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Tuberculosis (TB) treatment centres and laboratories generate different types of waste during diagnosis, treatment, patient care, specimen collection, and laboratory investigations. Much of this waste may be infectious because it can contain *Mycobacterium tuberculosis*, the organism responsible for tuberculosis. Therefore, proper waste management is essential to protect patients, healthcare workers, laboratory staff, waste handlers, visitors, and the surrounding community. Waste must be segregated, collected, transported, treated, and finally disposed of according to biomedical waste management principles and applicable health regulations. In TB treatment centres, waste may include used gloves, masks, gowns, tissues, cotton, swabs, syringes, needles, dressings, contaminated disposable materials, sputum containers, medicine packaging, and general non-infectious waste. Waste from patients with respiratory infections requires particular attention because respiratory secretions may contain infectious organisms. The first important step is segregation of waste at the point where it is generated. Infectious waste should not be mixed with ordinary municipal waste. Separate containers or bags should be used for different categories of waste, following the colour-coding and biomedical waste requirements applicable to the healthcare facility. Sputum and respiratory specimens require special care in TB centres. Patients who are asked to produce sputum should be provided with appropriate leak-proof, properly labelled containers. Sputum collection should preferably take place in a designated, well-ventilated area away from crowded spaces. The containers should remain closed when not in use. Staff should avoid unnecessary handling of sputum _____ __________ _____ _________ ___ ________.
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