WHO recommendations on the sound management of old long-lasting insecticidal nets
Between 2004 and 2013, public health programmes distributed more than 700 million conventional and long-lasting insecticidal nets (LLINs) to communities. Currently, LLINs and the vast majority of their packaging is made of non-biodegradable plastic material, and most endemic countries currently do not have the resources to manage collection and waste disposal programmes for used LLINs.
The large-scale deployment of LLINs has given rise to questions on the most appropriate and cost-effective way to deal with the plastic waste that is accumulating in communities, particularly in countries where the malaria burden is high and where ministries of health seek to reach or sustain universal coverage. To provide guidance to WHO Member States, WHO issued a document entitled Recommendations on the sound management of packaging for LLINs in November 2011, and in 2013 finalized the results of a pilot project to study current patterns of LLIN usage and disposal in three African countries (Kenya, Madagascar and Tanzania). Consolidated recommendations are presented.