Waste Management

 Regulated Medical Waste

Last Updated: April 27, 2022

​Fact Sheets and Technical Information Papers

Waste Management Branch personnel prepare specialized Fact Sheets and Information Papers based on customer requests, regulatory changes, and assistance visit trends analysis.​


CONUS Disposal Guidance for OTC COVID-19 Self-Test Kits Used for Screening Unvaccinated Personnel Returning to the Workplace – Disposal guidance for wastes generated from over-the-counter COVID-19 self-test kits used for workplace screening of unvaccinated personnel on continental U.S. installations. 

OCONUS Disposal Guidance for OTC COVID-19 Self-Test Kits Used for Screening Unvaccinated Personnel Returning to the Workplace​ - Disposal guidance for wastes generated from over-the-counter COVID-19 self-test kits used for workplace screen​ing of unvaccinated personnel on military installations that are located outside the continental U.S.


Laboratory and Medical Care 

  • Human Placenta Release​External Link (CAC required)– ​​Guidance to Medical Treatment Facilities for releasing human placenta to patients following childbirth.​
  • Waste Classification for BOTOX® (OnabotulinumtoxinA)​ – Waste classification and disposal guidance for vials and syringes containing or having contained Botox.​
  • Cord Blood Donation – Guidance for the collection, packaging, and shipping of donated maternal cord blood following birth for stem ​cell research or medical use. 
  • Disposing Laboratory Plastic Pipettes and Tips – Disposal guidance for used laboratory plastic pipettes and tips when in contact with either infectious or chemicals agents.
  • Handling of Human Remains from Natural Disasters – Description of the potential health hazards from handling human remains resulting from trauma due to natural disasters (not infectious disease), and guidance for protecting workers through the use of PPE, equipment disinfection, vaccinations, and training.
  • Management of Used Sharps​ – Regulated medical waste disposal guidance of used sharps (e.g., needles, scalpels, syringes) generated in a medical treatment facility.


Dental Facilities 

Disposal of Extracted Teeth with Amalgam Restorations (Fillings) – Disposal guidance for teeth that contain amalgam fillings and were extracted during dental procedures. Guidance is based on results of an APHC sampling study examining hazardous properties of fillings of extracted teeth, including mercury content.


Household Sharps 

Flyer – Sharps Disposal - General information for disposing of household medical sharps/syringes. Contains useful links for more information.

Household Medical Sharps Management – Information on how to dispose of used sharps, such as syringes with attached needles, which were generated in the home, both on and off a military installation.


Ebola Virus Disease 

Controlled Monitoring Site Waste Management - Guidance for collecting and managing waste generated at controlled monitoring sites, i.e., areas designated for isolation and monitoring of personnel returning from areas affected by Ebola Virus Disease. 

Decontamination of Equipment Used in the Area of Operations Impacted by Ebola Virus Disease – Guidance for the decontamination of DOD equipment used in geographic areas affected by Ebola Virus Disease, including selection of PPE, disinfection chemicals, and decontamination methods. 

Disinfection and Disposal of Household Goods Belonging to Patients Infected with Ebola Virus Disease – Guidance for disinfection and/or disposal of household goods and structural interiors of on-post housing used by personnel infected with the Ebola Virus Disease. 

Terminal Cleaning for Ebola Virus Disease Contaminated Patient Care Areas – Information on final cleaning and disinfection of a room after the patient is discharged.



Single-Use Device Reprocessing Best Management Practices for Medical Treatment Facilities​ External Link (CAC required)–​ Provides best management practices for the reprocessing of single Use Medical Devices (SUDs) in a Medical Treatment Facility. Includes a discussion on precious metal containing SUDS and contractual language to ensure proper waste managemen.

Cleaning Refrigerated M​ILVANs after Mortuary Use – Guidance for the cleaning and decontamination of Military-Owned Demountable Containers (MILVANs) used during emergencies to temporarily hold human remains or items contaminated with blood or other potentially infectious materials and are now being returned for use with field food service units. Guidance includes discussion of PPE, disinfection chemicals, and decontamination procedures.

Trauma Scene Cleanup – Information on trauma scene (e.g., accident, suicide, or crime scene) waste generated on a military installation including responsibilities, clean-up procedures, and waste disposal. 

Waste Management of Medical Sharps Used on Children in Child Development Facilities – Provides regulatory information and disposal guidance for sharps/syringes when administered to children in military Child Development Facilities.


MEDCOM/DHA Resources 

MEDCOM Regulation 40-35, Management of Regulated Medical Waste – Provides guidance and regulatory requirements to MEDCOM facilities on the management of regulated medical waste. 

DHA Procedural Instruction 6050.01, Medical Logistics (MEDLOG) Regulated Medical Waste (RMW) ManagementExternal Link​ – Provides guidance and regulatory requirements to DHA facilities on the management of regulated medical waste.


Federal Resources 

Centers for Disease Control and PreventionExternal Link​ – ​Provides information and tools to protect the health and prevent disease and injury of people and communities. 

U.S. EPAExternal Link​ – ​Provides information on history of regulating medical waste, first at the federal level and now by each state. Includes discussion of treatment and disposal methods for medical waste. 

Occupational Safety and Health AdministrationExternal Link​ – ​Ensures safe and healthful working conditions for workers by setting and enforcing standards such as the Bloodborne Pathogens Standard under 29 CFR 1910.1030.


Other Resource 

World Health OrganizationExternal Link​ – ​​Provides information, guidance and tools for use especially during global health emergencies/outbreaks.