism had becomes major factors to reach the present condition of medical waste management and results into degradation of sanitation level of hospital as well as degradation of local environment jeopardizes the local community health.

In order to manage these hazardous medical wastes, it has been already known that some of the governmental, non-governmental hospitals, local bodies responsible for the waste management of Kathmandu had already imported incinerator and installed in the densely populated residential Teku area prior to the Environment Impact Assessment (EIA) approval from Ministry of Population & Environment (MOPE) as required by Environmental Protection Act 1996 and Environment Protection Regulation 1997.

So towards search of safer medical waste management, Pro Public had initiated an Educational Campaigning for the Safer Medical Waste Management with the assistance of Health Care Without Harm (HCWH) USA and carried out awareness raising program including educational pamphlet productions and distribution, impact survey of incinerators, nationwide essay competition among the medical students for the medical waste management problem and solution. Finally one day workshop was held on Medical Waste Management accommodating affected people voices on the occasion of Second largest Global Day Against Incineration (14 July 2003) were ended with the 11 point Kathmandu Declaration for the safer medical waste management. The program acts as the forum for raising the awareness level for all the concerned parties and sensitize the policy makers while for the selection of alternate non-burning mode of medical waste management technologies rather jump to the pollution prone incineration technology.