FINAL DISPOSAL OF SOLID WASTE IN SANITARY LANDFILLS AND HUMAN HEALTH

This article presents a critical review of scientific literature on waste sanitary landfills and its effects on human health, with an approach to the adverse effects that are most commonly associated to living near waste landfills. The health variables included were low birth weight, congenital abnormalities, some types of neoplasms, allergies, asthma and other respiratory diseases using the MEDLINE, LILACS and CAPES' thesis post graduation database for systematic review. In spite of the fact that some studies indicate positive asssociation between health risks and living close to landfills, the majority of the studies, mainly the most recent ones, do not demonstrate a significant health risk in this condition. Some common limitations and bias of the work in the field are discussed. The lack of direct quantification of exposure, lack of prospective approach and no comparaison of the different types and quality of management of the residues are common limitations to most studies. So far, there is weak evidence to support significant epidemiological health risks associated to landfills. More interdisciplinary research should improve the knoledge of the health risks related to living in the proximity to sanitary landfills.