**C. Risks of infection for informal waste pickers**

In countries where the HCW management system is not established nor functional, HCW is directly dumped at dumpsites without any treatment. These include infectious waste and sharps, and when waste pickers collect recyclables from the sites, they can cause injury and eventually infection. The existence of informal waste pickers is due to socio-economic problems and is not directly related to the HCW management issue. However, recognizing the existence of such risks, even if the only way is direct disposal of infectious HCW, the dumping site should be off-limits or immediately covered with soil for avoiding direct exposure.
