Inapt management of menstrual hygiene waste (MHW): An urgent global environmental and public health challenge in developed and developing countries

Menstrual hygiene waste management has received lack of attention and hence it has been poorly investigated, mainly due to its association to social and cultural aspects of a natural process, that is often surrounded of entrenched stigma and taboos. Therefore, data about quantities and full lifecycle of the generated waste are often not available or suffer of large incertitude. However, this argument represents a relevant and critical issue, not only for the health of the women, their equality, and dignity, but also possible associated environmental concerns. This work highlights the necessity and the urgency to face the problems associated with menstrual hygiene waste, which cannot be still considered only relegated to low-income countries. It gives the dimension of the waste associated to migrants in the incoming areas, which is often neglected in sanitation program implementation. This work also describes the existing knowledge gaps and suggests some actions to implement in the next future. In the pandemic context, menstrual hygiene needs urgent attention, also to understand the possible implication of this waste, generated for example in refugees' camps, in SARS-CoV-2 spread, and to prevent eventual unknown environmental issues connected with the reconvention of some factories from the production of menstrual hygiene products to facemasks manufacture.