Open Waste Burning in Indonesia: Pulmonary Toxicity, Injury Mechanisms, and Clinical Challenges
DOI:
10.29303/jbt.v26i4.12767Published:
2026-09-28Downloads
Abstract
Open waste burning is a widespread but underrecognized source of air pollution, particularly where waste services are inadequate. This narrative review aimed to synthesize evidence on the scale and drivers of open waste burning, emission toxicology, mechanisms of lung injury, respiratory effects, clinical management, and public-health implications, with relevance to Indonesia. PubMed/MEDLINE, Scopus, ScienceDirect, Google Scholar, and relevant institutional sources were searched. Evidence was classified into three tiers: direct waste-burning evidence, analogous combustion-exposure evidence, and broader air-pollution evidence. Open waste burning releases particulate matter, black carbon, polycyclic aromatic hydrocarbons, volatile organic compounds, metals, dioxins, and furans, which may promote oxidative stress, epithelial barrier dysfunction, impaired mucociliary defense, immune activation, and airway remodeling. Available evidence indicates potential acute respiratory symptoms and exacerbation of existing respiratory disease, although direct epidemiological evidence remains limited. No exposure-specific biomarker or treatment protocol has been established. Clinical management should therefore emphasize exposure history, syndrome-based care, and exposure reduction, while public-health measures should prioritize improved waste services and source control. The review is limited by heterogeneous evidence and the scarcity of exposure-linked human studies. Prospective studies are needed to quantify respiratory burden and evaluate intervention benefits.
Keywords:
Air pollution Lung injury Indonesia Respiratory health Particulate matter Open waste burningReferences
Adetona, O., Ozoh, O. B., Oluseyi, T., Uzoegwu, Q., Odei, J., & Lucas, M. (2020). An exploratory evaluation of the potential pulmonary, neurological and other health effects of chronic exposure to emissions from municipal solid waste fires at a large dumpsite in Olusosun, Lagos, Nigeria. Environmental Science and Pollution Research, 27(24), 30885–30892. https://doi.org/10.1007/s11356-020-09701-4
Aghapour, M., Ubags, N. D. J., Bruder, D., Hiemstra, P. S., Sidhaye, V. K., Rezaee, F., & Heijink, I. H. (2022). Role of air pollutants in airway epithelial barrier dysfunction in asthma and COPD. European Respiratory Review, 31(163), 210112. https://doi.org/10.1183/16000617.0112-2021
Aithal, S. S., Sachdeva, I., & Kurmi, O. P. (2023). Air quality and respiratory health in children. Breathe, 19(2), 230040. https://doi.org/10.1183/20734735.0040-2023
AQMx. (2025). AQMx sectoral guidance: Eliminating open waste burning. https://aqmx.org/content/aqmx-sectoral-guidance-eliminating-open-waste-burning
Bottini, I., Vecchi, S., De Sario, M., Bauleo, L., Trentalange, A., Michelozzi, P., et al. (2025). Residential exposure to municipal solid waste incinerators and health effects: A systematic review with meta-analysis. BMC Public Health, 25, 1989. https://doi.org/10.1186/s12889-025-23150-z
Brugge, D., Li, J., & Zamore, W. (2023). On the need for human studies of PM exposure activation of the NLRP3 inflammasome. Toxics, 11(3), 202. https://doi.org/10.3390/toxics11030202
Cooper, D. M., & Loxham, M. (2019). Particulate matter and the airway epithelium: The special case of the underground? European Respiratory Review, 28(153), 190066. https://doi.org/10.1183/16000617.0066-2019
Dai, M. Y., et al. (2020). Particulate matters induce acute exacerbation of allergic airway inflammation via the TLR2/NF-κB/NLRP3 signaling pathway. Toxicology Letters, 321, 146–154. https://doi.org/10.1016/j.toxlet.2019.12.010
Global Initiative for Asthma. (2026). Global strategy for asthma management and prevention: 2026 update. https://ginasthma.org/reports/
Global Initiative for Chronic Obstructive Lung Disease. (2026). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: 2026 report. https://goldcopd.org/2026-gold-report-and-pocket-guide/
Irianti, S., & Prasetyoputra, P. (2019). Open burning of household solid waste and child respiratory health: Evidence from Indonesia. Jurnal Ekologi Kesehatan, 17(3), 123–134. https://doi.org/10.22435/jek.17.3.996.123-134
Kayalar, Ö., et al. (2024). Impact of particulate air pollution on airway injury and epithelial plasticity. Frontiers in Immunology, 15, 1324552. https://doi.org/10.3389/fimmu.2024.1324552
Kumari, K., Kumar, S., Rajagopal, V., Khare, A., & Kumar, R. (2019). Emission from open burning of municipal solid waste in India. Environmental Technology, 40(17), 2201–2214. https://doi.org/10.1080/09593330.2017.1351489
Kuwata, M. (2024). Atmospheric emissions, processes, and impacts of tropical peatland fire haze in Equatorial Asia: A review. Atmospheric Environment, 331, 120575. https://doi.org/10.1016/j.atmosenv.2024.120575
Låg, M., Øvrevik, J., Refsnes, M., & Holme, J. A. (2020). Potential role of polycyclic aromatic hydrocarbons in air pollution-induced non-malignant respiratory diseases. Respiratory Research, 21, 299. https://doi.org/10.1186/s12931-020-01563-1
Leszczyńska, K., Jakubczyk, D., & Górska, S. (2022). The NLRP3 inflammasome as a new target in respiratory disorders treatment. Frontiers in Immunology, 13, 1006654. https://doi.org/10.3389/fimmu.2022.1006654
Li, C. H., et al. (2022). Role of macrophages in air pollution exposure related asthma. International Journal of Molecular Sciences, 23(20), 12337. https://doi.org/10.3390/ijms232012337
Pathak, G., Nichter, M., Hardon, A., Moyer, E., Latkar, A., Simbaya, J., Pakasi, D., Taqueban, E., & Love, J. (2023). Plastic pollution and the open burning of plastic wastes. Global Environmental Change, 80, 102648. https://doi.org/10.1016/j.gloenvcha.2023.102648
Phung, V. L. H., Uttajug, A., Ueda, K., Yulianti, N., Latif, M. T., & Naito, D. (2022). A scoping review on the health effects of smoke haze from vegetation and peatland fires in Southeast Asia: Issues with study approaches and interpretation. PLOS ONE, 17(9), e0274433. https://doi.org/10.1371/journal.pone.0274433
Popoola, A. O., et al. (2023). Dispersion of PM and VOC pollutants from open burning of municipal solid wastes on host communities. Environmental Science: Atmospheres, 3, [article number not provided]. https://doi.org/10.1039/D3EA00041A
Porta, D., Milani, S., Lazzarino, A. I., Perucci, C. A., & Forastiere, F. (2009). Systematic review of epidemiological studies on health effects associated with management of solid waste. Environmental Health, 8, 60. https://doi.org/10.1186/1476-069X-8-60
Ramadan, B. S., Rosmalina, R. T., Syafrudin, Munawir, Khair, H., Rachman, I., & Matsumoto, T. (2023). Potential risks of open waste burning at the household level: A case study of Semarang, Indonesia. Aerosol and Air Quality Research, 23, 220412. https://doi.org/10.4209/aaqr.220412
Ramadan, B. S., Sendari, S., Ratnawati, B., Sakti, A. D., Balasbaneh, A. T., Budihardjo, M. A., Matsumoto, T., & Puspita, A. S. (2026). An extensive inventory of municipal open waste burning nationwide based on machine learning analysis. Global Journal of Environmental Science and Management, 12(2). https://doi.org/10.22034/gjesm.2026.02.14
Sawyer, K., et al. (2010). The effects of ambient particulate matter on human alveolar macrophage oxidative and inflammatory responses. Journal of Toxicology and Environmental Health, Part A, 73(1), 41–57. https://doi.org/10.1080/15287390903248901
Schikowski, T., Sugiri, D., Reimann, V., Pesch, B., Ranft, U., & Krämer, U. (2008). Contribution of smoking and air pollution exposure in urban areas to social differences in respiratory health. BMC Public Health, 8, 179. https://doi.org/10.1186/1471-2458-8-60
Vinti, G., Bauza, V., Clasen, T., Medlicott, K., Tudor, T., Zurbrügg, C., & Vaccari, M. (2021). Municipal solid waste management and adverse health outcomes: A systematic review. International Journal of Environmental Research and Public Health, 18(8), 4331. https://doi.org/10.3390/ijerph18084331
World Bank. (2019). Improvement of solid waste management to support regional and metropolitan cities project. https://www.worldbank.org/en/news/press-release/2019/12/05/cleaning-up-indonesias-urban-solid-waste
World Bank. (2021). Plastic waste discharges from rivers and coastlines in Indonesia. https://www.worldbank.org/en/country/indonesia/publication/plastic-waste-discharges-from-rivers-and-coastlines-in-indonesia
World Bank. (2025). Local service delivery improvement project: Indonesia. https://documents1.worldbank.org/curated/en/099071325203030308/pdf/P512328-4a368646-0873-45ad-91d0-4133298fcdf6.pdf
World Health Organization. (2023). Dioxins and their effects on human health. https://www.who.int/news-room/fact-sheets/detail/dioxins-and-their-effects-on-human-health
World Health Organization. (2024a). Air pollution: Personal interventions and risk communication. https://www.who.int/news-room/questions-and-answers/item/air-pollution-personal-interventions-and-risk-communication
World Health Organization. (2024b). Ambient (outdoor) air pollution. https://www.who.int/news-room/fact-sheets/detail/ambient-(outdoor)-air-quality-and-health
World Health Organization. (2025). Open waste burning: Sectoral solutions for air pollution and health. https://www.who.int/publications/i/item/B09367
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