8–9 December 2025 Report of the meeting Regional Consultation to Develop a PracticalGuide on Immunization Waste Management Report of the meeting Regional Consultation to Develop a Practical Guide on Immunization Waste Management, 2025SEA-Immun-179 © World Health Organization 2025 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO;https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work isappropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization,products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same orequivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the WorldIntellectual Property Organization. Suggested citation. Regional Consultation to Develop a Practical Guide on Immunization Waste Management, 2025. New Delhi: WorldHealth Organization, Regional Office for South-East Asia; 2025. Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data. CIP data are available at http://apps.who.int/iris. Sales, rights and licensing. To purchase WHO publications, see http://apps.who.int/bookorders. To submit requests for commercial use andqueries on rights and licensing, see http://www.who.int/about/licensing. Third-party materials. If you wish to reuse material from this work that is attributed to a third party, such as tables, figures or images, it isyour responsibility to determine whether permission is needed for that reuse and to obtain permission from the copyright holder. The risk General disclaimers. The designations employed and the presentation of the material in this publication do not imply the expression of anyopinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerningthe delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by WHOin preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products aredistinguished by initial capital letters. All reasonable precautions have been taken by WHO to verify the information contained in this publication. However, the published materialis being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the materiallies with the reader. In no event shall WHO be liable for damages arising from its use. Printed in India Contents PageABBREVIATIONS AND ACRONYMS----------------------------------------------------------------------------- VEXECUTIVE SUMMARY -------------------------------------------------------------------------------------------- 11. INTRODUCTION-------------------------------------------------------------------------------------------------- 32. OBJECTIVES OF THE MEETING ------------------------------------------------------------------------------- 53. ORGANIZATION OF THE MEETING -------------------------------------------------------------------------- 6 Abbreviations and acronyms PCMPhase-Change MaterialPEPPost-Exposure ProphylaxisROSARegional Office for South Asia (UNICEF)RVCRegional Verification CommissionSEASouth-East AsiaSEAROSouth-East Asia Regional Office (of WHO)SIASupplementary Immunization ActivitySOPStandard Operating ProcedureTMDTemperature Monitoring Device Executive Summary Immunization programs in the WHO South-East Asia Region have achieved record coverage,saving millions of lives. However, this success has led to the generation of substantial waste,including used needles, syringes, packaging, and electronic waste. Improper disposalof thesewastes poses serious health and environmental risks.While some countries have robust The Regional Consultation Meeting to Develop a Practical Guide on Immunization WasteManagement (IWM) was convened by the World Health Organization (WHO) South-East AsiaRegional Office (SEARO) in partnership with UNICEF and other stakeholders. The meeting respondedto the growing challenge of managing immunization-related waste across the region due to growingvaccination campaigns and thereby increasing volumes of hazardous and non-hazardous waste from The consultation aimed to develop a practical, regionally tailored guide to support countries inimplementing safe, effective, and environmentally sound