Pharmaceutical waste can be every bit as dangerous to communities as pathological waste if not properly handled. Pharmaceutical waste may contain antibiotics, antineoplastic cancer drugs, narcotic and psychotropic substances as well as other potentially harmful chemical materials.

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HECAF has pioneered safe techniques for the disposal of pharmaceutical waste in Nepal for the United States Agency for International Development (USAID), for the World Health Organization Nepal Country Office, for the International Committee of the Red Cross, for Americares and for Tribhuvan University Teaching Hospital in Kathmandu.