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are polluted by non-collected waste or leachates produced

at dumpsites. This same water is used for drinking, cooking,

cleaning or for irrigating crops. The disposal of mixedmunicipal

waste containing hazardous medical and household waste,

can cause further pollution.

Other public health issues from dumpsites include the

proliferation of disease-vectors such as rats, mice, flies and

other pests that feed on waste. Often, domestic animals feed

on waste in open dumping sites, a common practice in many

cities in developing countries. These animals also act as vectors,

especially of parasitic diseases. The weather and atmospheric

conditions at higher altitudes, however, hinders the proliferation

of mosquitoes, insects or other species of pests common in

lowland cities with more tropical climates.

Nonetheless, the effects of open dumping can be particularly

harmful to sensitive mountain ecosystems. Furthermore, the

effects of dumping waste in river gorges has the potential

to impact very large populations as the river waters are used

by millions of people living on the floodplains. Uncontrolled

burning is often used as an easy way of getting rid of waste

or reducing the volume of waste. However, the smoke

produced by burning waste creates risks because of the

generation of particulate matter and other hazardous gases

emitted into the atmosphere.

Air pollution is affected by changes in altitude; incomplete

fuel combustion occurs when there are lower levels of oxygen,

leading to higher amounts of suspended particles, otherwise

known as soot (EPA, 1978). The effects of altitude are not

always taken into account in setting standards for air quality.

For example, current air quality standards for particulate matter

(PM) in some high-altitude cities (El Alto, Medellin and Mexico

City) are thought to underestimate the important effects of

altitude (reductions in temperature and pressure), which might

explain why there is a rising prevalence of asthma and allergies

in high-altitude urban areas in Latin America (Bravo Alvarez

et al., 2013).

The people most likely to be at risk are those living in peri-

urban, low-income areas who do not have an adequate

collection service, people living in areas adjacent to open

dumping sites, especially children and the elderly, and

personnel working for urban cleansing services (Scheinberg,

Wilson and Rodic-Wiersma, 2010).

Air pollution over Mexico city.

Photo

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iStock/jcarillet