Medical Waste Washing Ashore: Who’s In Charge of Regulation?

Earlier this month, Durban, South Africa, the country’s second largest city, was forced to shut down four of its most popular beaches due to piles of medical waste and general debris washing ashore.

South Africa is now in a frenzied rush to find who (and mort specifically what landfill) is responsible for this monstrosity.

But as we read up on Durban’s news, we were reminded of a story from almost 30 years ago and the resulting regulations. Thus we began to wonder, who really is in charge of regulating our country’s medical waste?

The following story comes from a 2o11 article on

The Syringe Tide, 1987-88

Medical waste washing up on New Jersey beaches was a big problem in the late 1980s, closing beaches along a 50-mile stretch of the New Jersey shore. For months, officials  scrambled to figure out where the waste was coming from, and eventually zeroed in on New York City’s Fresh Kills Landfill on Staten Island. Below-par systems there were not successfully containing medical waste and other garbage, and thus NJ beaches (as well as vacationers and business owners) were paying the price. Although no one was injured or exposed to disease by the washed up waste, the public was especially alarmed given the HIV/AIDS crisis gripping the nation at that time. NYC was required to pay $1 million for past pollution damages and had to shoulder the cost of clean-up on Jersey Shore beaches, as well.

The resulting loss of tourism cost business owners throughout the affected region as much as 40 percent of their revenue, with total losses estimated at well over $1 billion. Some New Jersey business owners remain upset that New York wasn’t forced to pay them reparations for lost revenue as well.

The Medical Waste Tracking Act of 1988

In the wake of the Syringe Tide scare, Congress enacted the Medical Waste Tracking Act of 1988, requiring the EPA to create a program to better track medical waste from cradle-to-grave, so that it didn’t end up fouling beaches or any other environments. Though the program was not renewed when it expired in 1991, it served as a model for how states and municipalities could better track potentially dangerous medical waste, while also helping medical facilities institute processes for knowing where their waste was going and that it was being disposed of responsibly.

Meanwhile, New York and New Jersey have since coordinated on setting up and maintaining their own systems to stem the so-called “syringe tides.” The cornerstone is a multi-agency program designed to intercept debris within New Jersey Harbor before it can get to tourist-crowded Jersey Shore beaches. Thanks to the plan—which relies on surveillance by environmental groups as well as routine and special clean-up sweeps by the U.S. Army Corps of Engineers and the implementation of a communications network to facilitate the reporting of incidents and quick responses—beach closures declined from more than 70 miles in 1988 to less than four miles in 1989, with closures remaining at similarly low levels ever since.

Of course, medical waste is hardly the only problem facing America’s beaches and coastal waters. According to the non-profit Natural Resources Defense Council (NRDC), bacterial contamination from sewage treatment outflows, contaminated storm water and other sources caused more than 24,000 beach closures or advisories across the country in 2010 alone. NRDC reports on water quality at U.S. beaches every year in its series of “Testing the Waters” reports. Pressure from the group has helped spur the EPA to agree to overhaul Clean Water Act regulations pertaining to urban and suburban storm water runoff and update decades-old beach water quality standards by 2012. These improvements should help to keep beaches from the Jersey Shore to the Great Lakes to California, and points in between, clear of debris and safe for swimmers and sunbathers of every stripe.


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Redaway™ is a Texas-based medical waste solutions company, formed to meet the medical waste needs of the local healthcare community.

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