Occupational and Environmental Health Effects of Informal Electronic Waste Recycling – A Focus on Agbogbloshie, Ghana

Abstract

The unregulated and unorganized structure of informal electronic waste recycling worksites exposes workers to numerous occupational hazards. This context also presents research challenges in collecting exposure data to establish linkages with adverse health effects and development of risk-mitigating strategies. This paper presents some findings from a 5-year multinational and multi-institutional collaboration of academic and government partners, which documented extensive occupational and environmental health conditions at the Agbogbloshie electronic waste site in central Accra, Ghana.

Full text

Occupational and Environmental Health Effects of Informal
Electronic Waste Recycling - A Focus on Agbogbloshie, Ghana
Julius Fobil1, Priscillah Abotsi2, Augustine A. Acquah1, John Arko-Mensah1, Clive
D’Souza3, Bernard Martin3
1Department of Biological Environmental and Occupational Health Sciences, School of Public
Health, University of Ghana, P.O. Box LG13, University of Ghana, Legon, Accra, Ghana
2Legon Center for International Affairs & Diplomcy (LECIAD), P.O. Box LG25, University of
Ghana, Legon, Accra, Ghana
3Center for Ergonomics, Department of Industrial and Operations Engineering, University of
Michigan, Ann Arbor, Michigan 48109-2117, USA
Abstract
The unregulated and unorganized structure of informal electronic waste recycling worksites
exposes workers to numerous occupational hazards. This context also presents research challenges
in collecting exposure data to establish linkages with adverse health effects and development of
risk-mitigating strategies. This paper presents some findings from a 5-year multinational and
multi-institutional collaboration of academic and government partners, which documented
extensive occupational and environmental health conditions at the Agbogbloshie electronic waste
site in central Accra, Ghana.
Keywords
Agbogbloshie; electronic waste; ergonomics; occupational health
1 Introduction
1.1 Background
Electronic waste (e-waste) is believed to be one of the most rapidly increasing components
of the global waste stream [1]. The increase in e-waste has been fuelled by the increase in
obsolescence and the desire to keep up with global advancement in technology. Large
volumes of e-waste are legally and illegally dumped in developing countries such as Ghana
where they are recycled as a form of livelihood [1–3]. Recycling of valuable metals
including gold or copper contained in e-waste (e.g., discarded cell phones, computers,
televisions, refrigerators, and automobiles) has become an important source of income,
largely in the informal sector of emerging/developing or less-industrialized nations. These
countries often lack the technical know-how and technological infrastructure to recycle e-
jfobil@ug.edu.gh.
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waste in an ecologically safe and sustainable manner and this poses serious public health
and environmental concerns. Informal e-waste recycling and scrap metal recovery consists
primarily of scavenging and collecting e-waste items, sorting out items that can be reused or
repaired and manual dismantling of items that are irreparable and/or non-functional [4,5].
The recycling process is carried out by low-wage, low skilled workers who are largely
unaware about the associated exposure risks or about safe work practices to prevent or
mitigate related adverse effects [1,2,6].
Agbogbloshie in Accra Ghana is one of the major e-waste recycling hubs in the world [7].
The recycling processes used at this site are predominantly manual and simple. Basic tools
such as hammer and screw drivers are used for breaking apart (dismantling) electrical items
to retrieve valuable metals such as copper, aluminium, silver and gold [2,3]. Open air
burning, especially of insulated wires, is used to recover copper, iron and aluminium from
items that cannot be dismantled [4]. Non-valuable fractions of e-waste are discarded at the
dumpsite and subsequently burnt to reduce the volume of waste accumulated [8].
1.2 Problem Statement
The informal recycling process consists of the use of rudimentary methods which are
hazardous and poses huge safety risks to workers and the environment [6,9–11]. A defining
characteristic of workers in informal sectors is that they are not subject to national labor laws
and standards. As a result, these workers are likely exposed to hazardous work conditions,
including high levels of toxic chemicals with little or no social, economic or occupational
protections. For the estimated two billion informal sector workers around the globe, there is
a clear need for identifying and implementing the appropriate context-specific interventions
in challenging work environments where unprotected workers face substantial risk from
hazardous exposures and work conditions.
1.3 Objective
The objectives of this paper are to: (1) highlight some of the adverse health consequence of
fast-growing e-waste in the global waste stream by showcasing such conditions at
Agbogbloshie – the largest e-waste dumpsite in Africa, and (2) call attention to the need for
continued research, including by the ergonomics community, to characterize and reduce
work exposures and promote worker health and safety measures associated with informal e-
waste recycling in emerging/developing economies.
2 Methodology
This study uses a hybrid design drawing up materials from both extant literature and new
empirical studies conducted at the Agbogbloshie e-waste dumpsite in Accra, Ghana. These
empirical studies include our own research and experiences during the 5-year collaborative
research. The broad aim of this multinational collaboration was to increase multi-
disciplinary understanding of the occupational and environmental risks associated with
informal e-waste recycling, and to use the project’s findings to inform evidence-based work
interventions and policy.
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In this collaboration various studies [3,9–14] used multidisciplinary combination of methods
to investigate the environmental and health effects of e-waste recycling in Agbogbloshie. We
collected and analyzed in the laboratory both biological and environmental samples in a
longitudinal design at 4 time-points. Direct field observations were conducted to supplement
quantitative data collected in the field. The areas of investigation included: evaluation of
ergonomic risk factors and work-related musculoskeletal disorders among e-waste workers
[3,14,15]; investigating the adverse cumulative exposures [11], including particulate matter
discharge that determined air quality [9,13] and its effects on workers respiratory health. The
results from these and other relevant studies on e-waste worker health are synthesized and
summarized in this paper.
3 Results
Summary of findings of our research studies at Agbogbloshie speaks to significant health
consequences of informal e-waste recycling activities on both environment and human
health. Primitive recycling methods such as manual dismantling of electrical appliances and
open air burning of predominantly copper wires at low temperatures are used in the
recycling process. These rudimentary methods; including heavy and stressful lifting, are a
source of high exposure to toxic chemicals and physical risk factors leading to undesirable
health implications such as musculoskeletal pain and various adverse cardiovascular and
respiratory health outcomes. The use of personal protective equipment by workers at
Agbogbloshie is extremely rare despite all the health hazards associated with the manual
recycling of e-waste.
3.1 Physical/ergonomic exposures and work-related musculoskeletal disorders
A preliminary investigation of the processes involved in manual e-waste recycling at
Agbogbloshie and the associated ergonomic risk factors revealed that, self-reported sitting,
standing, walking and manual material handling such as carrying, lifting and pushing/pulling
of collecting carts were performed at varied frequency and intensity among e-waste workers
[3,15]. Lifting and carrying activities were performed on five or more days in the workweek
by dismantlers (60%) as well as collectors and burners (nearly 90%). Prolonged walking,
sitting and standing was frequently reported by collectors (87%), dismantlers (82%) and
burners (60%), respectively [15].
Dismantlers of e-waste assume non-neutral seated postures with excessive forward flexion
and twisting of the trunk as well as high force exertion from manual use of hammers in the
dismantling of non-functional electrical appliances. Collectors of e-waste were often
exposed to high force exertion and contact stress as a result of pulling/pushing loaded
collection carts over long distances [16].
An alarmingly high prevalence (90%) of work-related MSDs exists among e-waste workers
[14] in Agbogbloshie, Ghana. Work-related musculoskeletal disorder symptoms were mostly
reported in the lower back (65%), knee (39%), shoulder (37%), upper arm (30%), lower leg
(27%) and neck (26%) (14). Prolonged work duration was significantly associated with
MSDs, which were also significantly associated with the primary e-waste job category [14].
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In addition, evidence of acute injuries such as cuts, lacerations, abrasions and scars were
observed in 96.2% of e-waste workers [10]. Scars were prevalent on the skins of 93.6% of
workers while 23.1% of workers had burns [10].
3.2 Environmental health effects
Manual dismantling of appliances and open air burning to isolate valuable metals create very
harmful ambient conditions [11]. Styrofoam food containers and car tires are often added as
fuel to sustain the burning process. These conditions expose child- and adult-workers as well
as their family members and the general population to excessive doses of hazardous
substances [17]. For example, burning of copper wires results in emission of dioxins and
furans [18] while breaking (dismantling) of Cathode Ray Tubes (CRT) monitors with
rudimentary tools to recover copper and steel, result in the release and inhalation of organic
compounds such as flame retardants, formaldehyde and combustion products such as
polychlorinated biphenyls (PCBs), polybromated diphenyl ethers (PBDE), furans and
dioxins as well as hazardous cadmium dust and other pollutants [18]. Other harmful
substances resulting from informal e-waste recycling include oxides of: a) Lead, b)
Chromium and c) Mercury, often as toxic fumes, as well as other heavy metal accumulation
in water, soil and food [19–22].
Besides the hazardous components being processed, e-waste also produces several toxic by-
products likely to affect the health of the adjacent general population [17], particularly
children who need more specific protection [5,23,24]. For instance, while still growing,
children’s intake of water, air and food as a proportion of body weight is significantly larger
compared with adults; thus, considerably increasing the risk of hazardous chemical
absorption. Additionally, functional systems such as the: (i) immune system, (ii) digestive
system, (iii) reproductive system and (iv) central nervous system are still developing and
exposure to toxic substances, by hampering further development, might cause irreversible
damage.
E-waste workers at Agbogbloshie are also exposed to high levels of particulate matter [9,11]
which predisposes them to a decline in lung function and the risk of developing small airway
diseases like asthma or chronic obstructive pulmonary disease [9].
4 Discussion
Agbogbloshie has been the dumping ground for discarded electronic products, mainly from
Europe and North America. Besides harbouring one of Accra’s largest food markets, some
40,000 people are said to live and work in the wider area and all together, some 250,000
people including a floating day-time population are likely to be directly exposed to the
fumes released during e-wastes recycling activities. Some 1.5 million people are believed to
be indirectly exposed via the food chain. The unregulated and unorganized structure of
informal e-waste recycling worksites leads to a hazardous work environments.
The high physical demands of manual recycling activities subject workers to high risk of
acute injuries and work-related musculoskeletal disorders, predominantly low back pain.
Our studies reported high prevalence of low back pain among the e-waste workers as a result
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of frequent manual material handling tasks such as carrying, lifting, pushing and pulling of
loaded collecting carts, which exposes workers to non-neutral work postures and high force
exertion over prolonged work durations. The use of hammer and chisel to break apart
electronic waste may have accounted for the prevalence of upper limb musculoskeletal pain.
Prolonged walking over uneven ground in search of e-waste from neighboring communities
could be contributing to the high prevalence of lower extremity disorders among e-waste
collectors.
Informal e-waste recycling worksites present challenges to research, such as difficulties in
collecting work-related, time-varying, job-specific exposure data that would establish
linkages with adverse health effects and guide the design of locally-adapted risk-mitigating
strategies. New ergonomics perspectives, exposure assessment tools and methods suited to
informal work settings are needed to overcome some of these research challenges.
5 Conclusion
E-waste represents a major global health challenge in the 21st Century. Growing evidence of
hazardous work conditions and diverse sources of environmental pollution driven by
practices used to recover valuable metals and dispose waste in the informal e-waste
recycling sector have raised considerable global concerns. Upstream and downstream
solutions are therefore urgently needed to redesign the structures for handling fast growing
global e-waste production. Confronting this challenge will require interdisciplinary
cooperation of multiple international stakeholders.
Acknowledgements
This research was supported by the 1⁄2 West Africa-Michigan CHARTER in GEOHealth with funding from the US
National Institutes of Health / Fogarty Interna-tional Center (NIH/FIC) (paired grant nos. 1U2RTW010110–01 and
5U01TW010101) and Canada’s International Development Research Center (IDRC; grant no. 108121–001). Co-
authors C.D. and B.M. were partially supported by the training grant T42-OH008455 from the National Institute for
Occupational Safety and Health (NIOSH), US Centers for Disease Control and Prevention (CDC). The views
expressed in this publication do not necessarily reflect the official policies of nor endorsement by NIH, IDRC,
NIOSH, CDC, and/or the Canadian and US Governments.
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